NXM1 — NXM1 TASK 1
COMPREHENSIVE HEALTH ASSESSMENT FOR PATIENTS AND POPULATIONS — C350
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TASK OVERVIEWSUBMISSIONSEVALUATION REPORT
INTRODUCTION
REQUIREMENTS
RUBRIC
COMPETENCIES
7003.1.1 : Comprehensive Assessment of Individuals and Populations
The graduate develops a comprehensive assessment approach for the assessment of individuals and populations.
7003.1.2 : Health Maintenance and Risk Reduction Assessment for Individuals and Populations
The graduate develops strategies for assessment of health maintenance and risk reduction activities of individuals and populations.
7003.1.3 : Outcome Goals and Interventions for Individuals and Populations Based on Assessment Findings
The graduate develops outcome goals for individuals and selected populations based on assessment findings.
7003.1.4 : Strategies of Maintaining Physical and Functional Health
The graduate identifies integrative strategies for promoting physical and functional health, and preventing disease for individuals and selected populations.
INTRODUCTION
In this assessment, you will demonstrate competence in exploring a patient’s physical and mental well-being. To do this, you will complete a comprehensive health assessment on the virtual patient Carolyn Cross in iHuman Patients.
You will then assess the social and physical determinants of health and how they affect this virtual patient, Carolyn. To do so, you must focus on the social and physical environments that promote health. These environmental determinants include place of birth, neighborhoods, life, experiences, work environments, recreational activities, and worship practices. These determinants affect health, daily functions, and quality-of-life risks and outcomes. Resources that can affect access to quality healthcare include safe and affordable housing, access to education and emerging technologies, public safety, the availability of healthy foods, and local health and emergency services.
The purpose of this task is to reflect on how such outside factors affect Carolyn’s access to quality healthcare.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).
A. Reflect on the comprehensive health assessment you performed on the virtual patient Carolyn Cross in iHuman Patients by doing the following:
1. Discuss four evidence-based interview techniques you used to assess Carolyn’s social determinants. Include a scholarly source in your discussion.
a. Justify the questions you used to assess each of the five social determinants of Carolyn, and include her responses.
b. Explain how Carolyn’s answers to the questions will inform her nursing plan of care.
2. Explain how Carolyn’s economic stability affects her access to healthcare, including the three following factors:
• socioeconomic status
• employment status
• housing stability
3. Analyze how Carolyn’s educational status affects her health. Include a scholarly source to support your analysis.
a. Discuss the healthcare barriers and opportunities Carolyn might experience because of her educational status.
4. Analyze how Carolyn’s health and healthcare status affect her quality of life. Include a scholarly source to support your analysis.
a. Analyze how an understanding of health literacy affects health. Include a scholarly source to support your analysis.
5. Explain how Carolyn’s neighborhood and environment affect her access to healthcare.
a. Compare the healthcare (e.g., quality, access, outcomes) received by a patient living in a low-income area to the healthcare received by a patient living in a high-income area.
b. Discuss how access to healthcare differs for patients living in rural versus urban areas. Include a scholarly source to support your discussion.
c. Discuss how Carolyn’s neighborhood affects her access to healthy food options.
B. Discuss why social determinants need to be addressed in your comprehensive health assessment. Include a scholarly source to support your discussion.
1. Based on the comprehensive health assessment, identify the three highest priority social determinants that affect Carolyn.
2. Based upon the three chosen social determinants from part B1, develop a nursing plan of care.
a. Explain how you would implement your nursing plan of care based upon each of the identified social determinants from part B1.
b. Discuss barriers to implementing the nursing plan of care explained in part B2 for each social determinant identified in part B1.
c. Discuss who needs to be involved in the nursing plan of care (e.g., healthcare practitioners, community members, family) for each social determinant identified in part B1.
