NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions
Walden University NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions
Whether one passes or fails an academic assignment such as the Walden University NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions
The introduction for the Walden University NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions
After the introduction, move into the main part of the NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NRNP 6552 Week 2 Taking a Health History: Building a Health History: Asking Difficult Questions
A gynecological history entails assessing the female reproductive system. It is often a sensitive subject for some women; thus, the examiner must treat any information provided with sensitivity and respect. The purpose of this paper is to develop a script for building a health history for a well-woman exam and reflect on my experience building the script.
Script for Building a Health History
Hello. I am Nurse XX, and I will take you through today’s well-woman appointment. I will ask you a number of questions about your medical and reproductive health history, some of which might be uncomfortable. However, I assure you that your information will be private and confidential and only be shared with your consent. I hope this will make you more comfortable to express your concerns fully.
Demographic Data
What is your name?
How old are you?
Which gender do you identify with?
Medical History
Do you have any major acute or chronic illnesses?
Do you have a history of surgery or major injury?
Have you ever been hospitalized, and what was the reason?
Which medications (prescriptions or OT) or supplements are you currently taking?
Do you have any drug reactions or environmental or food allergies?
When did you last have your Flu and Tetanus vaccination?
Gynecologic Health History
At what age did you start having your menses?
What difficulties do you experience when on your menses, like heavy bleeding or very painful cramping? (Park et al., 2020).
For how many days do your menses last?
Do you experience symptoms like mood or physical changes days before your menses?
Which reproductive health conditions, including STIs, have you previously been diagnosed with?
How many times have you been pregnant, and what was the outcome of each pregnancy?
What pregnancy-related condition did you experience during pregnancy?
Are you currently sexually active?
How would you define your sexual preference and interests? (Park et al., 2020).
How many sexual partners do you have?
Do you experience difficulties during intercourse that affect your sexual satisfaction? (Hagey et al., 2020).
Which type of contraceptive are you currently using, and which side effects does it have?
Which contraceptives have you used previously, and why did you discontinue using them? (Hagey et al., 2020).
What environmental or socioeconomic factors affect your access to gynecology services?
Reflection
When developing the health history script, I identified that a careful and detailed history is essential before examining a patient presenting for a well-woman exam. I also realized that besides having a good general history, the examiner needs to focus on the history of the presenting complaint to customize the examination to identify the appropriate signs and make an accurate diagnosis. Many women often feel anxious or uneasy about the forthcoming patient interview. Thus, it is vital that the examiner establishes initial rapport with the patient and puts her at ease. During a patient interview, I might feel uneasy asking a patient whether she is sexually active and if there are any difficulties or pain during intercourse. Furthermore, I might be uncomfortable asking a woman about her sexual partners, sexual interests and preferences, and if she gets sexually satisfied. I find that asking a woman about her previous pregnancies can be awkward for the patient, especially if she had an abortion, and often would lie about it if she feels ashamed of it.
I found it insightful for the examiner to be conscious of the different attitudes to various women’s health issues in a religious and culturally diverse population. In addition, I identified a better way of approaching sensitive sexual health questions. This includes initiating the conversation with saying that it is part of my routine to ask all my patients about their sexual health, including sexual functioning and satisfaction (O’Laughlin et al., 2021). SDOH that affects women’s access to gynecology health services can be addressed by maximizing referrals to social services to enhance a patient’s abilities to meet their reproductive health needs (Dagher & Linares, 2022). Furthermore, the NP can advocate for policy changes that promote safe and healthy living environments for women.
Conclusion
The examiner taking a woman through a well-woman exam should take a detailed medical history that includes current acute and chronic illnesses, medications, allergies, and immunization history. The gynecologic history should include menstruation, reproductive medical, obstetric, and contraceptive history. The examiner should assure the patient of confidentiality and create a rapport to ease uneasiness.
References
Dagher, R. K., & Linares, D. E. (2022). A critical review of the complex interplay between social determinants of health and maternal and infant mortality. Children, 9(3), 394. https://doi.org/10.3390/children9030394
Hagey, J. M., Toole, J., Branford, K., Reynolds, T., Livingston, E., & Dotters-Katz, S. K. (2020). Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students. MedEdPORTAL: The Journal of Teaching and Learning Resources, p. 16, 11001. https://doi.org/10.15766/mep_2374-8265.11001
O’Laughlin, D. J., Strelow, B., Fellows, N., Kelsey, E., Peters, S., Stevens, J., & Tweedy, J. (2021). Addressing Anxiety and Fear during the Female Pelvic Examination. Journal of Primary Care & Community Health, p. 12, 2150132721992195. https://doi.org/10.1177/2150132721992195
Park, K., Wu, P., & Gulati, M. (2020). Obstetrics and Gynecological History: A Missed Opportunity for Cardiovascular Risk Assessment. JACC. Case Reports, 2(1), 161–163. https://doi.org/10.1016/j.jaccas.2019.11.035