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Chapter 16_Nursing Assessment
Chapter 16_Nursing Assessment
7
Nursing
Undergraduate 2
02/17/2013

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Cards

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
review of systems
Term
Step done before data interpretation; it consists of comparing the data with another source to determine data accuracy
Definition
validation
Term
Last step in nursing assessment
Definition
documentation
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