(2026/2027) [NSG-316 Topic 1]
Don't know?
Terms in this set (22)
subjective data What patient says about himself or herself during history
taking
objective data Observed when inspecting, percussing, palpating, and
auscultating patient during physical examination
database o Formed from these elements, plus patient's record and
laboratory studies
what is a complete total health database? o Includes complete health history and full physical
examination
o Describes current and past health state and forms baseline
to measure all future changes
o Yields first diagnoses
Page 1 of 6 4/16/2026, 3:47:41 PM
, (2026/2027) [NSG-316 Topic 1]
what is an episodic or problem centered o For limited or short-term problems
database? o Concerns mainly one problem, one cue complex, or one
body system
o History and examination follow direction of presenting
concern
what is a follow-up database? o Status of all identified problems should be evaluated at
regular and appropriate intervals
o Note changes that have occurred
o Evaluate whether problem is getting better or worse
o Identify coping strategies being used
what is an emergency database? o Rapid collection of data, often compiled concurrently with
lifesaving measures
o Diagnosis must be rapid and comprehensive in nature
ADOPIE assessment, diagnosis, outcome identification, planning,
implementation, evaluation
First-level priority problems emergent, life-threatening, and immediate, such as
establishing an airway or supporting breathing.
Page 2 of 6 4/16/2026, 3:47:41 PM
Don't know?
Terms in this set (22)
subjective data What patient says about himself or herself during history
taking
objective data Observed when inspecting, percussing, palpating, and
auscultating patient during physical examination
database o Formed from these elements, plus patient's record and
laboratory studies
what is a complete total health database? o Includes complete health history and full physical
examination
o Describes current and past health state and forms baseline
to measure all future changes
o Yields first diagnoses
Page 1 of 6 4/16/2026, 3:47:41 PM
, (2026/2027) [NSG-316 Topic 1]
what is an episodic or problem centered o For limited or short-term problems
database? o Concerns mainly one problem, one cue complex, or one
body system
o History and examination follow direction of presenting
concern
what is a follow-up database? o Status of all identified problems should be evaluated at
regular and appropriate intervals
o Note changes that have occurred
o Evaluate whether problem is getting better or worse
o Identify coping strategies being used
what is an emergency database? o Rapid collection of data, often compiled concurrently with
lifesaving measures
o Diagnosis must be rapid and comprehensive in nature
ADOPIE assessment, diagnosis, outcome identification, planning,
implementation, evaluation
First-level priority problems emergent, life-threatening, and immediate, such as
establishing an airway or supporting breathing.
Page 2 of 6 4/16/2026, 3:47:41 PM
