Shadow Health Nicole Diaz- PTSD Questions and Answers l Fully solved 2023

Established chief complaint - CORRECT ANSWER Reports sleep problems Asked about onset and frequency of sleep problems - CORRECT ANSWER Reports sleep problems for the past 10+ years Reports having problems sleeping most nights of the week Asked about sleep quality and characteristics - CORRECT ANSWER Reports recent sleep problems include nightmares. 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. Reports frequent snoring. Asked about sleep habits - CORRECT ANSWER Reports going to be "around midnight", but feeling "too nervous" to sleep. Reports actually falling asleep around 2 or 3am Reports checking her windows and doors twice before going to bed. Reports no screen use (tv or computer) before bed. Reports average wake up time of 7am. Reports sleeping an average of 4 or 5 hours a night. Reports sleeping alone in a quiet room. Asked about patterns for sleep problems. - CORRECT ANSWER Reports that stress and anxiety exacerbate sleep problems. Asked about existing health conditions - CORRECT ANSWER Reports hypertension diagnosis Followed up on hypertension diagnosis - CORRECT ANSWER Diagnosed at age 45 Asked about history of mental health - CORRECT ANSWER Reports PTSD diagnosis Followed up about symptoms of PTSD diagnosis - CORRECT ANSWER Reports depression accompanies PTSD diagnosis. Reports anxiety as a symptom of PTSD. Reports sleep problems are a symptom of PTSD diagnosis. Followed up on onset of PTSD - CORRECT ANSWER Reports diagnosed at age 35. Reports PTSD cause is military sexual assault. Reports MST was at age 23. Reports even involved commanding officer and ostracization from unit. Reports left military at 28, but did not seek immediate care. Followed up on aggravating factors for PTSD. - CORRECT ANSWER Reports stress triggers PTSD symptoms. Reports avoiding crowds or most social situations. Reports fear of "losing control" of a situation. Reports discussing event is triggering. Reports difficulties with relationships and emotional/physical intimacy. Asked about non-medication coping strategies - CORRECT ANSWER Reveals belief that she has a moderate level of self-care. Reports therapy dog helps. Reports smoking helps. Reports avoiding stimulating environments when anxious or stressed.