Transcript Comprehensive Assessment Completed Shadow Health

TRANSCRIPT COMPREHENSIVE ASSESSMENT COMPLETED SHADOW HEALTH

,TRANSCRIPT COMPREHENSIVE ASSESSMENT COMPLETED SHADOW
HEALTH
Comprehensive Assessment Results | Turned In
Patient Assessment and Health Literacy - January 2019, NUR 325
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Overview
Transcript
Transcript
Started: Feb 12, 2019 | Patient Exam Time: 464 min
Subjective Data Collection
All Lines (628) Interview Questions (253) Statements (12) Exam Actions (363)
Objective Data Collection

Documentation Question
Hello! 02/12/19 12:39 PM
Plan My Exam EST

Self-Reflection
Hi. Im 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? 02/12/19 12:39 PM
EST


Six months have passed since Tina Jones was admitted to Shadow
General Hospital, and her foot wound has healed. Your role in this
simulation is that of a healthcare provider who will perform a
comprehensive assessment on Ms. Jones to demonstrate your
clinical competency.


Question
What are my objectives in this assessment? 02/12/19 12:39 PM
EST

,At the beginning of this assignment, you will be asked to identify
and organize the steps of your comprehensive exam. Having a
clear plan is essential to maximizing efficiency and obtaining a full
y
data from Ms. Jones: inquire into her current health status, body
systems, mental health, and psychosocial history. Regardless of
whether you have assessed Tina previously, ask all questions that

y
exam on Ms. Jones systems to gather objective data about her
overall health. Ms. Jones has no new abnormal findings, so after you
complete an exam task, you do not need to make selections in the
Electronic Health Record, though you may document your findings if
you like. While you should communicate with patients using

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
02/12/19 12:40 PM
EST




Health Record. This record provides necessary information for


Documentation and Education and Empathy, provide valuable

automatically graded by the simulation.


Question
02/12/19 12:40 PM
EST




dependent on how you word your questions therapeutically and
precisely and explore all relevant topics with comprehensive


is optional, though encouraged, as it can provide you valuable real-
world experience. This assignment takes on average between 140

any time; your work is always saved automatically.


Question
02/12/19 12:41 PM
EST

, In this assessment, you will become familiarized with the structure
and content of comprehensive assessments so that with real-life


questions º evaluate the patients risk of disease, infection, injury,
and complications º and document data with professional
terminology.


In 1 or 2 sentences, answer this question to help prepare for the

interviewing a patient with a known health condition?


In 1 or 2 sentences, answer this question to help prepare for the

interviewing a patient with a known health condition?


A health assessment is individualized to each patient based on any
known health conditions, current condition and acuity. Knowing a
patient has an existing condition enables the nurse to custom tailor
the assessment, adding additional depth to the interview and Statement
assessment customized to the given disease state to seek additional 02/13/19 11:41 AM
EST
compliance and patient perceptions of disease state while further
enabling the identification of knowledge gaps and facilitating the
provision of additional education.




Question
Hello, I'm Kathleen. I'm your nurse today. 02/13/19 12:39 PM
EST




Question
Can you please confirm your name and date of birth? 02/13/19 12:39 PM
EST



y y y y


Question
y y 02/13/19 12:40 PM
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I'm 28. (Clarified to what is my age.)


Question
What brought you into the clinic today? 02/13/19 12:40 PM
EST