This textbook is an open educational resource based on the Wisconsin Technical College System (WTCS) statewide nursing curriculum for the Nursing Health Promotion course (543-106), a second semester nursing course designed for students in the Practical Nursing program and the first year of the Associate Degree Nursing program. It is also aligned with the 2023 NCLEX-PN and NCLEX-RN test plans.

This textbook focuses on topics related to health promotion for individuals and families throughout the life span. Nutrition, exercise, stress management, empowerment, and risk reduction practices are highlighted. Study of the family includes family dynamics, functions, parenting and discipline styles, and stages of development. Topics also include nursing care for reproductive issues, pregnancy, labor and delivery, postpartum, newborns, and ill children. Mental health concepts are applied to a variety of common mental health and neurodevelopmental conditions, as well as maladaptive coping behaviors. An emphasis is placed on teaching and supporting healthy lifestyles choices for individuals of all ages. Interactive learning activities are provided in each chapter, including NCLEX Next Generation-style case studies and questions.

Contents

• Introduction
• Preface
• Standards and Conceptual Approach
• CHAPTER 1. TEACHING & LEARNING
  • 1.1. Introduction
  • 1.2. Health Literacy
  • 1.3. Standards Related to Health Teaching and Health Promotion
  • 1.4. Learning Theories
  • 1.5. Learner Assessment
  • 1.6. Health Teaching
  • 1.7. The Teaching/Learning Process
  • 1.8. Spotlight Application
  • 1.9. Learning Activities
  • I. Glossary
• CHAPTER 2. HEALTHY LIFESTYLE
  • 2.1. Introduction
  • 2.2. Health, Wellness, and Disease Prevention
  • 2.3. Primary Prevention: Teaching Elements of a Healthy Lifestyle
  • 2.4. Secondary Prevention
  • 2.5. Tertiary Prevention
  • 2.6. Risk Reduction
  • 2.7. Behaviorial Change
  • 2.8. Applying the Nursing Process and Clinical Judgment Model to Promoting Healthy Lifestyles
  • 2.9. Spotlight Application
  • 2.10. Learning Activities
  • II. Glossary
• CHAPTER 3. HEALTHY DIETS
  • 3.1. Introduction
  • 3.2. Basic Concepts Related to Nutrition
  • 3.3. Dietary Recommendations According to Age and Developmental Level
  • 3.4. Specific Dietary Recommendations Based on Health Conditions
  • 3.5. Applying the Nursing Process and the Clinical Judgment Model to Healthy Diets
  • 3.6. Spotlight Application
  • 3.7. Learning Activities
  • III. Glossary
• CHAPTER 4. FAMILY DYNAMICS
  • 4.1. Introduction
  • 4.2. Family Structures, Cultural Practices, Roles, and Functions
  • 4.3. Family Dynamics
  • 4.4. Factors That Lead to Actual and Potential Family Health Problems
  • 4.5. Parenting Styles and Behaviors
  • 4.6. Psychosocial Effect of Illness on Client and Family Health
  • 4.7. Applying the Nursing Process and Clinical Judgment Model to Caring for Clients in the Context of Family
  • 4.8. Spotlight Application
  • 4.9. Learning Activities
  • IV. Glossary
• CHAPTER 5. MENTAL HEALTH CONCEPTS
  • 5.1. Introduction
  • 5.2. Basic Concepts of Mental Health and Mental Illness
  • 5.3. Stress & Coping
  • 5.4. Applying the Nursing Process and Clinical Judgment Model to Promote Healthy Coping
  • 5.5. Spotlight Application
  • 5.6. Learning Activities
  • V. Glossary
• CHAPTER 6. MALADAPTIVE COPING BEHAVIORS
  • 6.1. Introduction
  • 6.2. Neglect & Abuse
  • 6.3. Intimate Partner Violence
  • 6.4. Workplace Violence
  • 6.5. Substance Misuse
  • 6.6. Withdrawal
  • 6.7. Overdose
  • 6.8. Spotlight Application
  • 6.9. Learning Activities
  • VI. Glossary
• CHAPTER 7. MENTAL HEALTH CONDITIONS
  • 7.1. Introduction
  • 7.2. General Assessments for Mental Health Conditions
  • 7.3. Suicide Screening and Safety Interventions
  • 7.4. General Treatments for Mental Health Conditions
  • 7.5. Psychotherapy
  • 7.6. Psychotropic Medications
  • 7.7. Mental Health Conditions and Neurodevelopmental Disorders
