Taking a Health History
Recall some of your most challenging patients for gathering a health history. If you include a crying young child with a distracted parent, a moody adolescent, or an older adult with perhaps something to hide—or maybe all three—get ready to revisit those patients for this Assessment.
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The setting is Neighborhood Clinic, a fictional community health center. The avatar clinic director, Asha Gill, will introduce and conclude each scenario. You will engage with the following avatar patients:
Archie, age 7, and Gabriel Moore, his father, who are making a first visit to the clinic because a very miserable Archie is sick
Jasmine Walker, age 14, at the clinic for a high school physical but without her mother, who has previously accompanied her to appointments
Colleen Hart, age 76, whose stepson may join the appointment, much to her resistance
Each scenario presents a distinct situation for the professional nurse and involves applying emotional intelligence and knowledge of health history information to gather for each patient.
To prepare:
Access the Health History Challenges template document and review the requirements of this Assessment.,
View the video of each scenario as many times as you need., You are encouraged to take notes for details to support your analysis of each scenario., Keep these questions in mind as you view and analyze each scenario:
What health history information is needed?,
What questions would you ask to obtain it?,
How would you demonstrate emotional intelligence to win trust?,
What may be presenting as a specific problem or need?,
Compete the Assessment based on the interactive media, other Learning Resources, and any additional resources you identify.
To complete the Competency Assessment:
Use the Health History Challenges template document to record your responses for each scenario. Your submitted document should be 4–5 pages plus a reference page. You should address the following:
Click each of the items below for more information on this Assessment.
Scenario 1: Health History for a Young Child
Archie, age 7, and his father, Gabriel MooreTaking a Health History
Analyze Scenario 1 for the specific challenges presented in gathering a patient health history of a young child.
What communication skills does a nurse need in this situation with a parent and young child? Include specific examples based on emotional intelligence.
Explain your specific goals with this parent and child in terms of obtaining a health history.
What information would be a priority to obtain for a health history of this child, and why?
Thinking about the situation in the examining room at the end of Scenario 1, what would be your next steps to get the information you need to make a health assessment of this child? Explain your reasoning.
Scenario 2: Health History for an Adolescent
Jasmine Walker, age 14
Analyze Scenario 2 for the specific challenges presented in gathering a patient health history.
What communication skills does a nurse need in this situation with an adolescent? Include specific examples based on emotional intelligence.
Explain your specific goals with this adolescent in terms of obtaining a health history.
What information would be a priority to obtain, and why?
Thinking about the situation in the examining room at the end of Scenario 2, what would be your next steps to get the information you need to make a health assessment of this adolescent? Explain your reasoning.Taking a Health History
Scenario 3: Health History for an Older Adult
Colleen Hart, age 76
Analyze Scenario 3 for the specific challenges presented in gathering a patient health history.
What communication skills does a nurse need in this situation with an older adult? Include specific examples based on emotional intelligence.
Explain your specific goals with this older adult in terms of obtaining a health history.
What information would be a priority to obtain, and why?
What information would be a priority to obtain from the adult stepson if he joined the appointment, and why?Taking a Health History
Thinking about the situation in the examining room at the end of Scenario 3, what would be your next steps to get the information you need to make a health assessment of thi
s older adult? Explain your reasoning.