1/6/2020 Focused Exam: Anxiety | In Progress Attempt | Shadow Health
Focused Exam: Anxiety (Part 2 of 3)
Therapeutic Intervention III - Winter 2020, NUR 304
R eturn to Assignment (/assignments/288274/)
Reflections
Activity Description: Reflective writing develops your clinical reasoning skills as you grow and improve as a clinician and gives your instructor insight into your learning proces
This reflection activity will help you think more deeply about your performance in the assignment. Use your documentation as you respond to the prompts at the bottom of the p
Documentation Review
E D Nursing Note
Mental Status
Mental Status Note
Note Student Response Model Documentation
SBAR
Appearance Patient is in clean clothes, shows signs of grooming or self- John Larsen is a White, 48 year-old man. He is tall for his
care, and makes direct eye contact during conversation. and appears overweight. Makes direct eye contact when
Patient posture is rigid. speaking. Is visibly worried and tense. Posture is stiff. His
clothing is appropriate to age, season, setting and occasi
He is not disheveled, and appears well-groomed.
Attitude Patient is open and cooperative to nurse's advice and
Mr. Larsen displays a warm and cooperative attitude towa
education
medical staff. Some fear from being in the hospital and
moderate anxiety.
Speech Patient demonstrates expected rate of spech, appropriate
Mr. Larsen displays no observable issue with articulation,
volume, and no issues with articulation
flow, or intensity of volume when he speaks. His vocabula
appropriate for his age and education level.
Mood and Affect Patient is in a stable mood with a balanced effect. Patient is
Mr. Larsen's affect is congruous and appears normal. Mo
open to conversation and willingly gives detailed history and
currently stable.
recounts and is receptive of information given.
Thought Process Patient demonstrates no presence of though disturbances. Mr. Larsen's thoughts appear to be organized and cohere
Thought process is logical, relevant, and follows a normal
continuity of thought. Observed no potential for disordere
behavior. Observed no rhyming, clang association, or pun
https://app.shadowhealth.com/assignment_attempts/5886713 1/
Focused Exam: Anxiety (Part 2 of 3)
Therapeutic Intervention III - Winter 2020, NUR 304
R eturn to Assignment (/assignments/288274/)
Reflections
Activity Description: Reflective writing develops your clinical reasoning skills as you grow and improve as a clinician and gives your instructor insight into your learning proces
This reflection activity will help you think more deeply about your performance in the assignment. Use your documentation as you respond to the prompts at the bottom of the p
Documentation Review
E D Nursing Note
Mental Status
Mental Status Note
Note Student Response Model Documentation
SBAR
Appearance Patient is in clean clothes, shows signs of grooming or self- John Larsen is a White, 48 year-old man. He is tall for his
care, and makes direct eye contact during conversation. and appears overweight. Makes direct eye contact when
Patient posture is rigid. speaking. Is visibly worried and tense. Posture is stiff. His
clothing is appropriate to age, season, setting and occasi
He is not disheveled, and appears well-groomed.
Attitude Patient is open and cooperative to nurse's advice and
Mr. Larsen displays a warm and cooperative attitude towa
education
medical staff. Some fear from being in the hospital and
moderate anxiety.
Speech Patient demonstrates expected rate of spech, appropriate
Mr. Larsen displays no observable issue with articulation,
volume, and no issues with articulation
flow, or intensity of volume when he speaks. His vocabula
appropriate for his age and education level.
Mood and Affect Patient is in a stable mood with a balanced effect. Patient is
Mr. Larsen's affect is congruous and appears normal. Mo
open to conversation and willingly gives detailed history and
currently stable.
recounts and is receptive of information given.
Thought Process Patient demonstrates no presence of though disturbances. Mr. Larsen's thoughts appear to be organized and cohere
Thought process is logical, relevant, and follows a normal
continuity of thought. Observed no potential for disordere
behavior. Observed no rhyming, clang association, or pun
https://app.shadowhealth.com/assignment_attempts/5886713 1/
