Focused Exam: Cough Results | Turned In
Holistic Health Assessment and Practicum - Fall 2020, NURS 5190
Return to Assignment (/assignments/384738/)
Your Results Lab Pass (/assignment_attempts/8191301/lab_pass.p
Overview
Transcript
Transcript
Started: Oct 18, 2020 | Total Time: 87 min
Subjective Data Collection
All Lines (163) Interview Questions (44) Statements (13) Exam Actions (106)
Objective Data Collection
Education & Empathy Questio
Hello!
10/18/20 8:31 PM CD
Documentation
Care Plan Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just
as a preceptor would in real life. Pay close attention to this information as it will help
Program Competency Progress guide your exam. At the end of this prebrief, you will answer a short question about the
upcoming assignment. During the simulation, you may return to these instructions at
Student Survey any time by scrolling to the top of your transcript.
Questio
What is the situation?
10/18/20 8:31 PM CD
Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with a cough in
the Shadowville Elementary nurse's office. Your role in this simulation is that of a healthcare
provider who will perform a focused history and physical examination in order to collect
data, assess Danny's condition, and transfer care. In this simulation, you will be able to
perform procedures not always typical to a school setting so you can gather as much data
as possible.
Questio
What are my objectives in this assessment?
10/18/20 8:31 PM CD
Danny is very health literate and a good historian of his own health history; he can answer
questions that not every child may be able to. In your interview with Danny, you will ask
about the history of his presenting illness and the functioning of relevant systems in
order to obtain subjective data related to his cough. If you discover any disease states, ask
about symptoms and the patient's experiences of them. Your questioning should cover
a broad array of the symptoms' characteristics. You will also inquire into the health
history of Danny's family so you can determine his genetic predisposition to any
diseases. In addition to collecting subjective data, you will perform a physical exam on
Danny to gather objective data about his health and physiology. Throughout the
conversation, you should educate and empathize with Danny when appropriate to
increase his health literacy and sense of well-being. While you should communicate with
patients using accessible, everyday language, it is standard practice to use
professional medical terminology everywhere else, such as in documenting physical
findings and nursing notes. You may complete the exam activities in any order and move
between them as needed.
Questio
What else will this exam involve?
10/18/20 8:31 PM CD
Support
, Because Danny is a pediatric patient, you will also be required to make a phone call to his
guardian's home to gather additional information. You can document your findings,
including vital signs, in the Electronic Health Record. This record provides necessary
information for healthcare professionals who will continue patient care. You will then move
onto the Care Plan activity, in which you will synthesize your subjective and objective data
to complete the nursing process. You will develop a nursing diagnosis for Mr. Rivera's
condition, identify a treatment goal, plan your interventions and evaluations, and
finally assess if your goal was achieved. You may also need to call Danny's guardian
again to involve them in his treatments. The Care Plan is just as important as your
assessment, and the patient's well-being will be greatly affected by your diagnosis and
interventions.
Questio
How will I be evaluated?
10/18/20 8:31 PM CD
The activities evaluated by the simulation are Subjective and Objective Data Collection,
Education and Empathy, and the Care Plan activity. Nursing tasks and Documentation,
while they provide valuable practice for their real-world counterparts, are not automatically
evaluated by the simulation. The evaluation of your interview is dependent on how you
word your questions therapeutically and precisely and explore all relevant topics
with comprehensive breadth and depth. The evaluation of your physical exam is based
on how successfully you report on your physical findings by selecting among clinical
terms in the Electronic Health Record. Your success in Education and Empathy is based
on whether you promptly respond after identifying a moment worthy of therapeutic
communication. Your success in the Care Plan activity is based on whether you
accurately identify Mr. Rivera's nursing diagnosis, select a goal most immediately
beneficial to him, select and prioritize the most effective treatments, and accurately
evaluate your results. The Care Plan will make up a signficant part of your grade, so be
sure to carefully choose your answers based on evidence. This assignment takes on
average between 80 and 100 minutes. You can pause and resume the assignment at
any time; your work is always saved automatically.
Questio
How does this assignment prepare me for the real world?
10/18/20 8:31 PM CD
In this assessment, you will familiarize yourself with the structure and content of a cough
focused exam so that with real-life patients, you can: º ask effective and comprehensive
questions º obtain and assess objective data º educate and empathize with the
patient º develop a nursing diagnosis º create an effective and expedient care plan º
and evaluate your results to determine your goal's achievement.
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What
strategies can you use to develop rapport with a pediatric patient?
It's important to be open with them and be friendly and have a smile on your face so they Stateme
feel comfortable 10/18/20 8:33 PM CD
Time to begin.
Gre
Hi Danny my name is Jenna and I will be your student nurse today
10/18/20 8:33 PM CD
Hi.
Exam Actio
Washed hands.
10/18/20 8:34 PM CD
Questio
How are you doing today?
10/18/20 8:34 PM CD
I don't feel so good. I keep coughing and I feel a little bit tired.
