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Focused Exam Schizophrenia Completed Shadow Health objective|Western Governors University
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Focused Exam_ Schizophrenia _ Completed _ Shadow Health objective|Western Governors University
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8/31/2018 Focused Exam: Schizophrenia | Completed | Shadow HealthFocused Exam: Schizophrenia Results | Turned In
C487 Psych/Mental Health Clinical - Aug 2018, C487
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Your Results Reopen Lab Pass
Overview
Subjective Data Collection: 36 of 37 (97.3%)
Transcript
Subjective Data Collection Hover To Reveal... Indicates an item that you found.
Hover over the Patient Data items Indicates an item that is available to be
Objective Data Collection
below to reveal important information, found.
including Pro Tips and Example
Education & Empathy
Questions.
QSEN Competencies
Documentation Catego Scored Items Patient Data
Not Scored
SBAR
ry
Experts selected these topics as essential A combination of open and closed questions
Overview Video
components of a strong, thorough interview will yield better patient data. The following
with this patient. details are facts of the patient's case.
Reflections
Chief Complaint
Established chief complaint Reports hallucinations
Has paranoid thoughts
History of Present Illness
Asked about onset and duration of Reports hearing voices for the past 7 days
symptoms Reports voices have increased over the
last week
Reports that voices are currently constant
Asked about characteristics of symptoms Describes voices as sometimes male,
sometimes female
Denies visual hallucinations
Denies gustatory hallucinations
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, 8/31/2018 Focused Exam: Schizophrenia | Completed | Shadow Health
Denies olfactory hallucinations
Denies tactile hallucinations
Followed up on content of hallucinations Reports command hallucinations
Reports resisting doing what the voice say
Asked about aggravating factors of Reports that voices are more disturbing in
symptoms quiet environments (when unable to be
distracted)
Asked about coping strategies Reports music as a coping strategy
Past Medical History
Asked about existing health conditions Denies general health conditions
Asked about history of mental health Reports diagnosis of schizophrenia
Reports occasional insomnia
Denies past history of depression
Denies past history of anxiety
Denies past history of bipolar disorder
Followed up on schizophrenia diagnosis Diagnosed age 23
Followed up on insomnia Reports frequent insomnia
Reports difficulty falling asleep
Reports recent insomnia has increased
Reports sleeping 2 - 3 hours per night
Reports frequent awakening
Reports occasional nightmares
Asked about previous psychiatric Reports previous psychiatric
hospitalizations hospitalizations
Followed up on previous hospitalizations Reports 3 previous hospitalizations
All 3 hospitalizations were psychiatric
admissions
Reports first hospitalization was age 23
Reports second hospitalization was age
25
Reports third hospitalization was age 26
Asked about suicidal ideation and self- Reports command hallucinations telling
harm him to take a bottle of pills
This study source was downloaded by 100000831480169 from CourseHero.com on 01-22-2022 15:05:03 GMT -06:00
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