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Week 1: Building a Comprehensive Health History

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According to a 2011 Gallup poll, nurses are ranked as the most trusted professionals in
the United States. One of the most admired nursing skills is the ability to put patients at
ease. When patients enter into a healthcare setting, they are often apprehensive about
sharing personal health information. Caring nurses can alleviate the hesitance of
patients and encourage them to be forthcoming with this information.
The initial health history interview can be an excellent opportunity to develop supportive
relationships between patients and nurses. Nurses may employ a variety of
communication skills and interview techniques to foster strong bonds with patients and
to effectively facilitate the diagnostic process. In conducting interviews, advanced
practice nurses must also take into account a range of patient-specific factors that may
impact the questions they ask, how they ask those questions, and their complete
assessment of the patient’s health.
This week, you will consider how social determinants of health such as age, gender,
ethnicity, and environmental situation impact the health and risk assessment of the
patients you serve. You will also consider how social determinants of health influence
your interview and communication techniques as you work in partnership with a patient
to gather data to build an accurate health history.
Discussion: Building a Health History
● Effective communication is vital to constructing an accurate and detailed patient
history. A patient’s health or illness is influenced by many factors, including age,
gender, ethnicity, and environmental setting. As an advanced practice nurse, you
must be aware of these factors and tailor your communication techniques
accordingly. Doing so will not only help you establish rapport with your patients,
but it will also enable you to more effectively gather the information needed to
assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health
history for a particular new patient assigned by your Instructor.
To prepare:
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
● By Day 1 of this week, you will be assigned a new patient profile by your
Instructor for this Discussion. Note: Please see the “Course Announcements”
section of the classroom for your new patient profile assignment.
● How would your communication and interview techniques for building a health
history differ with each patient?
● How might you target your questions for building a health history based on the
patient’s social determinants of health?
● What risk assessment instruments would be appropriate to use with each patient,
or what questions would you ask each patient to assess his or her health risks?
● Identify any potential health-related risks based upon the patient’s age, gender,
ethnicity, or environmental setting that should be taken into consideration.
● Select one of the risk assessment instruments presented in Chapter 1 or Chapter
5 of the Seidel's Guide to Physical Examination text, or another tool with which
you are familiar, related to your selected patient.
● Develop at least five targeted questions you would ask your selected patient to
assess his or her health risks and begin building a health history.
By Day 3 of Week 1
Post a summary of the interview and a description of the communication techniques
you would use with your assigned patient. Explain why you would use these techniques.
Identify the risk assessment instrument you selected, and justify why it would be
applicable to the selected patient. Provide at least five targeted questions you would ask
the patient.

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[Solved] Week 1: Building a Comprehensive Health History

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Building a Comprehensive Health HistoryThe adolescent patient in this case scenario is Hispanic boy. It will be imperative to establish if the patient comprehends English. In case that the patient does not, I will look for an interpreter. Additionally, I...
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