Version 2.0
Comprehensive Assessment
Script – Version 2.0
Introduction
“Hello, my name is Ericka England. This video is for Adult Gerontology Lab
NURS 5120.” “Here’s my badge.” (Show badge.) Next, I will quickly scan the
room and my equipment.” (Scan the room)
(Wash/sanitize hands.)
"Before we begin, do I have your permission to interview and examine you
today, and do I also have your permission to record this encounter ?"
(Patient agrees.)
"Hi, my name is Ericka. Can you please tell me your full name and date
of birth?" (Verify.) And you identify as…?
"Thank you."
"Can you also tell me where you are today?"
(Patient answers)
"And what year is it?"
(Patient answers)
“How are you feeling today?”
(Patient answers)
"Great. Thank you."
(Patient agrees.)
"Thank you."
Chief Complaint
"What brings you into the clinic today?"
(Allow patient to speak uninterrupted.) →Physical Examination
Subjective Interview
, Version 2.0
Family History
"Okay, great, but before we get started, I'd like to learn a little about your
family's health because some medical conditions can run in families."
Parents
"Are both of your parents still living?"
"How old are they?"
"Do either of them have any medical conditions such as high blood pressure,
diabetes, heart disease, high cholesterol, thyroid disease, asthma, cancer, or
stroke?"
Siblings
"Do you have any brothers or sisters?"
"How old are they?"
"Does anyone have any significant medical conditions?"
Children
"Do you have children?"
"How old are they?"
"Are they generally healthy?"
Maternal Grandparents
"Tell me about your mother's parents."
"Are they living?"
"If they've passed away, do you know how old they were or what they passed
away from?"
Paternal Grandparents
"What about your father's parents?"
"Are they living?"
, Version 2.0
"If they've passed away, do you know how old they were or what they passed
away from?"
Personal & Social History
"Now I'd like to ask you a few questions about your lifestyle because these
things can also affect your health."
Relationship
"What is your current relationship
status?" Living Situation
"Who lives at home with you?"
Occupation
"What type of work do you do?"
Tobacco
"Do you currently use any tobacco products or have you used them in the
past?"
Alcohol
"Do you drink
alcohol?" If yes:
"How often would you say you drink?"
Drugs
"Do you use any recreational or illicit
drugs?" Exercise
"What kinds of physical activity or exercise do you usually do?"
Current Health Medications
"What prescription medications, over-the-counter medications, vitamins, or
supplements do you take regularly?" For each one:
"What do you take it for?"
"How long have you been taking it?"
Allergies
"Do you have any medication allergies?"
Comprehensive Assessment
Script – Version 2.0
Introduction
“Hello, my name is Ericka England. This video is for Adult Gerontology Lab
NURS 5120.” “Here’s my badge.” (Show badge.) Next, I will quickly scan the
room and my equipment.” (Scan the room)
(Wash/sanitize hands.)
"Before we begin, do I have your permission to interview and examine you
today, and do I also have your permission to record this encounter ?"
(Patient agrees.)
"Hi, my name is Ericka. Can you please tell me your full name and date
of birth?" (Verify.) And you identify as…?
"Thank you."
"Can you also tell me where you are today?"
(Patient answers)
"And what year is it?"
(Patient answers)
“How are you feeling today?”
(Patient answers)
"Great. Thank you."
(Patient agrees.)
"Thank you."
Chief Complaint
"What brings you into the clinic today?"
(Allow patient to speak uninterrupted.) →Physical Examination
Subjective Interview
, Version 2.0
Family History
"Okay, great, but before we get started, I'd like to learn a little about your
family's health because some medical conditions can run in families."
Parents
"Are both of your parents still living?"
"How old are they?"
"Do either of them have any medical conditions such as high blood pressure,
diabetes, heart disease, high cholesterol, thyroid disease, asthma, cancer, or
stroke?"
Siblings
"Do you have any brothers or sisters?"
"How old are they?"
"Does anyone have any significant medical conditions?"
Children
"Do you have children?"
"How old are they?"
"Are they generally healthy?"
Maternal Grandparents
"Tell me about your mother's parents."
"Are they living?"
"If they've passed away, do you know how old they were or what they passed
away from?"
Paternal Grandparents
"What about your father's parents?"
"Are they living?"
, Version 2.0
"If they've passed away, do you know how old they were or what they passed
away from?"
Personal & Social History
"Now I'd like to ask you a few questions about your lifestyle because these
things can also affect your health."
Relationship
"What is your current relationship
status?" Living Situation
"Who lives at home with you?"
Occupation
"What type of work do you do?"
Tobacco
"Do you currently use any tobacco products or have you used them in the
past?"
Alcohol
"Do you drink
alcohol?" If yes:
"How often would you say you drink?"
Drugs
"Do you use any recreational or illicit
drugs?" Exercise
"What kinds of physical activity or exercise do you usually do?"
Current Health Medications
"What prescription medications, over-the-counter medications, vitamins, or
supplements do you take regularly?" For each one:
"What do you take it for?"
"How long have you been taking it?"
Allergies
"Do you have any medication allergies?"
