NRS 434 Shadow Health: Comprehensive Assessment – Nursing Solutions

This article covers Shadow Health: Comprehensive Assessment.

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NRS 434 Shadow Health: Comprehensive Assessment

Within the Shadow Health platform, complete the Comprehensive Assessment. The estimated average time to complete this assignment each time is 3 hours. Please note, this is an average time. Some students may need longer.

This clinical experience is a comprehensive exam. Students must score at the level of “Proficiency” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass through the assignment dropbox.

Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 150 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 135 points; and students successfully scoring at the Proficiency level on the third attempt will earn a grade of 120 points. Students who do not pass the performance-based assessment by scoring within the Proficiency level in three attempts will receive a failing grade (102 points).

If Proficiency is not achieved on the first attempt it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled; Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and course resources may help you improve your score.

Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

If Proficiency is not achieved on the first attempt it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled; Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and course resources may help you improve your score.

Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

AttachmentsNRS-434VN-R-CLC-HealthPromotionPres

Subjective Data Collection: 33 of 33 (100.0%)
Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

Found:
Indicates an item that you found.
Available:
Indicates an item that is available to be found.

Category
Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient.
Patient Data
Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.
Current Health Status

Finding:
Asked about current health problems

Finding:
Denies current acute health problems
(Found)
Pro Tip: Determining if the patient has any current acute health problems is essential in conducting a productive exam and prioritzing the patient’s needs.
Example Question:
Are you having any health problems?
Finding:
Reports diabetes
(Found)
Pro Tip: Confirming a patient’s medical conditions, such as diabetes, will enable you to provide the best care possible.
Example Question:
Can you confirm your diabetes? NRS 434 Shadow Health: Comprehensive Assessment
Finding:
Reports asthma
(Found)
Pro Tip: Confirming a patient’s medical conditions, such as asthma, will enable you to provide the best care possible.
Example Question:
Can you confirm your asthma?

Finding:
Asked about last visit to a healthcare provider

Finding:
Reports last visit to a healthcare provider was 4 months ago
(Found)
Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history.
Example Question:
When did you see a healthcare provider?
Finding:
Reports reason for last visit was annual gynecological exam
(Found)
Pro Tip: Establishing a timeline for Tina’s gynecological exams will allow you to develop a comprehensive health history.
Example Question:
Why did you see a healthcare provider?
Finding:
Reports last general physical examination was 5 months ago
(Found)
Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history.
Example Question:
When was your last physical exam?

Finding:
Asked about current prescription medications

Finding:
Reports taking diabetes medication
(Found)
Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Asking Tina if she has been taking medication for her diabetes will indicate her treatment plan and the degree to which she is following it. NRS 434 Shadow Health: Comprehensive Assessment
Example Question:
Have you been taking medication for your diabetes?
Finding:
Reports having an inhaler
(Found)
Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it.
Example Question:
Do you have an inhaler?
Finding:
Reports taking prescription birth control pills
(Found)
Pro Tip: A patient’s use of birth control can impact the care plan, such as which medications are prescribed. Understanding a patient’s history of birth control can be an indicator of health literacy.
Example Question:
Are you taking any form of birth control?

Finding:
Followed up about diabetes medication

Finding:
Reports diabetes medication is metformin
(Found)
Pro Tip: Follow up questions about Tina’s diabetes medication will help you to understand her treatment plan and recent health history.
Example Question:
What is the name of your diabetes medication?
Finding:
Reports starting taking diabetes medication 5 months ago
(Found)
Pro Tip: Follow up questions about Tina’s diabetes medication history and timeline will help you to understand her treatment plan and recent health history.
Example Question:
How long have you been taking metformin?
Finding:
Reports that side effects of diabetes medication abated over time
(Found)
Pro Tip: Determining if Tina has experienced any side effects of her diabetes medication will help you determine the efficacy and appropriateness of her medication.
Example Question:
Have you noticed any side effects from the metformin?
Finding:
Reports taking diabetes medication twice daily
(Found)
Pro Tip: Follow up questions about Tina’s medication adherence will help you to understand her treatment plan and recent health history.
Example Question:
How many times a day do you take metformin?
Finding:
Reports diabetes medication dose is 850 mg
(Found)
Pro Tip: Follow up questions about the dosage of Tina’s diabetes medication will help you to understand her treatment plan and recent health history.
Example Question:
What is the dose of your metformin?
Finding:
Denies adverse effects of diabetes medication
(Found)
Pro Tip: Determining if Tina has experienced any adverse effects of her diabetes medication will help you determine the efficacy and appropriateness of her medication. NRS 434 Shadow Health: Comprehensive Assessment
Example Question:
Are you experiencing adverse effects from your diabetes medication?

