NRNP 6552 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 this week’s 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 6 of the Schuiling & Likis (2017) 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 6) Taking a Health History
• 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, shingles, etc.)?
• What questions would you consider in your patient’s complete health history? For example
  • What is your patient’s living situation? Get Motivated Design Assignment Help
  • Do they have stairs? Taking a Health History
  • Do they live by themselves?
  • Do they have a working refrigerator?
• Develop your own script for building a complete health history and 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. (Utilize chapter 6 of your Schuiling textbook to provide guidance). 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.

Reminder: 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 formatti

Learning Resources

Required Readings (click to expand/reduce)
Schuiling, K. D., & Likis, F. E. (2022). Gynecologic health care (4th ed.). Jones and Bartlett Learning.
Chapter 6, “Gynecologic Anatomy and Physiology” (pp. 87–98) Taking a Health History
Chapter 7, “Gynecologic History and Physical Examination” (pp. 99–124) (Previously read in Week 1)
Chapter 9, “Periodic Screening and Health Maintenance” (pp. 149–164) Taking a Health History
Chapter 12, “Sexuality and Sexual Health” (pp. 211–228)
Chapter 13, “Contraception” (pp. 236–266)
Chapter 14, “Menopause” (pp. 267–291) Taking a Health History
Chapter 15, “Intimate Partner Violence” (pp. 295–307)
Chapter 16, “Sexual Assault” (pp. 313–329)

Screening Guidelines

American College of Obstetricians and Gynecologists (ACOG). (2020). Well-Woman Health Care. https://www.acog.org/About-ACOG/ACOG-Departments/A…

Agency for Healthcare Research and Quality (2014). Guide to Clinical Preventive Services, 2014. https://www.ahrq.gov/prevention/guidelines/guide/i…

Swenson, P. F., & Ebell, M. H. (2016, May 1). Introducing a One-Page Adult Preventive Health Care Schedule: USPSTF Recommendations at a Glance. Taking a Health History https://www.aafp.org/afp/2016/0501/p738.html
U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. (n.d.). A guide to taking a sexual history. https://www.cdc.gov/std/treatment/SexualHistory.pd…
Adult Gerontology Resources

Shifren, J. L., & Gass, M. L. S. (2014). The North American Menopause Society Recommendations for Clinical Care of Midlife Women. The Journal of The North American Menopause Society, 21(10), pp. 1-25.
http://www.menopause.org/docs/default-source/2014/…
Resources for LGBTQ+

Aisner, A. J., Zappas, M., & Marks, A. (2020). Primary Care for Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning (LGBTQ) Patients. Taking a Health History The Journal for Nurse Practitioners, 16(4), 281–285. https://go.openathens.net/redirector/waldenu.edu?u…

Office of Disease Prevention and Health Promotion (ODPHP). (2020, April 18). Lesbian, gay, bisexual, and transgender health. https://www.healthypeople.gov/2020/topics-objectiv…

Wingo, E., Ingraham, N., & Roberts, S. C. M. (2018). Reproductive Health Care Priorities and Barriers to Effective Care for LGBTQ People Assigned Female at Birth: Taking a Health History A Qualitative Study. Women’s Health Issues, 28(4), 350–357. https://go.openathens.net/redirector/waldenu.edu?u…
Apps for Common Screenings

The following common screening apps will require a download or install into your personal device for you to access. Note: Should you have any technical issues, you will need to contact the rightsholder of the app itself and not Walden Student Support for any assistance.

Alvar-Gonzalez, J. (2020). Taking a Health History iContraception. https://play.google.com/store/apps/details?id=com….
Note: This download is available for Android devices only.

ITIOX Technologica S.L. (2020). iContraception. https://apps.apple.com/us/app/icontraception/id668…
Note: This download is available for iOS devices only.

Agency for Healthcare Research and Quality (AHRQ). (n.d.). Taking a Health History ePSS Electronic Preventive Services Selector. https://epss.ahrq.gov/PDA/index.jsp

Centers for Disease Control and Prevention (2020). CDC Vaccine Schedules.
https://www.cdc.gov/vaccines/schedules/hcp/schedul…

Note: This webpage will provide you with downloads for both iOS and Android Devices.
Nurse Practitioners in Women’s Health. (n.d.). Well Woman Visit App: Practice

Guidelines. https://www.npwh.org/pages/mobile-app

Clinical Guideline Resources
American College of Obstetricians and Gynecologists (ACOG). Taking a Health History (2020). https://www.acog.org/

American Cancer Society, Inc. (ACS). (2020). Information and Resources about for Cancer: Breast, Colon, Lung, Prostate, Skin. https://www.cancer.org/

Centers for Disease Control and Prevention. (CDC). (n.d.). https://www.cdc.gov/
American Nurses Association (ANA). Taking a Health History (n.d.). https://www.nursingworld.org/
The American Association of Nurse Practitioners (AANP). (2020). https://www.aanp.org/

HealthyPeople 2030. (2020). Healthy People 2030 Framework. https://www.healthypeople.gov/2020/About-Healthy-P…ng.