Please be advised that Shadow Health, including the Technical Support team will be closed on Memorial Day Monday, 5/25/2020. We will resume normal business on Tuesday, 5/
9 AM EDT. Your success is extremely important to us, so be assured that we will respond to your calls and/or emails ASAP on Tuesday.
Focused Exam: Cough Results | Turned In
Health Assessment Simulations - Spring 2020
Return to Assignment (/assignments/318207/)
Your Results Reopen (/assignment_attempts/6920021/reopen
Lab Pass (/assignment_attempts/6920021/lab_pass.p
Overview
Transcript
Transcript
Started: May 21, 2020 | Total Time: 74 min
Subjective Data Collection
All Lines (144) Interview Questions (61) Statements (7) Exam Actions (76)
Objective Data Collection
Education & Empathy Questio
Hello!
m
05/21/20 12:28 PM ED
er as
Documentation
co
Care Plan Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as
eH w
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
o.
upcoming assignment. During the simulation, you may return to these instructions at any
rs e
time by scrolling to the top of your transcript.
ou urc
Questio
What is the situation?
05/21/20 12:28 PM ED
o
Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with a cough in the
Shadowville Elementary nurse's office. Your role in this simulation is that of a healthcare
aC s
provider who will perform a focused history and physical examination in order to collect
vi y re
data, assess Danny's condition, and transfer care. In this simulation, you will be able to perform
procedures not always typical to a school setting so you can gather as much data as possible.
Questio
What are my objectives in this assessment?
05/21/20 12:28 PM ED
ed d
ar stu
Danny is very health literate and a good historian of his own health history; he can answer
questions that not every child may be able to. In your interview with Danny, you will ask about
the history of his presenting illness and the functioning of relevant systems in order to
obtain subjective data related to his cough. If you discover any disease states, ask about
is
symptoms and the patient's experiences of them. Your questioning should cover a broad
array of the symptoms' characteristics. You will also inquire into the health history of
Danny's family so you can determine his genetic predisposition to any diseases. In addition to
Th
collecting subjective data, you will perform a physical exam on Danny to gather objective
data about his health and physiology. Throughout the conversation, you should educate and
empathize with Danny when appropriate to increase his health literacy and sense of well-
being. While you should communicate with patients using accessible, everyday language,
sh
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?
05/21/20 12:30 PM ED
This study source was downloaded by 100000829490088 from CourseHero.com on 09-02-2021 04:43:43 GMT -05:00
https://www.coursehero.com/file/62480331/Focused-Exam-Cough-Transcript-Shadow-Healthpdf/
, Because Danny is a pediatric patient, you will also be required to make a phone call to his
guardian's home to gather additional information. 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 Mr. Rivera's
condition, identify a treatment goal, plan your interventions and evaluations, and finally
assess if your goal was achieved. You may also need to call Danny's guardian again to
involve them in his treatments. 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?
05/21/20 12:31 PM ED
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 Mr. Rivera's
m
nursing diagnosis, select a goal most immediately beneficial to him, select and prioritize
er as
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
co
on evidence. This assignment takes on average between 80 and 100 minutes. You can
eH w
pause and resume the assignment at any time; your work is always saved automatically.
o.
Questio
rs e
How does this assignment prepare me for the real world?
05/21/20 12:31 PM ED
ou urc
In this assessment, you will familiarize yourself with the structure and content of a cough
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
o
develop a nursing diagnosis º create an effective and expedient care plan º and evaluate
aC s
your results to determine your goal's achievement.
vi y re
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What
strategies can you use to develop rapport with a pediatric patient?
ed d
Time to begin.
ar stu
Hi.
Questio
is
can you tell me your full name?
05/21/20 12:38 PM ED
Th
My name is Daniel Rivera, but I just go by Danny.
Questio
and when were you born Danny?
05/21/20 12:39 PM ED
sh
I was born March 4th in, um . . . [Danny reports correct birth year.]
Questio
How are you feeling?
05/21/20 12:39 PM ED
I don't feel so good. I keep coughing and I feel a little bit tired.
