The document provides instructions for an online discussion requiring students to build a health history for a new patient. Students are assigned a 55-year-old Asian female living in public housing and must post how they would conduct the interview, the communication techniques they would use, the risk assessment tool selected and why, and 5 targeted health history questions. Replies are also required that validate or add to others' responses using references. The discussion aims to develop students' skills in gathering patient information and assessing health risks based on social and medical factors.

1. **THIS DISCUSSION IS DIVIDE IN TWO PARTS –
1. MAIN DISCUSSION POST BY WEDNESDAY 9/1/2021
BEFORE 8:00 PM EST
2. TWO REPLIES BY FRIDAY 09/03/2021 BEFORE 8:00 PM
EST
Discussion: Building a Health History
· Effective communication is vital to constructing an accurate
and detailed patient history. A patient’s health or illness is
influenced by many factors, including age, gender, ethnicity,
and environmental setting. As an advanced practice nurse, you
must be aware of these factors and tailor your communication
techniques accordingly. Doing so will not only help you
establish rapport with your patients, but it will also enable you
to more effectively gather the information needed to assess your
patients’ health risks.
· For this Discussion, you will take on the role of a clinician
who is building a health history for a particular new patient
assigned by your Instructor.
To prepare:
With the information presented in Chapter 1 of Ball et al. in
mind, consider the following:
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &
Stewart, R. W. (2019). Seidel's guide to physical examination:
An interprofessional approach (9th ed.). St. Louis, MO: Elsevier
Mosby.
· How would your communication and interview techniques for
building a health history differ with each patient?
· How might you target your questions for building a health
history based on the patient’s social determinants of health?

2. · What risk assessment instruments would be appropriate to use
with each patient, or what questions would you ask each patient
to assess his or her health risks?
· Identify any potential health-related risk based upon the
patient’s age, gender, ethnicity, or environmental setting that
should be taken into consideration.
· Select one of the risk assessment instruments presented in
Chapter 1 or Chapter 5 of the Seidel's Guide to Physical
Examination text, or another tool with which you are familiar,
related to your selected patient.
· Develop at least five targeted questions you would ask your
selected patient to assess his or her health risks and begin
building a health history.
DISCUSSION – INSTRUCTIONS
Patient Assigned:
· 55-year-old Asian female living in a high-density public
housing complex
1. Post a summary of the interview and a description of the
communication techniques you would use with your assigned
patient.
2. Explain why you would use these techniques.
3. Identify the risk assessment instrument you selected and
justify why it would be applicable to the selected patient.
4. Provide at least five targeted questions you would ask the
patient.
5. Use at least 3 references.
6. Review the Grading Rubric
**THIS DISCUSSION IS DIVIDE IN TWO PARTS
–

3. 1.
MAIN DISCUSSION POST BY
WEDNESDAY
9
/1/2021
BEFORE 8:00 PM EST
2.
TWO REPLIES BY FRIDAY
09/03
/2021 BEFORE 8:00 PM EST
Discussion: Building a Health History
·
Effective communication is vital to constructing an accurate and
detailed patient history. A
patient’s health or illness is influ
enced by many factors, including age, gender, ethnicity, and
environmental setting. As an advanced practice nurse, you must
be aware of these factors and
tailor your communication techniques accordingly. Doing so
will not only help you establish
rapport wi
th your patients, but it will also enable you to more effectively
gather the information

4. needed to assess your patients’ health risks.
·
For this Discussion, you will take on the role of a clinician who
is building a health history for a
particular new patie
nt assigned by your Instructor.
To prepare:
With the information presented in Chapter 1 of Ball et al. in
mind, consider the following:
Ball, J. W., Dains, J. E., Flyn
n, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Seidel's guide to physical
examination: An interprofessional approac
h
(9th ed.). St. Louis, MO: Elsevier Mosby
.
·
How would your communication and interview techniques for
building a health history differ
with each patient?
·
How might you target your questions for building a health

