AWhite_NUR2092 Module 4 Classroom Activity_43021.

Module 4 Classroom Activity Part 1 A.P. is a 73-year-old woman who presents to the women’s health clinic for an annual physical examination. She states that she is having difficulty sleeping and has been having panic attacks for the past year, since the death of her son. Subjective Data Lives with husband Daughter, age 50 years, lives nearby Had a son, age 52 years, who died in the past year from a drug overdose Objective Data Vital signs: T 37 P 80 R 18 BP 140/68 Weight: 140 Height: 5 feet, 5 inches Questions 1. On which components of the health history should the nurse focus the mental health exam?  Level of consciousness  Affect and mood  Thought and perception  Attitude and insight  Cognitive abilities  Memory  Abstract reasoning What specific observations should the nurse make with regard to mental status?  Patient’s presentation (personal appearance, social interaction)  Hygiene (dresses appropriately)  Patient talking to themselves  Eye contact while talking with the patient 1. Why is it important to obtain a thorough past medical history for this patient?  Past health events are important because they may have residual effects on the current health status 1. What specific questions should the nurse consider asking when obtaining the past medical history?  Ask about serious illnesses (rhematic fever, scarlet fever, poliomyelitis)  Ask if she has gotten in any auto accidents and if she has had any fractures, head injuries, or burns  Ask if she has any chronic illness like asthma, depression, diabetes, hypertension, heat disease, HIV, etc.  Ask about recent hospitalization. If so, what was the cause, name of the hospital, treatment, duration, and physician.  Ask about surgical history. If previous surgeries are given ask for the date, type of surgery, hospital, surgeon, and how she recover