functional health patterns
Method for organizing assessment data based on the level of client function in specific areas (e.g., mobility).
First step of the nursing process. Activities required in the first step are data collection, data validation, data sorting, and data documentation; the purpose is to gather information for health problem identification.
Active listening techniques that indicate that the nurse has heard what the client says.
Type of communication with a client that is initiated for a specific purpose and focused on a specific content area.
nursing health history
Data collected about a client's present level of wellness, changes in the client's life patterns, sociocultural role, and mental and emotional reactions to an illness.
Data relating to a client's health problem that are obtained through observation or diagnostic measurements.
Inquiries aimed at obtaining a full client response and discussion between the client and the nurse.
review of systems
Systematic method for collecting data on all body systems.
Measure or guide that serves as a basis for comparison when evaluating similar phenomena or substances.
Data relating to a client's health problem that are given in the client's own words.
Information that you obtain through use of the senses
A process of reviewing available data for patterns or trends and forming conclusions about the meaning of the data.
The process of comparing data with another source to confirm its accuracy
Diagnosis and treatment of human responses to actual or potential health problems.
taking one proposition as a given and guessing that another proposition follows.
Systematic problem-solving method by which nurses individualize care for each client. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation.