02 Jun NURS 6512 Week 2 Assignment Template

Part I: Comprehensive Health History

Subjective Data

Chief Complaint (CC):

History of Present Illness (HPI):

Past Medical History (PMH):

Surgical History (PSH):

Medications:

Allergies:

Preventive Health:

Social History (social determinants of health):

Review of Systems (ROS)

General:

Skin:

HEENT:

Cardiac:

Respiratory:

Gastrointestinal (GI):

Genitourinary (GU):

Musculoskeletal (MSK):

Neurologic:

Psychiatric:

Endocrine:

Hematologic/Lymphatic/Immune:

Part II: Reflection (1 page minimum)

Part II, Section 1: Additional Questions

Identify 3–5 questions you would ask the patient to further strengthen your assessment. Make sure at least one question relates to social determinants of health.

For each question: • State the question • Explain why it is clinically important • Describe how the answer could influence your assessment

Part II, Section 2: Professional Growth

Identify one area where you would improve your interviewing skills based on this case. Briefly explain how you plan to strengthen that area.

References

List 3–5 peer-reviewed references, less than 5 Years Old. Cite all sources in APA format.