Focused Exam: Anxiety (Part 2 of 3) Therapeutic Intervention III - Winter 2020, NUR 304
Focused Exam: Anxiety (Part 2 of 3) Therapeutic Intervention III - Winter 2020, NUR 304 R eturn to Assignment (/assignments/288274/) Reflections Activity Description: Reflective writing develops your clinical reasoning skills as you grow and improve as a clinician and gives your instructor insight into your learning proces This reflection activity will help you think more deeply about your performance in the assignment. Use your documentation as you respond to the prompts at the bottom of the p Documentation Review E D Nursing Note Mental Status Note SBAR Mental Status Note Student Response Model Documentation Appearance Patient is in clean clothes, shows signs of grooming or self- care, and makes direct eye contact during conversation. Patient posture is rigid. John Larsen is a White, 48 year-old man. He is tall for his and appears overweight. Makes direct eye contact when speaking. Is visibly worried and tense. Posture is stiff. His clothing is appropriate to age, season, setting and occasi He is not disheveled, and appears well-groomed. Attitude Patient is open and cooperative to nurse's advice and education Mr. Larsen displays a warm and cooperative attitude towa medical staff. Some fear from being in the hospital and moderate anxiety. Speech Patient demonstrates expected rate of spech, appropriate volume, and no issues with articulation Mr. Larsen displays no observable issue with articulation, flow, or intensity of volume when he speaks. His vocabula appropriate for his age and education level. Mood and Affect Patient is in a stable mood with a balanced effect. Patient is open to conversation and willingly gives detailed history and recounts and is receptive of information given. Mr. Larsen's affect is congruous and appears normal. Mo currently stable. Thought Process Patient demonstrates no presence of though disturbances. Mr. Larsen's thoughts appear to be organized and cohere Thought process is logical, relevant, and follows a normal continuity of thought. Observed no potential for disordere behavior. Observed no rhyming, clang association, or pun
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focused exam anxiety part 2 of 3 therapeutic in