| A | B |
| Elimination | Bowel movements every other day |
| Activity/Exercise | Sedentary life style |
| Sleep-Rest | Sleeping pill use |
| Cognitive-Perceptual | Wears glasses |
| Self perception-Self Concept | Where do you get moral support? |
| Values-Beliefs | Future plans |
| Coping-Stress Tolerance | Can you talk to a friend? |
| Sexuality-Reproductive | Date of last menstrual period |
| Health Perception-Health Maintenance | Smokes 1 pack of cigarettes a day |
| Nutrition-Metabolic | Underweight/anorexic |
| Role-Relationship | Age of children (2 yr. & 6 yr.) |
| Health Perception/Health Maintenance | Drinks a 6-pack of beer per day |
| Elimination | Frequent bladder infections |
| Nutrition-Metabolic | Many dental caries |
| Values-Beliefs | Catholic |
| Cognition-Perception | Confused at times |
| Nutrition-Metabolic | Skin very dry |
| Activity-Exercise | Uses a walker |
| Role-Relationship | Thinking about retirement |