5. history based on the patient’s social
determinants of health?
·
What risk assessment instruments would be appropriate to use
with each patient, or what
questions would you ask each patient to assess h
is or her health risks?
·
Identify any potential health
-
related risk
based upon the patient’s age, gender, ethnicity, or
environmental setting that should be taken into consideration.
·
Select
one
of the risk assessment instruments presented in Chapter 1 or C
hapter 5 of
the
Seidel's Guide to Physical Examination
text, or another tool with which you are familiar,
related to your selected patient.
·

6. Develop
at least five
targeted questions you would ask your selected patient to assess
his or
her health risks and
begin building a health history.
DISCU
SSION
–
INSTRUCTIONS
Patien
t Assigned
:
·
55
-
year
-
old
Asian
female
living

7. in
a
high
-
density
public
housing
complex
1.
Post
a summary of the interview and a description of the
communication techniques you would
use with your assigned patient.
2.
Explain why you would use these techniques.
3.
Identify the risk assessment instrum
ent you
selected and
justify why it would be applicable to
the selected patient.
4.

8. Provide
at least five targeted questions
you would ask the patient.
5.
Use at least 3 references.
6.
Review the
Grading Rubric
**THIS DISCUSSION IS DIVIDE IN TWO PARTS –
1. MAIN DISCUSSION POST BY WEDNESDAY 9/1/2021
BEFORE 8:00 PM EST
2. TWO REPLIES BY FRIDAY 09/03/2021 BEFORE 8:00 PM
EST
Discussion: Building a Health History
and detailed patient history. A
patient’s health or illness is influenced by many factors,
including age, gender, ethnicity, and
environmental setting. As an advanced practice nurse, you must
be aware of these factors and
tailor your communication techniques accordingly. Doing so
will not only help you establish
rapport with your patients, but it will also enable you to more
effectively gather the information
needed to assess your patients’ health risks.

9. who is building a health history for a
particular new patient assigned by your Instructor.
To prepare:
With the information presented in Chapter 1 of Ball et al. in
mind, consider the following:
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &
Stewart, R. W. (2019). Seidel's guide to physical
examination: An interprofessional approach (9th ed.). St. Louis,
MO: Elsevier Mosby.
ommunication and interview techniques for
building a health history differ
with each patient?
history based on the patient’s social
determinants of health?
ould be appropriate to use
with each patient, or what
questions would you ask each patient to assess his or her health
risks?
-related risk based upon the
patient’s age, gender, ethnicity, or
environmental setting that should be taken into consideration.
Chapter 1 or Chapter 5 of
the Seidel's Guide to Physical Examination text, or another tool
with which you are familiar,
related to your selected patient.
velop at least five targeted questions you would ask your
selected patient to assess his or
her health risks and begin building a health history.
DISCUSSION – INSTRUCTIONS

10. Patient Assigned:
-year-old Asian female living in a high-density public
housing complex
1. Post a summary of the interview and a description of the
communication techniques you would
use with your assigned patient.
2. Explain why you would use these techniques.
3. Identify the risk assessment instrument you selected and
justify why it would be applicable to
the selected patient.
4. Provide at least five targeted questions you would ask the
patient.
5. Use at least 3 references.
6. Review the Grading Rubric
Instructions:
Respond your colleague who selected a different patient than
you, using one or more of the following approaches:
· Share additional interview and communication techniques that
could be effective with your colleague’s selected patient.
· Suggest additional health-related risks that might be
considered.
· Validate an idea with your own experience and additional
research.
**minimum of three (3) scholarly references are required for
each reply cited within the body of the reply & at the end**
Reply # 1
semira Anbessie
Initial post, 76 year old African American patient
Top of Form