  • 7.8. Anxiety
  • 7.9. Obsessive-Compulsive Disorder (OCD)
  • 7.10. Post-Traumatic Stress Disorder (PTSD)
  • 7.11. Depression
  • 7.12. Bipolar Disorder
  • 7.13. Psychosis and Schizophrenia
  • 7.14. Eating Disorders
  • 7.15. Behavior Disorders
  • 7.16. Attention Deficit Hyperactivity Disorder
  • 7.17. Autism Spectrum Disorder
  • 7.18. Spotlight Application
  • 7.19. Learning Activities
  • VII. Glossary
• CHAPTER 8. REPRODUCTIVE CONCEPTS
  • 8.1. Reproductive Concepts Introduction
  • 8.2. Review of Anatomy and Physiology of the Male and Female Reproductive Systems
  • 8.3. Sexual Development Across the Life Span
  • 8.4. Reproduction
  • 8.5. Reproductive Screening
  • 8.6. Fertility
  • 8.7. Contraception
  • 8.8. Sexually Transmitted Infections
  • 8.9. Male Reproductive System Disorders
  • 8.10. Female Reproductive System Disorders
  • 8.11. Applying the Nursing Process and Clinical Judgment Model
  • 8.12. Spotlight Application
  • 8.13. Learning Activities
  • VIII. Glossary
• CHAPTER 9. ANTEPARTUM CARE
  • 9.1. Introduction
  • 9.2. Preconception Care
  • 9.3. Diagnosing Pregnancy
  • 9.4. Anatomical, Physiological, and Psychological Changes During Pregnancy
  • 9.5. Common Discomforts of Pregnancy and Relief Measures
  • 9.6. Prenatal Care and Reducing Maternal Mortality
  • 9.7. First Prenatal Visit
  • 9.8. First Trimester Prenatal Care
  • 9.9. Second Trimester Prenatal Care
  • 9.10. Third Trimester Prenatal Care
  • 9.11. Perinatal Education
  • 9.12. Family Adaptation to Pregnancy
  • 9.13. Spotlight Activity
  • 9.14. Learning Activities
  • IX. Glossary
• CHAPTER 10. LABOR & DELIVERY CARE
  • 10.1. Introduction
  • 10.2. Childbirth Settings
  • 10.3. Labor
  • 10.4. The P’s of Labor
  • 10.5. Fetal Heart Rate Monitoring
  • 10.6. Pain Management During Labor and Delivery
  • 10.7. Complications Associated With Labor
  • 10.8. Complications and Medical Interventions During the Second Stage of Labor
  • 10.9. Complications and Medical Interventions During the Third Stage of Labor
  • 10.10. Applying the Nursing Process and Clinical Judgment Model to Labor and Delivery Care
  • 10.11. Family Adaptations During Childbirth
  • 10.12. Spotlight Application
  • 10.13. Learning Activities
  • X. Glossary
• CHAPTER 11. POSTPARTUM CARE
  • 11.1. Introduction
  • 11.2. Postpartum Physiological Adaptations
  • 11.3. Psychosocial Adaptation to Parenthood
  • 11.4. Postpartum Complications
  • 11.5. Applying the Nursing Process and the Clinical Judgment Model to Postpartum Care
  • 11.6. Spotlight Application
  • 11.7. Learning Activities
  • XI. Glossary
• CHAPTER 12. HEALTHY NEWBORN CARE
  • 12.1. Introduction to Healthy Newborn Care
  • 12.2. Physical Changes After Birth
  • 12.3. Common Complications During the Neonatal Period
  • 12.4. Psychosocial Needs of a Healthy Newborn
  • 12.5. Applying the Nursing Process and Clinical Judgment Model to Newborn Care
  • 12.6. Congenital Conditions
  • 12.7. Spotlight Application
  • 12.8. Learning Activities
  • XII. Glossary
• CHAPTER 13. NURSING CARE FOR INFANCY THROUGH ADOLESCENCE
  • 13.1. Introduction
  • 13.2. Developmental Theories
  • 13.3. Stages of Child Development
  • 13.4. Nursing and Medical Care for the Developing Child
  • 13.5. Spotlight Application
  • 13.6. Learning Activities
  • XIII. Glossary
• CHAPTER 14. PLANNING CARE FOR THE ILL CHILD
  • 14.1. Introduction to Planning Care for the Ill Child
  • 14.2. Role of the Nurse When Caring for Ill or Hospitalized Pediatric Clients
  • 14.3. Effects of Illness and Hospitalization on a Pediatric Client and Family
  • 14.4. Impact of Cultural and Religious Values and Beliefs on Care of Pediatric Clients
  • 14.5. Applying the Nursing Process and the Clinical Judgment Model to Caring for an Ill or Hospitalized Pediatric Client
  • 14.6. Spotlight Application
  • 14.7. Learning Activities
  • XIV. Glossary
• CHAPTER 15. CHILDHOOD RESPIRATORY DISORDERS
  • 15.1. Introduction to Childhood Respiratory Disorders
