8/28/2019 Mental Health | Completed | Shadow Health

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Mental Health Results | Turned In

Advanced Health Assessment - Summer 2019, NURS 5305

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Your Results Lab Pass

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found.

Category Scored Items

Experts selected these topics as essential

components of a strong, thorough interview

with this patient.

Patient Data

Not Scored

A combination of open and closed questions

will yield better patient data. The following

details are facts of the patient's case.

Chief Complaint

Established chief complaint Reports difficulty sleeping and "feeling

nervous"

Reports seeking treatment because she

has an upcoming exam and feels "too foggy

to study"

Reports excessive worry and "racing

thoughts" before bed

History of Present Illness

Asked about onset and duration of

symptoms

Reports difficulty sleeping began 3 1/2

weeks ago

Subjective Data Collection: 44 of 44 (100.0%) Overview

Transcript

Subjective Data Collection

Objective Data Collection

Education & Empathy

Documentation

Hover To Reveal...

Hover over the Patient Data items

below to reveal important information,

including Pro Tips and Example

Questions.

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8/28/2019 Mental Health | Completed | Shadow Health

https://app.shadowhealth.com/assignment_attempts/5169784 2/7

Reports sleep difficulties have been

occurring regularly during past 3 1/2 weeks

Asked about frequency of symptoms Reports difficulty sleeping at least four or

five times a week

Asked about aggravating factors Reports sleeping becomes more difficult

when she can not redirect her thoughts from

the things she is worried about

Denies naps during the day

Reports drinking caffeine to stay alert

Reports stopping caffeine use after 4 P.M.

Denies alcohol use before bed

Denies drug use before bed

Reports respiratory problems are

controlled and not interfering with sleep

Asked about relieving factors Reports sleeping more easily if she can

distract herself from her "racing thoughts"

Reports no exercise

Asked about impact of sleeping problems

on daily living

Reports feeling tired and "out of it" most of

the time during the day due to lack of sleep

Reports no increased chance of drifting off

during the day despite lack of sleep

Followed up about patient's experience

feeling "out of it"

Reports feeling slowed down and tired,

having trouble focusing, and generally

feeling "less sharp"

Asked about anxiety symptoms Reports feelings of anxiety as "thoughts

she can't turn off" and "being on edge"

Reports worry about the future, but no

sense of impending doom

Reports no panic attacks

Reports difficulty concentrating due to

fatigue from lack of sleep

Reports only restlessness occurs just

before bed

Reports slight irritability due to fatigue

Asked about impact of anxiety on daily

living

Reports stress only interferes with daily

life because it interrupts her sleep

Reports stress does not prevent her from

completing her usual activities

Asked about sleep quality Reports falling asleep often takes more

than an hour

This study source was downloaded by 100000827506713 from qwivy.com on 06-10-2021 06:22:15 GMT -05:00

https://www.qwivy.com/file/45268464/TinaJones-Subjective-Mental-Health-Shadow-Healthpdf/

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