11. Interview and Communication Techniques
Obtaining a medical history from a patient involves gathering
subjective and objective data to provide proper medical care and
address potential health issues. The patient assigned for this
discussion is a 76-year-old black African American male with
disabilities living in urban area. The first step for this patient is
to identify the type of disability and how it affects the
interviewing process. If it is physical disability, it is crucial to
utilize accessible room with proper lighting that is free of
obstacles such as furniture to ensure safety and efficiency.
Some of the interview techniques that can be utilized for this
patient includes sitting in front of the patient with proper
lighting while conducting the interview and minimizing
interferences by avoiding interruptions while the patient is
talking. According to Falkenberg et al. (2019), proper lighting
is a significant environmental attribute that promotes physical
and mental health of the aging society. The other techniques
that can be applied for this patient includes using short
sentences and open-ended questions, making eye contact, and
avoiding medical terms to prevent confusion. Additionally,
allowing more time for the patient to answer questions and
providing assurance with empathy will promote good rapport.
If the patient exhibits confusion or becomes forgetful, gathering
more data from family members will be beneficial to fill the
gaps and prevent discrepancies. According to Walji et al.
(2021), clear and respectful communication among healthcare
provider will promote trust and medication compliance by
patients. Giving more time for the patient to respond is essential
due to a decline in sensory and cognitive functions.
Risk Assessment
The risk assessment that would benefit this patient includes
functional assessment such as mobility, activities of daily
living, access to transportations and economic status. In
addition, it is crucial to assess for thoughts of suicide, alco hol
dependence and medication compliance. According to
Seematter-Bagnoud and Bulla (2018), factors associated with

12. the occurrence of disability include functional, cognitive,
affective, and social problems along with lifestyle habit and
sensory impairments. The risk assessment will help identify
potential issues that prevent the overall wellbeing of the patient.
In addition, it can be used as a tool to detect warning signs of
decline in patient’s health or behaviors that can harm the
patient.
Five questions asked for the patient includes:
1. How do you get around in your apartment?
Rationale: To identify physical functionality and to assess for
potential risk of fall and injury. This will also help identify
activities the patient can do without assistance and the one’s
that needs assistance.
2. Does your disability prevent you from receiving
healthcare?
Rationale: This question will assess if patient has adequate
access to transportation to receive healthcare on a timely
manner if not arrangement can be made to facilitate telehealth
or to provide resources available for disabled adults. According
to Ahlqvist et al. (2015), healthcare professionals need to
evaluate older patient’s situations to support functional
capacity, resources, personal attributes and living circumstances
and environment
3. Do you consume alcohol?
Rationale: This question is used to assess for alcohol
dependence and the reasoning since aging increases the effect of
alcohol used alone or combined with medications due to change
in metabolism among the aging society.
4. Have you thought about harming yourself?
Rationale: elderly patients with disability are highly susceptible
to suicide therefore it is very important to assess and identify
behaviors that can lead to suicidal actions. Physical disability
preventing a disabled person from performing activities of daily
leaving with medical care promotes risk factors for suicidal
attempts among elderly patients (Zhang et al., 2016).
5. Can you financially afford to refill your medications

13. monthly?
Rationale: This question will assess medication compliance as
well as address any financial constraints that prevent patient
from refilling his prescriptions because Medication
noncompliance increases among geriatric patient due to
financial strain (Osborn et al., 2017).
References
Ahlqvist, A., Nyfors, H., & Suhonen, R. (2015). Factors
associated with older people's
independent living from the viewpoint of health and functional
capacity: a register-based study. Nursing open, 3(2), 79–89.
https://doi.org/10.1002/nop2.39
Falkenberg, H. K., Kvikstad, T. M., & Eilertsen, G. (2019).
Improved indoor lighting improved
healthy aging at home - an intervention study in 77-year-old
Norwegians. Journal of multidisciplinary healthcare, 12, 315–
324. https://doi.org/10.2147/JMDH.S198763
Osborn, C. Y., Kripalani, S., Goggins, K. M., & Wallston, K. A.
(2017). Financial strain is
associated with medication nonadherence and worse self-rated
health amongcardiovascular patients. Journal of health care for
the poor and underserved, 28(1), 499–513.
https://doi.org/10.1353/hpu.2017.0036
Seematter-Bagnoud, L., & Büla, C. (2018). Brief assessments
and screening for geriatric
conditions in older primary care patients: a pragmatic
approach. Public health reviews, 39, 8.
https://doi.org/10.1186/s40985-018-0086-7
Walji, S., Carroll, J. C., & Haber, C. (2021). Experiences of
patients with a disability in receiving
primary health care: Using experience-based design for quality
improvement. Canadian family physician Medecin de famille
canadien, 67(7), 517–524. https://doi.org/10.46747/cfp.6707517
Zhang, W., Ding, H., Su, P., Duan, G., Chen, R., Long, J., Du,
L., Xie, C., Jin, C., Hu, C., Sun,

