Module 1 Assignment: Taking a Health History: Building a Health History: Asking Difficult QuestionsMuch of an archeologists 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 patients 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 weeks Learning Resources and consider the difficult questions you might have to ask when you take a patients 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)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 patients complete health history? For exampleWhat is your patients living situation?Do they have stairs?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 formattiLearning ResourcesRequired 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. 8798)Chapter 7, Gynecologic History and Physical Examination?(pp. 99124)?(Previously read in Week 1)Chapter 9, Periodic Screening and Health Maintenance (pp. 149164)Chapter 12, Sexuality and Sexual Health (pp. 211228)Chapter 13, Contraception (pp. 236266)Chapter 14, Menopause (pp. 267291)Chapter 15, Intimate Partner Violence (pp. 295307)Chapter 16, Sexual Assault (pp. 313329)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. https://www.aafp.org/afp/2016/0501/p738.htmlU.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. The Journal for Nurse Practitioners, 16(4), 281285. 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: A Qualitative Study. Womens Health Issues, 28(4), 350357. https://go.openathens.net/redirector/waldenu.edu?u…Apps for Common ScreeningsThe 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). 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.). ePSS Electronic Preventive Services Selector. https://epss.ahrq.gov/PDA/index.jspCenters 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 Womens Health. (n.d.). Well Woman Visit App: Practice Guidelines. https://www.npwh.org/pages/mobile-appClinical Guideline Resources American College of Obstetricians and Gynecologists (ACOG). (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). (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.
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Name: NRNP_6552_Module1_Assignment_Rubric
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Describe the components of a comprehensive gynecologic complete health
history. Include considerations for special populations such as LGBTQ+ individuals.
What health maintenance guidelines should be included during the initial and
follow up assessments. (i.e., bone density test, Gardasil vaccine, shingles, etc.)?
What questions would you consider in your patients assessment?-Excellent
27 (27%) – 30 (30%)
The response provides clear, complete, and appropriate descriptions of a
comprehensive gynecologic complete health history. Health maintenance guidelines are
clear and complete.
Good
24 (24%) – 26 (26%)
The response provides clear, complete, and most of the components of a
comprehensive gynecologic complete health history. Most health maintenance
guidelines are included and appropriate.
Fair
21 (21%) – 23 (23%)
The response provides components of the gynecologic health history but they are
incomplete, vague or inaccurate. Health maintenance guidelines are somewhat
complete or inappropriate applied.
Poor
0 (0%) – 20 (20%)
The response provides unclear, incomplete, or inappropriate components of the
gynecologic health history. Health maintenance guidelines are missing, incorrect, or
inappropriate applied.
Building a Health History: Asking Difficult Questions
Create your own script for building a health history. Consider the type of language
you would use to help your patient be more comfortable). Ensure you include the
difficult questions required to complete a thorough health history.-Excellent
22.5 (22.5%) – 25 (25%)
The script contains a complete set of questions, including difficult questions, necessary
to build a health history. Questions are phrased in a manner that supports the patients
comfort.
Good
20 (20%) – 22 (22%)
The script contains a mostly complete set of questions, including difficult questions,
necessary to build a health history. Most questions are phrased in a manner that
supports the patients comfort.
Fair
17.5 (17.5%) – 19.5 (19.5%)
The script containing some relevant questions, including a few difficult questions.
Information collected provides a cursory health history. Questions are not phrased in a
supportive tone.
Poor
0 (0%) – 17 (17%)
The script contains few or no relevant questions, including few or no difficult questions.
Information collected is not sufficient to provide an adequate health history. Questions
are not phrased in a supportive tone.
In addition to your script for building a health history for this assignment, include
a separate section called Reflection
Briefly reflect and provide a summary of your experiences in developing your
script during your health history.-Excellent
27 (27%) – 30 (30%)
The response provides an accurate, clear, and complete summary of experiences in
developing the script during the health history
Good
24 (24%) – 26 (26%)
The response provides an accurate summary of experiences in developing the script
during the health history
Fair
21 (21%) – 23 (23%)
The response provides a vague, inaccurate, or incomplete summary of the experiences
in developing the script during the health history
Poor
0 (0%) – 20 (20%)
The response provides a vague, inaccurate, or incomplete summary of the experiences
in developing the script during the health history, or the summary is missing.
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 focusedneither
long and rambling nor short and lacking substance. A clear and comprehensive
purpose statement and introduction is provided which delineates all required
criteria.-Excellent
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided
which delineates all required criteria.
Good
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80%
of the time.
Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not
descriptive.
Fair
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%
79% of the time.
Purpose, introduction, and conclusion of the assignment is vague or off topic.
Poor
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity <
60% of the time.
No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting - English writing standards:
Correct grammar, mechanics, and proper punctuation-Excellent
5 (5%) - 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Good
4 (4%) - 4 (4%)
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
Fair
3.5 (3.5%) - 3.5 (3.5%)
Contains several (3 or 4) grammar, spelling, and punctuation errors.
Poor
0 (0%) - 3 (3%)
Contains many (? 5) grammar, spelling, and punctuation errors that interfere with the
readers understanding.
Written Expression and Formatting - The paper follows correct APA format for
title page, headings, font, spacing, margins, indentations, page numbers,
parenthetical/in-text citations, and reference list.-Excellent
5 (5%) - 5 (5%)
Uses correct APA format with no errors.
Good
4 (4%) - 4 (4%)
Contains a few (1 or 2) APA format errors.
Fair
3.5 (3.5%) - 3.5 (3.5%)
Contains several (3 or 4) APA format errors.
Poor
0 (0%) - 3 (3%)
Contains many (? 5) APA format errors.
Total Points: 100
Name: NRNP_6552_Module1_Assignment_Rubric
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NRNP 6552 Walden University Module 1 Taking a Health History Discussion
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