SHADOW HEALTH DERM NOAH CAPUTO
SUBJECTIVE OBJECTIVE AND TREATMENT
PLAN CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ previous psychiatric hospitalization.
Answer: -have you had to go to the hospital for a psychiatric disorder?
◍ Family Medical History.
Answer: Asked about family history of mental illness
◍ Patient NICOLE DIAZ.
Answer: Ms Diaz is a 48-year-old Cuban American woman who came to the
VA clinic at 10:30 AM this morning to receive treatment for her chronic
sleep disorders related to her PTSD.You are expected to assess Ms Diaz's
physiological and psychological condition in order to engage in appropriate
therapeutic communication and patient education. You will then continue
Ms. Diaz's treatment in the Care Plan activity.
◍ Patient Education/Empathy 3.
Answer: Suicidal Ideation-Description: Ms. Diaz reports that sometimes she
has suicidal thoughts, or feels like life is not worth living.-Model Statement:
"When you say that life is not worth living, you are talking about suicide. I
understand that you are facing a difficult time with your sleep issues and
your history, but we can focus on how to move forward and get you help. I
would recommend counseling. I would like to refer you to counseling, and
resources like a national suicide prevention hotline."
◍ patterns for sleep problems.
Answer: "what makes it hard for you to sleep?"
, ◍ past suicide attempts.
Answer: -have you ever attempted suicide?
◍ review of systems.
Answer: -how do you feel about your weight-do you have a fever-do you get
chills-have you been having night sweats-has your weight changed
recently-when was your weight change-have you had unexpected weight
loss-are you feeling nauseated-do you currently have abdominal pain-have
you had trouble swallowing-have you been vomiting-are you feeling
constipated-do you have diarrhea-have you had regular bowel
movements-do you feel weak-do you get headaches-any dizziness or
lightheadedness-how is your coordination-how would you describe your
memory-when was the last time you fell
◍ Mood Disorder Questionnaire.
Answer: Asked about perception of mental healthAsked if others notice
mood or energy shiftsAsked about excessive irritability or angerAsked about
fights or argumentsAsked about self-conceptAsked about typical sleep
patternsAsked about changes in speed of moving or speakingAsked about
racing thoughtsAsked about pleasure and interest in typical activitiesAsked
about ability to concentrateAsked about changes in productivityFollowed up
on personal projectsAsked about changes in social activityAsked about
changes in libido and sexual activityFollowed up on details of sexual
activityAsked about spending habits and consequences
◍ f/u sx of PTSD dx.
Answer: -what makes you feel depressed?-what makes you anxious?-what
are the symptoms of your PTSD?
◍ hx of mental health.
Answer: "do you have PTSD?"
◍ homicidal ideation.
Answer: -do you have thoughts of hurting others?
◍ Patient Education/Empathy 7.
SUBJECTIVE OBJECTIVE AND TREATMENT
PLAN CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ previous psychiatric hospitalization.
Answer: -have you had to go to the hospital for a psychiatric disorder?
◍ Family Medical History.
Answer: Asked about family history of mental illness
◍ Patient NICOLE DIAZ.
Answer: Ms Diaz is a 48-year-old Cuban American woman who came to the
VA clinic at 10:30 AM this morning to receive treatment for her chronic
sleep disorders related to her PTSD.You are expected to assess Ms Diaz's
physiological and psychological condition in order to engage in appropriate
therapeutic communication and patient education. You will then continue
Ms. Diaz's treatment in the Care Plan activity.
◍ Patient Education/Empathy 3.
Answer: Suicidal Ideation-Description: Ms. Diaz reports that sometimes she
has suicidal thoughts, or feels like life is not worth living.-Model Statement:
"When you say that life is not worth living, you are talking about suicide. I
understand that you are facing a difficult time with your sleep issues and
your history, but we can focus on how to move forward and get you help. I
would recommend counseling. I would like to refer you to counseling, and
resources like a national suicide prevention hotline."
◍ patterns for sleep problems.
Answer: "what makes it hard for you to sleep?"
, ◍ past suicide attempts.
Answer: -have you ever attempted suicide?
◍ review of systems.
Answer: -how do you feel about your weight-do you have a fever-do you get
chills-have you been having night sweats-has your weight changed
recently-when was your weight change-have you had unexpected weight
loss-are you feeling nauseated-do you currently have abdominal pain-have
you had trouble swallowing-have you been vomiting-are you feeling
constipated-do you have diarrhea-have you had regular bowel
movements-do you feel weak-do you get headaches-any dizziness or
lightheadedness-how is your coordination-how would you describe your
memory-when was the last time you fell
◍ Mood Disorder Questionnaire.
Answer: Asked about perception of mental healthAsked if others notice
mood or energy shiftsAsked about excessive irritability or angerAsked about
fights or argumentsAsked about self-conceptAsked about typical sleep
patternsAsked about changes in speed of moving or speakingAsked about
racing thoughtsAsked about pleasure and interest in typical activitiesAsked
about ability to concentrateAsked about changes in productivityFollowed up
on personal projectsAsked about changes in social activityAsked about
changes in libido and sexual activityFollowed up on details of sexual
activityAsked about spending habits and consequences
◍ f/u sx of PTSD dx.
Answer: -what makes you feel depressed?-what makes you anxious?-what
are the symptoms of your PTSD?
◍ hx of mental health.
Answer: "do you have PTSD?"
◍ homicidal ideation.
Answer: -do you have thoughts of hurting others?
◍ Patient Education/Empathy 7.
