NSG 2317 Lecture Notes - Lecture 1: Iliac Crest, Endocrine System, Intimate Partner Violence
Document Summary
Assessment: data collection: history: subjective data, physical exam: objective data. Clinical reasoning models : diagnostic reasoning, nursing process, critical thinking, diagnostic reasoning, attending, formulating, gathering, evaluating, nursing process, assessment, diagnosis, outcome identification, planning, evaluation. Interview: review the clinical record, health history, physical exam, functional assessment, consultation, review of the literature. Compare clusters of cues with definitions and defining characteristics. 3 parts of nursing diagnosis : actual: nurse has validated clinical judgement due to presence of major defining characteristics; 3 parts, diagnostic label, contributing factors (related to), as evidence by (signs/symptoms in individual to indicate diagnosis is present) Lecture 1 nsg 2317 - health assessment: risk: clinical judgement that individual/group is more vulnerable to develop due to risk factors; 2 parts . 2) contributing factors (related to: wellness: clinical judgement about an individual, family, or community in transition from a specific level of wellness to a higher level of wellness (nanda); 1 part .