NRNP 6552 Taking a Health History: Building a Health History: Asking Difficult Questions

NRNP 6552 Taking a Health History: Building a Health History: Asking Difficult Questions

NRNP 6552 Taking a Health History: Building a Health History: Asking Difficult Questions

Taking a Health History: Building a Health History: Asking Difficult Questions

Much of an archeologist’s work is done under the mantra “proceed with caution.” Archeologists must dutifully secure permissions to access sites. They also must exercise extreme caution when excavating or analyzing in a lab to avoid potential damage to historical artifacts.

Likewise, nurse practitioners must proceed with caution when building a patient’s health history. Important questions can be difficult for both nurse and patient. Care must be taken to approach such questions with dignity, tact, and respect to create an environment conducive to productive conversations. 

More importantly in today’s society, the possible Social Determinants of Health for each of our patient’s also needs to be taken into consideration

For this Assignment, you will develop a make-believe script to be used when you first encounter a patient for a well woman appointment. 

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

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WEEKLY RESOURCES

To prepare:

Review the screening tools found in the Learning Resources and consider how you might use an app or tool to assist in screening.

Review the media programs related to a vaginal exam, pap test, and breast exam.

Review the health history guide presented in Chapter 7 of the Schuiling & Likis (2022) text and consider how you would create your own script for building a complete health history. (Note: You will also find the Health History Form in Chapter 7)

Provide all the components of a complete gynecologic health history. Include considerations for special populations such as LGBTQ+ individuals.

What health maintenance guidelines should be included for initial and follow up might be needed for follow-up assessments?  (i.e., bone density test, Gardasil vaccine, pap smear, Mammorgram, etc.)?

Using the 5 areas of the Social Determinants of Health:
(Examples of SDOH include but not limited to)

Safe housing, transportation, and neighborhoods

Racism, discrimination, and violence

Education, job opportunities, and income

Access to nutritious foods and physical activity opportunities

Polluted air and water

Language and literacy skills

SDOH also contribute to wide health disparities and inequities. 

What questions would you consider in your patient’s complete health history?

Assignment: (1- to 2-page reflection)

In addition to your script for building a health history for this assignment, include a separate section called “Reflection” that includes the following:

A brief summary of your experiences in developing and implementing your script during your health history.

Explanations of what you might find difficult when asking these questions. What you found insightful and what would you say or do differently.

As a NP, what could you implement in your community to provide resources/assistance of the Social Determinants of Health.

Reminder

Links to an external site.: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

By Day 7 of Week 2

Submit your Module 1 Assignment by Day 7 of Week 2.

submission information

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. 

To submit your completed assignment, save your Assignment as M1Assgn_LastName_Firstinitial

Then, click on Start Assignment near the top of the page.

Next, click on Upload File and select Submit Assignment for review.

Rubric

NRNP_6552_Module1_Assignment_Rubric

CriteriaRatingsPtsThis criterion is linked to a Learning Outcome Describe the components of a comprehensive gynecologic complete health history. Include considerations for special populations such as LGBTQ+ individuals,,. What health maintenance guidelines should be included during the initial and follow up assessments. (i.e., bone density test, Gardasil vaccine, shingles, etc.)?..What questions would you consider in your patient’s assessment?30 to >26.7 ptsExcellentThe response provides clear, complete, and appropriate descriptions of a comprehensive gynecologic complete health history. Health maintenance guidelines are clear and complete.26.7 to >23.7 ptsGoodThe response provides clear, complete, and most of the components of a comprehensive gynecologic complete health history. Most health maintenance guidelines are included and appropriate.23.7 to >20.7 ptsFairThe response provides components of the gynecologic health history but they are incomplete, vague or inaccurate. Health maintenance guidelines are somewhat complete or inappropriate applied.20.7 to >0 ptsPoorThe response provides unclear, incomplete, or inappropriate components of the gynecologic health history. Health maintenance guidelines are missing, incorrect, or inappropriate applied.30 ptsThis criterion is linked to a Learning Outcome Building a Health History: Asking Difficult Questions… Create your own script for building a health history. Consider the type of language you would use to help your patient be more comfortable). Ensure you include the difficult questions required to complete a thorough health history.25 to >22.3 ptsExcellentThe script contains a complete set of questions, including difficult questions, necessary to build a health history. Questions are phrased in a manner that supports the patients comfort.22.3 to >19.75 ptsGoodThe script contains a mostly complete set of questions, including difficult questions, necessary to build a health history. Most questions are phrased in a manner that supports the patients comfort.19.75 to >17.25 ptsFairThe script containing some relevant questions, including a few difficult questions. Information collected provides a cursory health history. Questions are not phrased in a supportive tone.17.25 to >0 ptsPoorThe script contains few or no relevant questions, including few or no difficult questions. Information collected is not sufficient to provide an adequate health history. Questions are not phrased in a supportive tone.25 ptsThis criterion is linked to a Learning Outcome In addition to your script for building a health history for this assignment, include a separate section called “Reflection”… Briefly reflect and provide a summary of your experiences in developing your script during your health history.30 to >26.7 ptsExcellentThe response provides an accurate, clear, and complete summary of experiences in developing the script during the health history26.7 to >23.7 ptsGoodThe response provides an accurate summary of experiences in developing the script during the health history23.7 to >20.7 ptsFairThe response provides a vague, inaccurate, or incomplete summary of the experiences in developing the script during the health history20.7 to >0 ptsPoorThe response provides a vague, inaccurate, or incomplete summary of the experiences in developing the script during the health history, or the summary is missing.30 ptsThis criterion is linked to a Learning Outcome Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.5 to >4.45 ptsExcellentParagraphs and sentences follow writing standards for flow, continuity, and clarity… A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.4.45 to >3.95 ptsGoodParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time… Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.3.95 to >3.45 ptsFairParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time… Purpose, introduction, and conclusion of the assignment is vague or off topic.3.45 to >0 ptsPoorParagraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time… No purpose statement, introduction, or conclusion was provided.5 ptsThis criterion is linked to a Learning Outcome Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation5 to >4.45 ptsExcellentUses correct grammar, spelling, and punctuation with no errors.4.45 to >3.95 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors.3.95 to >3.45 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors.3.45 to >0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.5 ptsThis criterion is linked to a Learning Outcome Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.5 to >4.45 ptsExcellentUses correct APA format with no errors.4.45 to >3.95 ptsGoodContains a few (1 or 2) APA format errors.3.95 to >3.45 ptsFairContains several (3 or 4) APA format errors.3.45 to >0 ptsPoorContains many (≥ 5) APA format errors.5 ptsTotal Points: 100