Focused Exam: Abdominal Pain | Completed | Shadow Health
NURSING 4510 FOCUSED EXAM: ABDOMINAL PAIN SHADOW HEALTH |WITH COMPLETE SOLUTIONS
Focused Exam: Abdominal Pain Results | Turned In
Health Assessment - NRSE 4520 - March 2021, NRSE_4520_LEC_SPRG_2020-21
Return to Assignment (/assignments/472237/)
Your Results Lab Pass (/assignment_attempts/9749587/lab_pass.p
Overview
Transcript
Transcript
Started: Apr 27, 2021 | Total Time: 140 min
Subjective Data Collection
All Lines (241) Interview Questions (150) Statements (8) Exam Actions (83)
Objective Data Collection
Education & Empathy Questio
Hello!
04/27/21 12:39 PM E
Documentation
Care Plan Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just
as a preceptor would in real life. Pay close attention to this information as it will help guide
your exam. At the end of this prebrief, you will answer a short question about the
upcoming assignment. During the simulation, you may return to these instructions at any
time by scrolling to the top of your transcript.
Questio
What is the situation?
04/27/21 12:40 PM E
Your patient is Esther Park, a 78-year-old Korean-American woman presenting with abdominal
pain in Shadow General Hospital's Emergency Department. Your role in this simulation is that
of a healthcare provider who will conduct a focused history and physical examination of
Ms. Park in order to assess her condition and transfer her care.
Questio
What are my objectives in this assessment?
04/27/21 12:40 PM E
In your interview with Ms. Park, you will ask about the history of her presenting illness and
the functioning of relevant systems in order to obtain subjective data related to her
abdominal pain. If you discover any disease states, ask about symptoms and the patient's
experiences of them. Your questioning should cover a broad array of the symptoms'
characteristics. In addition to collecting subjective data, you will perform a physical exam on
Ms. Park to gather objective data about her health and physiology. Throughout the
conversation, you should educate and empathize with Ms. Park when appropriate to
increase her health literacy and sense of well-being. While you should communicate with
patients using accessible, everyday language, it is standard practice to use professional
medical terminology everywhere else, such as in documenting physical findings and
nursing notes. You may complete the exam activities in any order and move between them
as needed.
Questio
What else will this exam involve?
04/27/21 12:41 PM E
You will complete nursing tasks to protect the patient's safety, privacy, and health. You can
document your findings, including vital signs, in the Electronic Health Record. This record
provides necessary information for healthcare professionals who will continue patient care.
You will then move onto the Care Plan activity, in which you will synthesize your subjective
and objective data to complete the nursing process. You will develop a nursing diagnosis for
Ms. Park's condition, identify a treatment goal, plan your interventions and evaluations,
and finally assess if your goal was achieved. The Care Plan is just as important as your
assessment, and the patient's well-being will be greatly affected by your diagnosis and
interventions.
Questio
How will I be evaluated?
04/27S/u21p1p2o:4rt3 PM E
1/20
, Focused Exam: Abdominal Pain | Completed | Shadow Health
The activities evaluated by the simulation are Subjective and Objective Data Collection,
Education and Empathy, and the Care Plan activity. Nursing tasks and Documentation, while
they provide valuable practice for their real-world counterparts, are not automatically
evaluated by the simulation. The evaluation of your interview is dependent on how you word
your questions therapeutically and precisely and explore all relevant topics with
comprehensive breadth and depth. The evaluation of your physical exam is based on how
successfully you report on your physical findings by selecting among clinical terms in the
Electronic Health Record. Your success in Education and Empathy is based on whether you
promptly respond after identifying a moment worthy of therapeutic communication. Your
success in the Care Plan activity is based on whether you accurately identify Ms. Park's
nursing diagnosis, select a goal most immediately beneficial to her, select and prioritize
the most effective treatments, and accurately evaluate your results. The Care Plan will
make up a signficant part of your grade, so be sure to carefully choose your answers based
on evidence. This assignment takes on average between 60 and 90 minutes. You can
pause and resume the assignment at any time; your work is always saved automatically.
Questio
How does this assignment prepare me for the real world?
04/27/21 12:44 PM E
In this assessment, you will become familiarized with the structure and content of an
abdominal focused exam so that with real-life patients, you can: º ask effective and
comprehensive questions º obtain and assess objective data º educate and empathize
with the patient º develop a nursing diagnosis º create an effective and expedient care
plan º and evaluate your results to determine your goal's achievement.
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: In a
geriatric patient, what are some common considerations regarding abdominal pain?
Some common considerations for abdominal pain in a geriatric patient are urinary tract Stateme
infection, pulmonary embolism, and myocardial infarction. 04/27/21 12:47 PM E
Time to begin.
Gre
04/27/21 12:47 PM E
Hello, dear.
Questio
Can you tell me your name
04/27/21 12:48 PM E
Esther Park.
Questio
And what is your birthday (Clarified to What is the date of your birth?.)
04/27/21 12:48 PM E
January 7th . . . [Ms. Park reports correct birth year.] (Clarified to what is my birth date.)
