Awkward. Suggested rewrite:Clients with substance use disorders may exhibit a poor nutritional status due to long-term use of substances taking precedence over adequate food and fluid intake.

closely, because

This is awkwardly phrased, because you are trying to keep the initial verb form in the list consistent. The recognition is being provided BY parents and teachers TO individuals. How about "Providing community and family recognition of individuals' effort and accomplishments to encourage future positive behaviors."

feelings, thoughts, and actions

intervene early WITH individuals

a trend can escalate and a number or percentage can increase, but a trend cannot increase.

The word physically is unnecessary here: is there another way to travel?

The paragraph is not about recovery based education, it's about recovery support programs which take place in high schools or colleges or focus on that age group.

unnecessary semicolon. Commas are used in the rest of the sentence, and should be here.

this technically makes sense, but would make more sense with a phrase like "Research studying the effectiveness of Al-Anon"

"Like AA, Al-Anon is based on a 12-step philosophy and provides support whether or not their loved one"

The "thier" there seems to be referring back to Al-Anon, which isn't the intent. Easy fix: "Like AA, Al-Anon is based on a 12-step philosophy and provides support whether or not members' loved ones"

Awkward. Suggested rewrite: "Its philosophy, approach, and format have been adopted by groups focusing on recovery from other substances, such as..."

or "member-led."

I don't know what style sheet you're using, but typically it's numbers in text up to ten and numerals for amounts over 10. So, this would be "four to five more years"

Again, semicolons are not needed here. Commas work just fine with a simple series of nouns and noun phrases.

" interpersonal relationships that they later regret" means that they regret those relationships as it is currently written, which is not what you mean. Suggested rewrite: This is perhaps because during periods of heavy substance misuse, individuals may damage interpersonal relationships, which they regret and attempt to resolve during recovery..

the word "either" there implies there's another part of this sentence. Otherwise, don't need it!

"as a way" is unnecessary there.

of people diagnosed with SUD

barriers to treatment

if you introduce it, you need to define it.

and motivate clients to change

participating in

See my previous annotation re semicolons in a series. They are almost never necessary.

It is the noun "their" is referring to, and in this sentence that makes no sense! How about "MI uses a conversational approach to help clients..."

consisting of, or comprised of

unnecessary phrase: it's clear from context.

12 to 17, who

early, before

This is the sentence in the cited document: "Remission of substance use and even full recovery can now be achieved if evidence based care is provided for adequate periods of time, by properly trained health care professionals, and augmented by supportive monitoring, RSS, and social services." This is a quote. It needs quotation marks around it, not just the citation.

Suggested rewrite: An individual's risk factors for developing SUD

you can just use the word "faster." Means the same thing.

developed

reduce? Alleviate? mask?

Semicol9ons are not n4ecessary here. Commas will do. "vWhen a list within a sentence contains three or more items, use a serial comma before the final item. We gathered information about participants' age, gender, and socioeconomic status. However, if any item in a list of three or more items already contains commas, use semicolons instead of commas between the items." https://apastyle.apa.org/style-grammar-guidelines/punctuation/serial-comma

This technically is shorthand for "any mental illness." Should we use the phrase mental illness rather than mental disorder in the sentence? Or offer a definition of AMI? It will just seem weird to the reader that the acronym and the phrase don't "match."

disorders, because

factors, such

unnecessary word.

This is never defined in this book. It's probably obvious via context, but a definition might be helpful.

The National Council OF State Boards of Nursing

Do we want to use a broader definition? This is a definition of an addiction to substances, but one can be addicted to activities (gambling, sex, shopping) depending on how you parse it.

addictions. Disorders, addictions, plural.

We have to decide if the plural of SUD is SUD or SUDs and be consistent.

diagnosed on the basis of? Evidenced by?

the correct title is Clinical Opiate Withdrawal Scale

Do you mean "click the link?"

prescribed? Do you mean utilized?

The correct title is Clinical Institute Withdrawal Assessment for Alcohol scale.

"Rapid or unmanaged withdrawal from these substances can be protracted" Nothing rapid is protracted! I think what you mean is "Rapid or unmanaged cessation of use can result in protracted withdrawal"

"Some substances, such as alcohol... produce significant physical withdrawal effects, especially if combined with heavy alcohol use." That doesn't make sense, so maybe a rewrite would be "Some substances, such as opioids, sedatives, and tranquilizers, produce significant physical withdrawal effects, especially if they have been used in combination with alcohol?" Spitballing here.

