Health Assessment in Nursing 5E

Innovative, systematic, and easy to understand, Health Assessment in Nursing has already helped thousands of RN-level students develop the comprehensive knowledge base and expert nursing assessment skills necessary for accurate collection of client data.

In this revised Fifth Edition, the authors provide in-depth, accurate information, a compelling Continuing Case Study that covers every step in the assessment process, a focus on diversity and health assessment through the lifespan, a striking photo and illustration program that includes photos of practicing registered nurses and nurse practitioners performing assessments, dynamic online video clips and animations, and much more.

Using this book you’ll have everything at your fingertips to master the knowledge and assessment skills you’ll need in your nursing career.

Master the “how-to’s” of conducting a nursing assessment through the real world Continuing Case Study in every chapter that introduces a client with a health concern, guides you through investigation of symptoms using the COLDSPA mnemonic, and demonstrates a physical assessment, proper documentation techniques, diagnostic reasoning, and appropriate nursing conclusions.
Access an easy-to-understand tool for data collection with the Collecting Subjective Data: Nursing Health History table, which presents Information in two columns: Questions that you will ask the client and Rationales explaining why the questions are important.
Master every aspect of the physical examination through the Collecting Objective Data: Physical Examination table, which illustrates physical examination procedures in a step-by-step fashion across three columns: Assessment Procedure (which explains and illustrates exactly how to perform specific aspects of the examination), Normal Findings, and Abnormal Findings.
Identify important distinctions through hundreds of photos exhibited in the Abnormal Findings displays.

 New! Chapter 6, Assessing Mental Status and Substance Abuse, includes information about assessing risk for substance abuse.

· New! Chapter 7, Assessing Psychosocial, Cognitive, and Moral Development, emphasizes the importance of understanding the client’s developmental level in these important areas in order to perform a holistic assessment.

· Lifespan, a vitally important topic in today’s health care environment, is presented with special individual chapters inUnit IV that provide comprehensive discussions of the differences inherent in assessing very young and elderly clients, as well as childbearing women. These chapters explain and illustrate the uniqueness of these differences in regard to body structures and functions, interview techniques, growth and development, and physical examination techniques.

· Culture is a high priority in this text, because of its significance to assessment, so a special chapter (Chapter 11) is included that introduces cultural concepts which are then further emphasized throughout the text and highlighted with a special icon.

· New art program includes new photos of nurses demonstrating how to correctly perform each step of the physical examination. Each chapter also has more abnormal finding photos to better illustrate the actual abnormal finding.

· Continuing Case Study: Each chapter introduces a client with a health concern related to the chapter content; COLDSPA mnemonic is applied as the nurse explores the health concern; a physical assessment of the client is demonstrated; proper documentation technique is applied; diagnostic reasoning is applied and appropriate nursing conclusions are determined.

· Collecting Subjective Data: The Nursing Health History table: Information is presented in 2 columns : Questionsthat the student will ask the client and Rationales explaining why the questions are important. Clinical Tips and cultural considerations are included to help highlight critical content.

· Collecting Objective Data: Physical Examination table: Introduces ways to prepare the client for the examination including all equipment needed and key points to remember during the assessment. Physical examination procedures are fully illustrated in a step-by-step fashion across three columns: Assessment Procedure (explains and illustrates exactly how to perform specific aspects of the examination), Normal Findings and Abnormal Findings.

· Displays of Abnormal Findings: Includes fully-illustrated, common abnormal findings, helping students to identify important distinctions.

· Evidence-Based Health Promotion and Disease Prevention boxes contain Healthy People 2020 goals, Risk Assessment, and Client Education sections, and are an excellent resource for students to use to teach the client ways to reduce risk factors.

· Case Study, threaded throughout the chapter, teaches the student how to apply the COLDSPA mnemonic, interview questions, physical assessment, and analysis of data to a particular client.

· Assessment Guides teach students about essential equipment and techniques

· Assessment Tools contain questionnaires for students to use during assessment

· Safety Tips alert the student to key information to ensure safe practice.

· Clinical tips are included to help highlight critical content necessary for a thorough assessment.

· Concept maps in appendix demonstrate application of assessment procedure to case studies.

Unit 1: Nursing Data Collection, Documentation, and Analysis

Chapter 1

Nurse’s Role in Health Assessment: Collecting and Analyzing Data

Chapter 2

Collecting Subjective Data: The Interview and Health History

Chapter 3

Collecting Objective Data: The Physical Examination

Chapter 4

Validating and Documenting Data

Chapter 5

Thinking Critically to Analyze Data and Make Informed Nursing Judgments

Unit 2: Integrative Holistic Nursing Assessment

Chapter 6

Assessing Mental Status and Substance Abuse

Chapter 7

 Assessing Psychosocial, Cognitive, and Moral Development

Chapter 8

Assessing General Status and Vital Signs

Chapter 9

Assessing Pain: The 5th Vital Sign

Chapter 10

Assessing for Violence

Chapter 11

Assessing Culture

Chapter 12

Assessing Spirituality and Religious Practices

Chapter 13

 Assessing Nutritional Status

Unit 3: Nursing Assessment of Physical Systems

Chapter 14

Assessing Skin, Hair, and Nails

Chapter 15

Assessing Head and Neck

Chapter 16

Assessing Eyes

Chapter 17

Assessing Ears

Chapter 18

Assessing Mouth, Throat, Nose, and Sinuses

Chapter 19

Assessing Thorax and Lungs

Chapter 20

Assessing Breasts and Lymphatic System

Chapter 21

Assessing Heart and Neck Vessels

Chapter 22

Assessing Peripheral Vascular System

Chapter 23

Assessing Abdomen

Chapter 24

Assessing Musculoskeletal System

Chapter 25

Assessing Neurologic System

Chapter 26

Assessing Male Genitalia and Rectum

Chapter 27

Assessing Female Genitalia and Rectum

Chapter 28

Pulling It All Together: Integrated Head-to-Toe Assessment

Unit 4: Nursing Assessment of Special Groups

Chapter 29

Assessing Childbearing Women

Chapter 30

Assessing Newborns and Infants

Chapter 31

Assessing Children and Adolescents

Chapter 32

Assessing Older Adults

Chapter 33

Assessing Families

Chapter 34

Assessing Communities

Appendices

A: Nursing History Checklist

B: Physical Assessment Checklist

C: NANDA Approved Nursing Diagnoses

D: Selected Collaborative Problems

E: Canada’s Food Guide

Glossary