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NURS 6512: Advanced Health Assessment and Diagnostic ReasoningWeek One: Building a Comprehensive Health HistoryTaking a comprehensive health history allows the nurse to establish a therapeutic relationship with the patient from the opening few moments of meeting while initiating clinical analysis which can guide in determining diagnosis appropriately (Ingram, 2017). Due to the significance of obtaining health history in the patient’s plan of care and health outcome, advanced practice nurses (APNs) need to be fully competent in efficiently assessing the patient’s health needs through the proper use of communication techniques. The purpose of this week’s discussion will analyze communication skills used to obtain patient’s health history considering factors such as age, gender, ethnicity, or environmental setting and applying the appropriate toolsin building a partnership with the patient to achieve an accurate health history. For the objective of the topic, the selected focus patient involves a 55-year old Asian female living in a high-density poverty housing complex. Communication and Interview TechniquesEstablishing a positive patient relationship depends on communication built on courtesy, ensured physical and emotional comfort, connection established with trust and candor, and confirmation that the interaction is clearly understood, and the patient can articulate the agreed plan of care (Ball, Dains, Flynn, Solomon, & Stewart, 2015, p. 2). Building a relationship with the patient requires a communication that is patient-centered where they will feel acknowledged, at ease and treated with sincerity. Understanding the patient’s perspective of the health status andexpressing empathy are vital features of patient-centered communication (Hashim, 2017). Due tothe diversities of patients that can be encountered, healthcare professionals must be able to have the flexibility to adapt and accommodate different individuals, their preferences and most
importantly, their needs. As studied in an article, the five groups that are considered at risk for communication breakdowns during medical encounters are children and adults with speech,