Nurses are healthcare providers. So maybe Notify the attending?

blunted

ingest?

no, this is still real life. How about "they would never do when not under the influence of a hallucinogen"

suggested rewrite: altered perceptions and moods.

as a part of

multiple users, multiple bodies and environments. "users to feel out of control or disconnected from their bodies and environments."

to monitor

suggested rewrite: Benzodiazepines, which cause CNS depression, are commonly involved in drug overdoses.

detected by

comma needed: intoxication, such

need a definition here?

It's uncommon that marijuana may be found to contain fentanyl. The first possible report of this in the US was just late last year in Connecticut, and though popular literature talks about its being possible, it's way, way more likely to find fentanyl deaths related to opioids. Rather than talk about something nurses are unlikely to ever see, let's hit hard on fentanyl analogs. https://www.ama-assn.org/system/files/issue-brief-increases-in-opioid-related-overdose.pdf and https://portal.ct.gov/DPH/Press-Room/Press-Releases---2021/Officials-From-The-Connecticut-Overdose-Response-Strategy-And-The-DPH-Issue-Warning

30 minutes to 1 hour, because

I'd suggest numbering the steps in text; just to be super clear.

citation? Footnote 22 (the closest citation) does not include this stat.

due to injuries sustained while intoxicated.

"has overdosed on alcohol"

a single person drinks a single amount. "a person who drinks an excessive amount"

more accurately, autonomic functions. you could introduce that word here.

I don't know what your style guide says, but not every user/students?college which adopts this book will have access to UptoDate, which is a subscription licensed resource. Are you trying to cite public and open access resources?

No. I mean, yes, changes in behavior obviously happen, but the literal definition of intoxication has to do with the signs and symptoms, which in turn result in behaviors.

or a male

Suggested rewrite: Anyone can call a regional poison control center 24/7 at 1-800-222-1222 for consultation regarding toxic ingestion of substances and overdoses.

poison control centers. You'd go to a poisoning center to be poisoned! :)

I would tread lightly here: sexually transmitted diseases and pregnancy may occur because of an increase in risk taking behaviors, but it's not a direct result of drug ingestion, as is liver disease. There's a fine line here, and unless we discuss the complexity it can read to sharper students as paternalistic or patronizing or victim shaming. Maybe rather than lumping those in the same sentence, you could have second sentence which indicates what I said; the drug use increases risk behavior and/or lowers inhibitions, which can increase the likelihood of HIV/AIDS or unintended pregnancies.

corrected "known to have significant public health impacts"

Far more than 10s of thousands. Suggest linking to https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2022/202205.htm or https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm

clients

plans

Rather than "these rules include the following areas," it should read "These rules are:"

demonstrate THAT their

"perform tasks" is the phrase more commonly used

compensation

the word in is unnecessary there.

physician, because

established THAT the

the nurse testifying

a short example would aid understanding, particularly with the vague noun "things."

deviated?

"name physicians or hospitals as plaintiffs"

weird and wordy phrase. Don't we just mean "Clients bringing a malpractice lawsuit must be able to demonstrate to the court that their interests were harmed."

clearer suggested rewrite: Nurses must take care in their oral and written communications to avoid defaming clients or coworkers.

Clearer: "under the age of eighteen."

applies TO minors

Clearer rewrite: require health professionals to report suspected neglect or abuse.

protect third parties FROM potential life threats

That's not an illustration of confidentiality: I get it, with the big lock, but it's just a vector graphic tat may not be very obvious to new students. How about posing for some photos?

Well, they can respond by saying "I cannot give out that information," so that is not entirely accurate. How about "Under HIPAA, nurses may not answer in the affirmative if someone calls and asks if a patient was admitted to the unit."

included in the?

simplified rewrite: the use of physical restraints and monitoring restrained clients

This sounds like a direct quote. I'm finding it verbatim here: https://www.law.cornell.edu/category/keywords/intentional_tort. so, you should quote it and provide citation.

this makes it sound like the consequences for the nurse are either visible or invisible, which is silly. The consequences are pretty darn visible. Is it just a misplaced modifying phrase?

We should give a healthcare related example here, as that is a lot of legalese for ASN students to absorb!

needs a comma. citizens, and

Awkward phrase. How about The prosecution must convince the jury that, based on the evidence presented at trial., there is no doubt as to the defendant's guilt..

