Neurological Results | Completed Health Assessment for Practicing Nurses - January 2020, NUR 353

nt_attempts/5947432 1/17Started: Jan 18, 2020 | Total Time: 70 minQuestion01/18/20 4:20 PM ESTQuestion01/18/20 4:21 PM ESTQuestion01/18/20 4:22 PM ESTInterview Questions (100) Statements (3) Exam Actions (76)Hello! Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. What is the situation? It's noon on Tina Jones' second day as a patient here at Shadow General Hospital. Your role inthis simulation is that of a healthcare provider who will perform a neurological exam on Ms. Jones. You will collect subjective and objective data about her risk for neuropathy, whichis higher given her history of falls and diabetes. What are my objectives in this assessment? In your interview with Ms. Jones, you will ask about her neurological system and identify any risk factors so that you can determine any current and potential issues. If you discover any disease states, ask about symptoms and the patient's experiences of them. Your questioning should cover a broad array of the symptoms' characteristics. You will also inquire into the health history of Ms. Jones' family with regards to the neurological system so you can determine her genetic predisposition to any diseases. Regardless of whether you have assessed Tina previously, ask all questions that are medically relevant to her neurological system. In addition to collecting subjective data, you will perform a physical exam on MsJones' neurological system to gather objective data about the system's health and physiology. While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. You may complete the exam activities in any order and move between them as needed.All Lines (179)Neurological | Completed | Shadow Healthnt_attempts/5947432 2/17Question01/18/20 4:24 PM ESTQuestion01/18/20 4:25 PM ESTQuestion01/18/20 4:26 PM ESTStatement01/18/20 4:29 PM ESTGreet01/18/20 4:30 PM ESTQuestion01/18/20 4:30 PM ESTExam Action01/18/20 4:31 PM ESTQuestion01/18/20 4:33 PM ESTQuestion01/18/20 4:33 PM ESTQuestion01/18/20 4:33 PM ESTWhat else will this exam involve? You will complete nursing tasks to protect the patients safety, privacy, and health. Yocan document your findings, including vital signs, in the Electronic Health Record. Thisrecord provides necessary information for healthcare professionals who will continue patient care. Activities other than Subjective and Objective Data Collection, such as Documentation and Education and Empathy, provide valuable practice for their real-world counterparts. However, they are not automatically graded by the simulation. How will I be evaluated? In this assignment, you will be evaluated on your Subjective and Objective Data Collection. The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. The evaluation of your physical exam is based on how successfully you report on your physical findings by selecting among clinical terms in the Electronic Health Record. This assignment takes on average between 50 and 60 minutes. You can pause anresume the assignment at any time; your work is always saved automatically. How does this assignment prepare me for the real world? In this assessment, you will become familiarized with the structure and content of neurological exams so that with real-life patients, you can: º ask effective and comprehensive questions º use therapeutic language º evaluate the patient's risk of disease, infection, injury, ancomplications º and obtain and assess objective data. In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What physical exam findings would indicate the presence of neuropathy? neuropathy can be indicated by numbness and tingling in toes and fingers. Time to begin. Hi my name is nina and i will be your nurse today. Hey. Can you confirm your name Tina Jones. Checked vitalsWe will be doing a neurological assessment (No matching questions found.) Do you get dizzy No, I can't remember the last time I got dizzy. do you get light headedNeurological | Completed | Shadow HealthQuestion01/18/20 4:34 PM ESTQuestion01/18/20 4:34 PM ESTQuestion01/18/20 4:34 PM ESTQuestion01/18/20 4:35 PM ESTQuestion01/18/20 4:35 PM ESTQuestion01/18/20 4:35 PM ESTQuestion01/18/20 4:36 PM ESTQuestion01/18/20 4:36 PM ESTQuestion01/18/20 4:36 PM ESTQuestionI don't get lightheaded. Do you get any tingling (Clarified to Do you feel tingling anywhere?.) I mean. . . my hand will fall asleep sometimes or something, and then it will tingle, like pins anneedles, but that's normal I think. (Clarified to if I have tingling anywhere.) Do you get more clumsy than usual (Clarified to Have you felt clumsy?.) I'm clumsy sometimes, but not that bad. I don't always pay enough attention to where I'm going. (Clarified to if I have felt clumsy.) Do you have loss of sensation any wear (Clarified to Have you had changes in sensation?.) I think I feel things normally. (Clarified to if I have had changes in my level of sensation.Do you have numbness any wear (Clarified to Do your feet ever feel numb?.) My feet don't seem numb to me. . . I mean, my scrape still hurts a little, and I can definitely feethat. (Clarified to if my feet get numb.) do your fingers have any numbness (Clarified to Are you having pain in your fingers?.) No. (Clarified to if I have pain in my fingers.) do your fingers feel numb (Clarified to Do you ever have numbness in your extremities?.) No, I don't think so. (Clarified to if I have numbness in my extremities.) have you ever had a seizures No. I've seen somebody have one, though. It's scary. do you lose your balance I think my balance is fine. . . I trip sometimes, but that's more just because I'm not paying attention to where I'm going. do you get headaches Yeah, my head aches sometimes. But it's okay right now.