Health Assessment

MR, a 23-year-old Built-in American macho comes in to see you because he has been having all-overs and wants article to advice him. He has been smoker "pot" and says he drinks to advice himself too. He tells you he is abashed that he will not get into heaven if he continues in this lifestyle. He is not demography any prescriptions medications and denies 

drug use. He has a absolute ancestors history of diabetes, hypertension, and alcoholism. 

It is actual important for healthcare providers to accept the ability of their patients in history demography and assessment. In the aloft book of a 23-year-old male, it is actual important that the assistant practitioner be able to admit altered culture, ethics and biases in alternative to actualize an able accommodating centermost advice (Ball, Dains, Flynn, Solomon, & Stewart, 2019). In alternative to accommodate culturally competent care, it is appropriate that healthcare providers be acute to the patient’s heritage, animal orientation, socioeconomic situation, ethnicity and cultural accomplishments (Ball et al., 2019). Healthcare professionals should abstain actuality boilerplate abject on accommodating ability but be able to admit their limitations in ability about a accommodating ability and advance an accessible apperception on their cultures.

                                                     Socioeconomic, Spiritual, Lifestyle, and alternative cultural factors 

According to the book presented above, the 23-year-old does not accept any socioeconomic factors affecting his health, but he has a airy and affairs factors that could affect his health. Culture, spirituality, and affairs is actual important in the analysis of built-in Americans. The accommodating agency declared aloft shows that the accommodating has factors like use of booze and drugs that may affect is health. Knowing these factors is actual important in compassionate the analysis approaches that are all-important to the accurate alone (Indigenous Policy Journal, 2015). The accommodating additionally explains that he has all-overs about his biologic use that could anticipate him from extensive “heaven” back he dies In exploring this, the  nurse practitioner should be accurate to not affront the accommodating but actualize affinity with the accommodating that can advance to a artless one in alternative to apparatus treatment. Ask the accommodating to explain added about his specific behavior and if he has a assertive abbey or adoration he follows and his anticipation about analysis options. I would additionally appetite to be accurate back discussing his family’s medical history. Diabetes and hypertension are accustomed problems in the built-in community, partly due to the aerial amount of abjection and admission to advantageous foods (Struthers & Lowe, 2003). According Espey et al. (2014), there is access bloodshed afterlife amount in the built-in American citizenry due to aerial accident of diabetes, smoker prevalence, botheration drinking, and amusing determinants. In this case a discussing accommodating perceived accident factors is a acute affair back accommodating already has all-overs because of his biologic use. Proper appraisal of the accommodating and acceptable history demography to added acquisition out what the accommodating could be added at accident for is important to accommodate bigger analysis and care. Alternative cultural factors that may affect the built-in American is that they mostly alive in rural areas and are usually poor too authoritative it difficult for them to get bigger healthcare. Even admitting not acknowledgment in the book above, the amusing account of the built-in Americans is that they are added acceptable than white to be poor, unemployed, and acquire beneath apprenticeship (Espey et al., 2014).

Sensitive Issues

The issues that the healthcare provider needs to be acute about back talking to the accommodating is the accommodating use of booze and recreational drugs.  The assistant practitioner will charge to analyze added by allurement how generally the accommodating drinks booze and uses recreational drugs. Accommodating additionally appear accepting anxiety. This could be from booze or the use of pot as mentioned. Built-in Americans are culturally acute to seek analysis for brainy affliction or drug/alcohol because of the stigma characterization on it. So, the assistant practitioner should be accurate in suggesting analysis to patient. Assistant practitioner can alpha by allurement the accommodating questions to acquisition out accommodating angle apropos admission of analysis (Ball et al., 2019).

                                               Targeted Questions

  1. Do you smoke cigarettes, or are you about buzz smoke?
  2. What do you do for a living?
  3. Within the aftermost ages has your all-overs impacted your circadian living?
  4. Have you approved any accustomed remedies to amusement your anxiety?
  5. On average, what is your daily/weekly booze intake?
  6. Do you accept a ancestors or association abutment system?
  7. Do you accord to any religious organization?


Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel's adviser to concrete examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Espey, D. K., Jim, M. A., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D., & Plescia, M. (2014). Leading Causes of Afterlife and All-Cause Bloodshed in American Indians and Alaska Natives. American Journal of Public Health104(S3), S303-11.

Indigenous Policy Journal. (2015). Built-in American Indian Cultural Accident Factors - Contact to Termination. Retrieved from

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