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NUR 639 Midterm Neurological Exam Analysis & Findings

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NUR 639 Midterm Neurological Exam Analysis & Findings

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Neurological Results | Turned In
NUR 639: Healthcare Clinical Practicum I - Fall '18, Nur 639
Return to Assignment (/assignments/192791/)




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Overview
Transcript
Transcript
Started: Sep 11, 2018 | Total Time: 95 min
Subjective Data Collection

Objective Data Collection
Question
Documentation
Hello!
09/11/18 10:05 PM CDT


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.


Question
What is the situation?
09/11/18 10:05 PM CDT


It's noon on Tina Jones' second day as a patient here at Shadow General Hospital. Your role in
this simulation is that of a healthcare provider who will perform a neurological exam on Ms.
Jones. You will collect subjective and objective data about her risk for neuropathy, which
is higher given her history of falls and diabetes.


Question
What are my objectives in this assessment?
09/11/18 10:07 PM CDT


In your interview with Ms. Jones, you will ask about her neurological system and identify
any risk factors so that you can determine any current and potential issues. 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. You will also inquire
into the health history of Ms. Jones' family with regards to the neurological system so
you can determine her genetic predisposition to any diseases. Regardless of whether you have
assessed Tina previously, ask all questions that are medically relevant to her neurological
system. In addition to collecting subjective data, you will perform a physical exam on Ms.
Jones' neurological system to gather objective data about the system's health and
physiology. 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.


Question
What else will this exam involve?
09/11/18 10:09 PM CDT


You will complete nursing tasks to protect the patients 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. Activities other than Subjective and Objective Data Collection, such as Documentation
and Education and Empathy, provide valuable practice for their real-world counterparts.
However, they are not automatically graded by the simulation.




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Question
How will I be evaluated?
09/11/18 10:10 PM CDT


In this assignment, you will be evaluated on your Subjective and Objective Data
Collection. 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.
This assignment takes on average between 50 and 60 minutes. You can pause and resume
the assignment at any time; your work is always saved automatically.


Question
How does this assignment prepare me for the real world?
09/11/18 10:11 PM CDT


In this assessment, you will become familiarized with the structure and content of neurological
exams so that with real-life patients, you can: º ask effective and comprehensive questions º
use therapeutic language º evaluate the patient's risk of disease, infection, injury, and
complications º and obtain and assess objective data.


In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What
physical exam findings would indicate the presence of neuropathy?


The presence of dizziness , weakness fatigue facial numbness, confusion and headaches Question
would indicate the presence of neuroarthropathy as well as loss of balance 09/11/18 10:22 PM CDT



Time to begin.


Greet
Hello my name is Faith and I will be caring for you today
09/11/18 10:23 PM CDT



Hey.


Question
can you confirm your name
09/11/18 10:26 PM CDT



Tina Jones.


Question
What brings you here today
09/11/18 10:28 PM CDT



I've been here for two days, for the cut on my foot.


Question
Can you describe how you feel when you are dizzy
09/11/18 10:31 PM CDT



It doesn't hurt or feel different when I pee.


Question
Do you feel like you are off balance (Clarified to do you have problems with balance.)
09/11/18 10:32 PM CDT


I think my balance is fine. . . I trip sometimes, but that's more just because I'm not paying
attention to where I'm going. (Clarified to if I have problems with balance.)


Question
How bad is your headache
09/11/18 10:34 PM CDT



The headaches aren't too bad. . . just annoying, not debilitating or anything.


Question
What make the headache worse
09/11/18 10:34 PM CDT


The longer I read or study, the worse my headaches get. I try to take a break and rest when
they start, but sometimes I'll have a test or something coming up, and then I'll just have to work
through it.




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