Finding:
Asked about asthma medication

Finding:
Reports asthma medication has not changed
(Found)
Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina what medication she takes for her asthma will indicate her treatment plan and the degree to which she complies with it.
Example Question:
Has your asthma medication changed?
Finding:
Reports inhaler is albuterol (Proventil)
(Found)
Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it.
Example Question:
Do you have a rescue inhaler?
Finding:
Reports using inhaler no more than 2 times per week
(Found)
Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Asking how frequently Tina uses her inhaler can indicate how she’s been treating her symptoms.
Example Question:
How often do you use your inhaler?
Finding:
Reports recommended dose is 1-3 puffs as needed
(Found)
Pro Tip: Asking Tina about the recommended dose of her inhaler can help you determine if the treatment is effective and appropriate for her health needs.
Example Question:
What is the recommended dosage for your inhaler?
Finding:
Reports typically taking 2 puffs
(Found)
Pro Tip: Asking Tina about how many puffs of her inhaler she typically takes can help you determine if the treatment is effective and appropriate for her health needs.
Example Question:
How many puffs of your inhaler do you typically take?
Finding:
Reports sometimes needing 3 puffs to control symptoms
(Found)
Pro Tip: Asking Tina about how many puffs of her inhaler she takes can help you determine if the treatment is effective and appropriate for her health needs.
Example Question:
What’s the most puffs you ever take?
Finding:
Denies adverse effects of asthma medication
(Found)
Pro Tip: Asking Tina if she experiences any adverse effects from her inhaler can help you determine if the treatment is effective and appropriate for her health needs.
Example Question:
Does your inhaler give you any adverse effects?

Finding:
Followed up about birth control prescription

Finding:
Reports starting birth control 4 months ago
(Found)
Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan.
Example Question:
How long ago did you start taking birth control?
Finding:
Reports reason for birth control was to manage PCOS symptoms
(Found)
Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Asking Tina why she started taking birth control will allow Tina to express any concerns or problems in her own words.
Example Question:
What reason did you decide to start taking birth control? NRS 434 Shadow Health: Comprehensive Assessment
Finding:
Reports birth control is drospirenone and ethinyl estradiol (Yaz)
(Found)
Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Confirming the name of Tina’s birth control pill will solicit information about her health history and current treatment plan.
Example Question:
What type of birth control do you use?
Finding:
Reports taking birth control pill daily
(Found)
Pro Tip: Follow up questions about Tina’s birth control prescription can help you to understand how effectively she complies with her treatment plan.
Example Question:
How often do you take your birth control pill?
Finding:
Reports taking birth control pill at the same time every day
(Found)
Pro Tip: Follow up questions about Tina’s birth control prescription can help you to understand how effectively she complies with her treatment plan.
Example Question:
Do you take your pill at the same time every day?
Finding:
Denies adverse side effects from birth control
(Found)
Pro Tip: Follow up questions about Tina’s birth control prescription can help you to understand how effectively she complies with her treatment plan.
Example Question:
Do you have side effects from your birth control?

Finding:
Asked about current non-prescription medications

Finding:
Reports occasional ibuprofen use
(Found)
Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Asking Tina if she takes ibuprofen will indicate her current treatment plan.
Example Question:
Do you take Advil?
Finding:
Denies OTC herbals
(Found)
Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Asking Tina if she takes herbal products will indicate her current treatment plan.
Example Question:
Do you use any herbal products?
Finding:
Denies OTC supplements
(Found)
Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Asking Tina if she takes supplements will indicate her current treatment plan.
Example Question:
Do you take any supplements?