14. Z., Gong, L., & Tian, W. (2016). Does disability predict
attempted suicide in the elderly? A community-based study of
elderly residents in Shanghai, China. Aging & mental
health, 20(1), 81–87.
https://doi.org/10.1080/13607863.2015.1031641
Bottom of Form
Instructions:
Respond your
colleague
who selected a different patient than you, using one or more of
the following
approaches:
·
Share additional interview and communication techniques that
could be effective with your
colleague’s selected patient.
·
Suggest a
dditional health
-
related risks that might be considered.
·
Validate an idea with your own experience and additional
research.

15. *
*minimum of three
(3)
scholarly references are required for each
reply
cited
within the body of the reply & at the end
**
Reply
#
1
semira
Anbessie
Initial
post,
76
year
old
African

16. American
patien
t
Interview
and
Communication
Technique
s
Ob
taining
a
medical
history
from
a
patient
involves
gathering
subjective

17. and
objective
data
to
provide
proper
medical
care
and
address
potential
health
issues.
The
patient
assigned
for
this

18. discussion
is
a
76
-
year
-
old
black
African
American
male
with
disabil
ities
living
in
urban
area.
The

19. first
step
for
this
patient
is
to
identify
the
type
of
disability
and
how
it
affects
the
interviewing

20. process.
If
it
is
physical
disability,
it
is
crucial
to
utilize
accessible
room
with
proper
lighting
that
is

21. free
of
obst
acles
such
as
furniture
to
ensure
safety
and
efficiency
.
Some
of
the
interview
techniques
that

22. can
be
utilized
for
this
patient
includes
sitting
in
front
of
the
patient
with
proper
lighting
while
conducting

23. the
interview
and
minimizing
interferences
by
avo
iding
interruptions
while
the
patient
is
talking.
According
t
o
Falkenberg
et

24. al.
(2019
)
,
proper
lighting
is
a
significant
environmental
attribute
that
promotes
physical
and
mental
health
of
the

25. aging
society.
The
other
techniques
that
can
be
applied
for
th
is
patient
includes
using
short
sentences
and

26. open
-
ended
questions,
making
eye
contact,
and
avoiding
medical
terms
to
prevent
confusion.
Additionally,
allowing
more
time
for

27. the
patient
to
answer
questions
and
providing
assurance
with
empathy
will
promote
good
rapport
.
If
the
patient
exhibits

28. confusion
or
becomes
forgetful,
gathering
more
data
from
family
members
will
be
beneficial
to
fill
the
gaps
and

29. prevent
discrepancies.
According
to
Walj
i
et
al.
(2021),
clear
and
respectful
communication
among
healthca
re
provider
will
promote

30. trust
and
medication
compliance
by
patients.
Giving
more
time
for
the
patient
to
respond
is
essential
due
to

31. a
decline
in
sensory
and
cognitive
functions
.
Risk
Assessmen
t
The
risk
assessment
that
would
benefit
this
patient

32. includes
functional
assessment
such
as
mobility,
activities
of
daily
living,
access
to
transportations
and
economic
status.
In
addition,

33. it
is
crucial
to
assess
for
thoughts
of
suicide,
alcohol
dependence
and
medication
compliance.
According
to
Seematter
-
Bagnoud

34. a
nd
Bulla
(2018),
factors
associated
with
the
occurrence
of
disability
include
functional,
cognitive,
affective,
and
social
problems

35. along
with
lifestyle
habit
and
sensory
impairments.
The
risk
assessment
will
help
identify
potential
issues
that
prevent
the

36. overall
wellbeing
of
the
patient.
In
addition,
it
can
be
used
as
a
tool
to
detect
warning
signs

37. of
decline
in
patient’s
health
or
behaviors
that
can
harm
the
patient
.
Instructions:
Respond your colleague who selected a different patient than
you, using one or more of the following
approaches:
that could be effective with your
colleague’s selected patient.
-related risks that might be
considered.
al
research.

