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Mental Health Completed Shadow Health Subjective, Objective, Education, Documentation - NSG 562 / NSG562

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Mental Health Completed Shadow Health Subjective, Objective, Education, Documentation - NSG 562 / NSG562 Nursing 562/562L Advanced Health Assessment - Spring 2021, N562

Institution
Course

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3/16/2021 Mental Health | Completed | Shadow Health


Mental Health Results | Turned In
Nursing 562/562L Advanced Health Assessment - Spring 2021,
N562
Return to Assignment (/assignments/433799/)




Your Results



Overview
Experience Overview
Transcript


Subjective Data Collection Patient: Tina Jones Student Performance Index
Objective Data Collection 48 out of 48
Education & Empathy Documentation
Student Survey




Proficiency Level: Proficient
BeginningDevelopingProficient


Students rated as “proficient” demonstrate an entry-level expertis
of a proficient practitioner.
Digital Clinical Experience Score



100%
Subjective Data Collection Objective Data Collection
44 out of 44 0 out of 0
This score measures your performance on the Student Performance Index in relation to and
Education otherEmpathy
students in comparable academic programs. Yo
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.




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https://app.shadowhealth.com/assignment_attempts/ 1

,3/16/20 Mental Health | Completed | Shadow

Mental Health Results | Turned In
Nursing 562/562L Advanced Health Assessment - Spring 2021, N562
Return to Assignment (/assignments/433799/)




Your Results Reopen

(/assignment_attempts/9404310/reopen Lab Pass

(/assignment_attempts/9404310/lab_pass.p




Overview
Subjective Data Collection: 44 of 44 (100.0%)
Transcript
Subjective Data
Hover To Reveal... Indicates an item that
Collection Objective Data you found.
Hover over the Patient Data Indicates an item that
Collection Education & items below to reveal important is available to be found.
information, including Pro Tips
Empathy Documentation and Example Questions.

Student Survey


Category Scored Items Patient Data
Not Scored

Experts selected these topics as essential components A combination of open and closed questions will
of a strong, thorough interview with this patient. yiel better patient data. The following details are
facts of patient's case.



Chief Complaint


Established chief complaint Reports difficulty sleeping and "feeling nervous"
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 symptoms Reports difficulty sleeping began 3 1/2 weeks ago
Reports sleep difficulties have been occurring
regularly during past 3 1/2 weeks



Asked about frequency of symptoms Reports difficulty sleeping at least four or five
times a week



Asked about aggravating factors Reports sleeping becomes more difficult when
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.

https://app.shadowhealth.com/assignment_attempts/ 1

, 3/16/20 Mental Health | Completed | Shadow
Denies 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
Reports feeling tired and "out of it" most of
daily living 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
Reports feeling slowed down and tired, having
feeling "out of it" trouble focusing, and generally feeling "less sharp"



Asked about anxiety symptoms Reports 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 difficulty 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 living Reports 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


https://app.shadowhealth.com/assignment_attempts/ 2

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