8/27/202 Focused Exam: PTSD | Completed | Shadow Health
1
Focused Exam: PTSD Results | Turned In
NURS 411: Clinical Nursing Skills and Health Assessment IV - Spring 2021
Return to Assignm ent (/assignm ents/441506/ )
Your Results Reopen (/assignm ent_attem pts/89 063 23/ reopen
Lab Pass (/assignm ent_attem pts/8 906 323/ lab _pas s.p
Over view
Education & Empathy : 6 of 7 (85.7%)
Tr anscr ipt
Subjective Data Collection Durin g the patien t intervi e w , there are a numb e r of opportu n it ie s to provide patient educati o n and empat h y. The opport un i ti es listed bel
ar e those identified by nur sing experts to be of par ticular importance to this patient. A M odel Statement is provided as an example of
Objective Data Collection appr opr iate response to each oppor tunity.
Oppor tu n it i es mar ke d as N o t E nco unte r e d are opportu n it i es that were not elicite d in the intervi e w
Education & Em pathy Oppor tunities mar ked as Not Followed Up ar e missed oppor tunities that w ere pr esent in the interview, but w here no statements w
QSEN Competencies made
Oppor tunities mar ked as Followed Up
w er e follow ed up by students, and include the dialogue betw een student and patient
Documentation
Car e Plan
Pr ogr am Competency Pr ogr ess 1 PTSD Fo llo we d Up
Reflections
Descr iption: Ms. Diaz descr ibes the symptoms that she ex per iences as a r esult of her diagnosis
of PTSD w ith depr ession.
Q uestio
can you tell me about the PTSD
09:47 AM E
PTSD is something I live w ith ever y day, but some days it affects me mor e than other s . . . I have
nightmar es, and sometimes I get flashbacks to w hat happened. I oper ate at this level of aler tness
other people don't understand. It's easy to startle me, and at times I'm afraid . . . I'm afraid of
situations I w ouldn't have been afraid of before I w as sex ually assaulted. I'm hypervigilant. I don't like
to be alone in a room w ith men. It's hard for me to trust people, to be vulnerable . . . That's probably
w hy all of my relationships have crashed and burned. I can't let people get close to me. It's hard for
me to have fun. Ther e ar e other symptoms, but those ar e the ones I notice the most.
Empathi
im sor r y
09:48 AM E
Thanks, I mean it.
M odel Statement: "PTSD is difficult for anyone w ho ex per iences it. Please let me know if I do
anything that makes you feel uncomfor table or that tr iggers your symptoms. Our goal is to make
your car e her e comfor table and a positive ex per i ence. I can put you in touch w ith mental health
nur ses or tr auma counselor s if you w ould like. Ther e ar e also many suppor t gr oups for veterans w ho
face the same issues, and I w ould be happy to r efer you to one."
T his study source was downloaded by 1000020P
8 3a9t2ie8n
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https://app.shadowhealth.com/assignment_attempts /8906323 1 /5
https://www.coursehero.com/file/79078796/ptsd-educationpdf/
, 8/27/202 Focused Exam: PTSD | Completed | Shadow Health
1
Descr iption: Ms. Diaz discloses some details of the events of her MST w hich led to her PTSD.
Questio
how likely are you to intentio n al l y hurt yourse l f
09:56 AM E
I don't think I'm very likely to hurt myself. I'm not actively planning anything like that.
My name is Nicole Diaz and my date of bir th is . . . [Ms. Diaz r eports her correct date of bir th.]
Right now w e're in the VA Clinic.
Yes, it's . . . [Ms. Diaz reports the correct date and year.]
OK. 100, 93, 86, 79... (Ms. Diaz finishes the sequence)
Sure, those are both fruits.
Those ar e bodies of w ater.
Those ar e both w ind instruments.
Burger , tulip, nose and tea.
Oh, I just went out with a coupl e of friend s for dinner . It was fun.
Burger , tulip, nose, and tea.
OK, sur e.
I guess I w ould ask ar ound to see if someone dr opped it. Other w ise I'd find a box for outgoing mail
to put it in.
Thanks. It helps to know that.
Is that so? That's helpful to know . . .
Yes.
Thanks, I mean it.
M odel Statement: "I'm sor r y this happened to you. You ar e a sur vivor who has come so far . You
seem ver y aw are of the impact that this event has had on your life, and I commend you for dir ectly
addr essing the under lying issues. I am her e if you w ould like to talk mor e about it, and if ther e is
anything you need, please let me know ."
3 Suicidal Ideation Fo llo we d Up
Descr iption: Ms. Diaz reports that sometimes she has suicidal thoughts, or feels like life is not
w or th living.
