NURS 6512 Discussions and Assignments: Advanced Health Assessment and Diagnostic Reasoning 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.

Building a Health History

The primary purpose of building health history is to gather subjective information from the patient or the patient’s family so that the patient and the healthcare team can develop a collaborative plan that will ensure effective delivery of healthcare (Ball, Dains, Solomon, & Stewart, 2015). In the case of the adolescent Hispanic boy living in a middle-class suburb, the interview would involve first setting an accommodating environment that can help enhance the patient conform in answering the questions NURS 6512 Discussions and Assignments: Advanced Health Assessment and Diagnostic Reasoning. The interview will begin by presenting a proper self-introduction and the reason for the expected interaction to ensure that the patient is aware of the reason for the interview. Besides, the interview would entail covering a health history checklist by obtaining biographical data such as age from the patient. The interaction will also include obtaining information on the reason seeking care, past health history, family health history, functional assessment, and cultural assessment. The interview questions would also be structured in both open-ended and close-ended format.

Moreover, the establishment of the health history requires the employment of proper communication techniques. One of the first techniques that would be used during the communication with the patient is the avoidance of medical jargon. Ideally, it is highly unlikely that the adolescent Hispanic boy would have a grasp of medical-technical terms, and using hard jargon can result in confusion. Besides, active listening is another technique that would be used during the interview. This skill entails not only hearing what is being said but also processing and interpreting the words that are being spoken by the patient (Choudhary & Gupta, 2015). Empathy is another communication technique that will be practiced when building the health history. By expressing empathy, the patient will be more comfortable in answering questions hence ensuring that no relevant information is hidden. Building a rapport is another communication technique that would ensure that no information is withheld during the interview NURS 6512 Discussions and Assignments: Advanced Health Assessment and Diagnostic Reasoning.

The development of the health history also involves conducting a comprehensive risk assessment. As such, the most applicable risk assessment strategy that would be employed in the case of the patient is identifying mental healthcare risks through the profound evaluation of family health history. Poor mental healthcare among teenagers is one of the major public health concerns not only in the United States but also across the globe. Mental disorders in adolescents are becoming relatively common as at least one in every five youth aged between 9 and 17 are diagnosed with a mental health issue (López, et al., 2017). Since the subject in context is an adolescent, he is also at high risk of possessing or developing a mental health disorder. As such, this risk assessment technique would help in the identification of the possibility of occurrence of the risk and also the development of a proper healthcare plan for the mitigation of the risk NURS 6512 Discussions and Assignments: Advanced Health Assessment and Diagnostic Reasoning.

The following are the questions that would be asked to the patient in the assessment of his healthcare risks;

  1. What is the reason for seeking care today?
  2. What are some of the past healthcare issues you have been diagnosed with and treated?
  3. Have you been diagnosed or treated for Emotional or psychiatric problems before?
  4. Does your family have any cases of mental health disorders?
  5. Does your family have a record of any significant illness such as heart disease, cancer, diabetes, or hypertension?
  6. Do you engage in any activities and leisure?

 

References

Ball, J. W., Dains, J. E., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s Guide to Physical Examination. Elsevier Health Sciences.

Choudhary, A., & Gupta, V. (2015). Teaching communications skills to medical students: Introducing the fine art of medical practice. International Journal of Applied and Basic Medical Research, 5(Suppl 1), S41.

López, C. M., Andrews III, A. R., Chisolm, A. M., De Arellano, M. A., Saunders, B., & Kilpatrick, D. (2017). Racial/ethnic differences in trauma exposure and mental health disorders in adolescents. Cultural diversity and ethnic minority psychology, 23(3),.NURS 6512 Discussions and Assignments: Advanced Health Assessment and Diagnostic Reasoning

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