Health History and Screening of an Adolescent or Young Adult Client

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Nursing Diagnoses:

Based on this health history and health screening, identify three nursing diagnoses that would be applicable for this client as well as your rationale for your selection of each nursing diagnosis. Include:

One “actual” nursing diagnosis with rationale for choice of this diagnosis.

One wellness nursing diagnosis with rationale for choice of this diagnosis.

One “risk for” nursing diagnosis based on the health screening with rationale for choice of this diagnosis.

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Student Name: Beth Chiappara
Date: October 16, 2014

Biographical Data

Patient/Client Initials: AR
Phone No: 951 244-6197

Address: 23055 Canyon Lake CA 92587

Birth Date: 02/14/89
Age: 25
Sex: Female

Birthplace: Anaheim CA
Marital Status: Married

Race/Ethnic Origin: Caucasian

Occupation: Financial Analyst
Employer: University of California Riverside

Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)

Income is enough. As can be since there always seems like there can be more! We can pay our bills and do some fun things. We have good insurance from my employer.

Source and Reliability of Informant:

AR
Good historian

Past Use of Health Care System and Health Seeking Behaviors:

Goes to all required yearly exams and schedule appts