Rn Program Essay

704 WordsJun 2, 20133 Pages
WALLACE COMMUNITY COLLEGE SELMA Practical Nursing Program NUR 108 Psychosocial Nursing ASSESSMENT/STUDENT PERFORMANCE Student’s Name: ____________________________ Date(s) of Clinical Experience __________________ I: IDENTIFYING DATA: Client’s Initials __________ Race ___________________ Advance Directive: Room # _____________ Age _________ Sex ____________ Instructor________________________ Facility___________________________ Religion _____________ Admission Date _____________ No_________ Yes________ Admitting Medical Diagnosis: _____________________________________________________ Previous Illness: ________________________________________________________________ History of tobacco/alcohol/substance use: ___________________________________________ Reason for admission (in client’s own words): ________________________________________ Allergies (List): _________________________________________________________________ II. SYSTEMS REVIEW: A. General Appearance: Height ________________ Weight _______________________ General assessment of physical appearance (include environment and support devices) _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Day # 2: Assessment finding changes ____________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ NUR 108 Performance Database Page 1 of 5 B. EMOTIONAL AFFECT (Check findings): Calm ______ Quiet ______ Cooperative ______ Agitated ______ Day # 2 Assessment finding changes

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