Introduction
Health Assessment for Nursing Practice
A WebQuest for 12th Grade
Interviewing to Obtain a Health History
Designed by:
Ms. Nakeisa Munnings
Welcome to the Optimal Healthcare Hospital!! You are nurses that will be interviewing a 6 year old patient and his mother that is visiting this hospital for the first time.
Your job is to organize the information provided in the scerario in well documented paper in regards to obtaining a health history of this patient. Firstly, you will state the phases of the interview, secondly, state therapeutic communications that is esstenial for carrying out the interview, thirdly, state techniques that enchane data collection, then state the components of a comprehensive health history and lastly develop two NANDA nursing diagnoses for the patient.
The scenario provided will provide some key detaits about the patient.
Armani is a 6 year old boy that is in first grade. He have 4 siblings in his home. All of his immunizations are up to date. He has a history of otitis media and upper respiratory tract infection which was treated at a local clinic three months ago. his favorite activity is sandbox play. Armani reportedly plays most of the day in the sandboxes at school. His mother brought him straight from school: he is still dressed in uniform, fidgeting and asking to go home.
- Vital signs: Tempture - 98.4, Pulse - 72bpm, Respiration - 16bpm, Height: 4'2, Weight - 70lb
- Child sitting on mothers lap, playing with his fingers and occasionally scratching his head.
- Complains of itching, circular, rash behind his left ear.
- Mother says the rash has been there for 4 days.
- Mother admits to trying VVaseline to stop the itching, but says this made it worse.
- Rash has classic ring-worm shape with scaly appearance that spreads to his hairline. no drainage. the rash is quarter sized.
Task
Your team will consist of four nurses. Information from the scenario must be incorparated in these areas. Team members must work together and discuss findings. The contents of this assignment must be turned in a well documented paper.
1. The first nurse on the scene will start the interview by stating the phases of an interview and providing more details on how the phases will be carried with the patient. For example, there are three phases of an interview, the first phase is introduction. During the phase the nures must introduce his or her self to the patient, describe the purpose of the interview and the nurse must describe the process of the interview so that the client knows how long it will be.
2. The second nurse will state therapeutic communications that will be needed to carry out the interviw. For example, the physical setting can impact the exchange of information between the client and the nurse so the nurse should insure that the environment is quiet, private and comfortable room which may make the patient more willing to sure accurate information.
3. The third nurse will state techniques that enchance data collection. For instance, active listening is performed by concentrating on what the cle client is saying and the subtleties of the message being coveyed. It invovles lisetening with a purpase to spokens and giving your full attention.
4. The fourth nurse will state components of a comprehensive health history. For example, one component of a comprehensive health history is biographic data which includes the patients name, gendern, age, birthday, ethnicity and address.
5. Collaboratively, team members will develop two NANDA three part nursing diagnoses for the patient. For example, Impaired Skin Integrity related to scratching as evidence by circular rash behind ear.
Process
Use these websitesto help with the assignment
- http://culturalmeded.stanford.edu/pdf%20docs/Bates_Chapter_2.pdf
- http://www.scribd.com/doc/26052923/Components-of-Nursing-Health-History#scribd
- http://www.kc-courses.com/fundamentals/week2process/nanda2012.pdf
1. You will be assigned in groups of four. Each student will have a role to play collaboratively.
2. You and your group members will start the assignment by first reading the information from the websites provided to gain an understanding of how the interviewing process works and the components of a comprehensive health history.
3. After carefully reading through the information and discussing it over with group members, you will then start your paper by creating a well developed paragraph about the 3 phases of conducting an actual interview with Armani and his mother.
4. The the next paragraph will include therapeutic communications that is essential for carrying out an interview.
5. The following paragraph will focus on techniques that can be used to enhance data collection.
6. The next paragraph will state all of the components of the health history in the manner in which it would be documented with the information provided in the scenario.
7. Lastly, you and your group members will develop 2 three part (problem, etiology & symptom) NANDA nursing diagnoses that is approperiate for Armani.
Evaluation
The overall assignment is worth 100 points.
- Students will be evaluated on their ability to work together as a team in carrying out this activity. 10 points
- The information in the paper must be clearly written, organized, accurately reseached and well documented (double line spaced, MPA format, size 12 font, no grammatical errors). 15 pts
- Creativity and overall presentation. 5 pts
- Accuately stating all of the phases of the interview with patient and guardian. 10pts
- Stating types therapeutic communications essential for carrying out an interview patient and guardian. 10 pts
- Correctly stating techniques that enhance data collection. 10 pts
- Accuately identifying all of the components of a comprehensive health history by utilizing the information provided. 20 pts
- Ability to accurately develop 2 three part nursing diagnoses with a problem, etiology and symptom. 20 pts.
Conclusion
You have just successfully conducted both an interview and a comprehensive health history at Optimal Healthcare Hospital. Great job nurses!! By completing this activity you have gain skills necessary in conducting an actual interviewing and health history. This activity is something that you will have to carry out almost everyday in your nursing career. Learning to follow these steps is only the first step, you must learn how to master these skills. As the nurse, you will be responsible for collecting accurate information that is needed to make accurate nursing diagnoses. Continue to learn these techniques and skills so that when you are placed in the clinical area you can use these techniques and skills that you have learned. All the best!