(machismo) might demonstrate negative behaviors, such as fighting or substance abuse as coping mechanisms (Ojeda & Liang, 2014). Therefore, as an FNP of an adolescent Hispanic/Latino in a middle-class suburb, obtaining an accurate assessment of emotional, physical, and social health is imperative to develop a plan of care. These five question sets will help establish an insight to his physical and mental health, as well as behavioral risks: 1.Where do you live? Do you like it there? Do you have your own room? Do you feel safe at home (Ball, Dains, Flynn, Solomon & Stewart, 2015)? 2.Do you enjoy school? What is your favorite class? Do you do any activities at school? What type of grades do you receive? Do you have friends at school (Smith & McGuinness, 2017)? 3.What do you and your friends do for fun? Where do you go? Do your friends everdo anything that makes you uncomfortable? What would they say or do if you told them you were uncomfortable? Do you feel safe with your friends (Ball, Dains, Flynn, Solomon & Stewart, 2015)? 4.Do you smoke or drink alcohol? Does anyone in your family smoke or drink alcohol? Do any of your friends smoke or drink alcohol? Have you ever been pressured into smoking or drinking alcohol (Smith & McGuinness, 2017)? 5.Are you in a relationship? Have you ever been in a relationship? Do you have a gender preference? Have you ever had sex? Do you use protection during sex? (3), 296– 304.
Smith, G. L., & McGuinness, T. M. (2017). Adolescent psychosocial assessment: The HEEADSSS. Journal of Psychosocial Nursing & Mental Health Services, 55 (5), 24- 27. doi: Amy, Thank you for your informative post! I agree with the communication techniques that you mentioned in your discussion post. It is essential to build rapport with a patient to have a trusting relationship. Also, creating a comfortable environment for an adolescent patient to speak up and be able to express himself during the interview will be beneficial for gathering a detailed history. In addition to that, if the patient prefers to speak in his language, a medical interpreter should be readily available to help with the translation during the interview. It is also important to maintain a respectable connection by maintaining good eye contact and nod as needed to reassure the patient that you are actively listening (Ball, Dains , Flynn, Solomon, & Stewart, 2015). Do not dominate the discussion but let the patient speak his concerns (Ball et al., 2015). Open-ended questions can also be used during the interview (Ball et al., 2015). These techniques will also be helpful to do health risk assessments successfully as it provides an opportunity to focus on health promotion and disease prevention of an individual or within the population (Wu & Orlando, 2015). The health risk assessment will not be effective without a detailed collection of family health history information (Wu & Orlando, 2015). According to Cano et al. (2016), Hispanic youths, especially in middle adolescence, may have disproportionately higher rates of some health risk behaviors and depressive symptomology . There is also an extremely high prevalence of acute care in the treatment of Latinos, who often patients delay medical care until their condition worse and necessitate immediate attention ( Cano et al., 2016).
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