Questio
04/27/21 12:49 PM E
I have pain in my belly. . . and I'm having some difficulty with going to the bathroom. My
daughter was concerned.
I am sorry you're having abdominal pain and issues with constipation. We are going to work
Empathiz
with you and do an assessment and try to figure out the source of your pain and why you are
04/27/21 12:51 PM E
having trouble using the bathroom.
I appreciate that.
2/20
, Focused Exam: Abdominal Pain | Completed | Shadow Health
Questio
What is your activity level
04/27/21 12:51 PM E
Normally, I garden, take walks, I even do exercise classes at the center. But since getting sick.
. .it's not that I have difficulty taking care of myself; I just don't have as much energy to do so.
I am sorry that you are not feeling well and you are unable to do the activities that you enjoy. It
Questio
is hard to do when your are not feeling well. We will work together to get you back to your
04/27/21 12:53 PM E
normal life as soon as we can. (No matching questions found.)
I am sorry that you are not feeling well and you are unable to do the activities that you enjoy. It
Empathiz
is hard to do when your are not feeling well. We will work together to get you back to your
04/27/21 12:53 PM E
normal life as soon as we can.
Questio
What is your normal dietary habits
04/27/21 12:54 PM E
Hm. Toast for breakfast. For lunch . . . usually soup. But I don't always have lunch. And for
dinner I eat fish, or sometimes chicken, with some rice. Every so often, a fruit for breakfast, or
a vegetable with dinner--not every day, though.
Questio
Do you take any fiber supplements?
04/27/21 12:55 PM E
No, I don't take any extra fiber. I hadn't quite considered it . . .
A healthy diet consist of consuming fruits and vegetables and fiber amounts of 28 grams per
Educa
day. Lets talk about some ways we can increase your fiber intake. It will help regulate your
04/27/21 12:57 PM E
bowel movements.
Well, now I know.
Questio
How much do you drink water throughout the day
04/27/21 12:57 PM E
Normally I'll have a glass or two of water a day. It's been too difficult to drink even that since
Increasing your fluid intake will also help regulate your bowels that is important to drink at Educa
least eight glasses of water a day even if you do feel uncomfortable. 04/27/21 12:58 PM E
Alright, that's helpful to know.
Questio
Have you been having difficulty passing stool (Clarified to Do you have trouble urinating?.)
04/27/21 12:59 PM E
No, no trouble. (Clarified to if I have trouble urinating.)
Questio
Do you have difficulty having bowel movements
04/27/21 12:59 PM E
Not usually. But lately I have been. . . I've been having trouble going to the bathroom.
Questio
Can you tell me where we are right now
04/27/21 12:59 PM E
3/20
NURSING 4510 FOCUSED EXAM: ABDOMINAL PAIN SHADOW HEALTH |WITH COMPLETE SOLUTIONS
Focused Exam: Abdominal Pain Results | Turned In
Health Assessment - NRSE 4520 - March 2021, NRSE_4520_LEC_SPRG_2020-21
Return to Assignment (/assignments/472237/)
Your Results Lab Pass (/assignment_attempts/9749587/lab_pass.p
Overview
Transcript
Transcript
Started: Apr 27, 2021 | Total Time: 140 min
Subjective Data Collection
All Lines (241) Interview Questions (150) Statements (8) Exam Actions (83)
Objective Data Collection
Education & Empathy Questio
Hello!
04/27/21 12:39 PM E
Documentation
Care Plan Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just
as a preceptor would in real life. Pay close attention to this information as it will help guide
your exam. At the end of this prebrief, you will answer a short question about the
upcoming assignment. During the simulation, you may return to these instructions at any
time by scrolling to the top of your transcript.
Questio
What is the situation?
04/27/21 12:40 PM E
Your patient is Esther Park, a 78-year-old Korean-American woman presenting with abdominal
pain in Shadow General Hospital's Emergency Department. Your role in this simulation is that
of a healthcare provider who will conduct a focused history and physical examination of
Ms. Park in order to assess her condition and transfer her care.
Questio
What are my objectives in this assessment?
04/27/21 12:40 PM E
In your interview with Ms. Park, you will ask about the history of her presenting illness and
the functioning of relevant systems in order to obtain subjective data related to her
abdominal pain. If you discover any disease states, ask about symptoms and the patient's
experiences of them. Your questioning should cover a broad array of the symptoms'
characteristics. In addition to collecting subjective data, you will perform a physical exam on
Ms. Park to gather objective data about her health and physiology. Throughout the
conversation, you should educate and empathize with Ms. Park when appropriate to
increase her health literacy and sense of well-being. While you should communicate with
patients using accessible, everyday language, it is standard practice to use professional
medical terminology everywhere else, such as in documenting physical findings and
nursing notes. You may complete the exam activities in any order and move between them
as needed.
Questio
What else will this exam involve?
04/27/21 12:41 PM E
You will complete nursing tasks to protect the patient's safety, privacy, and health. You can
document your findings, including vital signs, in the Electronic Health Record. This record
provides necessary information for healthcare professionals who will continue patient care.
