| Course | DNP 605 Advanced Health Assessment Across Lifespan |
|---|---|
| Module | Module 1 |
| Paper type | Comprehensive health history, subjective data |
| Length | About 677 words, 5 pages |
| Format | APA 7 student paper |
| School | Arizona State University |
| Program | DNP |
| Updated | October 2026 |
Free sample paper for DNP 605 Module 1
Tired for Three Months: An Adult Comprehensive Health History From the First Immersion
Student Name
Edson College of Nursing and Health Innovation, Arizona State University
DNP 605: Advanced Health Assessment Across Lifespan
Instructor Name
Month Day, Year
Tired for Three Months: An Adult Comprehensive Health History From the First Immersion
Identifying Information and Source
Patient: J.M., 46-year-old man, warehouse supervisor. Source: self, reliable. Visit: comprehensive new patient history (peer practice).
Chief Concern
"I've been tired for about three months."
History of Present Illness
Fatigue began gradually about three months ago. He describes it as feeling worn out by mid-afternoon and needing to sit down during shifts, which he never did before. It is present daily, worse after work and not relieved by weekend rest. He sleeps about seven hours but wakes unrefreshed; his wife says he snores heavily and at times stops breathing. He has gained about 15 pounds over the past year. No fever, sweats at night, unplanned weight loss, chest pain or breathlessness at rest, but becomes winded climbing two flights of stairs. He has more thirst than usual and gets up twice a night to urinate. Mood is "a little down" because of the fatigue; he denies hopelessness. He has tried energy drinks with brief relief. He rates the effect on his life 6 of 10 and is worried because his father had diabetes.
Past Medical History
Hypertension diagnosed at 40, treated with lisinopril. No hospitalizations. Childhood illnesses: none significant. Immunizations: reports tetanus within ten years; unsure about hepatitis B; received influenza vaccine last year.
Past Surgical History
Right knee arthroscopy at 32.
Medications
Lisinopril 20 mg daily. Ibuprofen 400 mg, taken a few times weekly when his back hurts. Energy drinks two a day. No supplements.
Allergies
Penicillin, rash as a child. No food or latex allergies.
Family History
Father: type 2 diabetes, heart attack at 58, living at 74. Mother: hypothyroidism, hypertension, living at 71. Brother, 43: obesity, sleep apnea on CPAP. Sister, 49: healthy. No family history of colon cancer, sudden death or thyroid cancer.
Social History
Married, two teenage children. Works rotating shifts as a warehouse supervisor. Completed high school and an associate degree. Never smoked; drinks three or four beers on weekends; denies drug use. Eats fast food four or five times a week; little exercise beyond work. Has employer insurance. Feels safe at home. Hobbies: watching baseball, fishing.
Sexual History
Monogamous with his wife; one partner in the past year. Notes decreased libido over recent months. No history of sexually transmitted infections.
Health Maintenance
Last physical three years ago. Never had colon cancer screening. Last dental visit two years ago. No eye exam in five years.
Review of Systems
General: fatigue, weight gain; no fever or night sweats. Skin: darker patches on the back of the neck noticed by his wife. HEENT: occasional morning headaches; no vision change. Neck: no lumps. Respiratory: snoring, witnessed pauses; no cough. Cardiovascular: exertional breathlessness on stairs; no chest pain, palpitations or leg swelling. Gastrointestinal: occasional heartburn; no bleeding or change in bowels. Genitourinary: nocturia twice; no dysuria or hematuria. Musculoskeletal: chronic low back pain. Neurological: denies weakness or numbness. Psychiatric: low mood related to fatigue; no suicidal thoughts. Endocrine: increased thirst; no heat or cold intolerance. Hematologic: no easy bruising.
Peer Feedback and Reflection
My partner noted that I moved too quickly from the chief concern to closed questions and almost missed the snoring, which surfaced only when I asked about sleep quality. She suggested starting the HPI with an open prompt, "Tell me about the tiredness," and using the OLDCARTS mnemonic only after the patient's story. She also pointed out that I should ask about shift work's effect on sleep. Comprehensive histories organized this way are the foundation of advanced assessment (Bickley et al., 2021), and several findings here, including thirst, nocturia, weight gain, snoring and darkened neck skin, will guide the physical examination and testing. His thirst, night urination and weight gain, with diabetes in his father, call for glucose testing, which national guidance recommends for adults aged 35 to 70 with overweight (US Preventive Services Task Force, 2021). Loud snoring with witnessed pauses and morning headaches point toward obstructive sleep apnea, which guidelines evaluate with a sleep study rather than questionnaires alone (Kapur et al., 2017).
