Graded A+
Established chief complaint - ANSWER -
Reports sleep problems
Followed up on hypertension diagnosis -
ANSWER -Diagnosed at age 45
Asked about onset and frequency of sleep
problems - ANSWER -Reports sleep
problems for the past 10+ years Asked about history of mental health -
Reports having problems sleeping most nights of ANSWER -Reports PTSD diagnosis
the week
Followed up about symptoms of PTSD diagnosis
Asked about sleep quality and characteristics - - ANSWER -Reports depression
ANSWER -Reports recent sleep problems accompanies PTSD diagnosis.
include nightmares. Reports anxiety as a symptom of PTSD.
Reports falling asleep often takes more than an Reports sleep problems are a symptom of PTSD
hour. diagnosis.
Reports waking up two or three times during the
night for "at least ten minutes"
Reports waking in the morning feeling "out of it" Followed up on onset of PTSD - ANSWER -
and not rested. Reports diagnosed at age 35.
Reports frequent snoring. Reports PTSD cause is military sexual assault.
Reports MST was at age 23.
Reports even involved commanding officer and
Asked about sleep habits - ANSWER - ostracization from unit.
Reports going to be "around midnight", but Reports left military at 28, but did not seek
feeling "too nervous" to sleep. immediate care.
Reports actually falling asleep around 2 or 3am
Reports checking her windows and doors twice
before going to bed. Followed up on aggravating factors for PTSD. -
Reports no screen use (tv or computer) before ANSWER -Reports stress triggers PTSD
bed. symptoms.
Reports average wake up time of 7am. Reports avoiding crowds or most social
Reports sleeping an average of 4 or 5 hours a situations.
night. Reports fear of "losing control" of a situation.
Reports sleeping alone in a quiet room. Reports discussing event is triggering.
Reports difficulties with relationships and
emotional/physical intimacy.
Asked about patterns for sleep problems. -
ANSWER -Reports that stress and anxiety
exacerbate sleep problems. Asked about non-medication coping strategies -
ANSWER -Reveals belief that she has a
moderate level of self-care.
Asked about existing health conditions - Reports therapy dog helps.
ANSWER -Reports hypertension diagnosis Reports smoking helps.
1/5
, Shadow Health Nicole Diaz- PTSD Test Questions and Answers
Graded A+
Reports avoiding stimulating environments when Denies difficulty obtaining medications because
anxious or stressed. of transportation.
Asked about suicidal ideation and self-harm. - Followed up on last dose of home medications. -
ANSWER -Reports occasional feelings that ANSWER -Reports taking all medications
"sometimes I feel like like is not worth living" as scheduled today.
Denies active suicidal ideation or self-harm. Denies taking blood pressure medication today-
not scheduled until evening.
Reports taking medication for depression this
Followed up on suicide planning. - morning as scheduled.
ANSWER -Denies suicide planning. Reports taking medication for anxiety this
Reports suicidal ideation is a symptom of morning as scheduled.
depression.
Followd up on medication for hypertension. -
Asked about past suicide attempts - ANSWER -Reports taking losartan
ANSWER -Denies past suicide attempts. Reports taking losartan dosage: 100 mg.
Reports losartan frequency: 1xdaily.
Denies losartan side effects
Asked about homicidal ideation -
ANSWER -Denies homicidal ideation.
Followed up on medication for anxiety. -
ANSWER -Reports taking buspirone HCL.
Asked about previous psychiatric Reports buspirone HCL dosage: 30 mg.
hospitalizations. - ANSWER -Denies past Reports buspirone HCL frequency: 15 mg pill
psychiatric admissions. twice daily.
Denies buspirone HCL side effects.
Reports taking buspirone for 1 year.
Asked about home medications - Reports buspirone HCL is effective in reducing
anxiety.
ANSWER -Reports medication for
hypertension.
Reports medication for depression.
Followed up on medication for depression -
Reports medication for anxiety.
Denies taking vitamins. ANSWER -Reports taking bupropion HCL.
Denies taking herbal supplements. Reports bupropion HCL dosage: 150 mg
Reports bupropion HCL frequency: twice daily
Denies bupropion HCL side effects
Asked about medication regimen adherence - Reports taking bupropion HCL for 1 year.
ANSWER -Reports using a smartphone Reports taking various antidepressants in the
past.
app to manage medication.
Reports bupropion HCL is effective for treating
Denies missing doses of medications.
depression.
Denies difficulty obtaining medications because
of finances.
2/5