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Nursing Fundamentals, 2nd Edition
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Overview

Learn core nursing concepts like client care, communication, and clinical judgment using the nursing process framework.

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Estimated Dates
Digital Textbook: Available Now
Print Textbook: Available Now
Audiobook: August 2025
Next Edition: 2027
Annual Student Impact

2,247 students | 19 high school students | $389,752 student savings

Nursing Fundamentals introduces students to the foundational principles of nursing practice, including the scope of nursing, effective communication techniques, and caring for diverse client populations. Using the nursing process as a framework, this textbook covers essential concepts such as safety, oxygenation, comfort, spiritual well-being, grief and loss, sleep and rest, mobility, nutrition, fluid and electrolyte balance, and elimination. It also addresses nursing care for clients with integumentary disorders and cognitive or sensory impairments. Each chapter includes interactive learning activities, such as case studies and NCLEX Next Generation-style questions, to help students develop clinical judgment and apply their knowledge to real-world client-care scenarios. Designed for aspiring nurses, this resource provides a solid foundation for delivering compassionate, evidence-based care in a variety of healthcare settings.

Chapter 1: Scope of Practice

  • Distinguish among the different levels of nursing education
  • Specify the ethical and legal boundaries of the student nurse as presented in the Code of Ethics and the Nurse Practice Act
  • Detail responsibility for maintaining client confidentiality
  • Describe the contribution of all members of the health care team
  • Identify the role of evidence-based practice in nursing
  • Identify the concept of quality in client care
  • Discuss nursing scope of practice and standards of care
  • Compare various settings in which nurses work
  • Outline professional nursing organizations

Chapter 2: Communication

  • Assess one’s own communication skills and effectiveness
  • Demonstrate cultural humility, professionalism, and respect when communicating
  • Use communication styles and methods that demonstrate caring, respect, active listening, authenticity, and trust
  • Maintain communication with interprofessional team members and others to facilitate safe transitions and continuity in care delivery
  • Confirm the recipient of the communication heard and understands the message
  • Use therapeutic communication techniques
  • Identify strategies to adapt communication to the client, audience, and situation
  • Verify information sources are reliable and current
  • Use correct medical terminology and abbreviations
  • Describe ways to report client information
  • Describe legal and standard documentation guidelines

 

Chapter 3: Diverse Patients

  • Reflect upon personal and cultural values, beliefs, biases, and heritage
  • Embrace diversity, equity, inclusivity, health promotion, and health care for individuals of diverse geographic, cultural, ethnic, racial, gender, and spiritual backgrounds across the life span
  • Demonstrate respect, equity, and empathy in actions and interactions with all health care consumers
  • Participate in life-long learning to understand cultural preferences, worldviews, choices, and decision-making processes of diverse clients
  • Adapt care considering all aspects of diversity
  • Identify principles of protecting client dignity
  • Identify principles of holistic, client-centered care
  • Identify strategies to advocate for clients
  • Identify principles of religion and spirituality

Chapter 4: Nursing Process

  • Use the nursing process to provide client care
  • Describe components of a client-centered plan of care
  • Differentiate priorities of client care
  • Describe the roles of the RN, LPN/VN, and UAP in providing client care

Chapter 5: Safety

  • Identify safety considerations for adults of all ages
  • Indicate correct identification of client prior to performing any client care measures
  • Describe industry standards and regulations regarding microbiological, physical, and environmental safety
  • Differentiate safety considerations among diverse clients
  • Apply decision-making related to measures to minimize use of restraints

Chapter 6: Cognitive Impairments

  • Identify risk factors for cognitive impairments
  • Identify cues related to cognitive impairments across the life span
  • Identify evidence-based interventions to support diverse clients (individual, family, or group) with cognitive impairments
  • Contribute to a plan of care for clients with cognitive and sensory impairments
  • Include adaptations to the environment to maintain safety for the client with impaired cognition
  • Incorporate nursing strategies to maximize cognitive functioning
  • Outline resources for clients with a cognitive impairment and their family members or caregivers

Chapter 7: Sensory Impairments

  • Identify risk factors for sensory impairments
  • Identify cues related to sensory impairments across the life span
  • Identify interventions to support diverse clients (individual, family, or group) with sensory impairments
  • Contribute to a plan of care for clients with sensory impairments
  • Detail support for family/significant others caring for clients with a sensory impairment
  • Include community resources available for clients and families with a sensory impairment
  • Include adaptations to the environment to maintain safety for the client with a sensory impairment
  • Outline evidence-based nursing interventions for specific sensory disorders

