Your Results
Lab Pass
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
QSEN Competencies
Documentation
Care Plan
Program Competency Progress
Reflections
Subjective Data Collection: 37 of 37
(100.0%)
Hover To Reveal...
Hover over the Patient Data items below to reveal important information, including Pro
Tips and Example Questions.
Found:
Indicates an item that you found.
Available:
Indicates an item that is available to be found.
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this
patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are
facts of the patient's case.
,Chief Complaint
Finding:
Established chief complaint
Finding:
Reports hallucinations
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
Do you ever hear things that others do not hear?
Finding:
Has paranoid thoughts
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
Do you ever think people are trying to harm you?
History of Present Illness
Finding:
, Asked about onset and duration of symptoms
Finding:
Reports hearing voices for the past 7 days
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
When did your symptoms start?
Finding:
Reports voices have increased over the last week
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Did the hallucinations start gradually?
Finding:
Reports that voices are currently constant
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
, Example Question:
Are your hallucinations constant?
Finding:
Asked about characteristics of symptoms
Finding:
Describes voices as sometimes male, sometimes female
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Can you describe your hallucinations?
Finding:
Denies visual hallucinations
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Do you ever see things that are not there?
Finding:
Lab Pass
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
QSEN Competencies
Documentation
Care Plan
Program Competency Progress
Reflections
Subjective Data Collection: 37 of 37
(100.0%)
Hover To Reveal...
Hover over the Patient Data items below to reveal important information, including Pro
Tips and Example Questions.
Found:
Indicates an item that you found.
Available:
Indicates an item that is available to be found.
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this
patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are
facts of the patient's case.
,Chief Complaint
Finding:
Established chief complaint
Finding:
Reports hallucinations
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
Do you ever hear things that others do not hear?
Finding:
Has paranoid thoughts
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
Do you ever think people are trying to harm you?
History of Present Illness
Finding:
, Asked about onset and duration of symptoms
Finding:
Reports hearing voices for the past 7 days
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
When did your symptoms start?
Finding:
Reports voices have increased over the last week
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Did the hallucinations start gradually?
Finding:
Reports that voices are currently constant
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
, Example Question:
Are your hallucinations constant?
Finding:
Asked about characteristics of symptoms
Finding:
Describes voices as sometimes male, sometimes female
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Can you describe your hallucinations?
Finding:
Denies visual hallucinations
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Do you ever see things that are not there?
Finding:
