NR 509 Mental Health Results | Completed | Education and Empathy.

Mental Health Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results Lab Pass Education & Empathy : 2 of 4 (50.0%) During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity. Opportunities marked as Not Encountered are opportunities that were not elicited in the interview Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient 1 Symptoms Followed Up Description: Tina describes problems sleeping and stress- symptoms like racing thoughts. On what brought you in ti the clinic today ? Question 12:57 PM CDT I'm here because I've been having a lot of trouble sleeping. . . I just feel much more nervous lately, especially right before bed. I'm sorry to hear that. Empathize 12:57 PM CDT Thanks for understanding. Are you having racing thoughts? Question 01:08 PM CDT Yes, definitely. As soon as it's getting to be time for bed I start feeling nervous, and then when I lie down I start stressing about the future and my thoughts race. Hopefully we can get some relaxation techniques to help you Educate 01:08 PM CDT That makes sense. Describe feeling out of it Question 01:22 PM CDT It's like. . . I just feel slowed down and tired all the time from not sleeping. It's harder to focus, or get things done efficiently. . . I'm just generally less sharp. Are you experiencing anxiety (Clarified to: have you been anxious Question lately) 01:25 PM CDT Lately I've felt pretty anxious, I guess. . . mostly right before bed. I just feel on edge, and like my thoughts can't turn off when I want them to. (Clarified to: if I have been anxious) Sorry to hear that Empathize 01:25 PM CDT I appreciate you telling me that. Model Statement: "I’m sorry to hear about your trouble sleeping and stress. I’m glad you came in. Let me learn more about what you’re experiencing, and I will try to help." 2 Stress Not Followed Up Description: Tina describes how busy she is with school and work. Are you worrying about anything? Question 01:07 PM CDT I'm stressed now because I can't sleep, but I can't sleep because I keep worrying about all this other stuff, like graduating, and passing this exam that's coming up, and getting a job, and finding my own place to live. . . it's a lot. Is your worry right before sleep? Question 01:08 PM CDT No, the only time I have breathing trouble is when my asthma acts up, but I know how to handle that. Are you having racing thoughts? Model Statement: "It sounds like you have a lot on your plate. I’m sorry you’re dealing with so much stress." Question 01:08 PM CDT 3 Sleep Followed Up Description: Tina describes her sleep hygiene and routine. What is your sleep routine? (Clarified to: What are your sleep habits?) Well. . . I usually get into bed around midnight, but at that point I feel too nervous to sleep, so I'll read to try and wind down for maybe an hour, sometimes longer. Then I turn out the light and try to sleep. If it takes a really long time, then sometimes I'll turn the light back on and read a little more until I feel sleepier. (Clarified to: what my sleep habits are) Can you describe your difficulty sleeping? (Clarified to: what is your sleep like) I don't know what you want to know. . . mostly, it's that I can't get to sleep at a reasonable time, but I also feel like the quality of my sleep is worse in general. (Clarified to: what my sleep is like) Are You Restless at night? (Clarified to: are you restless) Not generally, but right before bed I do start to feel kind of restless. (Clarified to: if I am restless) How often do you wake up during the night? I'd say two or three times a night for at least ten minutes each, usually. How long has this been going on? How long has your trouble sleeping been going on Question 01:01 PM CDT Question 01:02 PM CDT Question 01:03 PM CDT Question 01:04 PM CDT Question 01:04 PM CDT Question 01:05 PM CDT Empathize 01:06 PM CDT Question 01:10 PM CDT Question 01:11 PM CDT Question 01:12 PM CDT Question 01:13 PM CDT Empathize 01:13 PM CDT Educate 01:13 PM CDT Question 01:14 PM CDT Question 01:14 PM CDT Question 01:15 PM CDT Question 01:15 PM CDT Educate 01:15 PM CDT Question 01:18 PM CDT Empathize 01:19 PM CDT Question 01:30 PM CDT Question 01:30 PM CDT Question 01:30 PM CDT Empathize 01:32 PM CDT Question 01:55 PM CDT Question 01:56 PM CDT Question 01:56 PM CDT Question 01:57 PM CDT Question 01:58 PM CDT Question 01:58 PM CDT Question 01:58 PM CDT Question 01:58 PM CDT Question 01:59 PM CDT Question 02:00 PM CDT Question 02:00 PM CDT Question 02:01 PM CDT Question 02:01 PM CDT Question 02:02 PM CDT Educate 02:03 PM CDT Question 02:10 PM CDT Question 02:11 PM CDT Question 02:11 PM CDT Question 02:12 PM CDT Question 02:12 PM CDT Do you have a history of sleep problems? Well. . . the only other time I've had sleep problems was right after Dad died. It felt a little like this, with my mind racing, but honestly, not as bad. Other than that month or two, I've always been a really good sleeper. I could fall asleep right away, and then I'd sleep like a log. I understand Thanks. Model Statement: "It’s hard to function at our best when we don’t get enough sleep. I know you’re very busy with work and school, but let’s talk about some strategies to help you get more sleep and make sure you’re getting good quality sleep." Question 02:13 PM CDT Empathize 02:14 PM CDT 4 Coping and Support Systems Not Followed Up Description: Tina describes her coping mechanisms and support systems. How do you cope with stress? Question 02:05 PM CDT Usually I try to stay organized, you know, make to-do lists, plan my time, that kind of thing. Sometimes I'll talk to friends or family. . . going to church usually helps, too. Lately, though, none of that is really helping like it should. Can you describe your quality of stress Question 02:06 PM CDT quality of stress Question 02:06 PM CDT Model Statement: "It sounds like you have healthy support systems through your family and friends, which is great. It sounds like you work hard to manage your time effectively, too. Remember to take time out to relax or take a walk." © Shadow Health® 2018 Show Less