10/31/2020 Focused Exam: Bipolar Disorder | Completed | Shadow Health
Focused Exam: Bipolar Disorder Results | Turned In
Nursing Management: Complex Client - Fall 2020, N400
Return to Assignment (/assignments/376843/)
Your Results Lab Pass (/assignment_attempts/8143315/lab_pass.pd
Overview
Subjective Data Collection: 68 of 69 (98.6%)
Transcript
Subjective Data Collection
Hover To Reveal... Indicates an item that you
m
Objective Data Collection found.
er as
Hover over the Patient Data items Indicates an item that is
Education & Empathy below to reveal important available to be found.
co
information, including Pro Tips and
eH w
QSEN Competencies
Example Questions.
o.
Documentation
SBAR
Category rs e Scored Items Patient Data
ou urc
Reflections
Not Scored
Experts selected these topics as essential components A combination of open and closed questions will yield
of a strong, thorough interview with this patient. better patient data. The following details are facts of t
o
patient's case.
aC s
vi y re
Chief Complaint
Asked about chief complaint Reports being brought in by police
ed d
ar stu
History of Present Illness
Followed up on incident Reports looking into cars for government agents
chasing him
is
Reports having been in a grocery store parking lot
Reports knowing the police stopped him for
Th
running around and looking in cars
Denies having hurt himself or others
Denies having done anything illegal
sh
Followed up on government agents Reports government is trying to imprison him for
being enlightened
Reports government sees his enlightenment as a
threat to their secrets
Asked about anxiety or paranoia Denies anxiety or paranoia
Reports high awareness of government agents
chasing him
Support
This study source was downloaded by 100000829943187 from CourseHero.com on 09-26-2021 17:02:54 GMT -05:00
, 10/31/2020 Focused Exam: Bipolar Disorder | Completed | Shadow Health
Asked about hallucinations Denies hallucinations
Asked about most recent substance use Reports last substance use was about four days
ago
Reports last substance use was cocaine
Asked about recent sleep history Reports not having slept for four days
Asked about current energy levels Reports current extremely high energy
Asked about current mood Reports current euphoria
Asked about onset of energy and mood Reports high energy began a week ago
Reports euphoria began a week ago
Past Medical History
m
er as
Asked about existing health conditions Reports being diagnosed with depression
co
eH w
Asked about typical moods Reports periods of euphoria
Reports periods of depression
o.
rs e
ou urc
Asked about typical energy levels Reports periods of extremely low energy
Reports periods of extremely high energy
o
Asked about frequency of mood changes Reports mood changes occur a couple of times a
aC s
year
vi y re
Asked about last period of depression Reports last depressive period ended a couple
months ago
Reports last depressive period was a long one
ed d
ar stu
Asked about details of depression diagnosis Reports being diagnosed by psychiatrist
Reports diagnosed 3 years ago
is
Asked about reason for seeing psychiatrist Reports being made to see the psychiatrist
following a suicide attempt
Th
Asked about how depression was treated Reports psychiatrist prescribed antidepressants
sh
Asked about hospitalizations Reports being hospitalized after suicide attempt
Reports being hospitalized 3 years ago
Asked about allergies Denies allergies
Home Medications
Asked about effectiveness of medication Reports antidepressants were not effective
This study source was downloaded by 100000829943187 from CourseHero.com on 09-26-2021 17:02:54 GMT -05:00
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Boffin. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.49. You're not tied to anything after your purchase.
