*NURSING > EXAM REVIEW > NR 302 Health Assessment Final Exam Review Evidence-Based Assessment (All)

NR 302 Health Assessment Final Exam Review Evidence-Based Assessment

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Nursing Process (ADPIE) • Assessment *Frequency varies with health needs* o Subjective Data: What the patient is SPEAKING o Objective Data: What you are OBSERVING ▪ Observation of patient behavi... or (verbal vs. nonverbal) o Collection of Data ▪ Review of clinical record • Interview • Health history • Physical examination • Functional assessment • Cultural and spiritual assessment • Consultation • Review of the literature • Diagnosis o Form a diagnostic conclusion. o Clinical judgement about patient. “Impaired gas exchange” o PES Format P= Problem, use NANDA-I label E= Etiology or related factor S= Symptoms or defining characteristics • Example: Impaired comfort r/t left ankle sprain AEB (As Evidenced By) patient verbalizes pain 9/10 on pain scale Continued................. [Show More]

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