Principle Duties & Responsibilities Assesses the patients and / or the significant others adaptation to the health / illness process. Identifies, reports and documents changes in the health status which interfere with patients ability to meet basic needs. Recognizes deviations from normal based or diagnostic data. Establishes a nursing, diagnosis based on need and assessment data. Identifies anxieties / fears and coping behavior’s. Integrates principles of growth and development in determining …