Nursing patient assessment forms contain questions about the patient's health history, mental state and current medical requirements, according to the New York State Department of Health. The form is customized to the type of nursing care; a home-health nursing assessment contains questions about the patient's living situation, home layout and alertness. Other sections cover past hospitalizations, respiratory impairments and physical state. The form might also have a section that lays out the required health and home care services.
Nurses at psychiatric facilities use a form that targets the patient's physical and mental health, asserts The University of Texas Health Science Center at Houston. The form may include a section to describe physical injuries, along with a drawing of the human body to help the nurse mark injury locations. Other sections cover the reason for the visit, the patient's substance abuse history and common health complaints. Nurses might also fill out a detailed assessment of the patient's ability to function during everyday tasks, such as eating and bathing.
General nursing assessment forms cover topics ranging from patient lifestyle factors to sociocultural status, states the American Nurses Association. The forms also include questions about spiritual practices, economic situation and the patient's responses to pain.