How can a nurse practitioner differenciate the components of health assessment?

puvpuv
timer Asked: Sep 19th, 2017

Question Description

Accurate documentation of subjective and objective findings is necessary to establish an appropriate plan of care. Access the Differentiating Components Health Assessment and use critical thinking and diagnostic reasoning skills to differentiate components of health assessment.


Differentiating Components of Health Assessment

Please review the following data and differentiate subjective, objective, assessment, and plan data. Place the data under the appropriate component of the assessment, and complete missing information (on assessment and plan of care), using the table below.

  1. Bilateral breath sounds clear to auscultation
  2. Consumes 75% of meals
  3. Pneumonia
  4. Fine needle aspiration of thyroid gland
  5. Refer to pulmonology
  6. Chronic bronchitis
  7. “My throat is sore and I’m hoarse”
  8. Hemoglobin 25
  9. Sister with breast cancer
  10. Relieve of chest pain with Tylenol
  11. Back pain score 8/10 with radiation to legs
  12. Skin warm and dry
  13. “My head hurts”
  14. Potassium 3.8
  15. Refer to oncology
  16. COPD
  17. Left mastitis
  18. Lateral curvature of thoracic spine
  19. Productive cough x 10 days of green yellow sputum
  20. Chest pain associated with activity

Subjective Data

Objective Data

Assessment (medical diagnosis)

Plan (orders)



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