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Focused Exam: Bipolar Disorder (Part 2 of 2)
Therapeutic Intervention III - Winter 2020, NUR 304
R eturn to Assignment (/assignments/288276/)
Reflections
Activity Description: Reflective writing develops your clinical reasoning skills as you grow and improve as a clinician and gives your instructor insight into your learning proces
This reflection activity will help you think more deeply about your performance in the assignment. Use your documentation as you respond to the prompts at the bottom of the p
Documentation Review
ED Nursing Note
Mental Status
Mental Status Note
Note Student Response Model Documentation
SBAR
Appearance Patience makes direct eye contact, posture is hunched, and Mr. Callahan’s posture is bent and hunched; his clothing i
though clothing is dirty and disheveled, patient otherwise dirty and disheveled, but grooming and self-care are othe
shows adequate self-grooming and care adequate; his eye contact is direct. Throughout the intervi
he sways and fidgets as if feeling energetic.
Attitude Patient displays distrust and evasiveness. Though seemingly
Mr. Callahan displays frequent distrust of healthcare
positive attitude, patient isn't very receptive to health education
professionals, and becomes irritated and evasive toward
and dismisses past concerns of self harm
certain questions, especially those about depression or
suicide.
Speech Patient speaks rapidly, but at an appropriate volume and
Mr. Callahan’s rate of speech is rapid, but at an appropria
shows no difficulty with articulation
volume, and he has no issues with articulation.
Mood and Affect Patient demonstrates frequent mood changes throughout the
Mr. Callahan has frequent minor, but appreciable, mood
interview. He is excessively expansive and cheerful, though
changes from euphoric to irritable; he has an excessively
dismissive of health education.
expansive or cheerful affect.
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, 1/13/2020 Focused Exam: Bipolar Disorder | In Progress Attempt | Shadow Health
https://www.coursehero.com/file/53483876/2-Focused-Exam-Bipolar-Disorder-In-Progress-Attempt-Shadow-Healthpdf/
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