3. Explain how to evaluate the effectiveness of Carolyn’s nursing plan of care. Include a scholarly source.
4. Summarize the impact of social determinants on Carolyn’s overall well-being.
C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
D. Demonstrate professional communication in the content and presentation of your submission.
File Restrictions
File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z
RUBRIC
| NOT EVIDENT A discussion is not provided. | APPROACHING COMPETENCE The discussion addresses fewer than 4 interviewing techniques used for assessing Carolyn’s social determinants in the comprehensive health assessment. Or the interview techniques used are not evidence based. Or the discussion is not supported by a scholarly source. | COMPETENT The discussion addresses 4 evidence-based interviewing techniques used for assessing Carolyn’s social determinants in the comprehensive health assessment. The discussion is well supported by a scholarly source. |
A1A:JUSTIFICATION OF KEY QUESTIONS
| NOT EVIDENT The submission does not provide any justifications. | APPROACHING COMPETENCE The submission provides a justification for 1–4 of the social determinants of health. Or 1 or more of the justifications are illogical. Or Carolyn’s responses are not included. | COMPETENT The submission provides a logical justification for the questions used to assess each of Carolyn’s 5 social determinants of health, and it includes her responses. |
A1B:RESPONSES TO KEY QUESTIONS
| NOT EVIDENT An explanation is not provided, or it does not address Carolyn’s nursing plan of care. | APPROACHING COMPETENCE The explanation does not address how Carolyn’s responses to the questions would logically inform her nursing plan of care. | COMPETENT The explanation addresses how Carolyn’s responses to the questions would logically inform her nursing plan of care. |
| NOT EVIDENT An explanation of how Carolyn’s economic stability affects her access to healthcare is not provided, or none of the given factors are addressed. | APPROACHING COMPETENCE The explanation illogically interprets how Carolyn’s economic stability affects her access to healthcare. Or the explanation only addresses 1 or 2 of the given factors. | COMPETENT The explanation logically interprets how Carolyn’s economic stability affects her access to healthcare. The explanation addresses all 3 given factors. |
| NOT EVIDENT An analysis is not provided. | APPROACHING COMPETENCE The analysis demonstrates a limited understanding of Carolyn’s educational status and how it affects her health, or the analysis makes no reference to her educational status. Or the analysis is poorly reasoned or not supported by a scholarly source. | COMPETENT The analysis demonstrates a comprehensive understanding of Carolyn’s educational status and how it affects her health. The analysis is well reasoned and well supported by a scholarly source. |
A3A:HEALTHCARE BARRIERS AND OPPORTUNITIES
| NOT EVIDENT A discussion is not provided. | APPROACHING COMPETENCE The discussion does not address specific healthcare barriers and opportunities Carolyn might experience due to her educational status. | COMPETENT The discussion addresses specific healthcare barriers and opportunities Carolyn might experience due to her educational status. |
A4:EFFECT OF HEALTH ON QUALITY OF LIFE
| NOT EVIDENT An analysis is not provided. | APPROACHING COMPETENCE The analysis demonstrates limited understanding of how Carolyn’s health or healthcare status affects her quality of life. Or the analysis is poorly reasoned or not supported by a scholarly source. | COMPETENT The analysis demonstrates a comprehensive understanding of how Carolyn’s health and healthcare status affect her quality of life. The analysis is well reasoned and well supported by a scholarly source. |
A4A:HEALTH LITERACY
| NOT EVIDENT An analysis is not provided. | APPROACHING COMPETENCE The analysis demonstrates a limited understanding of health literacy, or it demonstrates a misunderstanding of how health literacy affects health. The analysis is poorly reasoned or not supported by a scholarly source. | COMPETENT The analysis demonstrates a comprehensive understanding of health literacy and how it affects health. The analysis is well reasoned and well supported by a scholarly source. |
A5:NEIGHBORHOOD AND ENVIRONMENTAL IMPACTS
| NOT EVIDENT An explanation is not provided. | APPROACHING COMPETENCE The explanation of how Carolyn’s neighborhood and environment affect her access to healthcare is illogical, or the explanation makes no reference to how her neighborhood or environment affects her access to health. | COMPETENT The explanation of how Carolyn’s neighborhood and environment affect her access to healthcare is logical. |
A5A:HEALTHCARE RECEIVED IN LOW- AND HIGH-INCOME AREAS
| NOT EVIDENT The submission does not include a comparison of the healthcare received by patients living in low- versus high-income areas. | APPROACHING COMPETENCE The submission provides a shallow or inaccurate comparison of the similarities or differences in the healthcare a patient receives in low- versus high-income areas. | COMPETENT The submission provides a comprehensive, accurate comparison of the similarities and differences in the healthcare a patient receives in low- versus high-income areas. |
A5B:RURAL VERSUS URBAN HEALTHCARE ACCESS
| NOT EVIDENT A discussion is not provided. | APPROACHING COMPETENCE The discussion does not logically address how access to healthcare differs for patients living in rural versus urban areas, or the discussion is not supported by a scholarly source. | COMPETENT The discussion logically addresses how access to healthcare differs for patients living in rural versus urban areas, and the discussion is well supported by a scholarly source. |
A5C:NEIGHBORHOOD HEALTHY FOOD OPTIONS