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Finding:
Followed up on ibuprofen (Advil)

Finding:
Reports taking ibuprofen for cramps
(Found)
Pro Tip: Discovering the reason a patient has been taking pain medication is a crucial part of the history of her condition or injury.
Example Question:
Why do you take ibuprofen?
Finding:
Reports ibuprofen is regular strength
(Found)
Pro Tip: Determining the exact dose of pain medication your patient takes helps determine the severity of her condition or injury and will factor in to your care plan.
Example Question:
What strength ibuprofen do you take?
Finding:
Reports ibuprofen is effective
(Found)
Pro Tip: The efficacy of pain medication varies from patient to patient. Discovering a patient’s individual response to pain medication is an important factor in your overall treatment plan.
Example Question:
Does ibuprofen help your cramps?
Finding:
Reports last use of ibuprofen was six weeks ago
(Found)
Pro Tip: Discovering the last time your patient has taken pain medication is a crucial part of the history of her condition or injury.
Example Question:
When was the last time you took ibuprofen?

Finding:
Asked about allergies

Finding:
Reports allergies have not changed NRS 434 Shadow Health: Comprehensive Assessment
(Found)
Pro Tip: In a comprehensive assessment, it is important to determine if any allergies have changed for the patient and determine how best to address those changes.
Example Question:
Can you confirm your allergies?
Finding:
Reports penicillin allergy
(Found)
Pro Tip: Asking specifically about allergies to medications, such as penicillin, is crucial to the patient’s safety while she is in your care, as it affects what medications will be safe and appropriate.
Example Question:
Are you allergic to penicillin?
Finding:
Reports cat allergy
(Found)
Pro Tip: Discovering occasional environmental triggers, such as animal allergies, is important in understanding a patient’s health. It is particularly important for Tina, as she suffers from asthma.
Example Question:
Do you have animal allergies?
Finding:
Reports dust allergy
(Found)
Pro Tip: Dust is a common allergen, and discovering its effect on asthmatic patients is particularly important.
Example Question:
Are you allergic to dust?

Finding:
Asked about diabetes management through lifestyle

Finding:
Reports recently beginning dieting to manage diabetes
(Found)
Pro Tip: Tina’s response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.
Example Question:
How are you managing your diabetes?
Finding:
Reports recently beginning exercising to manage diabetes
(Found)
Pro Tip: Tina’s response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.
Example Question:
Have you been exercising?

Finding:
Asked about blood glucose monitoring

Finding:
Reports checking blood sugar once a day
(Found)
Pro Tip: Tina’s response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.
Example Question:
How often do you monitor your blood glucose?
Finding:
Reports checking sugar in the morning
(Found)
Pro Tip: Tina’s response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.
Example Question:
When do you check your blood glucose?
Finding:
Reports using glucometer
(Found)
Pro Tip: Tina’s response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.
Example Question:
Do you use a glucometer?
Finding:
Reports blood sugar number is usually around 90
(Found)
Pro Tip: Tina’s response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.
Example Question:
What is your average blood sugar number?
Finding:
Reports having adequate supplies
(Found)
Pro Tip: Tina’s response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.
Example Question:
Do you have enough supplies to monitor your blood glucose?

Finding:
Asked about asthma symptoms

Finding:
Denies change in asthma symptoms
(Found)
Pro Tip: It is important to determine the severity of Tina’s asthma, as a worsening conditions indicates a need for further treatment.
Example Question:
Has your asthma changed at all?
Finding:
Reports belief that asthma is well-controlled
(Found)
Pro Tip: It is important to determine Tina’s perception of her asthma, as it may indicate a worsening condition that needs to be addressed.
Example Question:
Do you think your asthma is under control?
Finding:
Denies current asthma symptoms
(Found)
Pro Tip: It is important to solicit information about Tina’s current asthma symptoms, as this will allow you gain an up-to-date picture of her condition.
Example Question:
Do you have any difficulty breathing?
Finding:
Reports last use of Proventil inhaler was yesterday
(Found)
Pro Tip: Determining the last time Tina used her inhaler will help you gain an up-to-date picture of her condition and determine the efficacy of her current medication.
Example Question:
When was the last time you used your inhaler?

