NURS-6512 Week 2: Assignment 1: Building a Health History With Cultural and Diversity Awareness
BUILDING A HEALTH HISTORY: COMMUNICATING EFFECTIVELY TO GATHER APPROPRIATE HEALTH-RELATED INFORMATION
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.
There may also be significant cultural factors. In May 2012, Alice Randall wrote an article for
The New York Times
on the cultural factors that encouraged Black women to maintain a weight above what is considered healthy. Randall explained from her observations and her personal experience, as a Black woman, that many African American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).
Randall’s statements sparked a great deal of controversy and debate at the time; however, they emphasize an underlying reality in the healthcare field: Different populations, cultures, and groups have diverse beliefs and practices that impact their health. APRNs and other healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.
As an advanced practice nurse, you must build a patient health history that takes into account all of the factors that make a patient unique and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with each patient, but it will also enable you to more effectively gather the information needed to assess a patient’s health risks.
For this first Assignment, you will take on the role of an APRN who is building a health history for a particular patient assigned by your Instructor. You will consider how social determinants of health and specific cultural considerations will influence your interview and communication techniques as you work in partnership with the patient to gather data for an accurate health history.
Note:
You are expected to draw on the resources for
both
Week 1 and Week 2 when completing your Assignment.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resource links to access the resources.
ORDER PLAGIARISM-FREE WORK NOW
To prepare:
Reflect on your experience as an advanced practice nurse and on the information provided in the Week 1 Learning Resources on building a health history and the Week 2 Learning Resources on diversity issues in health assessments.
By Day 1 of this week, your Instructor will assign a case study for this Assignment.
Note:
Please see the
Course Announcements
section of the classroom for your Case Study Assignment.
Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of your assigned patient.
Consider how you would build a health history for the patient. What questions would you ask? How might you target your questions based on the patient’s social determinants of health? How would you frame the questions to be sensitive to the patient’s background, lifestyle, and culture?
Identify any potential health-related risks, based on the patient’s age, gender, ethnicity, or environmental setting, which should be taken into consideration.
What risk assessment instruments would be appropriate to use with this patient?
What questions would you ask to assess the patient’s health risks?
Select
one (1)
risk assessment instrument discussed in the Learning Resources, or another tool with which you are familiar, related to your selected patient.
Develop
five (5)
targeted questions you would ask the patient to build their health history and to assess their health risks.
Think about the challenges associated with
communicating with patients
from a variety of specific populations. What communication techniques would be most appropriate to use with this patient? What strategies can you as an APRN employ to be sensitive to different cultural factors while gathering the pertinent information?
Assignment: Building a Health History With Cultural and Diversity Awareness
Include the following:
Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific.
Explain the issues that you would need to be sensitive to when interacting with the patient, and why.
Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques.
Summarize the health history interview you would conduct with this patient. Provide at least
five (5)
targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient.
Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific.
BY DAY 7 OF WEEK 2
Submit
your Assignment.
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NURS-6512 Week 2: Assignment 1: Building a Health History With Cultural and Diversity Awareness
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Rubric
NURS_6512_Week 2_Assignment 1_Rubric
NURS_6512_Week 2_Assignment 1_Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning Outcome
Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific.
15
to >
12.0
pts
Excellent
The response clearly, accurately, and in detail explains the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
12
to >
9.0
pts
Good
The response accurately explains the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
9
to >
6.0
pts
Fair
The response vaguely and with some inaccuracy explains the socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
6
to >
0
pts
Poor
The response is inaccurate and/or missing explanations of the socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
15
pts
This criterion is linked to a Learning Outcome
Explain the issues that you would need to be sensitive to when interacting with the patient, and why.
15
to >
12.0
pts
Excellent
The response clearly, accurately, and in detail explains the issues to be sensitive to when interacting with the patient; explanations why are clear, accurate, and detailed.
12
to >
9.0
pts
Good
The response accurately explains the issues to be sensitive to when interacting with the patient; explanations why are accurate.
