Term
| two sources for data collection during assessment |
|
Definition
primary source: patient
secondary source: family, healthcare providers,medical record |
|
|
Term
| 11 factors that are included in Gordon's Functional health patterns and that are discussed during a comprehensive assessment |
|
Definition
1. health perception
2.Nutrition
3. Elimination
4. Activity/exercise
5. Sleep
6. Cognitive (memory, decision making)
7. Self perception
8. role-relationship
9. sexual
10. coping & stress tolerance
11. values & beliefs |
|
|
Term
| what is subjective data gathered during an assessment? |
|
Definition
| all the info provided by the patient (pain, concerns, self diagnoses) |
|
|
Term
| what is objective data collected during an assessment? |
|
Definition
| RN's own observations using the 5 senses, and measurements |
|
|
Term
| systematic approach during the nursing health history collection, in which the RN collects patient's self-reported data on all body systems |
|
Definition
|
|
Term
| Step done before data interpretation; it consists of comparing the data with another source to determine data accuracy |
|
Definition
|
|
Term
| Last step in nursing assessment |
|
Definition
|
|
