Nursing Data Collection, Documentation, and Analysis
The information is obtained through interviewing. Therefore, effective interviewing skills are vital to accurate and thorough collection of subjective data. INTERVIEWING Obtaining a valid nursing health history requires profes-sional, interpersonal, and interviewing skills. The nursing interview is a communication process that has two focuses: 1.
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media.pathmentalhealth.comDescribe your assessment of the situation, the client’s condition, prognosis, and progress in achieving treatment plan goals/objectives. Lengthy example: Client’s depressive symptoms appear to have worsened since last week’s visit. Pre-contemplative regarding substance use and denies need for change. She continues to ruminate about break up
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