Focused_Exam__Bipolar_Disorder___Completed___Shadow_Health

12/6/2020 Focused Exam: Bipolar Disorder | Completed | Shadow Health


Focused Exam: Bipolar Disorder Results | Turned In
Mental Health - November 2020, NUR 343
Return to Assignment (/assignments/407631/)




Your Results Lab Pass (/assignment_attempts/8491104/lab_pass.p




Overview
Subjective Data Collection: 69 of 69 (100.0%)
Transcript

Subjective Data Collection
Hover To Reveal... Indicates an item that you
Objective Data Collection found.
Hover over the Patient Data items Indicates an item that is
Education & Empathy below to reveal important available to be found.
information, including Pro Tips and
QSEN Competencies
Example Questions.
Documentation

SBAR
Category Scored Items Patient Data
Reflections
Not Scored

Experts selected these topics as essential components A combination of open and closed questions will yiel
of a strong, thorough interview with this patient. better patient data. The following details are facts of t
patient's case.



Chief Complaint


Asked about chief complaint Reports being brought in by police



History of Present Illness


Followed up on incident Reports looking into cars for government agents
chasing him
Reports having been in a grocery store parking lot
Reports knowing the police stopped him for
running around and looking in cars
Denies having hurt himself or others
Denies having done anything illegal



Followed up on government agents Reports government is trying to imprison him for
being enlightened
Reports government sees his enlightenment as a
threat to their secrets



Asked about anxiety or paranoia Denies anxiety or paranoia
Reports high awareness of government agents
chasing him



Asked about hallucinations Denies hallucinations



Asked about most recent substance use Reports last substance use was about four days
ago
Reports last substance use was cS
ocuapinpeort
This study source was downloaded by 100000823822032 from CourseHero.com on 04-18-2021 03:49:46 GMT -05:00

1/6

, 12/6/2020 Focused Exam: Bipolar Disorder | Completed | Shadow Health

Asked about recent sleep history Reports not having slept for four days



Asked about current energy levels Reports current extremely high energy



Asked about current mood Reports current euphoria



Asked about onset of energy and mood Reports high energy began a week ago
Reports euphoria began a week ago



Past Medical History


Asked about existing health conditions Reports being diagnosed with depression



Asked about typical moods Reports periods of euphoria
Reports periods of depression



Asked about typical energy levels Reports periods of extremely low energy
Reports periods of extremely high energy



Asked about frequency of mood changes Reports mood changes occur a couple of times a
year



Asked about last period of depression Reports last depressive period ended a couple
months ago
Reports last depressive period was a long one



Asked about details of depression diagnosis Reports being diagnosed by psychiatrist
Reports diagnosed 3 years ago



Asked about reason for seeing psychiatrist Reports being made to see the psychiatrist
following a suicide attempt



Asked about how depression was treated Reports psychiatrist prescribed antidepressants



Asked about hospitalizations Reports being hospitalized after suicide attempt
Reports being hospitalized 3 years ago



Asked about allergies Denies allergies



Home Medications


Asked about effectiveness of medication Reports antidepressants were not effective
Reports antidepressants caused side effects
Reports stopping the antidepressant regimen
Reports not consulting a healthcare provider
before stopping regimen



Followed up on medication side effects Reports not wanting to discuss side effects
This study source was downloaded by 100000823822032 from CourseHero.com on 04-18-2021 03:49:46 GMT -05:00



2/6