38. **minimum of three (3) scholarly references are required for
each reply cited
within the body of the reply & at the end**
Reply # 1
semira Anbessie
Initial post, 76 year old African American patient
Interview and Communication Techniques
Obtaining a medical history from a patient involves gathering
subjective and objective data to provide proper medical care
and address potential health issues. The patient assigned for this
discussion is a 76-year-old black African American male with
disabilities living in urban area. The first step for this patient is
to identify the type of disability and how it affects the
interviewing
process. If it is physical disability, it is crucial to utilize
accessible room with proper lighting that is free of obstacles
such as furniture
to ensure safety and efficiency.
Some of the interview techniques that can be utilized for this
patient includes sitting in front of the patient with proper
lighting while conducting the interview and minimizing
interferences by avoiding interruptions while the patient is
talking. According
to Falkenberg et al. (2019), proper lighting is a significant
environmental attribute that promotes physical and mental
health of the
aging society. The other techniques that can be applied for this
patient includes using short sentences and open-ended
questions,
making eye contact, and avoiding medical terms to prevent
confusion. Additionally, allowing more time for the patient to
answer
questions and providing assurance with empathy will promote

39. good rapport.
If the patient exhibits confusion or becomes forgetful, gathering
more data from family members will be beneficial to fill the
gaps and prevent discrepancies. According to Walji et al.
(2021), clear and respectful communication among healthcare
provider will
promote trust and medication compliance by patients. Giving
more time for the patient to respond is essential due to a decline
in
sensory and cognitive functions.
Risk Assessment
The risk assessment that would benefit this patient includes
functional assessment such as mobility, activities of daily
living,
access to transportations and economic status. In addition, it is
crucial to assess for thoughts of suicide, alcohol dependence
and
medication compliance. According to Seematter-Bagnoud and
Bulla (2018), factors associated with the occurrence of
disability
include functional, cognitive, affective, and social problems
along with lifestyle habit and sensory impairments. The risk
assessment
will help identify potential issues that prevent the overall
wellbeing of the patient. In addition, it can be used as a tool to
detect
warning signs of decline in patient’s health or behaviors that
can harm the patient.
Instructions:
Respond your colleague who selected a different patient than
you, using one or more of the following approaches:
· Share additional interview and communication techniques that
could be effective with your colleague’s selected patient.
· Suggest additional health-related risks that might be
considered.

40. · Validate an idea with your own experience and additional
research.
**minimum of three (3) scholarly references are required for
each reply cited within the body of the reply & at the end**
Reply # 2
Freda Ezeokonkwo
(16-year-old white pregnant female)
Top of Form
Week 1 Discussion Post: Building a Health History
Summary of interview & description of communication
techniques
My patient is a 16-year-old white pregnant female living in an
inner- city neighborhood. In my interview with this patient, I
gathered information about this patient’s medical history, living
conditions, social history, and information about the pregnancy.
Furthermore, in the interview I sought to discover potential
healthcare barriers this patient may face. In addition, I asked
the patient questions about intimate partner violence. The
communication techniques that I would use for this patient
include asking open ended questions and active listening. Open
ended questions versus yes or no questions allow patients to
express their thoughts and feelings (Slade & Sergent, 2021). An
example of an opened question would be, “What are your
concerns regarding your pregnancy?”. Furthermore, active
listening involves paying close attention to what the other
person is saying, asking clarifying questions and rephrasing
what the person says to ensure understanding (Doyle, 2017). An
example of rephrasing a possible statement of concern of my
patient could be “So you feel as though you will not have
enough resources to take care of yourself and your baby, is that
right?
Explanation of communication technique use
I would use open ended questions during my interview with this

