Focused Exam COPD documentation Questions & Answers | Latest Update | Graded A+

Your Results Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation 1 Symptoms Followed U 6/1/22, 9:30 AM | Shadow Health® │ Digital Clinical Experiences™ from Elsevier I feel like I have okay energy I guess...but most days I'm pretty exhausted by the end of the day. Have you had any nausea or vomiting Que 08:54 AM I haven't had thrown up, or even had an upset stomach, in a long time. That's good Empa 08:54 AM Thanks for understanding. Model Statement: "I’m sorry to hear you’re experiencing those symptoms; they can be very uncomfortable. I’ll ask you some questions to learn more about your symptoms, and we will try to determine what’s causing you to feel this way." Description: Tina has signs of hypertension and a strong family history of the disease, but does not take any action. Have you been diagnosed with hypertension Que 08:50 AM ...I've never been diagnosed with blood pressure problems. But I think it can be on the high side sometimes. Do you have a family history of high blood pressure Que 08:50 AM We've got high blood pressure in our family for sure. Granny, Mom, and Dad had it...and honestly I think my other three grandparents might've had issues with that, too. Have you ever had any diagnostic test for your heart (Clarified to: Have you had recent medical tests?) Que 08:51 AM Um, I don't think so. I'm not sure what you mean. (Clarified to: if I have had recent medical tests) Diagnostic test for the heart are EKGs Edu 08:51 AM Alright, thanks for letting me know. Model Statement: "A family history of hypertension means that you may be at risk for developing it, too, and you’ve had some high blood pressure readings. Keeping your blood pressure low is important to avoid health problems in the future with your heart and other organs." Description: Tina describes being busy, anxious, and stressed out.