Picky, but this section is super wordy, and students start to glaze over. Suggested rewrite:

In addition to the professional standards of practice, nurses must follow regulations set by the Nurse Practice Act and enforced by the state Board of Nursing. The Board of Nursing is the state-specific licensing and regulatory body that sets standards for safe nursing care and issues nursing licenses to qualified candidates, based on the state's Nurse Practice Act. The Nurse Practice Act establishes regulations for nursing practice\and defines the scope of nursing practice. If nurses do not follow the standards and scope of practice set forth by the Nurse Practice Act, they can have their nursing license revoked by the Board of Nursing.

Nursing students are legally accountable for the quality of care they provide to patients, just as nurses are accountable. Students are expected to recognize the limits of their knowledge and experience and appropriately alert individuals in authority when they encounter situations that are beyond their competency. A violation of the standards of practice constitutes unprofessional conduct and can result in the Board of Nursing denying a license to a nursing graduate.

Employer Policies, Procedures, and Protocols In addition to following professional nursing standards and the state Nurse Practice Act , nurses and nursing students must also practice according to agency policies, procedures, and protocols. For example, each agency has specific policies regarding the use of restraints. If a nurse did not follow policy and a patient was injured or died, the nurse could be held liable.

Agencies also have their own sets of procedures and protocols. For example, each agency has specific nursing skills procedures, such as inserting urinary catheters. Agencies also have protocols, precisely written plans for a regimen of therapy. For example, agencies typically have a hypoglycemia protocol that nurses automatically implement when a patient’s blood sugar falls below a specific number. It typically includes actions such as providing orange juice and rechecking the blood sugar. These agency-specific policies, procedures, and protocols supersede the information taught in nursing school, and nurses and nursing students can be held legally liable if they don’t follow them. Therefore, nurses and nursing students must follow current agency-specific procedures, policies, and protocols.

patients, just

unnecessary phrase.

appropriate to?

Theya re held to those standards at all times they are operating in a professional capacity. What you means is that these standards of care are invoked in patient care lawsuits.

Vague. there are better definitions extant. How about they are guidelines that define the optimal behavior of professional nurses?

A better resource is https://www.childhelp.org/

or vulnerable adult

• a list should always use the same verb form and/or noun number to start each bullet point. Yo could go with Has poor hygiene and Is inappropriately dressed for example.

dedicated to preventing

77.5% of perpetrators are parents of the victims.

in the US?

Enable? Or how about "Teaching self-regulation skills enables the individual to"

(i.e., their "fight, flight, or freeze” system is engaged)

semicolons are not necessary here. If we're sort of following APA format, you only use them when the items in the series are complete sentences.

A more succinct rewrite: Trauma has no age, gender, socioeconomic status, race, ethnicity, or sexual orientation boundaries.

As this resource was already introduced previously, maybe move this section up?

these semicolons aren't necessary: they would only be needed if the items int he series were sentences, not just individual words.

Adverse Childhood Experience Study

fundamental to responding.

Define? Identify?

kind of obvious that home health nurses travel to homes! Suggested rewrite: Additional safety strategies for home health nurses are as follows:

tiny formatting thing: the next two sections (Verbal Cues and Nonverbal and Behavioral Clues) are subsections of this bullet point, so they should be tabbed in, rather than appearing on the page as being "equal" bullet points.

aside from a weird sentence, this image isn't particularly helpful for students. Even a chart of stats would better support student learning in this section.

lower instance of? fewer behaviors?

unnecessary phrase.

There are two "theys" in the sentence, s you need ti distinguish between them. Suggested rewrite: It is vital for all health care team members caring for the client to be aware of the client's level of risk and plans to reduce that risk as they provide care.

A Nurse's

states that it is

The correct title is A Nurse’s Guide to Professional Boundaries

have some weirdly placed phrases here. Suggested rewrite: Due to their professional role, nurses have authority and as access to sensitive information that makes clients vulnerable.

This is a little vague. Boundaries have to do with behavior and information sharing, not "what we want," such as where we want to live or eat.

felt they

disorders, because

wouldn't the correct verb tense be ""de-stigmatizers were" rather than are in this sentence?

to the stigma.

is a cluster

two-thirds

unnecessary comma.

plans and interventions

I think it's more accurate to call them "culturally mediated."

consequences, such

Don't know what style guide you're using, but if APA, in the text, APA style recommends using words to express numbers below 10, and using numerals when expressing numbers 10 and above.

Suggested: "when discussing difficult topics." As written, it sounds like when you speak with difficult topics, you're extra sensitive.

just page formatting; think there's an extra line space here.

Rewrite: "can contribute" or "are causes."

Suggested rewrite maybe "members of minority groups?" This is that never ending debate: "the handicapped" or "handicapped people?" Minority is an aggregate noun, a group of people, but in this sentence we're talking about people singular who belong to a group.

