Health History and Documentation – Study Guide Page 1 2026-04-01
Health History and
Documentation – Study
Guide
1 of 6 Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_ 1 Health History and Documentation – Study Guide.pdf
, Health History and Documentation Page 2 2026-04-01
Terms in this set (16)
State sources of data for a nursing assessment. •Patient
•Family caregivers and significant others
•Health care team
•Medical records
•Diagnostic Data
•Other records and scientific literature
•Nurse's experience
What is subjective data? Information that comes from the patient and cannot be found
elsewhere, such as pain.
Give an example of subjective data. Pain is an example of subjective data.
Objective Data- Anything you can find from another source
Give an example of objective data. Name, date of birth
2 of 6 2 Health History and Documentation.pdf
Health History and
Documentation – Study
Guide
1 of 6 Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_ 1 Health History and Documentation – Study Guide.pdf
, Health History and Documentation Page 2 2026-04-01
Terms in this set (16)
State sources of data for a nursing assessment. •Patient
•Family caregivers and significant others
•Health care team
•Medical records
•Diagnostic Data
•Other records and scientific literature
•Nurse's experience
What is subjective data? Information that comes from the patient and cannot be found
elsewhere, such as pain.
Give an example of subjective data. Pain is an example of subjective data.
Objective Data- Anything you can find from another source
Give an example of objective data. Name, date of birth
2 of 6 2 Health History and Documentation.pdf
