Perception – Health Management

1. How would you describe your general health? 2. On a scale of 1 to 10, how healthy do you feel right now? 3. What have you done to treat your fever?

Nutritional – Metabolic Pattern

1. What do you usually eat in a day? 2. Have you noticed any changes in your weight? 3. What is your goal regarding your nutrition?

1. How many times do you urinate in a day? 2. How much water do you drink daily? 3. Is your stool hard or soft?

Activity – Exercise Pattern

1. Do you exercise regularly? 2. What do you usually do during your free time? 3. Do you experience difficulty walking or standing?

Sleep – Rest Pattern

1. How many hours do you sleep at night? 2. Do you feel rested when you wake up? 3. What is your routine before sleeping?

Cognitive – Perceptual Pattern

1. Have you had trouble concentrating lately? 2. Is it easy for you to make decisions? 3. What learning method works best for you?

Role – Relationship Pattern

1. Does anyone in your family depend on you? 2. Who do you talk to when you need support? 3. How is your relationship with your family?

Sexuality – Reproductive Pattern

1. Are you comfortable with your identity as a male? 2. Are you currently in a relationship? 3. Do you have any reproductive health concerns?

Coping – Stress Tolerance Pattern

1. What is the biggest cause of stress in your life? 2. How do you manage your stress? 3. Do you feel tense most of the time?

Value – Belief Pattern

1. What do you hope to achieve in life? 2. Does your faith give you comfort? 3. Do you have personal beliefs about health?

Self-Perception – Self-Concept Pattern

1. How would you describe yourself? 2. How do you feel about yourself since getting sick? 3. Do you sometimes feel hopeless?

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gordons question

Question	Answer
Perception – Health Management	1. How would you describe your general health? 2. On a scale of 1 to 10, how healthy do you feel right now? 3. What have you done to treat your fever?
Nutritional – Metabolic Pattern	1. What do you usually eat in a day? 2. Have you noticed any changes in your weight? 3. What is your goal regarding your nutrition?
Elimination Pattern	1. How many times do you urinate in a day? 2. How much water do you drink daily? 3. Is your stool hard or soft?
Activity – Exercise Pattern	1. Do you exercise regularly? 2. What do you usually do during your free time? 3. Do you experience difficulty walking or standing?
Sleep – Rest Pattern	1. How many hours do you sleep at night? 2. Do you feel rested when you wake up? 3. What is your routine before sleeping?
Cognitive – Perceptual Pattern	1. Have you had trouble concentrating lately? 2. Is it easy for you to make decisions? 3. What learning method works best for you?
Role – Relationship Pattern	1. Does anyone in your family depend on you? 2. Who do you talk to when you need support? 3. How is your relationship with your family?
Sexuality – Reproductive Pattern	1. Are you comfortable with your identity as a male? 2. Are you currently in a relationship? 3. Do you have any reproductive health concerns?
Coping – Stress Tolerance Pattern	1. What is the biggest cause of stress in your life? 2. How do you manage your stress? 3. Do you feel tense most of the time?
Value – Belief Pattern	1. What do you hope to achieve in life? 2. Does your faith give you comfort? 3. Do you have personal beliefs about health?
Self-Perception – Self-Concept Pattern	1. How would you describe yourself? 2. How do you feel about yourself since getting sick? 3. Do you sometimes feel hopeless?

Created by: user-1768857

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