| NOT EVIDENT A discussion is not provided. | APPROACHING COMPETENCE The discussion does not provide specific reasons for how Carolyn’s neighborhood affects her access to healthy food options. | COMPETENT The discussion provides specific reasons for how Carolyn’s neighborhood affects her access to healthy food options. |
B:DISCUSSION OF SOCIAL DETERMINANTS
| NOT EVIDENT A discussion is not provided. | APPROACHING COMPETENCE The discussion demonstrates a limited understanding of why social determinants need to be addressed in the comprehensive health assessment. The ideas presented are illogical or are not supported by a scholarly source. | COMPETENT The discussion demonstrates a comprehensive understanding of why social determinants need to be addressed in the comprehensive health assessment. The ideas presented are logical and well supported by a scholarly source. |
B1:IDENTIFICATION OF SOCIAL DETERMINANTS
| NOT EVIDENT The submission does not identify any social determinants. | APPROACHING COMPETENCE The submission identifies only 1 or 2 of the highest priority social determinants, or the identified social determinants are illogical or unrelated to Carolyn. | COMPETENT The submission identifies the 3 highest priority social determinants, and they are logical and related to Carolyn. |
| NOT EVIDENT A nursing plan of care is not provided, or it does not address any social determinants from part B1. | APPROACHING COMPETENCE The nursing plan of care is illogical, or it addresses only 1 or 2 of the social determinants from part B1. | COMPETENT The nursing plan of care is logical and addresses the 3 social determinants from part B1. |
| NOT EVIDENT An explanation is not provided, or it does not address any of the 3 social determinants from part B1. | APPROACHING COMPETENCE The explanation does not logically address the implementation of the nursing plan of care based on the identified social determinants from part B1, or it addresses only 1 or 2 social determinants from part B1. | COMPETENT The explanation logically addresses the implementation of the nursing plan of care based on the 3 identified social determinants from part B1. |
| NOT EVIDENT The submission does not include a discussion of barriers, or the discussion does not address barriers to implementing the nursing plan of care for any of the 3 social determinants identified in part B1. | APPROACHING COMPETENCE The submission discusses barriers to implementing the nursing plan of care from part B2, but they are illogical or irrelevant. Or the discussion addresses barriers to implementing the nursing plan of care for only 1 or 2 of the social determinants identified in part B1. | COMPETENT The submission discusses logical and relevant barriers to implementing the nursing plan of care from part B2 for each of the 3 social determinants identified in part B1. |
B2C:INDIVIDUALS INVOLVED IN PLAN OF CARE
| NOT EVIDENT The submission does not include a discussion, or the discussion does not address any of the 3 social determinants from part B1. | APPROACHING COMPETENCE The submission discusses the individuals who need to be involved in the nursing plan of care, but the individuals are irrelevant to the nursing plan of care from part B2. Or the discussion addresses only 1 or 2 of the social determinants from part B1. | COMPETENT The submission discusses the individuals who need to be involved in the nursing plan of care, the individuals are relevant to the nursing plan of care from part B2, and the discussion addresses each of the 3 social determinants from part B1. |
| NOT EVIDENT An explanation is not provided. | APPROACHING COMPETENCE The explanation of how to evaluate the effectiveness of Carolyn’s nursing plan of care is subjective, or the explanation is not supported by a scholarly source. | COMPETENT The explanation of how to evaluate the effectiveness of Carolyn’s nursing plan of care is objective. The explanation is well supported by a scholarly source. |
B4:IMPACT OF SOCIAL DETERMINANTS
| NOT EVIDENT A summary is not provided. | APPROACHING COMPETENCE The summary is illogical or irrelevant, or it demonstrates a limited understanding of the impact of social determinants on Carolyn’s overall well-being. | COMPETENT The summary is logical and relevant, and it demonstrates a comprehensive understanding of the impact of social determinants on Carolyn’s overall well-being. |
| NOT EVIDENT The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized. | APPROACHING COMPETENCE The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style. | COMPETENT The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style. |
| NOT EVIDENT Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic. | APPROACHING COMPETENCE Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective. | COMPETENT Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding. |
SAMPLE SOLUTION
Comprehensive Health Assessment for Patients and Populations
A. The Comprehensive Health Assessment
- Evidence-Based Interview Techniques
Carolyn’s social determinants of health were assessed through various interview techniques including guided questioning, empathetic response, active listening, and non-verbal communication. The techniques are used to enhance patient participation thus helping the nurse to establish and create a positive rapport in order to meet patient’s needs (Bickley, 2017).
Using guided questions enabled the patient to provide more detail to the questions asked. Techniques employed include the use of open-ended questions, focused questions, multiple-choice questions or clarification questions. The questions were used to provide clarity to the patient’s responses.
Active listening entailed focusing completely on the patient as he/she speaks, understand the message, comprehend the information and respond thoughtfully (Bickley,…
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