AND HISTORY TAKING LEARNING WORKBOOK
2026 HISTORY TAKING AND HEAD TO TOE
ASSESSMENT SKILLS
◉ Health History.
Answer: past medical history
physical issues
psychological issues
social
culture
spiritual
enviornment
development level
◉ Purpose of Health Assessment.
Answer: Determine a patient's health status
Determine the patient's risk factors,
Determined the need for health education,
Develop a nursing plan of care
, ◉ Nursing assessment.
Answer: Focus on diagnoses and treatment of the actual or potential
human responses
Identifies many contributing factors to the individual's health and
wellness
◉ Medical assessment.
Answer: Focus is on the diagnoses and treatments of the disease
◉ Nurse role #1.
Answer: Health
nursing
patient
enviornment
◉ Nurse role #2.
Answer: decided where patient needs the most care
deliver care
promote health
educate everyone
determining what affect health
focus on health and goal for patient