NR302 Health Assessment I – Required Uniform Assignment (RUA): Health History Guidelines

Assignment Overview

You will complete a **comprehensive health history assessment** on an adult (18+ years old) who is not a family member or close friend. The purpose is to collect thorough subjective data, analyze patterns affecting health and wellness, and document findings professionally. Use this assessment to demonstrate foundational nursing assessment competency and clinical reasoning consistent with BSN program outcomes.

Include a **reflection component** that examines your interview process, communication effectiveness, barriers encountered, and insights gained relevant to future professional practice.

Submission Instructions

• Submit as a Microsoft Word document (.docx) via Canvas before 23:59 on the due date in your course calendar.
• Adhere to APA formatting (7th ed.) for citations and references.
• Ensure **no identifying personal information** appears in the document to maintain confidentiality.

Required Sections of the Assignment

1. Health History Assessment (70 points)

1. Demographics – Age, gender, ethnicity, occupation, living situation.
2. Perception of Health – Participant’s view of own health status and wellness.
3. Past Medical History – Illnesses, surgeries, allergies, medications, immunizations.
4. Family Medical History – Trends of chronic or hereditary conditions.
5. Review of Systems – Systematic subjective screening of body systems.
6. Developmental Considerations – Lifespan stage influences on health.
7. Cultural Considerations – Beliefs, traditions, and preferences affecting care.
8. Psychosocial Considerations – Support systems, stressors, lifestyle factors.
9. Health Priorities & Teaching Needs – Identify at least two priorities for teaching or intervention.
10. Collaborative Resources – Community and clinical support resources for the individual.

2. Reflection (20 points)

1. Describe the interview experience (environment, communication strategy, rapport building).
2. Compare your interaction with theoretical expectations from course readings.
3. Identify barriers to communication and how you addressed them.
4. Assess what went well and what challenges you encountered.
5. Explain how this experience will shape your future nursing assessment practice.

3. Style and Organization (10 points)

• Clarity of expression, grammar, APA use, logical structure, professional tone.
• Accurate interpretation of assessment findings supported by current literature.

Grading Criteria (Rubric)

1. Health History Assessment – Accurate, complete, evidence-based explanations (70%).
2. Reflection – Depth of insight, connection to nursing concepts (20%).
3. Writing Quality – APA style, organization, professional language (10%).

Conduct a systematic health history assessment on an adult subject and document findings in a structured report that demonstrates clinical reasoning, cultural sensitivity, and effective communication skills. The assessment includes demographics, medical history, psychosocial factors, and prioritized teaching needs that link to evidence-based nursing practice. Reflect on your interview process and articulate how this experience influences future assessments.

In your submission, include at least two health education priorities supported by scholarly evidence, ensuring alignment with BSN assessment competencies and APA format references. Apply critical analysis in the reflection section to show professional growth.

Complete this RUA assignment using comprehensive nursing assessment techniques and scholarly support to meet program outcomes and rubric criteria.

Peer-Reviewed References

Jarvis, C. (2020). _Physical Examination and Health Assessment_. 8th ed. Elsevier. ISBN: 9780323552286.

Fitzgerald, M., Lewin, R. & Whitehead, D. (2019). ‘Integrating psychosocial assessment in nursing practice’, _Journal of Clinical Nursing_, 28(7-8), pp. 1201-1210. DOI:10.1111/jocn.14790.

Parker, S. & Hegarty, J. (2021). ‘Cultural competence in nursing assessments’, _Nurse Education Today_, 99, 104736. DOI:10.1016/j.nedt.2021.104736.

Kuiper, R.A., O’Donnell, J.M. & Pesut, D.J. (2018). ‘Reflection and clinical judgment development’, _Journal of Nursing Education_, 57(4), pp. 209-215. DOI:10.3928/01484834-20180322-05.

Butts, J.B. & Rich, K.L. (2023). _Philosophies and Issues in Nursing Practice_. 5th ed. Elsevier. ISBN:9780323723462.