Module 1 Assignment: Taking a Health History: Building a Health History: Asking Difficult Questions

Module 1 Assignment: 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.

For this Assignment, you will develop a script to be used to interview a volunteer serving in the role of patient.
To prepare:

Review the Ewing (2004) questionnaire found in the Week 1 Learning Resources and consider the difficult questions you might have to ask when you take a patient’s complete health history.
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)
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, shingles, etc.)?
Create your own script for building a health history and use the Health History Template for guidance (consider the type of language you would use to help your patient be more comfortable). As you create your script, consider the difficult questions you want to include in your script. There is no sample template to provide to you. You are the one to develop the script. Think of it as you are writing a movie and you need to write the script for the movie. What lines would you provide for the actor to utilize when sitting down with a patient to perform a COMPLETE Medical History which also entails those DIFFICULT GYN questions. You do not need to provide the answers to the questions however, if you find that beneficial, you may do so.
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.

SAMPLE SOLUTION

Building a patient’s health history is a step towards provision of quality and patient-centered care. However, the subjective and objective data collected in such a historical assessment need to be reliable and credible. Such considerations ensure that there are no errors during the implementation of the established plan of care. Another key role of getting a patient’s health history is so as to help the healthcare team, the patient and the family/ care givers to collaboratively come up with a plan that will promote health by addressing emerging threats/ risks (Ganz et al., 2021). Consequently, healthcare providers must diligently and…