NR 509 SHADOW HEALTH FOCUSED EXAM CASE: COUGH
Experience Overview
Patient: Danny Rivera
Digital Clinical Experience Score
100%
This score measures your performance on the Student Performance Index in
relation to other students in comparable academic programs. Your instructor
has chosen to scale your Student Performance Index score so that the
average score on the index is a 80.0%. This score may not be your final
grade if your instructor chooses to include additional components, such as
documentation or time spent.
Student Performance Index
19 out of 19
Proficiency Level: Beginning
Students rated as “beginning” are starting to develop their nursing
competencies and clinical reasoning skills. In comparable nursing programs,
50% of students perform at the level of a beginning nurse. Review your
results in the tabs on the left side of the page to identify areas for
improvement.
Your Results 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
Finding:
Established chief complaint
Finding:
Reports cough
(Found)
Pro Tip: Asking a patient broadly about their chief complaint allows
them to answer in their own words and confirm information that you
may have already received from another source.
Example Question:
Do you have a cough?
History of Presenting Illness
Finding:
Asked about onset of cough
Finding:
Reports cough started 3 days ago
(Found)
Pro Tip: Whenever you are assessing a symptom or a health condition,
in this case the patient's cough, inquiring about onset assesses the
severity and the progression of the problem.
, Example Question:
How long have you had a cough?
Finding:
Asked about characteristics of cough
Finding:
Reports cough is wet
(Found)
Pro Tip: The characteristics of a cough, such as whether it is dry or
wet, can indicate key information about the type of illness the patient
has.
Example Question:
Is your cough a wet cough?
Finding:
Reports clear sputum with cough
(Found)
Pro Tip: The characteristics of a cough, such as whether it is
productive, can indicate key information about the type of illness the
patient has.
Example Question:
Do you produce any phlegm or sputum with your cough?
Finding:
Asked about frequency and duration of cough
Finding:
, Reports coughing every few minutes
(Found)
Pro Tip: Establishing how frequently Danny coughs will illustrate
how long he has been suffering these particular symptoms and might
indicate possible triggers.
Example Question:
How frequently are you coughing?
Finding:
Reports coughs last a couple minutes
(Found)
Pro Tip: Establishing how long Danny's coughs last will illustrate how
long he has been suffering these particular symptoms and might
indicate possible triggers.
Example Question:
How long do your coughs last?
Finding:
Asked about aggravating factors for cough
Finding:
Reports cough is worse at night
(Found)
Pro Tip: Establishing a timeline for Danny's coughing will illustrate
how long he has been suffering these particular symptoms and might
indicate possible triggers.
Experience Overview
Patient: Danny Rivera
Digital Clinical Experience Score
100%
This score measures your performance on the Student Performance Index in
relation to other students in comparable academic programs. Your instructor
has chosen to scale your Student Performance Index score so that the
average score on the index is a 80.0%. This score may not be your final
grade if your instructor chooses to include additional components, such as
documentation or time spent.
Student Performance Index
19 out of 19
Proficiency Level: Beginning
Students rated as “beginning” are starting to develop their nursing
competencies and clinical reasoning skills. In comparable nursing programs,
50% of students perform at the level of a beginning nurse. Review your
results in the tabs on the left side of the page to identify areas for
improvement.
Your Results 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
Finding:
Established chief complaint
Finding:
Reports cough
(Found)
Pro Tip: Asking a patient broadly about their chief complaint allows
them to answer in their own words and confirm information that you
may have already received from another source.
Example Question:
Do you have a cough?
History of Presenting Illness
Finding:
Asked about onset of cough
Finding:
Reports cough started 3 days ago
(Found)
Pro Tip: Whenever you are assessing a symptom or a health condition,
in this case the patient's cough, inquiring about onset assesses the
severity and the progression of the problem.
, Example Question:
How long have you had a cough?
Finding:
Asked about characteristics of cough
Finding:
Reports cough is wet
(Found)
Pro Tip: The characteristics of a cough, such as whether it is dry or
wet, can indicate key information about the type of illness the patient
has.
Example Question:
Is your cough a wet cough?
Finding:
Reports clear sputum with cough
(Found)
Pro Tip: The characteristics of a cough, such as whether it is
productive, can indicate key information about the type of illness the
patient has.
Example Question:
Do you produce any phlegm or sputum with your cough?
Finding:
Asked about frequency and duration of cough
Finding:
, Reports coughing every few minutes
(Found)
Pro Tip: Establishing how frequently Danny coughs will illustrate
how long he has been suffering these particular symptoms and might
indicate possible triggers.
Example Question:
How frequently are you coughing?
Finding:
Reports coughs last a couple minutes
(Found)
Pro Tip: Establishing how long Danny's coughs last will illustrate how
long he has been suffering these particular symptoms and might
indicate possible triggers.
Example Question:
How long do your coughs last?
Finding:
Asked about aggravating factors for cough
Finding:
Reports cough is worse at night
(Found)
Pro Tip: Establishing a timeline for Danny's coughing will illustrate
how long he has been suffering these particular symptoms and might
indicate possible triggers.
