NR 305 Week 4 Project Course Milestone
Student Name
Chamberlain University
NR-305: RN Health Assessment
Prof. Name
Date
Week 4: Course Project Milestone 1 (graded)
Due: Monday, 12:59 a.m.
Points: 225
Submission Type: File upload
Purpose
The aim of this assignment is for the student to conduct a comprehensive health history on a willing, unrelated adult participant. The goal is to create written documentation that is both clear and accurate, reflecting professional communication skills and attention to detail. Students must ensure they select an adult participant other than themselves; failure to do so will result in a 20% grade deduction.
This activity not only provides hands-on experience with health history taking but also emphasizes professional ethical practice in data collection. Participants should be informed that they are not required to share any information they wish to keep private. If the participant chooses not to disclose certain details, the student should record “Does not want to disclose.” If key information is repeatedly omitted, the student should find another participant who is more willing to share the necessary details.
Course Outcomes
This project allows students to achieve the following course outcomes:
- CO #3: Demonstrate effective communication during a health assessment (PO3).
- CO #4: Identify health education and learning needs from an individual’s health history (PO2).
- CO #5: Recognize professional responsibilities in conducting a health assessment and documenting appropriately (PO6).
Points and Due Date
The Health History Milestone 1 assignment is worth 225 points and must be submitted by Sunday, 11:59 p.m. MT at the end of Week 4. Students with questions should post them in the Q & A Forum for class-wide visibility.
Disclaimer
This assignment focuses on written communication of client information, not performing a physical examination. Accuracy in recording health history is essential. Medical terminology should be precise, and subjective descriptors such as “frequently,” “normal,” “improved,” or “within normal limits (WNL)” should be avoided. Instead, students should use quantifiable or descriptive data, for example, “three times per day” instead of “frequently.”
Assignment Directions
The following table outlines the step-by-step requirements for the project:
| Step | Instructions |
|---|---|
| 1 | Identify a non-related adult who consents to a health history interview. |
| 2 | Download the required NR305_Milestone1_Form and complete all sections directly in the document. |
| 3 | Use Microsoft Word 2013 or later (PC) or Office 2011 or later (Mac). Save as .docx format. |
| 4 | Review Chapter 4 in your textbook for documentation examples. |
| 5 | Avoid vague descriptors; use specific data to record observations. |
| 6 | Save the file with your last name in the title (e.g., NR305_Milestone1_Form_Smith). |
| 7 | Submit by the deadline and post any questions in the Q & A Forum. |
Academic Integrity Reminder
By submitting this assignment, students affirm that the work is original, appropriately cited, and completed without unauthorized assistance. All Chamberlain College of Nursing academic integrity guidelines must be followed.
Rubric Criteria Overview
The grading rubric includes multiple components, each with specific expectations.
Biographical Data
Students must record:
- Date of health history, client’s initials, age, date of birth, birthplace, gender, marital status, race, religion, occupation, health insurance, source of information, and reliability of that source.
Identifiable information such as addresses or phone numbers must not be included.
Present Health History/Illness
Document reasons for seeking care, current health patterns, and personal health goals. Specific, factual details are expected without generalizations.
Health Beliefs and Practices
Record beliefs, practices, and behaviors influencing healthcare decisions, including cultural, social, or lifestyle factors that affect health outcomes.
Medications
List all medications (prescription, over-the-counter, herbal) including:
- Name
- Dose
- Purpose
- Duration
- Frequency
- Desired or undesired effects
NR 305 Week 4 Project Course Milestone
Past History
Include childhood diseases, immunizations, allergies, transfusions, major illnesses, hospitalizations, surgeries, substance use history (alcohol, tobacco, drugs), injuries, and obstetric history if applicable.
Emotional History
Describe any known or suspected mental, emotional, or psychiatric conditions, with specific details on how they impact well-being or functioning.
Family History
Provide a multi-generational review, noting any patterns of illness or hereditary conditions. This should include parents, siblings, and grandparents.
Psychosocial/Occupational History
Document educational background, occupational history, and financial situation as they relate to health access and decision-making.
Roles and Relationships
Describe the individual’s key relationships, including significant others, support systems, and healthcare team interactions.
Ethnicity and Culture
Discuss cultural and ethnic identity along with any relevant traits or customs that influence healthcare decisions.
Spirituality
Identify religious or spiritual beliefs, needs, and practices relevant to health.
Self-Concept
Describe the participant’s self-esteem, self-worth, and future aspirations.
Review of Systems
Record both current and past data for each body system, including functional patterns and any symptoms reported.
Clarity of Writing
The submission should be well-organized, clearly written, and free from vague descriptors, spelling, or grammar errors.
References
Chamberlain College of Nursing. (2018). NR305: Health history guidelines and rubric. Chicago, IL: Author.
Jarvis, C. (2019). Physical examination and health assessment (8th ed.). Elsevier.
NR 305 Week 4 Project Course Milestone
American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.).