Chamberlain College of Nursing
NR
305
Health Assessment
NR305_
W2
_
Personal
_
Lifestyle
_Form
Rev. 8/2018
KC
1
Life
style
and Health Practices Profile
NOTE: Please do NOT remove any of the text on this form.
Do NOT use any other form but this one.
Fill it
in and submit in its entirety to aid in its grading.
Your Name:
Date:
Your Instructor’s Name:
Purpose:
This assignment is to help you gain insight regarding the influence of
an individual’s lifestyle
and health
–
related practices, on their oppor
tunities for health promotion
. You are to obtain a
lifestyle
and health practices profile using
yourself
as the client, and
then
practice analyzing the data to
formulate a health promotion nursing diagnosis.
Disclaimer
:
When
completing a Lifestyle and Hea
lth Profile
on an actual client, it is essential that the
information is accurate
and all areas are addressed
.
**
Please n
ote that
for this assignment
,
a few
sections
containing sensitive information
have been
marked optional.
**
This assignment will only be
shared for academic
–
related
purposes
, and will not be seen by your classmates
. However, i
f you wish to
leave any of the
areas marked
“
option
to not respond”
blank, points will not be deducted.
All areas
not
marked as optional
must be completed for full credit.
Contact your visiting professor if you have any
questions or concerns.
Directions
: Refer to the
Personal Life and Health Practices Profile
guidelines and grading rubric found in
Course Resources
to complete the information below.
This assignment is worth
200
points.
Type yo
ur answers on this form. Click Save as
and save the file with the assignment name and your last
name, e.g., “NR305_
W
eek
2_Personal
_
Lifestyle
_Form_Smith”
.
When you are finished,
submit the form
to the
Life and Health Practices Profile
Dropbox by the deadline indicated in your guidelines. Post
questions in the Q
&
A Forum or contact your instructor if you have questions about this assignment.
1:
Complete the Life and Health Practi
ces Profile
(130
Points)
Complete the
Life and Health Practices Profile below, using
yourself
as the client
.
Please document your
responses
professionally, as you would in a client’s actual health record.
Provide enough information to
have answered the que
stions completely. For clarity, write full sentences in your documentation.
All
questions in each section must be addressed
, except for those indicated as optional.
If a question does
not apply to you, please indicate this in the findings as
“
N/A
”
.
Chamberlain College of Nursing NR305 Health Assessment
NR305_W2_Personal_Lifestyle_Form Rev. 8/2018 KC 1
Lifestyle and Health Practices Profile
NOTE: Please do NOT remove any of the text on this form. Do NOT use any other form but this one. Fill it
in and submit in its entirety to aid in its grading.
Your Name: Date:
Your Instructor’s Name:
Purpose: This assignment is to help you gain insight regarding the influence of an individual’s lifestyle
and health-related practices, on their opportunities for health promotion. You are to obtain a lifestyle
and health practices profile using yourself as the client, and then practice analyzing the data to
formulate a health promotion nursing diagnosis.
Disclaimer: When completing a Lifestyle and Health Profile on an actual client, it is essential that the
information is accurate and all areas are addressed. **Please note that for this assignment, a few
sections containing sensitive information have been marked optional.** This assignment will only be
shared for academic-related purposes, and will not be seen by your classmates. However, if you wish to
leave any of the areas marked “option to not respond” blank, points will not be deducted. All areas not
marked as optional must be completed for full credit. Contact your visiting professor if you have any
questions or concerns.
Directions: Refer to the Personal Life and Health Practices Profile guidelines and grading rubric found in
Course Resources to complete the information below. This assignment is worth 200 points.
Type your answers on this form. Click Save as and save the file with the assignment name and your last
name, e.g., “NR305_Week2_Personal_ Lifestyle_Form_Smith”. When you are finished, submit the form
to the Life and Health Practices Profile Dropbox by the deadline indicated in your guidelines. Post
questions in the Q & A Forum or contact your instructor if you have questions about this assignment.
1: Complete the Life and Health Practices Profile (130 Points)
Complete the Life and Health Practices Profile below, using yourself as the client. Please document your
responses professionally, as you would in a client’s actual health record. Provide enough information to
have answered the questions completely. For clarity, write full sentences in your documentation. All
questions in each section must be addressed, except for those indicated as optional. If a question does
not apply to you, please indicate this in the findings as “N/A”.