References
Bickley, L. S., Szilagyi, P. G., Hoffman, R. M., & Soriano, R. P. (2021). Bates' guide to physical examination and history taking (13th ed.). Wolters Kluwer.
Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann, D. C., Mehra, R., Ramar, K., & Harrod, C. G. (2017). Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: An American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 13(3), 479-504. https://doi.org/10.5664/jcsm.6506
US Preventive Services Task Force. (2021). Screening for prediabetes and type 2 diabetes: US Preventive Services Task Force recommendation statement. JAMA, 326(8), 736-743. https://doi.org/10.1001/jama.2021.12531
What the DNP 605 Module 1 instructions ask for
The posted syllabus begins with the adult comprehensive health history, general survey and documentation in Week 1, along with growth and development and mental status across the lifespan. Immersion 1 is a peer review activity: students take turns conducting health histories with classmates using a fillable template, offer constructive feedback, and submit the completed template for participation points. Immersion activities together count for 5% of the grade. Expect the template to follow standard history headings. Practice the full sequence aloud before the immersion so you can focus on listening. Because peers role-play patients, agree in advance on a scenario with enough detail to fill every section, and switch roles so each person practices interviewing. Bring a printed copy of the template so you can take notes while listening.
How the DNP 605 Module 1 example is put together
The sample follows the standard order of a comprehensive history, with headings matching a typical template. The history of present illness is written as a narrative that covers onset, character, timing, severity, associated symptoms, relieving factors and the patient's concerns. Each section records only subjective information, as a history should. The review of systems is complete and includes pertinent negatives. A final section records the peer's feedback and connects key findings to the next steps of assessment. Negatives that matter are documented with the same care as positives, because they shape the differential diagnosis that the examination will test. Each section starts on its own heading.
DNP 605 Module 1 rubric: what earns full marks
Immersion templates are usually graded on completion and participation, but faculty also use them to see whether students can document a complete, organized and subjective history. A strong history includes a detailed HPI, all required sections, pertinent positives and negatives, and professional language. Constructive feedback given and received is part of the activity. Recording what you learned from your partner shows reflective practice, which is valued throughout the course. Histories that close with a short list of findings to examine show that the student connects subjective data to the next step of assessment. Accurate medical terminology also counts. Feedback recorded honestly earns credit.
DNP 605 Module 1 help from the desk
The most common error is mixing objective findings, such as vital signs or exam results, into the history. Keep the history subjective. Another is a thin HPI that lists symptoms without timing or context. Use open questions first, then a mnemonic. Do not skip sexual history or substance use. Practice with a partner before the immersion. If you would like help organizing a comprehensive health history, share the details with the desk. Practice transitions between sections, such as moving from social history to sexual history, so the interview feels natural rather than abrupt. Ask about every medication, including over-the-counter drugs and supplements. Close the interview by asking whether anything important was missed.
Write yours, or have the desk draft it
This paper is an original model document written by our desk, not a submitted student paper and not an official Arizona State University document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.
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DNP 605 Module 1 questions, answered
Where can I find a free DNP 605 Module 1 sample paper?
The adult comprehensive health history is above in full: a composite 46-year-old with fatigue, documented from chief concern and HPI through full past, family, social and sexual history and review of systems, with peer feedback.
What is DNP 605 Immersion 1?
A peer practice session in which students take turns conducting health histories with classmates on a fillable template and give constructive feedback.
Should a health history include physical exam findings?
No. The history records subjective information from the patient; exam findings belong in the objective section.
What is OLDCARTS?
Each letter cues one feature of a symptom, from onset and location through duration, character, triggers and relief, radiation and timing to severity.
What goes in a review of systems?
Questions about symptoms in each body system, with pertinent positives and negatives documented.