Resouces to use:

Note: These readings are intended to serve as supplementary to the Lecturio content and required textbook readings provided in this course. Please refer/review these supplementary resources should you need help in reinforcing concepts and in preparation for completing this week’s Assessments. 

• National Prevention Information Network. (2021, September 10). Cultural competence in health and human servicesLinks to an external site.. Centers for Disease Control and Prevention. https://npin.cdc.gov/pages/cultural-competence 
  This website discusses cultural competence as defined by the National Prevention Information Network at the Centers for Disease Control and Prevention (CDC). Understanding the difference between cultural competence, awareness, and sensitivity can be obtained on this website. 
• U.S. Department of Human & Health Services Office of Minority Health. (n.d.). A physician’s practical guide to culturally competent careLinks to an external site.. https://cccm.thinkculturalhealth.hhs.gov/ 
  From the Office of Minority Health, this website offers CME and CEU credit and equips healthcare professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve. 
• Coleman, D. E. (2019). Evidence based nursing practice: The challenges of health care and cultural diversityLinks to an external site.. Journal of Hospital Librarianship, 19(4), 330–338. https://doi.org/10.1080/15323269.2019.1661734 
• Pirhofer, J., Bükki, J., Vaismoradi, M., Glarcher, M., & Paal, P. (2022). A qualitative exploration of cultural safely in nursing from the perspectives of advanced practice nurses: Meaning, barriers, and prospectsLinks to an external site.. BMC Nursing, 21, 178. https://doi.org/10.1186/s12912-022-00960-9 

• Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). Elsevier Mosby. 
  • Chapter 1, “Cultural Competency” 
    This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices. 
• Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). Elsevier Mosby. 
  Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th edition by Dains, J. E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. 
• i-Human Patients. (2023). i-Human Patients case player: Student manual Download  i-Human Patients case player: Student manual. I-Human Patients by Kaplan.  
  Note: This link provides a PDF download for this manual.

• Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). Elsevier Mosby. 
  • Chapter 1, “Cultural Competency” 
    This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices. 
• Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). Elsevier Mosby. 
  Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th edition by Dains, J. E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. 
• i-Human Patients. (2023). i-Human Patients case player: Student manual Download  i-Human Patients case player: Student manual. I-Human Patients by Kaplan.  
  Note: This link provides a PDF download for this manua

To prepare:

• Reflect on your experience as an advanced practice nurse and on the information provided in the Week 1 Learning Resources on building a health history and the Week 2 Learning Resources on diversity issues in health assessments. 
• By Day 1 of this week, your Instructor will assign a case study for this Assignment. Note: Please see the Course Announcements section of the classroom for your Case Study Assignment. 
• Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of your assigned patient. 
• Consider how you would build a health history for the patient. What questions would you ask? How might you target your questions based on the patient’s social determinants of health? How would you frame the questions to be sensitive to the patient’s background, lifestyle, and culture? 
• Identify any potential health-related risks, based on the patient’s age, gender, ethnicity, or environmental setting, which should be taken into consideration. 
• What risk assessment instruments would be appropriate to use with this patient? 
• What questions would you ask to assess the patient’s health risks?  
• Select one (1) risk assessment instrument discussed in the Learning Resources, or another tool with which you are familiar, related to your selected patient. 
• Develop five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. 
• Think about the challenges associated with communicating with patients from a variety of specific populations. What communication techniques would be most appropriate to use with this patient? What strategies can you as an APRN employ to be sensitive to different cultural factors while gathering the pertinent information?

For your assignment 1 you will work on this case: 

46 y/o African American male who recently was seen in the Emergency Department for
alcoholic withdrawal seizures and released. Referred to clinic for follow up on his hypertension
history. He ran out of the Norvasc prescription given by the Emergency Department. He is living
in a homeless shelter now. He states not drinking anymore but needs to smoke cigarettes to
calm down and function.