FOUND Chpt 5 vocab

Pieces of information on a specific topic

All the information gathered about a patient

Conversation where facts are obtained

Data obtained from the patient verbally

Information obtained through the senses and hands on physical examination

pieces of data or information that influence decisions

Conculsions made based on observed data

Indicated the patient's actual health status or the risk of a problem developing, the causative or related factors, and specific defining characteristics (signs and symptoms)

Causes of the problems

Abnormalities that can be verified by repeat examination and are objective data

Data the patient has said are occurring that cannot be verified by examination; subjective data

Characteristics that must be present for a particular nursing diagnosis to be appropriate for that patient

Broad idea of what is to be achieved through nursing intervention

Specific statement of the goal the patient is expected to achieve as a result of nursing intervention