NURSING > EXAM > NUR MISCShadow Health Focused Exam- Anxiety Complete (All)

NUR MISCShadow Health Focused Exam- Anxiety Complete

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Patient: John Larsen – Anxiety and Panic Attack with SBAR and assessment Chief Complaint  | Finding: Established chief complaint Finding: Reports that he felt like he was "smothering" - sense of chest pressure (Found)Where do you feel the smothering sensation? Finding: Reports feeling rapid heartbeat (Found) Can you describe the smothering sensation Reports sweating and shivering Example Question: Can you describe the smothering sensation? Finding: Reports shortness of breath Example Question: Do you ever get short of breath? History of Present Illness  Finding: Asked about onset and duration of symptoms  Finding: Reports feeling started last night Example Question: When did the smothering sensation start?  Finding: Reports feeling began at 3 am Example Question: When did the smothering sensation start?  Finding: Reports that feeling has been constant since onset Example Question: Has the smothering sensation been constant?  Finding: Asked about aggravating factors of symptoms  Finding: Reports that movement or anything besides resting seems to make the symptoms worse Example Question: What makes the smothering sensation worse?  Finding: Asked about relieving factors of symptoms  Finding: Reports trying to take deep breaths Example Question: What makes the smothering sensation better?  Finding: Reports resting to try to feel calmer How do you treat your symptoms? Anxiety Screening  Finding: Asked about anxiety  Finding: Reports excessive worry Example Question: Have you been unreasonably worried?  Finding: Reports worry frequency as occurring more days that not Example Question: Do you experience excessive worry more days than not?  Finding: Reports excessive worry has happened for at least the last 6 months Example Question: Have you been troubled by excessive worry for the last six months?  Finding: Reports unreasonable worry about work Example Question: Are you unreasonably troubled by work?  Finding: Reports unreasonable worry about health Example Question: Are you troubled by unreasonable worry about your health?  Finding: Reports occasionally feeling unable to control worry Example Question: Are you feeling troubled by worrying uncontrollably?  Finding: Asked about restlessness  Finding: Reports occasional restlessness Example Question: Are you bothered by restlessness?  Finding: Reports occasionally feeling "keyed up" or "on edge" Example Question: Have you been feeling on edge lately?  Finding: Denies feeling easily tired Example Question: Do you tire easily?  Finding: Denies problems concentrating Example Question: Have you been having trouble concentrating?  Finding: Reports occasional irritability Example Question: Have you felt more irritable lately?  Finding: Denies muscle tension Example Question: Are your muscles ever tense?  Finding: Denies anxiety interferes with daily life Example Question: Does your anxiety interfere with your daily life?  Finding: Asked about changes in sleeping habits  Finding: Reports trouble getting to sleep (due to worry) Example Question: Do you find it hard to go to sleep?  Finding: Reports unsatisfying sleep Example Question: Do you have unsatisfying sleep?  Finding: Followed up on changes in sleep habits

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