Holistic Health Assessment and Practicum - Fall 2020, NURS 5190
Return to Assignment (/assignments/384738/)
Your Results Lab Pass (/assignment_attempts/8191301/lab_pass.p
Overview
Transcript
Transcript
Started: Oct 18, 2020 | Total Time: 87 min
Subjective Data Collection
All Lines (163) Interview Questions (44) Statements (13) Exam Actions (106)
Objective Data Collection
Education & Empathy Questio
Hello!
10/18/20 8:31 PM CD
Documentation
Care Plan Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just
as a preceptor would in real life. Pay close attention to this information as it will help
Program Competency Progress guide your exam. At the end of this prebrief, you will answer a short question about the
upcoming assignment. During the simulation, you may return to these instructions at
Student Survey any time by scrolling to the top of your transcript.
Questio
What is the situation?
10/18/20 8:31 PM CD
Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with a cough in
the Shadowville Elementary nurse's office. Your role in this simulation is that of a healthcare
provider who will perform a focused history and physical examination in order to collect
data, assess Danny's condition, and transfer care. In this simulation, you will be able to
perform procedures not always typical to a school setting so you can gather as much data
as possible.
Questio
What are my objectives in this assessment?
10/18/20 8:31 PM CD
Danny is very health literate and a good historian of his own health history; he can answer
questions that not every child may be able to. In your interview with Danny, you will ask
about the history of his presenting illness and the functioning of relevant systems in
order to obtain subjective data related to his cough. If you discover any disease states, ask
about symptoms and the patient's experiences of them. Your questioning should cover
a broad array of the symptoms' characteristics. You will also inquire into the health
history of Danny's family so you can determine his genetic predisposition to any
diseases. In addition to collecting subjective data, you will perform a physical exam on
Danny to gather objective data about his health and physiology. Throughout the
conversation, you should educate and empathize with Danny when appropriate to
increase his health literacy and sense of well-being. While you should communicate with
patients using accessible, everyday language, it is standard practice to use
professional medical terminology everywhere else, such as in documenting physical
findings and nursing notes. You may complete the exam activities in any order and move
between them as needed.
Questio
What else will this exam involve?
10/18/20 8:31 PM CD
Support
, Because Danny is a pediatric patient, you will also be required to make a phone call to his
guardian's home to gather additional information. You can document your findings,
including vital signs, in the Electronic Health Record. This record provides necessary
information for healthcare professionals who will continue patient care. You will then move
onto the Care Plan activity, in which you will synthesize your subjective and objective data
to complete the nursing process. You will develop a nursing diagnosis for Mr. Rivera's
condition, identify a treatment goal, plan your interventions and evaluations, and
finally assess if your goal was achieved. You may also need to call Danny's guardian
again to involve them in his treatments. The Care Plan is just as important as your
assessment, and the patient's well-being will be greatly affected by your diagnosis and
interventions.
Questio
How will I be evaluated?
10/18/20 8:31 PM CD
The activities evaluated by the simulation are Subjective and Objective Data Collection,
Education and Empathy, and the Care Plan activity. Nursing tasks and Documentation,
while they provide valuable practice for their real-world counterparts, are not automatically
evaluated by the simulation. The evaluation of your interview is dependent on how you
word your questions therapeutically and precisely and explore all relevant topics
with comprehensive breadth and depth. The evaluation of your physical exam is based
on how successfully you report on your physical findings by selecting among clinical
terms in the Electronic Health Record. Your success in Education and Empathy is based
on whether you promptly respond after identifying a moment worthy of therapeutic
communication. Your success in the Care Plan activity is based on whether you
accurately identify Mr. Rivera's nursing diagnosis, select a goal most immediately
beneficial to him, select and prioritize the most effective treatments, and accurately
evaluate your results. The Care Plan will make up a signficant part of your grade, so be
sure to carefully choose your answers based on evidence. This assignment takes on
average between 80 and 100 minutes. You can pause and resume the assignment at
any time; your work is always saved automatically.
Questio
How does this assignment prepare me for the real world?
10/18/20 8:31 PM CD
In this assessment, you will familiarize yourself with the structure and content of a cough
focused exam so that with real-life patients, you can: º ask effective and comprehensive
questions º obtain and assess objective data º educate and empathize with the
patient º develop a nursing diagnosis º create an effective and expedient care plan º
and evaluate your results to determine your goal's achievement.
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What
strategies can you use to develop rapport with a pediatric patient?
It's important to be open with them and be friendly and have a smile on your face so they Stateme
feel comfortable 10/18/20 8:33 PM CD
Time to begin.
Gre
Hi Danny my name is Jenna and I will be your student nurse today
10/18/20 8:33 PM CD
Hi.
Exam Actio
Washed hands.
10/18/20 8:34 PM CD
Questio
How are you doing today?
10/18/20 8:34 PM CD
I don't feel so good. I keep coughing and I feel a little bit tired.
