2/15/2021 Mental Health | Completed | Shadow Health
Mental Health Results | Turned In
Advanced Health Assessment - Tampa - Winter 2021 , NSG 5502 - 24889
Return to Assignment (/assignments/437035/)
Your Results Reopen (/assignment_attempts/9118373/reopen
Lab Pass (/assignment_attempts/9118373/lab_pass.p
Overview
Subjective Data Collection: 42 of 44 (95.5%)
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
Documentation
Example Questions.
Student Survey
Category Scored Items Patient Data
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
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
Support
, 2/15/2021 Mental Health | Completed | Shadow Health
Reports sleeping more easily if she can distract
herself from her "racing thoughts"
Reports no exercise
Asked about impact of sleeping problems on Reports feeling tired and "out of it" most of the
daily living time during the day due to lack of sleep
Reports no increased chance of drifting off during
the day despite lack of sleep
Followed up about patient's experience feeling Reports feeling slowed down and tired, having
"out of it" trouble focusing, and generally feeling "less sharp"
Asked about anxiety symptoms Reports feelings of anxiety as "thoughts she can't
turn off" and "being on edge"
Reports worry about the future, but no sense of
impending doom
Reports no panic attacks
Reports difficulty concentrating due to fatigue
from lack of sleep
Reports only restlessness occurs just before bed
Reports slight irritability due to fatigue
Asked about impact of anxiety on daily living Reports stress only interferes with daily life
because it interrupts her sleep
Reports stress does not prevent her from
completing her usual activities
Asked about sleep quality Reports falling asleep often takes more than an
hour
Reports waking up two or three times during the
night for "at least ten minutes"
Reports waking in the morning feeling "out of it"
and not rested
Asked about sleep habits Reports going to bed "around midnight," but
feeling "too nervous" to sleep
Reports actually falling asleep at 2 or 3 AM
Reports reading before bed
Reports no screen use (television or computer)
before bed
Reports average wake time of 8 AM
Reports sleeping an average of 4 or 5 hours a
night
Reports sleeping alone in a quiet room
Asked about stress quality Reports feeling nervous and worrying about the
future, with racing thoughts
Medical History
Confirmed use of medications Confirms medications (no new medications
reported)
Followed up about sleep medication use Denies taking OTC sleep medications
Denies taking prescription sleep medications
Mental Health Results | Turned In
Advanced Health Assessment - Tampa - Winter 2021 , NSG 5502 - 24889
Return to Assignment (/assignments/437035/)
Your Results Reopen (/assignment_attempts/9118373/reopen
Lab Pass (/assignment_attempts/9118373/lab_pass.p
Overview
Subjective Data Collection: 42 of 44 (95.5%)
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
Documentation
Example Questions.
Student Survey
Category Scored Items Patient Data
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
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
Support
, 2/15/2021 Mental Health | Completed | Shadow Health
Reports sleeping more easily if she can distract
herself from her "racing thoughts"
Reports no exercise
Asked about impact of sleeping problems on Reports feeling tired and "out of it" most of the
daily living time during the day due to lack of sleep
Reports no increased chance of drifting off during
the day despite lack of sleep
Followed up about patient's experience feeling Reports feeling slowed down and tired, having
"out of it" trouble focusing, and generally feeling "less sharp"
Asked about anxiety symptoms Reports feelings of anxiety as "thoughts she can't
turn off" and "being on edge"
Reports worry about the future, but no sense of
impending doom
Reports no panic attacks
Reports difficulty concentrating due to fatigue
from lack of sleep
Reports only restlessness occurs just before bed
Reports slight irritability due to fatigue
Asked about impact of anxiety on daily living Reports stress only interferes with daily life
because it interrupts her sleep
Reports stress does not prevent her from
completing her usual activities
Asked about sleep quality Reports falling asleep often takes more than an
hour
Reports waking up two or three times during the
night for "at least ten minutes"
Reports waking in the morning feeling "out of it"
and not rested
Asked about sleep habits Reports going to bed "around midnight," but
feeling "too nervous" to sleep
Reports actually falling asleep at 2 or 3 AM
Reports reading before bed
Reports no screen use (television or computer)
before bed
Reports average wake time of 8 AM
Reports sleeping an average of 4 or 5 hours a
night
Reports sleeping alone in a quiet room
Asked about stress quality Reports feeling nervous and worrying about the
future, with racing thoughts
Medical History
Confirmed use of medications Confirms medications (no new medications
reported)
Followed up about sleep medication use Denies taking OTC sleep medications
Denies taking prescription sleep medications