You will then move onto the Care Plan activity, in which you will synthesize your subjective
and objective data to complete the nursing process. You will develop a nursing diagnosis for
Ms. Park's condition, identify a treatment goal, plan your interventions and evaluations,
and finally assess if your goal was achieved. The Care Plan is just as important as your
assessment, and the patient's well-being will be greatly affected by your diagnosis and
interventions.
Questio
How will I be evaluated?
04/27S/u21p1p2o:4rt3 PM E
1/20
, Focused Exam: Abdominal Pain | Completed | Shadow Health
The activities evaluated by the simulation are Subjective and Objective Data Collection,
Education and Empathy, and the Care Plan activity. Nursing tasks and Documentation, while
they provide valuable practice for their real-world counterparts, are not automatically
evaluated by the simulation. The evaluation of your interview is dependent on how you word
your questions therapeutically and precisely and explore all relevant topics with
comprehensive breadth and depth. The evaluation of your physical exam is based on how
successfully you report on your physical findings by selecting among clinical terms in the
Electronic Health Record. Your success in Education and Empathy is based on whether you
promptly respond after identifying a moment worthy of therapeutic communication. Your
success in the Care Plan activity is based on whether you accurately identify Ms. Park's
nursing diagnosis, select a goal most immediately beneficial to her, select and prioritize
the most effective treatments, and accurately evaluate your results. The Care Plan will
make up a signficant part of your grade, so be sure to carefully choose your answers based
on evidence. This assignment takes on average between 60 and 90 minutes. You can
pause and resume the assignment at any time; your work is always saved automatically.
Questio
How does this assignment prepare me for the real world?
04/27/21 12:44 PM E
In this assessment, you will become familiarized with the structure and content of an
abdominal focused exam so that with real-life patients, you can: º ask effective and
comprehensive questions º obtain and assess objective data º educate and empathize
with the patient º develop a nursing diagnosis º create an effective and expedient care
plan º and evaluate your results to determine your goal's achievement.
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: In a
geriatric patient, what are some common considerations regarding abdominal pain?
Some common considerations for abdominal pain in a geriatric patient are urinary tract Stateme
infection, pulmonary embolism, and myocardial infarction. 04/27/21 12:47 PM E
Time to begin.
Gre
04/27/21 12:47 PM E
Hello, dear.
Questio
Can you tell me your name
04/27/21 12:48 PM E
Esther Park.
Questio
And what is your birthday (Clarified to What is the date of your birth?.)
04/27/21 12:48 PM E
January 7th . . . [Ms. Park reports correct birth year.] (Clarified to what is my birth date.)
Questio
04/27/21 12:49 PM E
I have pain in my belly. . . and I'm having some difficulty with going to the bathroom. My
daughter was concerned.
I am sorry you're having abdominal pain and issues with constipation. We are going to work
Empathiz
with you and do an assessment and try to figure out the source of your pain and why you are
04/27/21 12:51 PM E
having trouble using the bathroom.
I appreciate that.
2/20
, Focused Exam: Abdominal Pain | Completed | Shadow Health
Questio
What is your activity level
04/27/21 12:51 PM E
Normally, I garden, take walks, I even do exercise classes at the center. But since getting sick.
. .it's not that I have difficulty taking care of myself; I just don't have as much energy to do so.
I am sorry that you are not feeling well and you are unable to do the activities that you enjoy. It
Questio
is hard to do when your are not feeling well. We will work together to get you back to your
04/27/21 12:53 PM E
normal life as soon as we can. (No matching questions found.)
I am sorry that you are not feeling well and you are unable to do the activities that you enjoy. It
Empathiz
is hard to do when your are not feeling well. We will work together to get you back to your
04/27/21 12:53 PM E
normal life as soon as we can.
Questio
What is your normal dietary habits
04/27/21 12:54 PM E
Hm. Toast for breakfast. For lunch . . . usually soup. But I don't always have lunch. And for
dinner I eat fish, or sometimes chicken, with some rice. Every so often, a fruit for breakfast, or
a vegetable with dinner--not every day, though.
Questio
Do you take any fiber supplements?
04/27/21 12:55 PM E
No, I don't take any extra fiber. I hadn't quite considered it . . .
A healthy diet consist of consuming fruits and vegetables and fiber amounts of 28 grams per
Educa
day. Lets talk about some ways we can increase your fiber intake. It will help regulate your
04/27/21 12:57 PM E
bowel movements.
Well, now I know.
Questio
How much do you drink water throughout the day
04/27/21 12:57 PM E
Normally I'll have a glass or two of water a day. It's been too difficult to drink even that since
Increasing your fluid intake will also help regulate your bowels that is important to drink at Educa
least eight glasses of water a day even if you do feel uncomfortable. 04/27/21 12:58 PM E
Alright, that's helpful to know.
Questio
Have you been having difficulty passing stool (Clarified to Do you have trouble urinating?.)
04/27/21 12:59 PM E
No, no trouble. (Clarified to if I have trouble urinating.)
Questio
Do you have difficulty having bowel movements
04/27/21 12:59 PM E
Not usually. But lately I have been. . . I've been having trouble going to the bathroom.
Questio
Can you tell me where we are right now
04/27/21 12:59 PM E
3/20