41. patient because it would allow this patient to fully express her
concerns to me. Yes or no questions do not allow the patients to
go in depth with their concerns. Furthermore, open ended
questions will give this patient the impression that I care about
what she has to say. In addition, I would practice active
listening with my assigned patient because active listening will
allow me to be nonjudgmental and to understand what my
patients needs are. I can effectively assist my patient when I
understand what my patient’s needs are.
Risk Assessment Instrument Selected
The risk assessment instrument I selected is the HITS (Hurt-
Insult-Threaten-Scream) screening tool for domestic violence.
The HITS screening tool assesses for physical abuse, verbal
abuse, and threats with intimate partners (Ball et al.,2019,
p.10). The HITS screening tool would be justifiable to use in
my assigned patient because adolescent women are at a higher
risk for intimate partner violence. Nearly 70% of adolescent
female victims experience their first intimate partner violence
before age 25 (Thomas et al., 2019). Pregnant adolescents have
significantly higher rates of intimate partner violence than older
mothers and their non pregnant peers (Thomas et al., 2019).
Five Targeted Questions
The five target questions I would ask this patient comes from
the HITS screening tool.
For example,
1.) In the past year how often did your partner physically hurt
you?
2.) In the past year how often did your partner insult or talk
down to you?
3.) In the past year how often did your partner threaten you
with harm?
4.) In the past year how often did your partner scream or
curse at you?
5.) In the past year how often did your partner force you to do
sexual acts that you are not comfortable with?

42. Reference
Ball, J.W., Dains, J.E., Flynn, J.A., Solomon, B.S., Stewart,
R.W. (2019). Seidel’s guide to physical examination: An
interprofessional approach. (9th edition). St. Louis, Missouri.
Elsevier
Doyle, A. (2017, November 28th). Communication Skills for
Workplace Success. Communication-Skills-for-Workplace-
Success.pdf (ramapo.edu)
Slade, S., & Sergent, S.R. (2021, May 4th). Interview
Techniques. Interview Techniques - StatPearls - NCBI
Bookshelf (nih.gov)
Thomas, J.L., Lewis, J.B., Martinez, I., Cunningham, S.D.,
Siddique, M., Tobin, J.N., & Ickovics, J.R. (2019). Associations
between intimate partner violence profiles and mental health
among low-income, urban pregnant adolescents. BMC
Pregnancy and Childbirth, Article number: 120. Doi:
https://doi.org/10.1186/s12884-019-2256-0
Bottom of Form
Instructions:
Respond your
colleague
who selected a different patient than you, using one or more of
the following
approaches:
·
Share additional interview and communication techniques that
could be effective with your

43. colleague’s selected patient.
·
Suggest a
dditional health
-
related risks that might be considered.
·
Validate an idea with your own experience and additional
research.
*
*minimum of three
(3)
scholarly references are required for each
reply
cited
within the body of the reply & at the end
**
Reply
#
2
Freda
Ezeokonkwo

44. (16
-
year
-
old
white
pregnant
female
)
Week 1 Discussion Post: Building a Health History
Summary of interview & description of communication
techniques
My patient is a 16
-
year
-
old white pregnant female living in an inner
-
city neighborhood. In my interview wi
th this patient, I
gathered information about this patient’s medical history, living
conditions, social history, and information about the pregn
ancy.
Furthermore, in the interview I sought to discover potential
healthcare barriers this patient may face. In