9
to >
6.0
pts
Fair
The response vaguely and with some inaccuracy explains the issues to be sensitive to when interacting with the patient; explanations why are vague and/or inaccurate.
6
to >
0
pts
Poor
The response is inaccurate and/or missing explanations of the issues to be sensitive to when interacting with the patient; explanations why are inaccurate or missing.
15
pts
This criterion is linked to a Learning Outcome
Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques.
NURS-6512 Week 2: Assignment 1: Building a Health History With Cultural and Diversity Awareness
15
to >
12.0
pts
Excellent
The response clearly and accurately identifies and describes in detail communication techniques to use with the patient, including specific strategies to demonstrate sensitivity with this patient, and a detailed explanation of why to use these techniques.
12
to >
9.0
pts
Good
The response accurately identifies and describes communication techniques to use with the patient, including specific strategies to demonstrate sensitivity with this patient, and an explanation of why to use these techniques.
9
to >
6.0
pts
Fair
The response vaguely and with some inaccuracy identifies and describes communication techniques to use with the patient, including strategies to demonstrate sensitivity with this patient, and a vague explanation of why to use these techniques.
6
to >
0
pts
Poor
The response identifies inaccurately and/or is missing descriptions of communication techniques to use with the patient, including inaccurate or missing strategies to demonstrate sensitivity with this patient, and an inadequate or missing explanation of why to use these techniques.
15
pts
This criterion is linked to a Learning Outcome
Summarize the health history interview you would conduct with this patient. Provide at least five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient.
25
to >
22.0
pts
Excellent
The response clearly, accurately, and in detail summarizes the health history interview to conduct with this patient, including at least five targeted questions to ask to build the health history and assess health risks, with detailed explanations for the wording of each question and why it is asked.
22
to >
19.0
pts
Good
The response accurately summarizes the health history interview to conduct with this patient, including five targeted questions to ask to build the health history and assess health risks, with explanations for the wording of each question and why it is asked.
19
to >
16.0
pts
Fair
The response vaguely summarizes the health history interview to conduct with this patient, including five questions to ask that are vague or lacking specificity to build the health history and assess health risks, with vague explanations for the wording of each question and why it is asked.
16
to >
0
pts
Poor
The response inadequately summarizes the health history interview to conduct with this patient, including fewer than five questions that are inadequate for building the health history and assessing health risks, with inadequate or missing explanations for the wording of each question and why it is asked.
25
pts
This criterion is linked to a Learning Outcome
Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific.
15
to >
12.0
pts
Excellent
The response clearly and accurately identifies the selected risk assessment instrument, and provides detailed and specific justification for why it is applicable to the assigned patient.
12
to >
9.0
pts
Good
The response accurately identifies the selected risk assessment instrument, and provides specific justification for why it is applicable to the assigned patient.
9
to >
6.0
pts
Fair
The response vaguely identifies the selected risk assessment instrument, and provides vague justification for why it is applicable to the assigned patient.
6
to >
0
pts
Poor
The response inadequately identifies the selected risk assessment instrument, and provides inadequate or missing justification for why it is applicable to the assigned patient.
15
pts
This 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 and neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.
5
to >
4.0
pts
Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.
4
to >
3.0
pts
Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.
3
to >
2.0
pts
Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.
2
to >
0
pts
Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.
5
pts
This criterion is linked to a Learning Outcome
Written Expression and Formatting: English Writing Standards — Correct grammar, mechanics, and proper punctuation
5
to >
4.0
pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
4
to >
3.0
pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
3
to >
2.0
pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
2
to >
0
pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with understanding.
5
pts
This criterion is linked to a Learning Outcome
Written Expression and Formatting: APA The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.
5
to >
4.0
pts
Excellent
Uses correct APA format with no errors.
4
to >
3.0
pts
Good
Contains a few (1 or 2) APA format errors.
3
to >
2.0
pts
Fair
Contains several (3 or 4) APA format errors.
2
to >
0
pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with understanding.
5
pts
Total Points:
100 NURS-6512 Week 2: Assignment 1: Building a Health History With Cultural and Diversity Awareness
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