100000839287192 from CourseHero.com on 04-15-2022 15:43:32 GMT -05:00
https://app.shadowhealth.com/assignment_attempts /8906323 2 /5
https://www.coursehero.com/file/79078796/ptsd-educationpdf/
1
Focused Exam: PTSD Results | Turned In
NURS 411: Clinical Nursing Skills and Health Assessment IV - Spring 2021
Return to Assignm ent (/assignm ents/441506/ )
Your Results Reopen (/assignm ent_attem pts/89 063 23/ reopen
Lab Pass (/assignm ent_attem pts/8 906 323/ lab _pas s.p
Over view
Education & Empathy : 6 of 7 (85.7%)
Tr anscr ipt
Subjective Data Collection Durin g the patien t intervi e w , there are a numb e r of opportu n it ie s to provide patient educati o n and empat h y. The opport un i ti es listed bel
ar e those identified by nur sing experts to be of par ticular importance to this patient. A M odel Statement is provided as an example of
Objective Data Collection appr opr iate response to each oppor tunity.
Oppor tu n it i es mar ke d as N o t E nco unte r e d are opportu n it i es that were not elicite d in the intervi e w
Education & Em pathy Oppor tunities mar ked as Not Followed Up ar e missed oppor tunities that w ere pr esent in the interview, but w here no statements w
QSEN Competencies made
Oppor tunities mar ked as Followed Up
w er e follow ed up by students, and include the dialogue betw een student and patient
Documentation
Car e Plan
Pr ogr am Competency Pr ogr ess 1 PTSD Fo llo we d Up
Reflections
Descr iption: Ms. Diaz descr ibes the symptoms that she ex per iences as a r esult of her diagnosis
of PTSD w ith depr ession.
Q uestio
can you tell me about the PTSD
09:47 AM E
PTSD is something I live w ith ever y day, but some days it affects me mor e than other s . . . I have
nightmar es, and sometimes I get flashbacks to w hat happened. I oper ate at this level of aler tness
other people don't understand. It's easy to startle me, and at times I'm afraid . . . I'm afraid of
situations I w ouldn't have been afraid of before I w as sex ually assaulted. I'm hypervigilant. I don't like
to be alone in a room w ith men. It's hard for me to trust people, to be vulnerable . . . That's probably
w hy all of my relationships have crashed and burned. I can't let people get close to me. It's hard for
me to have fun. Ther e ar e other symptoms, but those ar e the ones I notice the most.
Empathi
im sor r y
09:48 AM E
Thanks, I mean it.
M odel Statement: "PTSD is difficult for anyone w ho ex per iences it. Please let me know if I do
anything that makes you feel uncomfor table or that tr iggers your symptoms. Our goal is to make
your car e her e comfor table and a positive ex per i ence. I can put you in touch w ith mental health
nur ses or tr auma counselor s if you w ould like. Ther e ar e also many suppor t gr oups for veterans w ho
face the same issues, and I w ould be happy to r efer you to one."
T his study source was downloaded by 1000020P
8 3a9t2ie8n
7 1t9H2 ifsrtoomryCourseHero.com on 04-15-2022 15:43:32 GMT -05:00 N o t Fo llo we d U
https://app.shadowhealth.com/assignment_attempts /8906323 1 /5
https://www.coursehero.com/file/79078796/ptsd-educationpdf/
, 8/27/202 Focused Exam: PTSD | Completed | Shadow Health
1
Descr iption: Ms. Diaz discloses some details of the events of her MST w hich led to her PTSD.
Questio
how likely are you to intentio n al l y hurt yourse l f
09:56 AM E
I don't think I'm very likely to hurt myself. I'm not actively planning anything like that.
My name is Nicole Diaz and my date of bir th is . . . [Ms. Diaz r eports her correct date of bir th.]
Right now w e're in the VA Clinic.
Yes, it's . . . [Ms. Diaz reports the correct date and year.]
OK. 100, 93, 86, 79... (Ms. Diaz finishes the sequence)
Sure, those are both fruits.
Those ar e bodies of w ater.
Those ar e both w ind instruments.
Burger , tulip, nose and tea.
Oh, I just went out with a coupl e of friend s for dinner . It was fun.
Burger , tulip, nose, and tea.
OK, sur e.
I guess I w ould ask ar ound to see if someone dr opped it. Other w ise I'd find a box for outgoing mail
to put it in.
Thanks. It helps to know that.
Is that so? That's helpful to know . . .
Yes.
Thanks, I mean it.
M odel Statement: "I'm sor r y this happened to you. You ar e a sur vivor who has come so far . You
seem ver y aw are of the impact that this event has had on your life, and I commend you for dir ectly
addr essing the under lying issues. I am her e if you w ould like to talk mor e about it, and if ther e is
anything you need, please let me know ."
3 Suicidal Ideation Fo llo we d Up
Descr iption: Ms. Diaz reports that sometimes she has suicidal thoughts, or feels like life is not
w or th living.
100000839287192 from CourseHero.com on 04-15-2022 15:43:32 GMT -05:00
https://app.shadowhealth.com/assignment_attempts /8906323 2 /5
https://www.coursehero.com/file/79078796/ptsd-educationpdf/
