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Module 1: Follow-Up Visit: ADHD Results | Completed
Clinical Modalities in Advanced Psychiatric/Mental Health Nursing Practice - May 2025, 20416.202320
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Overview
Subjective Data Collection: 43 of 45 (95.6%)
Transcript
Subjective Data Collection
Hover To Reveal... Indicates an item that
Objective Data Collection you found.
Hover over the Patient Data items Indicates an item that
Education & Empathy below to reveal important
is available to be found.
information, including Pro Tips and
Documentation Example Questions.
Treatment Plan
Self Reflection
Category Scored Items Patient Data
Not Scored
Experts selected these topics as essential A combination of open and closed question
components of a strong, thorough interview with yield better patient data. The following deta
this patient. are facts of the patient's case.
Patient Identity
Asked about patient identity Reports name is Sebastian
Reports pronouns are he and him
Asked about guardian in the room Reports guardian in room is mother
Asked patient about discussing health Reports comfort with guardian in room
while guardian is present
, Chief Complaint
Asked about chief complaint Reports wanting longer medi
growth spurt
Reports unhappiness with de
Past Medical History
Asked about existing conditions Reports ADHD
Asked about allergies Denies medication allergies
Denies environmental allergi
Denies food allergies
Denies latex allergies
Asked about prior hospitalizations Denies prior hospitalizations
Asked about surgical history Denies surgical history
Family Medical History
Asked about family medical history Reports father has ADHD
Denies any other issues in fa
Medication
Asked about medications Reports previously taking 50
AM
Reports previously agreed up
Reports occasionally taking i
Asked about side effects of ADHD medicine Reports delayed growth
Reports suppressed appetite
Asked about vitamins or supplements Reports taking a multivitamin
Social History
Asked about alcohol use Denies alcohol use
Asked about illegal substance use Denies illegal substance use
Asked about tobacco use Denies tobacco use
Denies smoking
Denies vaping