This text is designed to teach students how to effectively apply management decision making, budgeting and general patient management skills to real situations. Completely revised and updated, this highly successful text presents a straightforward approach to the beginning level of nursing practice. This edition is newly organized to emphasize the relationship between topics. The chapter on time management has been expanded to include organizing care for groups of patients and delegating care to others. This comprehensive text also discusses how the nurse's role is affected by the changing health care system. New pedagogical features such as objectives, key terms and key concepts have been added for review. Situations for Critical Thinking conclude each chapter to help students apply the material covered to real work situations.