Case study
For your assignment you will work on this case: you will take on the role of an APRN who is building a health history for this patient. You will consider how social determinants of health and specific cultural considerations will influence your interview and communication techniques as you work in partnership with the patient to gather data for an accurate health history.
Include the following:
Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific. Consider how you would build a health history for the patient. What questions would you ask? How might you target your questions based on the patient’s social determinants of health? How would you frame the questions to be sensitive to the patient’s background, lifestyle, and culture? Identify any potential health-related risks, based on the patient’s age, gender, ethnicity, or environmental setting, which should be taken into consideration. What risk assessment instruments would be appropriate to use with this patient? Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques. Summarize the health history interview you would conduct with this patient. Provide at least five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient. Identify one risk assessment instrument, and then justify why it would be applicable to your assigned patient. Be specific.
46 y/o African American male who recently was seen in the Emergency Department foralcoholic withdrawal seizures and released. Referred to clinic for follow up on his hypertensionhistory. He ran out of the Norvasc prescription given by the Emergency Department. He is livingin a homeless shelter now. He states not drinking anymore but needs to smoke cigarettes to calm down and function.
Week 2_Assignment 1_Rubric
NURS_6512_Week 2_Assignment 1_Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeExplain the specific socioeconomic,
spiritual, lifestyle, and other cultural factors associated with the patient
you were assigned. Be specific.
15 to >12.0 pts
Excellent
The response clearly, accurately, and in detail explains the specific
socioeconomic, spiritual, lifestyle, and other cultural factors associated
with the assigned patient.
12 to >9.0 pts
Good
The response accurately explains the specific socioeconomic,
spiritual, lifestyle, and other cultural factors associated with the
assigned patient.
9 to >6.0 pts
Fair
The response vaguely and with some inaccuracy explains the
socioeconomic, spiritual, lifestyle, and other cultural factors associated
with the assigned patient.
6 to >0 pts
Poor
The response is inaccurate and/or missing explanations of the
socioeconomic, spiritual, lifestyle, and other cultural factors associated
with the assigned patient.
15 pts
This criterion is linked to a Learning OutcomeExplain the issues that you would
need to be sensitive to when interacting with the patient, and why.
15 to >12.0 pts
Excellent
The response clearly, accurately, and in detail explains the issues
to be sensitive to when interacting with the patient; explanations why are
clear, accurate, and detailed.
12 to >9.0 pts
Good
The response accurately explains the issues to be sensitive to when
interacting with the patient; explanations why are accurate.
9 to >6.0 pts
Fair
The response vaguely and with some inaccuracy explains the issues to
be sensitive to when interacting with the patient; explanations why are
vague and/or inaccurate.
6 to >0 pts
Poor
The response is inaccurate and/or missing explanations of the issues
to be sensitive to when interacting with the patient; explanations why are
inaccurate or missing.
15 pts
This criterion is linked to a Learning OutcomeDescribe the communication
techniques you would use with this patient. Include strategies to demonstrate
sensitivity with this patient. Be specific and explain why you would use
these techniques.
15 to >12.0 pts
Excellent
The response clearly and accurately identifies and describes in
detail communication techniques to use with the patient, including specific
strategies to demonstrate sensitivity with this patient, and a detailed
explanation of why to use these techniques.
12 to >9.0 pts
Good
The response accurately identifies and describes communication
techniques to use with the patient, including specific strategies to
demonstrate sensitivity with this patient, and an explanation of why to use
these techniques.
9 to >6.0 pts
Fair
The response vaguely and with some inaccuracy identifies and
describes communication techniques to use with the patient, including
strategies to demonstrate sensitivity with this patient, and a vague
explanation of why to use these techniques.
6 to >0 pts
Poor
The response identifies inaccurately and/or is missing descriptions
of communication techniques to use with the patient, including inaccurate
or missing strategies to demonstrate sensitivity with this patient, and an
inadequate or missing explanation of why to use these techniques.
15 pts
This criterion is linked to a Learning OutcomeSummarize the health history
interview you would conduct with this patient. Provide at least five (5)
targeted questions you would ask the patient to build their health history
and to assess their health risks. Explain your reasoning for each question
and how you frame each for this specific patient.
25 to >22.0 pts
Excellent
The response clearly, accurately, and in detail summarizes the health
history interview to conduct with this patient, including at least five
targeted questions to ask to build the health history and assess health
risks, with detailed explanations for the wording of each question and why
it is asked.
22 to >19.0 pts
Good
The response accurately summarizes the health history interview to
conduct with this patient, including five targeted questions to ask to
build the health history and assess health risks, with explanations for the
wording of each question and why it is asked.
19 to >16.0 pts
Fair
The response vaguely summarizes the health history interview to
conduct with this patient, including five questions to ask that are vague
or lacking specificity to build the health history and assess health risks,
with vague explanations for the wording of each question and why it is
asked.
16 to >0 pts
Poor
The response inadequately summarizes the health history interview to
conduct with this patient, including fewer than five questions that are
inadequate for building the health history and assessing health risks, with
inadequate or missing explanations for the wording of each question and why
it is asked.
25 pts
This criterion is linked to a Learning OutcomeIdentify the risk assessment
instrument you selected, and then justify why it would be applicable to your
assigned patient. Be specific.
15 to >12.0 pts
Excellent
The response clearly and accurately identifies the selected risk
assessment instrument, and provides detailed and specific justification for
why it is applicable to the assigned patient.
12 to >9.0 pts
Good
The response accurately identifies the selected risk assessment
instrument, and provides specific justification for why it is applicable to
the assigned patient.
9 to >6.0 pts
Fair
The response vaguely identifies the selected risk assessment
instrument, and provides vague justification for why it is applicable to
the assigned patient.
6 to >0 pts
Poor
The response inadequately identifies the selected risk assessment
instrument, and provides inadequate or missing justification for why it is
applicable to the assigned patient.
15 pts
This criterion is linked to a Learning OutcomeWritten 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 focused and neither long and rambling nor short
and lacking substance. A clear and comprehensive purpose statement and
introduction are provided that delineate all required criteria.
5 to >4.0 pts
Excellent
Paragraphs and sentences follow writing standards for flow,
continuity, and clarity. A clear and comprehensive purpose statement,
introduction, and conclusion are provided that delineate all required
criteria.
4 to >3.0 pts
Good
Paragraphs and sentences follow writing standards for flow,
continuity, and clarity 80% of the time. Purpose, introduction, and
conclusion of the assignment are stated, yet are brief and not descriptive.
3 to >2.0 pts
Fair
Paragraphs and sentences follow writing standards for flow,
continuity, and clarity 60%–79% of the time. Purpose, introduction, and
conclusion of the assignment are vague or off topic.
2 to >0 pts
Poor
Paragraphs and sentences follow writing standards for flow,
continuity, and clarity < 60% of the time. No purpose statement,
introduction, or conclusion were provided.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting:
English Writing Standards — Correct grammar, mechanics, and proper
punctuation
5 to >4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.0 pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
3 to >2.0 pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
2 to >0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere
with understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting:
APA The paper follows correct APA format for title page, headings, font,
spacing, margins, indentations, page numbers, running heads,
parenthetical/in-text citations, and reference list.
5 to >4.0 pts
Excellent
Uses correct APA format with no errors.
4 to >3.0 pts
Good
Contains a few (1 or 2) APA format errors.
3 to >2.0 pts
Fair
Contains several (3 or 4) APA format errors.
2 to >0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that
interfere with understanding.
5 pts
Total
Points: 100
