Summary NR 509 NOTES

NR 509 Notes Overview of the Comprehensive heath History Advanced Physical Assessment Chapter 1: Evidenced Based Assessment 1. Assessment- point of entry in an ongoing a. Subjective data and objective data that is used to make a database for the purpose of judgment or diagnosis 2. Diagnostic reasoning applies the scientific method a. Data is prioritized by urgency of signs and symptoms b. Medical diagnosis are used to evaluate the cause or etiology of disease c. Nursing diagnoses are clinical judgments about a person’s response to an actual or potential health state. d. The process of analyzing health data and drawing conclusions to identify diagnoses i. Attending to cues ii. Formulating hypotheses iii. Gathering Data iv. Evaluating each hypothesi