I do not see this idea in the cited article. It's not to say that it may not be true, but the cited reference doesn't seem to support it.

just "majority" is fine, unless you plan to give an extraordinarily high percentage directly after the statement to prove it is a "vast majority."

Rewrite: "to assess client functioning."

Rewrite: "on the continuum from"

vague phrase.

assesses.

diagnostic criteria.

This phrase is unnecessary.

Rewrite: "have moderate to disabling long-term impairments."

Rewrite; "in which individuals experience"

rewrite: "is the"

it can be, but there are those who participate in assisted suicide who would not fall into this category as defined. Suicide isn't always caused by diagnosed mental illness, and conversely, all those who are mentally ill have suicidal ideation.

how common is it in comparison to other countries? (Students always ask me that)

Mental.

for those students who may go above and beyond, it might be helpful to link to example articles in open access journals or in PMC.

https://onlinelibrary.wiley.com/doi/full/10.1002/nop2.604

https://onlinelibrary.wiley.com/doi/pdf/10.1002/nop2.652

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8181851/. Dietary Patterns and Gestational Weight Gain and Postpartum Weight Loss: A NESR Systematic Review. Current Developments in Nutrition, 5(Suppl 2), 803. https://doi.org/10.1093/cdn/nzab046_100)

Are you using the words sources, data, and research interchangeably? (because they aren't synonyms)

or meta-analyses, if all those nouns are plural in the sentence.

unclear. evaluate sources? do you mean, conduct a revie wof existing research?

you know, I've never heard the PICOT referred to as an "outline." It's usually called the PICOT question.

A real example of a PICO question or two would go a long way toward student understanding.

comma not needed

Are you asking "where have you seen EBP in action," or are you asking "where do you find current evidence?"

because a systematic review is a research article type, I'd use another adjective here, just because there will be students who will find articles called systematic reviews and be confused because the articles aren't "review(s) of patient outcomes resulting from current practices."

mastering? exploring? developing?

with the exception of the ANA events, all of these are subscription based. This is not a reason to exclude them, but may be frustrating for students who click and explore. I'd also recommend adding these resources, which skew to clinical supports. Cochrane is licensed, but the others involve creating a personal login.

ECRI Guidelines Trust

EPC Evidence-based Reports

TRIP Database (Turning Research into Practice)

Cochrane Library

Some theories sort of capture students' interest or are are obviously important, such as those discussed in the Ethics chapter. Change theories in my experience are a much harder sell. Students see what we mean when we provide examples, but in my opinion, most similar textbooks do a bad job of capturing the "so what?" Ok, those are examples of how the theory describes change. But so what? How can I use them in my day to day? I have no good ideas, but student are so immersed in learning bedside skills that habits of thought or theories often are not obviously important to them.

there have been.

how about "have significantly increased?"

So, so picky, but I've seen in the text that the person in the application has both been referred to as "new graduate nurse" and "new nurse graduate." Which one do you prefer?

the way this is written currently, it sounds like the team decides what barriers and weaknesses are needed. Break up the sentences: they identify X, then decide what Y is needed,

did you mean to say or one year?

the process itself doesn't plan or implement. How about "QI is a process in which a project is planned, interventions implemented,' etc?

argh, I've given up on commenting on all the poor choices of images, but this is not an illustration of informatics! What if you could get permission to show a tool or a screenshot of a web based tool that actually is an example of informatics?

I don't remember seeing QSEN in this chapter before so it needs to be spelled out first Quality and Safety Education for Nurses (QSEN)

determine

is analyzed. Information is a singular noun.

seems vague, and the word covering is odd there. What things? maybe it could read "on unnecessary tests or services?"

do you man "for specific healthcare settings?"

could this more clearly be stated as "focus on solving health care safety problems?"

accrediting body

I know there's limited space, but I know my students want examples. what happened? There are some notable cases you could link to for more reading.

and a related question that further promotes reflection: where could you find answers to those questions, ie, instructors, preceptors, guidelines, codes, team members?

performing? Learning? Mastering? Demonstrating?

it's not a goal for quality care. Quality care is a goal, and the alignment is a way to achieve that goal. So you could say "is a key driver" "is a key component"

Should read "in a variety of ways which impact nursing practice" Otherwise, the sentence has one too many noun phrases making it unclear.

maybe this particular section isn't the best place for it, but one of Florence's charts is always eye catching and mind blowing. did it all without aid of computer! https://medium.com/nightingale/florence-nightingale-is-a-design-hero-8bf6e5f2147