When studying, ensure that you study the normal and the abnormal findings, when listed. Subjective vs objective data • Subjective data: What person SAY about him or herself during history taking o Ex. Patient say…., Nausea noted from patient • Objective data: What you as the health professional observe by inspecting , percussing, palpating , and auscultating during the physical examination. Types of databases 1. Complete total health database o A complete health history and a full...

Exam 1 Concepts: Chapter 1: Evidence-Based Assessment Critical thinking and the nursing process 1. The Nursing Process (ADPIE) ● Assessment (gathering data) ● Diagnosis (NANDA) ● Outcome/planning (Smart goal) nursing goals, desired outcomes & planning interventions ● Implementation (actually doing) ● Evaluation (effectiveness of outcome and pt. status) 2. Levels of Nursing Experience ● Novice (no experience, new Grad.) use rules to guide performance ● Competency (2 to ...