NURS 6512 Discussion Diversity and Health Assessments

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NURS 6512 Discussion Diversity and Health Assessments

NURS 6512 Discussion Diversity and Health Assessments


May 2012, Alice Randall wrote an article for The New York Times on the cultural factors
that encouraged black women to maintain a weight above what is considered healthy.
Randall explained—from her observations and her personal experience as a black
woman—that many African-American communities and cultures consider women who
are overweight to be more beautiful and desirable than women at a healthier weight. As
she put it, “Many black women are fat because we want to be” (Randall, 2012).
Photo Credit: Getty Images
Randall’s statements sparked a great deal of controversy and debate; however, they
emphasize an underlying reality in the healthcare field: different populations, cultures,
and groups have diverse beliefs and practices that impact their health. Nurses and
healthcare professionals should be aware of this reality and adapt their health
assessment techniques and recommendations to accommodate diversity.
In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and
other cultural factors that should be taken into considerations when building a health
history for patients with diverse backgrounds. Your Instructor will assign a case study to
you for this Discussion.
To prepare:

 Reflect on your experiences as a nurse and on the information provided in this week’s
Learning Resources on diversity issues in health assessments.
 By Day 1 of this week, you will be assigned a case study by your Instructor. Note:
Please see the “Course Announcements” section of the classroom for your case study
 Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors
related to the health of the patient assigned to you.
 Consider how you would build a health history for the patient. What questions would you
ask, and how would you frame them to be sensitive to the patient’s background,
lifestyle, and culture? Develop five targeted questions you would ask the patient to build
his or her health history and to assess his or her health risks.
 Think about the challenges associated with communicating with patients from a variety
of specific populations. What strategies can you as a nurse employ to be sensitive to
different cultural factors while gathering the pertinent information?
By Day 3 of Week 2
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural
factors associated with the patient you were assigned. Explain the issues that you
would need to be sensitive to when interacting with the patient, and why. Provide at
least five targeted questions you would ask the patient to build his or her health history
and to assess his or her health risks.
Note: For this Discussion, you are required to complete your initial post before you will
be able to view and respond to your colleagues’ postings. Begin by clicking on the "Post
to Discussion Question" link, and then select "Create Thread" to complete your initial
post. Remember, once you click on Submit, you cannot delete or edit your own posts,
and you cannot post anonymously. Please check your post carefully before clicking
on Submit!
Read a selection of your colleagues’ responses.
By Day 6 of Week 2
Respond on or before Day 6 on 2 different days to at least two of your colleagues
who were assigned a different patient than you. Critique your colleague’s targeted
questions, and explain how the patient might interpret these questions. Explain whether
any of the questions would apply to your patient, and why.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 2 Discussion Rubric
Post by Day 3 of Week 2 and Respond by Day 6 of Week 2
To Participate in this Discussion:
Week 2 Discussion

What's Coming Up in Week 3?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
Next week, you examine assessment techniques, health risks and concerns, and
recommendations for care related to patient growth, weight, and nutrition. You will also
begin your first DCE: Health History Assessment which will be due in Week 4. Plan your
time accordingly.
Overview of Digital Clinical Experiences (DCE) and Lab Components
Throughout this course, you are required to not only complete your standard course
assignments and discussions, but you will also complete DCE and Lab Components
that are either structured as optional or required assignment submissions. Please take
the time to review your DCEand Lab Components for this course that are required
submissions. See the table below and the attached table for specific DCE and Lab
Components for the course.
Note: Each Shadow Health Assessment may be attempted and reopened as many
times as necessary prior to the due date to achieve a total score of 80% or better, but
you must take all attempts by the Day 7 deadline. You must pass BOTH the Health
History and Comprehensive (head-to-toe) Physical Exam of at least a total score of 80%
in order to pass the course.

Week Digital Clinical

Experiences Lab Components

Module 1:  Comprehensive Health History

Week 1: Building a
Comprehensive Health

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Module 2: Functional Assessments and Assessment Tools

Week 2: Functional
Assessments and Cultural
and Diversity Awareness in
Health Assessment


Week 3: Assessment Tools,
Diagnostics, Growth,
Measurement, and Nutrition
in Adults and Children

DCE: Health History
Assessment (assigned
in Week 3, due in
Week 4)

Case Study Assignment:
Assessment Tools and
Diagnostic Tests in Adults
and Children

Module 3: Approach to System Focused Advanced Health Assessments

Week 4: Assessment of the
Skin, Hair, and Nails

DCE: Health History

Lab Assignment:
Differential Diagnosis for
Skin Conditions (SOAP
Note for differential

Week 5: Assessment of
Head, Neck, Eyes, Ears,
Nose, and Throat

DCE: Focused Exam:

Case Study Assignment:
Assessing the Head, Eyes,
Ears, Nose, and Throat
(Episodic SOAP Note)

Week 6: Assessment of the
Abdomen and
Gastrointestinal System


Lab Assignment: Assessing
the Abdomen (Analyze
SOAP Note)

Week 7: Assessment of the
Heart, Lungs, and Peripheral
Vascular System

DCE: Focused Exam:
Chest Pain

Week 8: Assessment of the
Musculoskeletal System

Discussion: Assessing
Musculoskeletal Pain
(Episodic SOAP Note)

Week 9: Assessment of
Cognition and the
Neurologic System

DCE: Comprehensive
(head-to-toe) Physical

Case Study Assignment:
Assessing Neurological
Symptoms (Episodic SOAP

Week 10: Special
Genital, Prostate, and Rectal
Lab Assignment: Assessing
the Genitalia and Rectum
(analyze SOAP Note)

Module 4: Ethics in Assessment

Week 11: The Ethics Behind
Assessment   Lab Assignment: Ethical


Next Week

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