This study source was downloaded by 100000829490088 from CourseHero.com on 09-02-2021 04:43:43 GMT -05:00
https://www.coursehero.com/file/62480331/Focused-Exam-Cough-Transcript-Shadow-Healthpdf/
9 AM EDT. Your success is extremely important to us, so be assured that we will respond to your calls and/or emails ASAP on Tuesday.
Focused Exam: Cough Results | Turned In
Health Assessment Simulations - Spring 2020
Return to Assignment (/assignments/318207/)
Your Results Reopen (/assignment_attempts/6920021/reopen
Lab Pass (/assignment_attempts/6920021/lab_pass.p
Overview
Transcript
Transcript
Started: May 21, 2020 | Total Time: 74 min
Subjective Data Collection
All Lines (144) Interview Questions (61) Statements (7) Exam Actions (76)
Objective Data Collection
Education & Empathy Questio
Hello!
m
05/21/20 12:28 PM ED
er as
Documentation
co
Care Plan Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as
eH w
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
o.
upcoming assignment. During the simulation, you may return to these instructions at any
rs e
time by scrolling to the top of your transcript.
ou urc
Questio
What is the situation?
05/21/20 12:28 PM ED
o
Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with a cough in the
Shadowville Elementary nurse's office. Your role in this simulation is that of a healthcare
aC s
provider who will perform a focused history and physical examination in order to collect
vi y re
data, assess Danny's condition, and transfer care. In this simulation, you will be able to perform
procedures not always typical to a school setting so you can gather as much data as possible.
Questio
What are my objectives in this assessment?
05/21/20 12:28 PM ED
ed d
ar stu
Danny is very health literate and a good historian of his own health history; he can answer
questions that not every child may be able to. In your interview with Danny, you will ask about
the history of his presenting illness and the functioning of relevant systems in order to
obtain subjective data related to his cough. If you discover any disease states, ask about
is
symptoms and the patient's experiences of them. Your questioning should cover a broad
array of the symptoms' characteristics. You will also inquire into the health history of
Danny's family so you can determine his genetic predisposition to any diseases. In addition to
Th
collecting subjective data, you will perform a physical exam on Danny to gather objective
data about his health and physiology. Throughout the conversation, you should educate and
empathize with Danny when appropriate to increase his health literacy and sense of well-
being. While you should communicate with patients using accessible, everyday language,
sh
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?
05/21/20 12:30 PM ED
This study source was downloaded by 100000829490088 from CourseHero.com on 09-02-2021 04:43:43 GMT -05:00
https://www.coursehero.com/file/62480331/Focused-Exam-Cough-Transcript-Shadow-Healthpdf/
, Because Danny is a pediatric patient, you will also be required to make a phone call to his
guardian's home to gather additional information. 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 Mr. Rivera's
condition, identify a treatment goal, plan your interventions and evaluations, and finally
assess if your goal was achieved. You may also need to call Danny's guardian again to
involve them in his treatments. 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?
05/21/20 12:31 PM ED
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 Mr. Rivera's
m
nursing diagnosis, select a goal most immediately beneficial to him, select and prioritize
er as
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
co
on evidence. This assignment takes on average between 80 and 100 minutes. You can
eH w
pause and resume the assignment at any time; your work is always saved automatically.
o.
Questio
rs e
How does this assignment prepare me for the real world?
05/21/20 12:31 PM ED
ou urc
In this assessment, you will familiarize yourself with the structure and content of a cough
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
o
develop a nursing diagnosis º create an effective and expedient care plan º and evaluate
aC s
your results to determine your goal's achievement.
vi y re
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What
strategies can you use to develop rapport with a pediatric patient?
ed d
Time to begin.
ar stu
Hi.
Questio
is
can you tell me your full name?
05/21/20 12:38 PM ED
Th
My name is Daniel Rivera, but I just go by Danny.
Questio
and when were you born Danny?
05/21/20 12:39 PM ED
sh
I was born March 4th in, um . . . [Danny reports correct birth year.]
Questio
How are you feeling?
05/21/20 12:39 PM ED
I don't feel so good. I keep coughing and I feel a little bit tired.
This study source was downloaded by 100000829490088 from CourseHero.com on 09-02-2021 04:43:43 GMT -05:00
https://www.coursehero.com/file/62480331/Focused-Exam-Cough-Transcript-Shadow-Healthpdf/
