Running head: HEALTH HISTORY 1
NR 302
Health History
Chamberlain University College of Nursing
NR 302: Health Assessment I
Health History
Health history was gathered on a male patient Q. M. This paper focuses on the data
collected during the interview. The data gathered helped identifies the health status and history,
including past and present of Q. M. and his family. This paper aids in the comparison of skills
learned in class with outside information and helps show understanding and reflection of these
skills.
Demographic Data
Q. M. is a 23-year-old caucasian male and prefers to be addressed as a man. He was born
on June 8, 1996, in the St. Louis region. Q. M. currently lives in his deceased grandfather's house
with his cat but no other people. The home is located in a higher prevalence of crime area but Q.
M. expressed that he grew up in the said area and feels safe. Q. M. is single, with no children,
and works 9 a – 5:30 pm, Monday through Friday. Q. M. states that he is not close to his family
but has friends who he considers family and they live near him.
Perception of Health
Q. M. believes that to be healthy you have to align your Chakras. This is very spiritual
but also promotes good diets and exercise. Q. M. believes that his depression and anxiety affects
his perception of health and his health overall. He believes that it is sometimes hard to convince
himself to work at keeping health and sometimes feels as if it is not worth it. At the point, I then
assessed the probability of self-harm. Q. M. denies any thoughts of hurting himself or anyone
, HEALTH HISTORY 2
else and has no feeling of hopelessness or worthlessness. Q. M. believes that he can focus on the
future and can motivate himself to achieve it, regarding this he also believes that it helps him
maintain a healthy mindset and exercise regimen. Overall, Q. M. believes that he is physically
healthy as well and has a balanced diet with all the necessary nutrients needed for this age and
weight.
Past Medical History
Q. M.'s past medical history includes depression, anxiety, cardiac dysrhythmia,
monorchidism (having one testicle in the scrotum), and hearing deficits. His past surgical history
includes one procedure which was the removal of one testicle (orchiectomy) due to torsion. Q. M
is not on any medication to treat his depression or anxiety and rarely takes NSAIDs or any
medication in general.
Family Medical History
Q. M. has a family history of brain aneurysms as well as depression, anxiety, and
addiction. His paternal aunt had a brain aneurysm and his maternal grandmother passed due to a
brain aneurysm. Q. M.’s mother and (late) maternal grandfather both have depression. His
maternal grandfather died due to suicide.
Due to the high prevalence of depression, anxiety, and brain aneurysms in his family, Q.
M. needs to be proactive regarding his health. This would include yearly checkups with a
primary care physician and possibly a neurologist, keeping track of headaches along with the
severity of them and how long they last, and establish a support system to help him with his
depression and anxiety.
Review of Systems
NR 302
Health History
Chamberlain University College of Nursing
NR 302: Health Assessment I
Health History
Health history was gathered on a male patient Q. M. This paper focuses on the data
collected during the interview. The data gathered helped identifies the health status and history,
including past and present of Q. M. and his family. This paper aids in the comparison of skills
learned in class with outside information and helps show understanding and reflection of these
skills.
Demographic Data
Q. M. is a 23-year-old caucasian male and prefers to be addressed as a man. He was born
on June 8, 1996, in the St. Louis region. Q. M. currently lives in his deceased grandfather's house
with his cat but no other people. The home is located in a higher prevalence of crime area but Q.
M. expressed that he grew up in the said area and feels safe. Q. M. is single, with no children,
and works 9 a – 5:30 pm, Monday through Friday. Q. M. states that he is not close to his family
but has friends who he considers family and they live near him.
Perception of Health
Q. M. believes that to be healthy you have to align your Chakras. This is very spiritual
but also promotes good diets and exercise. Q. M. believes that his depression and anxiety affects
his perception of health and his health overall. He believes that it is sometimes hard to convince
himself to work at keeping health and sometimes feels as if it is not worth it. At the point, I then
assessed the probability of self-harm. Q. M. denies any thoughts of hurting himself or anyone
, HEALTH HISTORY 2
else and has no feeling of hopelessness or worthlessness. Q. M. believes that he can focus on the
future and can motivate himself to achieve it, regarding this he also believes that it helps him
maintain a healthy mindset and exercise regimen. Overall, Q. M. believes that he is physically
healthy as well and has a balanced diet with all the necessary nutrients needed for this age and
weight.
Past Medical History
Q. M.'s past medical history includes depression, anxiety, cardiac dysrhythmia,
monorchidism (having one testicle in the scrotum), and hearing deficits. His past surgical history
includes one procedure which was the removal of one testicle (orchiectomy) due to torsion. Q. M
is not on any medication to treat his depression or anxiety and rarely takes NSAIDs or any
medication in general.
Family Medical History
Q. M. has a family history of brain aneurysms as well as depression, anxiety, and
addiction. His paternal aunt had a brain aneurysm and his maternal grandmother passed due to a
brain aneurysm. Q. M.’s mother and (late) maternal grandfather both have depression. His
maternal grandfather died due to suicide.
Due to the high prevalence of depression, anxiety, and brain aneurysms in his family, Q.
M. needs to be proactive regarding his health. This would include yearly checkups with a
primary care physician and possibly a neurologist, keeping track of headaches along with the
severity of them and how long they last, and establish a support system to help him with his
depression and anxiety.
Review of Systems
