Components of a nursing history questions
rofile: name, age, sex, race/ethnicity, marital status,
religion, occupation, education
• Reason for seeking healthcare
• Normal health habits and patterns and related needs for
• Cultural considerations in relation to diet, decision
making, and activities
• Current state of health, functioning of body systems,
degree of pain, and past medical and surgical history
• Current medications, allergies, and record of immuniza-
tions and exposure to communicable diseases
• Perception of health status and the meaning the patient
attributes to health and illness, as well as characteristic
response or coping patterns
• Developmental history, family history, environmental
history, and psychosocial history
• Patient’s and family’s expectations of nursing and of the
• Patient’s and family’s educational needs and ability and
willingness to learn
• Patient’s and family’s ability and willingness to
participate in the plan of care
• Whether or not an advance directive exists, or if the
patient wants help to prepare an advance
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