not respond well to confrontation. The key aspects of communication and interview techniques should revolve around flexibility, confidentiality, and respect with the adolescent population (Ball et al., 2019). Taking the patient’s social determinants of health into account, I would ask the patient about his current living situation, school performance, friends, and extracurricular activities. This would allow me to gain some insight on parental relationships, support, negative or positive influences from peers, and involvement in sports or activities. Another area to address is the patient’s view of himself. Being biracial in certain settings can lead to bullying and insecurity and a sense of not belonging. Ball et al. (2019) state that asking questions regarding how the patient defines themselves can allow for discussion on how the patient wants to be identified as well as emotional issues attached to that identity. There are several risk assessment screening tools to help assess and identify potential health risks. Some examples are HEEADDS, PACES, and CRAFT (Ball et al., 2019). For this patient, I would use the HEEADDS screening tool. This screening mnemonic help address important risk factors associated with home environment, education, eating, activities, drugs, sexuality, suicide and depression, and safety. Five targeted questions I would ask my patient to assess his health risks and begin building a health history would be: 1. Tell me about your living situation? 2. How are your grades in school? 3. What activities or sports are you involved in?
4. Have you ever been bullied? 5. Do you feel safe? As stated previously, asking open-ended questions such as these will hopefully open up the conversation for other topics and help identify areas that may be affecting the patient (Ball et al., 2019). References 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.
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