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Exam (elaborations)

Focused Exam: PTSD (Part 3 of 4)

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Focused Exam: PTSD (Part 3 of 4) C487 Psych/Mental Health Clinical - Aug 2018, C487 Return to Assignment 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 lear...

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  • February 24, 2024
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TheInstructor
8/28/2018 Focused Exam: PTSD | In Progress Attempt | Shadow Health
https://wgu.shadowhealth.com/assignment_attempts/3743701 1/4
Focused Exam: PTSD (Part 3 of 4)
C487 Psych/Mental Health Clinical - Aug 2018, C487
Return to Ass ignment
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 process. 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 page.
Documentation Review
Mental Status Note
Student Response Model Documentation
Appearanceclean, well kept normal for ageMs. Diaz is a 48-year-old Cuban American
woman of average height. She appears overweight. Eye contact is direct. Her expression is tense and posture rigid. Her clothing is appropriate to her age and occasion.
She appears well groomed.
Attitudecooperative, engaged, open, relaxedMs. Diaz is cooperative, but is anxious and
appears guarded when asked about her social history.
Motor Activitylack of eye contact, flat facial expression, no involuntary movementsMs. Diaz's motor activity appears agitated. She
has a clenched jaw and clenched fists. She has
a steady gait and continuous steps.
https://www.coursehero.com/file/38097443/Focused-Exam-PTSD-In-Progress-Attempt-Shadow-Health-mental-statuspdf/Nursing Admitting...
Mental Status Note
SBAR

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