Chapter 8: Oxygenation

  • Identify risk factors in oxygenation alterations across the life span
  • Identify cues related to alterations in oxygenation
  • Identify safety considerations related to care of oxygenation alterations
  • Identify interventions to plan care for client with oxygenation alterations
  • Identify diagnostic tests and lab values related to oxygenation alterations
  • Contribute to a plan of care for clients with oxygenation alterations

Chapter 9: Infection

  • Describe risk factors for infection
  • Identify cues related to infection across the life span
  • Identify practices that reduce the risk of infection transmission
  • Identify basic diagnostic tests related to infection
  • Differentiate factors related to infection among diverse clients
  • Identify industry standards for transmission-based procedures
  • Contribute to a plan of care for clients with an infection

Chapter 10: Integumentary

  • Describe risk factors for integumentary disorders
  • Identify cues related to alterations in integumentary system across the life span
  • Differentiate findings among diverse clients
  • Identify interventions to preserve skin integrity
  • Contribute to a plan of care for clients with integumentary disorders

Chapter 11: Comfort

  • Identify cues related to alteration in comfort across the life span
  • Identify standards of care for the client experiencing pain
  • Identify interventions to increase client comfort
  • Contribute to a plan of care for clients with comfort alterations

Chapter 12: Sleep and Rest

  • Identify factors putting clients at risk for sleep and rest problems across the life span
  • Identify cues related to sleep and rest problems
  • Identify nonpharmacological interventions to promote sleep and rest
  • Contribute to a plan of care for clients with sleep and rest alterations

Chapter 13: Mobility

  • Identify factors putting clients at risk for mobility problems
  • Identify cues related to mobility problems
  • Identify the effects of immobility on body systems
  • Describe nursing interventions to prevent complications of immobility
  • Contribute to a plan of care for clients with mobility alterations

Chapter 14: Nutrition

  • Describe risk factors for nutritional deficiencies
  • Identify cues related to nutrition balance
  • Identify diagnostic tests and lab values indicative of a disturbance in nutrition, fluid, and electrolyte disturbances
  • Identify essential nutrients
  • Identify supplements to enhance nutrition alterations
  • Contribute to a plan of care for clients with an alteration in nutrition

Chapter 15: Fluids and Electrolytes

  • Describe risk factors for fluid and electrolyte disturbances
  • Identify cues related to fluid/electrolyte balance
  • Identify diagnostic tests and lab values indicative of a disturbance in fluid and electrolyte disturbances
  • Identify essential nutrients
  • Identify supplements to enhance nutrition alterations
  • Contribute to a plan of care for clients with an alteration in nutrition and fluid and electrolyte disturbances

Chapter 16: Elimination

  • Describe risk factors for urinary and bowel elimination
  • Identify cues related to alterations in elimination across the life span
  • Identify diagnostic tests indicative of disturbances in urinary and bowel elimination
  • Identify measures to promote urinary and bowel elimination
  • Contribute to a plan of care for clients with an alteration in urinary and bowel elimination

Chapter 17: Grief and Loss

  • Identify anticipated responses to grief and loss across the life span
  • Identify grief and loss resources
  • Identify ethical/legal considerations related to end-of-life decisions
  • Identify the nursing responsibilities associated with end-of-life and postmortem care
  • Contribute to a plan of care to support client (individual, family, or group) through grief and loss
  • Demonstrate respect for the cultural and spiritual beliefs of the client and family members experiencing grief and loss

Chapter 18: Spirituality

  • Adapt care considering all aspects of diversity
  • Identify principles of protecting client dignity
  • Identify principles of holistic, client-centered care by incorporating cultural, religious, and spiritual influences on client health
  • Identify strategies to advocate for clients
  • Identify principles of religion and spirituality as they relate to health

Chapter 19: Care of the Older Adult

  • Consider all aspects of diversity, including age
  • Differentiate between normal and abnormal findings for older adults
  • Detail specific adaptations in client care to accommodate the needs of older adults

This video walks you through our online textbook hosted on the Pressbooks website and not this website. To access this book online, click below.

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First edition funded by U.S. Department of Education Open Textbooks Pilot grant Second edition funded by State of Wisconsin, Wisconsin Technical College System funding for Open Educational Resources