The patient is the primary source of information. Secondary sources of information include the patient chart, family, and health team members. The nurse gathers subjective and objective data.
Subjective data is information the patient tells the nurse during the nursing assessment.
Subjective data can be called symptoms. Objective data is information collected by using the sense. Objective data can be called signs. Assessment Format 1 . Nursing interventions to achieve outcomes for which the nurse is accountable.