Create a concept map of a mental health diagnosis using one of the mental health scenario case studies presented in this section of the course.
Readiness Essentials™: Wesley Blanco Health History
800 Country Club Road, P.O. Box 2540, Waterbury, CT 06723 | 1.800.749.2427 | SentinelU.com 1
Table of Contents
Client Information ……………………………………………………………………………………………………………………. 2
Health History …………………………………………………………………………………………………………………………. 3
New Patient Self-Rated Wellbeing Checklist ……………………………………………………………………………….. 4
Readiness Essentials™: Wesley Blanco Health History
800 Country Club Road, P.O. Box 2540, Waterbury, CT 06723 | 1.800.749.2427 | SentinelU.com 2
Client Information
Client Information
Name Age
Wesley Blanco 13 years old
Race/Ethnicity Language(s)
Filipino, White English
Sex Assigned at Birth Gender Identity Pronouns
Male Non-Binary They/Them
Height Weight Marital Status
4’ 11” / 150 cm 88 lb / 40 kg Single
Allergies
NKA
Chief Complaint
Guilt, Anxiety
Readiness Essentials™: Wesley Blanco Health History
800 Country Club Road, P.O. Box 2540, Waterbury, CT 06723 | 1.800.749.2427 | SentinelU.com 3
Health History
Health History
Past Visit Reasons
None
Past Medical History
None
Past Surgical History
None
Family History
Tourette’s syndrome (Father) Systemic lupus erythematosus (Mother)
Immunizations
Hepatitis B (3-dose series) (18 months old) Measles, mumps, rubella (2-dose series) (5 years
old)
Rotavirus RV1 (2-dose series) (4 months old) Varicella (2-dose series) (5 years old)
Diptheria, tetanus, & acellular pertussis (5-dose
series) (5 years old)
Haemophilus influenzae type b (3-dose series)
(12 months old)
Tetanus, diptheria, & acellular pertussis (12 years
old)
Inactivated poliovirus (4-dose series) (5 years old)
Pneumococcal conjugate (4-dose series) (15
months old)
Meningococcal (1st of 2 dose series) (12 years old)
Social History
Smoking Status: None Smokeless Tobacco: None
Alcohol Use: None Drug Use: None
Current Diet: Standard American/Filipino Heritage
How Often do you Exercise: 5x/week Type Exercise: School PE
Wears Seatbelt: Yes
Sexually Active: No How Many Sexual Partners: 0
How Many Partners in Lifespan: 0 How Long with Current Partner: N/A
Contraception: N/A History of STIs: None
Feels Safe at Home: Yes
Health Maintenance
Last Annual Exam: 6 months ago
Vision Problems: No Wears Contacts or Glasses: No
Last Eye Exam: 6 months ago
Dentist Every Six Months: Yes Brushes/Flosses Daily: Yes
Has Trouble Hearing: No
Social Determinants of Health
Financial Resource Strain: Denies
Transportation Needs: Denies
Housing Instability: Denies
Food Insecurity: Denies
Healthcare.gov Preventative – Health Services
U.S. Department of Health and Human Services – Health Screening
The United States Preventive Services Taskforce
CDC Immunization Schedules
https://www.healthcare.gov/coverage/preventive-care-benefits/
https://www.hhs.gov/programs/prevention-and-wellness/health-screenings/index.html
https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P
https://www.cdc.gov/vaccines/schedules/index.html
Readiness Essentials™: Wesley Blanco Health History
800 Country Club Road, P.O. Box 2540, Waterbury, CT 06723 | 1.800.749.2427 | SentinelU.com 4
New Patient Self-Rated Wellbeing Checklist
New Patient Self Rated Well Being Checklist
Please rate the following items that best describe your experiences over the last 2 weeks.
Statement None of
the Time
Rarely Some of
the Time
Often All of the
Times
I feel physically energized and
healthy.
X
I engage in regular physical activity or
exercise.
X
I can manage stress effectively. X
I have a positive outlook on life.
X
I feel emotionally stable and content. X
I have a positive outlook on life. X
I feel a sense of purpose and
fulfillment in my daily activities.
X
I have a strong support system of
family and friends.
X
I have a balanced and nutritious diet. X
-
Client: Wesley Blanco
Client Information
Health History
New Patient Self-Rated Wellbeing Checklist
(
Risk Factors
) (
Pathophysiology
)Mental Health Diagnosis Concept Map
(
Mental Health Diagnosis
)
(
Diagnostic Procedures
) (
Pharmacology
)
(
Complications
) (
Physical Assessment (Signs and Symptoms)
)
(
Nursing Interventions
) (
Nursing Diagnosis
)