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Mental Health (45 min minimum) Results | Turned In
Advanced Physical Assessment Across the Lifespan (FNP) - USU - October 2021, msn572
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Your Results
Overview Subjective Data Collection: 44 of 44 (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 information, available to be found.
including Pro Tips and Example
Documentation Questions.
Category Scored Items Patient Data
Not Scored
Experts selected these topics as essential components of A combination of open and closed questions will yield
a strong, thorough interview with this patient. better patient data. The following details are facts of the
patient's case.
Chief Complaint
Established chief complaint Reports difficulty sleeping and "feeling nervous"
Reports seeking treatment because she has an
upcoming exam and feels "too foggy to study"
Reports excessive worry and "racing thoughts"
before bed
History of Present Illness
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.
Denies alcohol use before bed
Denies drug use before bed
Reports respiratory problems are controlled and
not interfering with sleep
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