There were a few weaknesses that were apparent. The material should have been organized in a more logical fashion, perhaps using a few chapter headings and listing the appropriate topics under them. The order of the topics also seemed to be random. Given that one of the specific objectives of the manual was to be succinct, it would have been helpful to list some pertinent recommended readings for the reader who may be interested in further pursuing a particular topic. The topics were noticeably unevenly written, and, unfortunately, some of the topics most pertinent to nursing were among the weakest. Some examples included the first topic, “Professional Responsibilities,” which should have established the framework for the whole book. Instead, it rambles on with lists of nursing ethical duties (the American Nurses Association code of ethics), Nurses’ Rights, Nurses’ Duties, What Nurses Should Know, Patients as Individuals, Patient’s Rights, Fundamental Goals of Healthcare, and Moral Decision Making. This was by far the weakest topic, but should have been the strongest. At the risk of appearing politically incorrect, the topic entitled “Cultural Competence” might have been included only to be politically correct. The first precept of the American Nurses Association code of ethics states: “The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual… ” This would encompass all differences, not just cultural. Finally, the topic “The Future of Ethics in Nursing: Implications for Nurse Managers” seemed a little out of place in a book written for nurses and nursing students.