How can a nurse practitioner differenciate the components of health assessment?
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.
- Bilateral breath sounds clear to auscultation
- Consumes 75% of meals
- Pneumonia
- Fine needle aspiration of thyroid gland
- Refer to pulmonology
- Chronic bronchitis
- “My throat is sore and I’m hoarse”
- Hemoglobin 25
- Sister with breast cancer
- Relieve of chest pain with Tylenol
- Back pain score 8/10 with radiation to legs
- Skin warm and dry
- “My head hurts”
- Potassium 3.8
- Refer to oncology
- COPD
- Left mastitis
- Lateral curvature of thoracic spine
- Productive cough x 10 days of green yellow sputum
- Chest pain associated with activity
Subjective Data | Objective Data | Assessment (medical diagnosis) | Plan (orders) |
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