Exam (elaborations)
Mental Health _ Subjective-objective-education-documentation _ Shadow Health.
- Course
- NSG 562
- Institution
- Colorado State University-Pueblo
Mental Health _ Subjective-objective-education-documentation _ Shadow Health.
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Content preview
3/16/2021 Mental Health | Completed | Shadow HealthMental Health Results | Turned In
Nursing 562/562L Advanced Health Assessment - Spring 2021, N562
Return to Ass ignment (/assignments/433799/ )
https://app.shadowhealth.com/assignment_attempts/9404310 1/1© Shadow Health® 2012 - 2021
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Your Results
OverviewExperience Overview Transcript
Subjective Data CollectionPatient: Tina JonesObjective Data CollectionStudent Performance Index
48 out of 48
Education & Empathy DocumentationStudent Survey
Proficiency Level: Proficient
BeginningDevelopingProficient
Digital Clinical Experience ScoreStudents rated as “proficient” demonstrate an entry-level expertis advanced practice competencies and clinical reasoning skills comparable programs, the top 25% of students perform at the lof a proficient practitioner.
100%
This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent.Subjective Data Collection
44 out of 44Objective Data Collection
0 out of 0
Education and Empathy
4 out of 4
Time
55 minutes total spent in assignment
Interaction with patient
55 minutes
Comments
If your instructor provides individual feedback on this assignment, it will appear here. 3/16/2021 Mental Health | Completed | Shadow Health
1/6
Mental Health Results | Turned In
Nursing 562/562L Advanced Health Assessment - Spring 2021, N562
Return to Ass ignment (/assignments/433799/ )
Your ResultsReopen (/assignment_attempts/9404310/reopen Lab Pass (/assignment_attempts/9404310/lab_pass.p
Overview TranscriptSubjective Data Collection: 44 of 44 (100.0%)
Subjective Data Collection Objective Data Collection Education & Empathy Documentation
Student Surve yHover To Reveal...
Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
CategoryScored ItemsIndicates an item that you found.
Indicates an item that is available to be found.
Patient Data
Not Scored
Experts selected these topics as essential components
of a strong, thorough interview with this patient.A combination of open and closed questions will
yiel better patient data. The following details are
facts of patient's case.
Chief Complaint
Established chief complaint Reports di culty sleeping and "feeling nervous" ffi
Reports seeking treatment because she has an
upcoming exam and feels "too foggy to study"
Reports excessive worry and "racing thoughts" before bed
History of Present Illness
Asked about onset and duration of symptomsReports di culty ffi sleeping began 3 1/2 weeks ago
Reports sleep di cultiesffi have been occurring regularly during past 3 1/2 weeks
Asked about frequency of symptoms Reports di cultyffi sleeping at least four or five
times a week
Asked about aggravating factors Reports sleeping becomes more di cult when ffi she can not redirect her thoughts from the things she is worried about
Denies naps during the day
Reports drinking caffeine to stay aSleurpt port
Reports stopping caffeine use after 4 P.M. 3/16/2021 Mental Health | Completed | Shadow Health
https://app.shadowhealth.com/assignment_attempts/9404310 2/6Denies alcohol use before bed
Denies drug use before bed
Reports respiratory problems are controlled and not interfering with sleep Asked about relieving factors Reports sleeping more easily if she can distract herself from her "racing thoughts"
Reports no exercise Asked about impact of sleeping problems on
daily livingReports feeling tired and "out of it" most of the time during the day due to lack of sleep
Reports no increased chance of drifting off during the day despite lack of sleep Followed up about patient's experience feeling "out of it"Reports feeling slowed down and tired, having trouble focusing, and generally feeling "less sharp" Asked about anxiety symptomsReports feelings of anxiety as "thoughts she can't turn off" and "being on edge"
Reports worry about the future, but no sense of impending doom
Reports no panic attacks
Reports di cultyffi concentrating due to fatigue from lack of sleep
Reports only restlessness occurs just before bed
Reports slight irritability due to fatigue Asked about impact of anxiety on daily livingReports stress only interferes with daily life
because it interrupts her sleep
Reports stress does not prevent her from
completing her usual activities Asked about sleep quality Reports falling asleep often takes more than an hour
Reports waking up two or three times during the night for "at least ten minutes"
Reports waking in the morning feeling "out of it" and not rested Asked about sleep habits Reports going to bed "around midnight," but
feeling "too nervous" to sleep
Reports actually falling asleep at 2 or 3 AM Reports reading before bed
Reports no screen use (television or computer) before bed
Reports average wake time of 8 AM
Reports sleeping an average of 4 or 5 hours a
night
Reports sleeping alone in a quiet room Asked about stress quality Reports feeling nervous and worrying about the future, with racing thoughts
Medical History Confirmed use of medications Confirms medications (no new medications
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