answered already passed
1. Assessment -Systemic collection and verification of data
-Gives the nurse necessary information about risk factors so care can be
individu- alized
-data is analyzed to develop a nursing diagnosis
- data must be documented in a retrievable form
2. Purpose of to establish baseline data about the client
As-
sessment
Observation
3. Assessme
Interview
nt
Examination
Component
s Medical records
(OIEM)
1. Pre-interaction phase- look at chart, talk to previous nurse
2. Orientation phase- develop trust, get to know the patient
4. 4 Steps in an 3. Working phase- working with the patient to improve health,
In- terview discuss interven- tions, make goals
4. Termination phase- end the relationship, introduce them to the next
nurse
physiological
5. Maslow's needs
Hierar- chy of safety/security
Needs love/belonging
self-esteem
self-actualization
6. Subjective Data Symptoms or overt cues that include the patient's feelings, perceptions,
concerns and statements about his/her health problems
-supplied by the patient
1/
13
, NDSU Nursing 251 Exam 1 questions well
answered already passed
-not always feasible to validate or confirm through other sources
-Data obtained through the interview and is best recorded as quotes
2/
13