NR 302 Exam 1 Concept Review

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 physical examination. o Describe the current and past health state and forms a baseline against future changes. Yield the first diagnosis o Use with Third-level priority problems and Collaborative problems 2. Focused or Problem-Centered Database o For limited or short-term problem o Collect a mini database, smaller in scope and more target than the complete database o Concern only one problem, one body system, and one cue complex o Use with Second- level priority problem. o Ex.2 days after surgery Mr.C suddenly has a congested cough, shortness of breath, and fatigue. The history and examination focus primarily on the respirator and cardiovascular system. 3. Follow- Up database o Status of any identified problem should be evaluated at regular and appropriate intervals. o Use in follow up both short term and chronic