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  • NR 302 Health Assessment
  • NR 302 Health Assessment
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Exam (elaborations)

Nr302 Health History

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6 pages
2025/2026 Written for academic year
Institution NR 302 Health Assessment
Course NR 302 Health Assessment
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NR302 HEALTH HISTORY

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NR302- Health Assessment 1-
gi gi gi


Week 3 eDapt
gi gi gi



NR302 HEALTH HISTORY


Thegipurposegiofgiagi_giisgiforgitheginursegitogicollectgisubjectivegidatagiandgithegiclient'sgiperceptiongiofgihealth.giIncludesgid
mographicgidata,githegireasongiforgiseekinggicaregi(medicalgiorgipsychological,giillnessgiorgiwellness
),gipastgimedicalgihistory,gifamilygimedicalgihistory,giandgireviewgiofgisystems.gi-gianswer--HEALTHgiHISTORY

Agi(symptom/sign)giisgia(n)gi(subjective/
objective)giabnormalgiassessmentgifindinggidetectedgiongiphysicalgiexaminationgiorgithroughgidiagnosticgitesting.
Agi(symptom/sign)giisgia(n)gi(subjective/objective)gifeelinggiagiclientgihasgithatgiisgiassociatedgiwithgiagidisorder.
gi-gianswer---giSIGN

-giOBJECTIVE
-giSYMPTOMgi
-giSUBJECTIVE

Whichgiaregicomponentsgiofgiagihealthgihistory?

1giMedicationgireconciliation
2giVitalgisigns
3giSkingiinspection
4giReviewgiofgisystems
5giReasongiforgiseekinggicare
6giBiographicgidatagigi-gianswer--1
4
5
6

Whichgiquestiongiwouldgibegiaskedgiasgipartgiofgithegireviewgiofgisystems?

1.gi"Dogiyougihavegianygifamilygihistorygiofgicancer?"
2.gi"Dogiyougiusegianygidrugsgiorgialcohol?"
3.gi"Dogiyougihavegianygiallergiesgitogianygimedications?"
4.gi"Dogiyougihavegianygidifficultygiwithgivision?"gi-gianswer--4

-giAgicomprehensivegihealthgihistorygiisgiusuallygicollectedgiduringgithegiclient'sgi__givisit.
-giAgi__gihealthgihistorygiisgicompletedgiwhengiagiclientgipresentsgiwithgiagispecificgiproblem.
-
giThegihealthgihistorygiincludesgibiographicgidata,githegireasongiforgiseekinggicare,gipresentgihealthgiorgihistorygiofgipresent

ness,gipastgihistory,gimedicationgireconciliation,gifamilygihistory,gireviewgiofgisystems,giandgifunctionalgiassessment.gi
-giThegimostgiaccurategihistorygiisgifurnishedgibygithegi__.giLessgiaccurategisourcesgiincludegifriendsgiorgifamily.gigi-
gianswer---giFIRSTgi

-giFOCUSED
-giCLIENTgi/giINTERPRETER

BIOGRAPHICgiDATA
MEDICATION
FAMILYgiHISTORY
1gi/gi6

, NR302- Health Assessment 1-
gi gi gi


Week 3 eDapt
gi gi gi

REVIEWgi
FUNCTIONAL
PASTgiHISTORY
PRESENTgiHEALTH
REASONgiFORgiCARE

1.giAccurategilistgiofgicurrentgimedications
andgidosages
2.giMappinggiofgifamilial
illnessesgiandgidiseases
3.giName,giaddress,giandgiphoneginumber;giagegiandgibirthgidate;gibirthplace;gigender;girelationshipgistatus;girace;giethnic
rigin;gioccupation;
primarygilanguagegispoken
4.giClient'sgidescriptiongiofgithegihealth
ofgieachgiofgitheirgibodygisystems
5.giClient'sgilevelgiofgifunctiongiand
abilitygitogiperformgidailygitasks
6.giStatementgiofgigeneralgihealth;giforgieachgisymptom,giaskgiquestionsgitogicollectgidatagiaboutgithegireasongifor
seekinggicare
7.giStatementgifromgiclient
describinggireasongiforgivisit
8.giPriorgimajorgiillnesses,
hospitalizations,giandgisurgeriesgi-gianswer--1.giMEDICATION
2.giFAMILYgiHISTORY
3.giBIOGRAPHICgiDATA
4.giREVIEW
5.giFUNCTIONAL
6.giPRESENTgiHEALTH
7.giREASONgiFORgiCARE
8.giPASTgiHISTORY

Thisgiisgiinfogiaboutgiagiperson'sgiidentity.giThegidatagimaygivarygibygifacilitygiandgiisgicollectedgiusinggiagiform.
maygiinclude,gibutgiisginotgilimitedgito:

-gifullginame
-giaddress
-giphoneginumber
-giagegiandgibirthgidate
-gibirthplace
-gisex
-gimaritalgistatus
-gisocialgisecurityginumber
-giracegiandgiethnicgiorigin
-gioccupation
-gisourcegiofgithisgiinformationgi-gianswer--Biographicalgidata

Onegiofgithegifirstgiquestionsgiaginursegiwillgiaskgiagiclientgiisgitheirgi_gi,giThisgiisgitogifindgioutgithegiclient'sgimaingiconcerngi(als
knowngiasgiagichiefgicomplaint).giAgibriefgistatementgidocumentedgiingiquotesgiindicatinggithatgithesegiaregithegiclient'sgiow
words.giItgiisginotgiagidiagnosticgistatementgibygitheginurse.giFocusgiongithegimostgiseveregifirst.gi
Examplesgiofgithis:
"Igiamgihavinggichestgipain."
2gi/gi6

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