Mental Health Student Handbook

Mental Health Student Handbook - 1 - MHV.1.2 Mental Health Table of Contents Focused Exam: Schizophrenia . - 3 - Focused Exam: Anxiety .................................................................................................................................. - 5 - Focused Exam: Bipolar Disorder..................................................................................................................... - 7 - Focused Exam: Depression............................................................................................................................. - 9 - Focused Exam: Alcohol Abuse...................................................................................................................... - 11 - Focused Exam: PTSD .................................................................................................................................... - 13 - Self-Reflection ............................................................................................................................................. - 15 - - 2 - MHV.1.2 Mental Health This assignment provides the opportunity to conduct a focused exam on a patient presenting with schizophrenia. You will assess relevant body systems to evaluate physiological symptoms. You will also interview the patient, including an involuntary movement evaluation, conduct a mental status exam, and provide therapeutic communication. After the patient exam, you will complete an SBAR hand-off. On average, this assignment should take 90 minutes to complete. This assignment includes subjective data collection around sensitive topics such as suicidal ideation and schizophrenic hallucination. Instructions: Perform a focused examination of an adult male patient who has been experiencing auditory hallucinations and paranoid thoughts. Gather the information needed to assess the situation and transfer care to Preceptor Diana. Plan your time: Assignment First Turn In Allow Reopening Flexible Turn In Time Estimate ~90 minutes ~110 minutes ~160 minutes Patient Examination • Review the orders and patient data in the EHR • Interview and examine Eric Ford to gather subjective and objective patient data • Gather HPI and health history, including Mr. Ford’s psychiatric history • Use the Question tab in this Communication Box to gather subjective data from Mr. Ford • Use the Educate tab in the Communication Box to inform and educate Mr. Ford on relevant topics revealed in subjective data collection • Use the Empathize tab in the Communication Box to practice therapeutic communication when opportunities arise during the interview • Maintain respect for the patient’s dignity while broaching sensitive subjects • Conduct the relevant tests to evaluate the patient’s symptoms • Conduct a mental status exam to determine the patient’s mental health and risk factors • Document the findings of the physical examination in the Objective Data Collection tab in the EHR • Document subjective data, using professional terminology, in the Nursing Admitting Note tab in the EHR Patient Hand-Off: • Determine when enough information has been gathered to transfer care to Preceptor Diana • Communicate the patient’s Situation, Background, your Assessment, and your Recommendation in an SBAR hand-off to your preceptor - 3 - MHV.1.2 Mental Health Tips for Success: You should prepare prior to entering Eric Ford’s room. We suggest taking out your textbook to remind yourself of what doing a mental health assessment entails. There are essential sections of patient information that your interview will need to uncover. There are multiple essential questions for each of these topics: Subjective Data: • Chief Complaint • History of Present Illness • Past Medical History • Home Medication • Social History • Review of Systems There are also multiple essential physical exam actions you will need to complete and record accurately in the EHR. Here are the physical exam tasks you will need to complete by using the exam menu to the right of your screen: Objective Data: • Assessed Vitals • Auscultated Breath sounds • Auscultated Heart sounds • Inspect upper extremities for self-harm or abuse • Assessed for involuntary facial or oral movements • Assessed for involuntary movements of upper extremities • Assessed for involuntary movements of lower extremities • Assessed for involuntary movements of torso Remember when you are doing these exams that this simulation is designed to help you improve your assessment skills. Preparing ahead of time will help to set you up for success. Please keep in mind the Focused Exam: Schizophrenia is the only assignment included in the Mental Health Digital Clinical Experience that provides you with a subjective data collection rubric while working the simulation. Please refer to this handbook to help guide you through the additional exams. Technical Support: Contact Shadow Health with any questions or technical issues before contacting your instructor. Support is available at - 4 - MHV.1.2 Mental Health This assignment provides the opportunity to conduct a focused exam on a patient presenting with anxiety from a perceived cardiac event. You will assess relevant body systems to evaluate physiological symptoms. You will also interview the patient, conduct a mental status exam, and provide therapeutic communication. After the patient exam, you will complete an SBAR hand-off. On average, this assignment should take 90 minutes to complete. This assignment includes subjective data collection around sensitive topics such as acute anxiety and panic disorder. Instructions: Perform a focused examination of an adult male patient who has been experiencing anxiety and exhaustion. Gather the information needed to assess the situation and transfer care to Preceptor Diana. Plan your time: Assignment First Turn In Allow Reopening Flexible Turn In Time Estimate ~90 minutes ~110 minutes ~160 minutes Patient Examination: • Review the orders and patient data in the EHR • Interview and examine Mr. Larsen to gather subjective and objective patient data • Gather HPI and health history, including Mr. Larsen psychiatric history • Use the Question tab in the Communication Box to gather subjective data from Mr. Larsen • Use the Educate tab in the Communication Box to inform and educate Mr. Larsen on relevant topics revealed in subjective data collection • Use the Empathize tab in the Communication Box to practice therapeutic communication when opportunities arise during the interview • Conduct the relevant tests to evaluate the patient’s symptoms • Conduct a mental status exam to determine the patient’s mental health and risk factors • Document the findings of the physical examination in the Objective Data Collection tab in the EHR • Document subjective data, using professional terminology, in the Nursing Admitting Note tab in the EHR Patient Hand-Off: • Determine when enough information has been gathered to transfer care to Preceptor Diana • Communicate the patient's Situation, Background, your Assessment, and your Recommendation in an SBAR hand-off to your preceptor - 5 - MHV.1.2 Mental Health Tips for Success: You should prepare prior to entering John Larsen’s room. We suggest taking out your textbook to remind yourself of what doing a mental health assessment entails. There are essential sections of patient information that your interview will need to uncover. There are multiple essential questions for each of these topics: Subjective Data: • Chief Complaint • History of Present Illness • Past Medical History • Home Medications • Social History • Family History • Review of Systems • Anxiety Screening There are also multiple essential physical exam actions you will need to complete and record accurately in the EHR. Here are the physical exam tasks you will need to complete by using the exam menu to the right of your screen: Objective Data: • Assessed Vitals • Inspected Legs • Auscultate Carotid arteries • Auscultated breath sounds • Auscultated heart sounds • Palpated carotid arteries • Palpated radial arteries • Palpated brachial arteries • Palpated femoral arteries • Palpated popliteal arteries • Palpated tibial arteries • Palpated dorsalis pedis arteries • Preformed EKG • Assessed labs Remember when you are doing these exams that this simulation is designed to help you improve your assessment skills. Preparing ahead of time will help to set you up for success. Technical Support: Contact Shadow Health with any questions or technical issues before contacting your instructor. Support is available at