  • 15.2. Review of Anatomy & Physiology of the Respiratory System
  • 15.3. Focused Assessment for Respiratory Disorders
  • 15.4. Respiratory Disorders
  • 15.5. Upper Respiratory Tract Infection
  • 15.6. Sinusitis
  • 15.7. Pharyngitis, Tonsillitis, & Adenoiditis
  • 15.8. Croup
  • 15.9. Epiglottitis
  • 15.10. Bronchiolitis
  • 15.11. Respiratory Viral Infections
  • 15.12. Acute Bronchitis
  • 15.13. Infectious Mononucleosis/Epstein-Barr Virus
  • 15.14. Other Respiratory Disorders
  • 15.15. Spotlight Activity
  • 15.16. Learning Activities
  • XV. Glossary
• CHAPTER 16. OTHER CHILDHOOD DISORDERS
  • 16.1. Introduction to Other Childhood Disorders
  • 16.2. Review of Anatomy & Physiology
  • 16.3. General Assessment of Body Systems
  • 16.4. Common Childhood Disorders
  • 16.5. Cleft Lip & Cleft Palate
  • 16.6. Conjunctivitis
  • 16.7. Constipation
  • 16.8. Dermatitis
  • 16.9. Diarrhea
  • 16.10. Febrile Seizures
  • 16.11. Impetigo
  • 16.12. Lyme Disease
  • 16.13. Meningococcal Meningitis
  • 16.14. Nasolacrimal Duct Obstruction
  • 16.15. Osteomyelitis
  • 16.16. Otitis Externa
  • 16.17. Otitis Media
  • 16.18. Pediculosis Capitis (Lice)
  • 16.19. Scabies
  • 16.20. Tinea Infection
  • 16.21. Varicella
  • 16.22. Other Pediatric Disorders
  • 16.23. Spotlight Activity
  • XVI. Glossary
• CHAPTER 17. CONGENITAL HEART DEFECTS
  • 17.1. Introduction
  • 17.2. Review of Anatomy & Physiology - Normal Fetal and Neonatal Circulation
  • 17.3. Categories of Congenital Heart Defects - Acyanotic and Cyanotic Defects
  • 17.4. Complications of Congenital Heart Defects
  • 17.5. Applying the Nursing Process and Clinical Judgment Model to Congenital Heart Defects
  • 17.6. Spotlight Application
  • 17.7. Learning Activities
  • XVII. Glossary
• CHAPTER 18. REPRODUCTIVE SYSTEM ALTERATIONS
  • 18.1. Introduction
  • 18.2. Abnormal Vaginal Bleeding
  • 18.3. Amenorrhea
  • 18.4. Benign Breast Disorders
  • 18.5. Benign Growths
  • 18.6. Cancer
  • 18.7. Chronic Pelvic Pain
  • 18.8. Dysmenorrhea
  • 18.9. Endometrial Polyps
  • 18.10. Endometriosis
  • 18.11. Fibroids
  • 18.12. Fistulas
  • 18.13. Gestational Trophoblastic Disease
  • 18.14. Infertility
  • 18.15. Ovarian Cysts
  • 18.16. Pelvic Floor Disorders
  • 18.17. Perimenopause and Menopause
  • 18.18. Polycystic Ovary Syndrome
  • 18.19. Premenstrual Syndrome and Premenstrual Dysphoric Disorder
  • 18.20. Transgender Considerations
  • 18.21. Spotlight Application
  • 18.22. Learning Activities
  • XVIII. Glossary
• CHAPTER 19. HIGH-RISK PERINATAL CLIENT CARE
  • 19.1. Introduction
  • 19.2. High-Risk Pregnancy
  • 19.3. Hemorrhage
  • 19.4. Infection
  • 19.5. High Blood Pressure Disorders of Pregnancy
  • 19.6. Complications Related to Labor and Delivery
  • 19.7. Cardiovascular Conditions
  • 19.8. Pregestational Diabetes and Gestational Diabetes
  • 19.9. Amniotic Fluid Embolism
  • 19.10. Preterm Labor
  • 19.11. Intimate Partner Violence
  • 19.12. Maternal Substance Use During Pregnancy
  • 19.13. Peripartum Depression
  • 19.14. Pregnancy Loss and Fetal Demise
  • 19.15. Nutritional Support
  • 19.16. Psychosocial Support
  • 19.17. Spotlight Application
  • 19.18. Learning Activities
  • XIX. Glossary
• CHAPTER 20. HIGH-RISK NEWBORN CARE
  • 20.1. Introduction
  • 20.2. Preterm Birth
  • 20.3. Post-Term Birth
  • 20.4. Birth Weight
  • 20.5. Neonatal Sepsis
  • 20.6. Congenital and Genetic Disorders
  • 20.7. Maternal Diabetes
  • 20.8. Exposure to Maternal Substance Use
  • 20.9. Neonatal Resuscitation
  • 20.10. Spotlight Application
  • 20.11. Learning Activities
  • XX. Glossary
• ANSWER KEY
  • Chapter 1
  • Chapter 2
  • Chapter 3
  • Chapter 4
  • Chapter 5
  • Chapter 6
  • Chapter 7
  • Chapter 8
  • Chapter 9
  • Chapter 10
  • Chapter 11
  • Chapter 12
  • Chapter 13
  • Chapter 14
  • Chapter 15
  • Chapter 16
  • Chapter 17
  • Chapter 18
  • Chapter 19
  • Chapter 20
• Appendix A. Normal Reference Ranges