45. addition, I asked the patient
questions about intimate partner violence. The communication
techniques that I would use for this patient include asking open
ended
questions and active listening. Open ended questions versus yes
or no questions allow patient
s to express their thoughts and feelings
(Slade & Sergent, 2021). An example of an opened question
would be, “What are your concerns regarding your pregnancy?”.
Furthermore, active listening involves paying close attention to
what the other person is sayin
g, asking clarifying questions and
rephrasing what the person says to ensure understanding (Doyle,
2017). An example of rephrasing a possible statement of conce
rn of
my patient could be “So you feel as though you will not have
enough resources to take care
of yourself and your baby, is that right?
Explanation of communication technique use
I would use open ended questions during my interview with this
patient because it would allow this patient to fully express
her concerns to me. Yes or no questions do not allow the
patients to go in depth with their concerns. Furthermore, open
ended
questi
ons will give this patient the impression that I care about what
she has to say. In addition, I would practice active listeni
ng with
my assigned patient because active listening will allow me to be
nonjudgmental and to understand what my patients needs are

46. .
I can
effectively assist my patient when I understand what my
patient’s needs are.
Risk Assessment Instrument Selected
The risk assessment instrument I selected is the HITS (Hurt
-
Insult
-
Threaten
-
Scream) screening tool for domestic violence.
The HITS scr
eening tool assesses for physical abuse, verbal abuse, and
threats with intimate partners (Ball et al.,2019, p.10). The
HITS screening tool would be justifiable to use in my assigned
patient because adolescent women are at a higher risk for inti
mate
partne
r violence. Nearly 70% of adolescent female victims experience
their first intimate partner violence before age 25 (Thomas et
al., 2019). Pregnant adolescents have significantly higher rates
of intimate partner violence than older mothers and their no
n pre
gnant
peers (Thomas et al., 2019).
Five Targeted Questions
The five target questions I would ask this patient comes from
the HITS screening tool.

47. For example,
Instructions:
Respond your colleague who selected a different patient than
you, using one or more of the following
approaches:
that could be effective with your
colleague’s selected patient.
-related risks that might be
considered.
research.
**minimum of three (3) scholarly references are required for
each reply cited
within the body of the reply & at the end**
Reply # 2
Freda Ezeokonkwo
(16-year-old white pregnant female)
Week 1 Discussion Post: Building a Health History
Summary of interview & description of communication
techniques
My patient is a 16-year-old white pregnant female living in an
inner- city neighborhood. In my interview with this patient, I
gathered information about this patient’s medical history, living
conditions, social history, and information about the pregnancy.
Furthermore, in the interview I sought to discover potential
healthcare barriers this patient may face. In addition, I asked
the patient
questions about intimate partner violence. The communication
techniques that I would use for this patient include asking open
ended
questions and active listening. Open ended questions versus yes

48. or no questions allow patients to express their thoughts and
feelings
(Slade & Sergent, 2021). An example of an opened question
would be, “What are your concerns regarding your pregnancy?”.
Furthermore, active listening involves paying close attention to
what the other person is saying, asking clarifying questions and
rephrasing what the person says to ensure understanding (Doyle,
2017). An example of rephrasing a possible statement of
concern of
my patient could be “So you feel as though you will not have
enough resources to take care of yourself and your baby, is that
right?
Explanation of communication technique use
I would use open ended questions during my interview with this
patient because it would allow this patient to fully express
her concerns to me. Yes or no questions do not allow the
patients to go in depth with their concerns. Furthermore, open
ended
questions will give this patient the impression that I care about
what she has to say. In addition, I would practice active
listening with
my assigned patient because active listening will allow me to be
nonjudgmental and to understand what my patients needs are. I
can
effectively assist my patient when I understand what my
patient’s needs are.
Risk Assessment Instrument Selected
The risk assessment instrument I selected is the HITS (Hurt-
Insult-Threaten-Scream) screening tool for domestic violence.
The HITS screening tool assesses for physical abuse, verbal
abuse, and threats with intimate partners (Ball et al.,2019,
p.10). The
HITS screening tool would be justifiable to use in my assigned
patient because adolescent women are at a higher risk for
intimate
partner violence. Nearly 70% of adolescent female victims

49. experience their first intimate partner violence before age 25
(Thomas et
al., 2019). Pregnant adolescents have significantly higher rates
of intimate partner violence than older mothers and their non
pregnant
peers (Thomas et al., 2019).
Five Targeted Questions
The five target questions I would ask this patient comes from
the HITS screening tool.
For example,