1. Mosby items and derived items © 2005 by Mosby, Inc.
Chapter 16
Nursing Assessment
Mosby items and derived items © 2005 by Mosby, Inc.

2. Mosby items and derived items © 2005 by Mosby, Inc.
Nursing Process
Steps
Assessment
Nursing diagnosis
Planning
Implementation
Evaluation
Mosby items and derived items © 2005 by Mosby, Inc.

3. Nursing Process (cont'd)
Assessment
Critical thinking approach
Mosby items and derived items © 2005 by Mosby, Inc.

4. Mosby items and derived items © 2005 by Mosby, Inc.
Assessment - Steps
Collection and verification of data
Analysis of data
Mosby items and derived items © 2005 by Mosby, Inc.

5. Assessment - Approaches
Use of a structured database format
Problem oriented
Mosby items and derived items © 2005 by Mosby, Inc.

6. Assessment – Data Collection
Types of data
Objective
Subjective
Sources of data
Primary
Secondary
Mosby items and derived items © 2005 by Mosby, Inc.

7. Assessment – Methods of Data Collection
Interview
Orientation phase
Working phase
Termination phase
Nursing health history
Components
Physical examination
Diagnostic and laboratory results
Mosby items and derived items © 2005 by Mosby, Inc.

8. Mosby items and derived items © 2005 by Mosby, Inc.
Assessment Process
Nursing judgments
Data validation and interpretation
Data clustering
Documentation
Mosby items and derived items © 2005 by Mosby, Inc.