5/26/2020 Mental Health | Completed | Shadow Health
Mental Health Results | Completed
Health Assessment - August 2017, NUR3067C
Return to Assignment (/assignments/140519/)
Your Results Lab Pass (/assignment_attempts/2735521/lab_pass.p
Overview
Subjective Data Collection: 39 of 44 (88.6%)
Transcript
m
Subjective Data Collection
er as
Hover To Reveal... Indicates an item that you
Objective Data Collection found.
co
Hover over the Patient Data items Indicates an item that is
eH w
Education & Empathy below to reveal important available to be found.
information, including Pro Tips and
o.
Documentation
Example Questions.
Lifespan
rs e
ou urc
Review Questions
Category Scored Items Patient Data
Self-Reflection
Not Scored
o
Experts selected these topics as essential components A combination of open and closed questions will yield
aC s
of a strong, thorough interview with this patient. better patient data. The following details are facts of t
vi y re
patient's case.
Chief Complaint
ed d
Established chief complaint Reports difficulty sleeping and "feeling nervous"
ar stu
Reports seeking treatment because she has an
upcoming exam and feels "too foggy to study"
Reports excessive worry and "racing thoughts"
before bed
sh is
History of Present Illness
Th
Asked about onset and duration of symptoms Reports difficulty sleeping began 3 1/2 weeks ago
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.
https://www.coursehero.com/file/62595731/Mental-Health-Shadow-Health-Tina-Jonespdf/ Denies alcohol use before bed
https://app.shadowhealth.com/assignment_attempts/2735521 1/6
, 5/26/2020 Mental Health | Completed | Shadow Health
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 Reports feeling tired and "out of it" most of the
daily living 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 Reports feeling slowed down and tired, having
"out of it" 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"
m
Reports worry about the future, but no sense of
er as
impending doom
co
Reports no panic attacks
eH w
Reports difficulty concentrating due to fatigue from
lack of sleep
o.
Reports only restlessness occurs just before bed
rs e Reports slight irritability due to fatigue
ou urc
Asked about impact of anxiety on daily living Reports stress only interferes with daily life
because it interrupts her sleep
o
Reports stress does not prevent her from
completing her usual activities
aC s
vi y re
Asked about sleep quality Reports falling asleep often takes more than an
hour
Reports waking up two or three times during the
night for "at least ten minutes"
ed d
Reports waking in the morning feeling "out of it"
ar stu
and not rested
Asked about sleep habits Reports going to bed "around midnight," but
feeling "too nervous" to sleep
sh is
Reports actually falling asleep at 2 or 3 AM
Reports reading before bed
Th
Reports no screen use (television or computer)
before bed
Reports average wake time of 8 AM
Reports sleeping an average of 4 or 5 hours a
night
Reports sleeping alone in a quiet room
Asked about stress causes Reports feeling stressed about studying and "the
future"
Reports CPA professional qualifying exam in one
month
Reports upcoming graduation from college and
need to secure employment
Asked about stress coping Reports coping with stress by going to church
https://www.coursehero.com/file/62595731/Mental-Health-Shadow-Health-Tina-Jonespdf/ Reports coping with stress by "staying organized"
https://app.shadowhealth.com/assignment_attempts/2735521 2/6
Mental Health Results | Completed
Health Assessment - August 2017, NUR3067C
Return to Assignment (/assignments/140519/)
Your Results Lab Pass (/assignment_attempts/2735521/lab_pass.p
Overview
Subjective Data Collection: 39 of 44 (88.6%)
Transcript
m
Subjective Data Collection
er as
Hover To Reveal... Indicates an item that you
Objective Data Collection found.
co
Hover over the Patient Data items Indicates an item that is
eH w
Education & Empathy below to reveal important available to be found.
information, including Pro Tips and
o.
Documentation
Example Questions.
Lifespan
rs e
ou urc
Review Questions
Category Scored Items Patient Data
Self-Reflection
Not Scored
o
Experts selected these topics as essential components A combination of open and closed questions will yield
aC s
of a strong, thorough interview with this patient. better patient data. The following details are facts of t
vi y re
patient's case.
Chief Complaint
ed d
Established chief complaint Reports difficulty sleeping and "feeling nervous"
ar stu
Reports seeking treatment because she has an
upcoming exam and feels "too foggy to study"
Reports excessive worry and "racing thoughts"
before bed
sh is
History of Present Illness
Th
Asked about onset and duration of symptoms Reports difficulty sleeping began 3 1/2 weeks ago
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.
https://www.coursehero.com/file/62595731/Mental-Health-Shadow-Health-Tina-Jonespdf/ Denies alcohol use before bed
https://app.shadowhealth.com/assignment_attempts/2735521 1/6
, 5/26/2020 Mental Health | Completed | Shadow Health
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 Reports feeling tired and "out of it" most of the
daily living 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 Reports feeling slowed down and tired, having
"out of it" 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"
m
Reports worry about the future, but no sense of
er as
impending doom
co
Reports no panic attacks
eH w
Reports difficulty concentrating due to fatigue from
lack of sleep
o.
Reports only restlessness occurs just before bed
rs e Reports slight irritability due to fatigue
ou urc
Asked about impact of anxiety on daily living Reports stress only interferes with daily life
because it interrupts her sleep
o
Reports stress does not prevent her from
completing her usual activities
aC s
vi y re
Asked about sleep quality Reports falling asleep often takes more than an
hour
Reports waking up two or three times during the
night for "at least ten minutes"
ed d
Reports waking in the morning feeling "out of it"
ar stu
and not rested
Asked about sleep habits Reports going to bed "around midnight," but
feeling "too nervous" to sleep
sh is
Reports actually falling asleep at 2 or 3 AM
Reports reading before bed
Th
Reports no screen use (television or computer)
before bed
Reports average wake time of 8 AM
Reports sleeping an average of 4 or 5 hours a
night
Reports sleeping alone in a quiet room
Asked about stress causes Reports feeling stressed about studying and "the
future"
Reports CPA professional qualifying exam in one
month
Reports upcoming graduation from college and
need to secure employment
Asked about stress coping Reports coping with stress by going to church
https://www.coursehero.com/file/62595731/Mental-Health-Shadow-Health-Tina-Jonespdf/ Reports coping with stress by "staying organized"
https://app.shadowhealth.com/assignment_attempts/2735521 2/6
