This listing is for Medical Surgical Nursing Assessment and Management of Clinical Problems (By Sharon MantikLewis and Idolia Cox Collier) 1995 Book shows some use/binding is not adhering to the spine as well as it used to, but book is holding together fine. Light shelfwear on outer rim of pages. Cover torn about 1 inch at top in spine area. Otherwise clean and in good condition. This is a rather heavy (about 4 lbs) book. Shipping Calculator-simply click on the add to cart text-and the shipping calculator will display on the following page. Purchase not required.