TEACH FOR NURSES LESSON PLAN
Chapter 4: The Complete Health History
CHAPTER OBJECTIVES
1. State the purpose of the complete health history.
2. List the categories of information contained in a health history.
STUDENT RESOURCES
understand
• Textbook Chapter 4
• Sherpath for Medical-Surgical Nursing*
• Animations (Evolve website)
• Answer Keys: Study Guide & Lab Manual
• Audio glossary (Evolve)
apply
• Case Studies (Evolve)
• Elsevier Adaptive Quizzing*
4-2
synthesize
• SimChart*
• Simulation Learning System*
INSTRUCTOR RESOURCES
before class
• Nursing Curriculum Standards (below)
in class
• PowerPoint Presentations (Evolve)
after class
• Test Bank (Evolve)
• HESI Practice Tests*
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
THE HEALTH HISTORY—
THE ADULT
Biographic Data
Source of History
Discuss the importance of
using the patient’s
terminology when
recording the reason for
seeking care versus making
a diagnosis. Demonstrate
• Activity: Have students bring in a family history questionnaire from their institution or doctor and
compare them.
• Small Group Activity: Have students use the above questionnaires and obtain a health history from
each other.
• Online Activity: Have students search the Internet for health assessment documents and analyze
them.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
symptoms. Review the
eight critical characteristics
and the mnemonic
PQRSTU.
information can assist in
the diagnosis.
absence of symptoms.
CULTURE AND GENETICS
Review of Systems
Functional Assessment
(Including Activities of
Daily Living)
Giving examples of the
subjective data versus
objective data under each
one of the categories
might assist the student on
how to interview the
patient.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Bring in the questionnaire
and sample charts of
several patients. Have
DEVELOPMENTAL
COMPETENCE
Children
The Adolescent
actually seeing. Discuss the
information about the
Point out various
situations in which a
child’s parent may bias the
results of the examination
or may contradict what
the interviewer may be
• Discussion Topic: Have students discuss ways to make an adolescent more comfortable during an
assessment.
IN-CLASS/ONLINE CASE STUDY
J.P. is a 75-year-old retired factory worker who is being seen in the home setting for a yearly health assessment provided by his insurance
company.
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Subjective Data
No complaints at this time
Enrolled in Silver Sneakers
Objective Data
Vital signs: T 37 P 80 R 18 BP 140/68
Weight: 200
Weight: 5 feet, 6 inches
Questions
1. How should the nurse proceed with the interview portion of the assessment?
2. What are the components necessary to complete the interview?
3. Develop a problems list for subjective findings.
4. Develop a problems list for objective findings.
5. What teaching should the nurse consider from the problems list?
6. What interventions might be included in the plan of care for this patient?
Answers
1. The interview consists of three phases: introduction, discussion, and summary. To begin the introduction phase, the nurse introduces
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5. Teaching plan from problems list might include diet and exercise routine. Inquire about how often patient goes to Silver Sneakers (a program
NURSING CURRICULUM STANDARDS
QSEN/NLN COMPETENCIES
• Patient-Centered Care/Human Flourishing
o The Older Adult
o Culture and Genetics
NURSING CONCEPTS
The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
A full Concept-Based Curriculum Map covering the entire book can be found in the “Download by Resource Type” folder on Evolve.
THEME: Personal Preferences
• Concept: Culture
THEME: Sexuality and Reproduction
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BSN ESSENTIALS
• Essential IX: Baccalaureate Generalist Nursing Practice
ANSWERS TO QUESTIONS IN THE STUDY GUIDE
Note: Answers to these questions can be found on Evolve site. Click here.