Finding:
Asked about vision

Finding:
Reports optometrist visit
(Found)
Pro Tip: Asking Tina if she has been to an eye doctor will indicate the degree to which she’s seen her vision as something that has needed medical attention.
Example Question:
Have you been to an eye doctor?
Finding:
Reports last optometrist visit was 3 months ago
(Found)
Pro Tip: Asking Tina when she last saw an eye doctor will indicate the degree to which she’s seen her vision as something that has needed medical attention.
Example Question:
When did you go to the eye doctor?
Finding:
Reports recently prescribed eyeglasses
(Found)
Pro Tip: Determining any outcomes from Tina’s last optometrist visit is important, as it may reveal treatments that you should follow-up on.
Example Question:
Did you get prescription eyeglasses?
Finding:
Reports that glasses improve overall vision
(Found)
Pro Tip: Once you uncover that Tina has recently been prescribed eyeglasses, it is important to follow-up on any effects, both positive and negative, that she may have noticed.
Example Question:
How do you like your glasses?

Finding:
Asked about reproductive system

Finding:
Reports last menstrual period was 2 weeks ago
(Found)
Pro Tip: Finding out when a patient’s LMP was indicates whether she might be pregnant (although this question alone can’t rule out pregnancy).
Example Question:
When was your last menstrual period?
Finding:
Reports menstrual cycle is normal
(Found)
Pro Tip: Asking about the frequency and duration of a patient’s periods, as well as the severity of cramps and heaviness of flow, will help you understand what it typical for the patient. Abnormalities may also point to underlying issues that should be addressed.
Example Question:
Is there anything unusual about your menstrual cycle?
Finding:
Reports rare cramping
(Found)
Pro Tip: Asking a patient for her subjective report on the heaviness of her cramps will help you understand her feelings about her menstrual symptoms.
Example Question:
Do you still have menstrual cramps?

Finding:
Asked about breast health

Finding:
Reports doing occasional breast exams
(Found)
Pro Tip: Asking if a patient perform breast self-examinations is important because it reveals a patient’s level of health literacy.
Example Question:
Do you perform breast self-exams?
Finding:
Denies having a mammogram
(Found)
Pro Tip: Inquiring into what breast screenings Tina has had can lead to a discussion about any test results and their implications for her cardiovascular health. If she has not had any screenings, it provides an opportunity for patient education.
Example Question:
Have you ever gotten a mammogram?
Finding:
Denies changes to breasts
(Found)
Pro Tip: It is important to determine any recent changes to breast, such as swelling, rashes, lumps, or nipple discharge, as it could be indicative of a serious underlying condition.
Example Question:
Have you noticed any changes to your breasts?
Finding:
Denies history of breast cancer
(Found)
Pro Tip: If a patient has a history of breast cancer, it is important that you look for signs of recurrence and engage in preventative care, as well as patient education. You may also need to provide further support and resources to the patient.
Example Question:
Do you have a history of breast cancer?

Finding:
Asked about weight changes

Finding:
Reports recent weight loss
(Found)
Pro Tip: Weight changes can be indicative of underlying health problems or an unhealthy lifestyle. Asking Tina if she’s lost weight might indicate recent changes in health.
Example Question:
Have you lost weight?
Finding:
Reports weight loss of about 10 pounds
(Found)
Pro Tip: Determining the exact amount of weight loss can indicate whether it’s within expected ranges, or extreme, which may indicate an underlying health problem.
Example Question:
How much weight did you lose?

Psychosocial History

Finding:
Asked about diet

Finding:
Reports a typical breakfast is smoothie with probiotic yogurt or egg on wheat toast with probiotic yogurt
(Found)
Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be particularly informative. Asking Tina what she typically has for breakfast will illustrate her recent dietary patterns.
Example Question:
What is your typical breakfast?
Finding:
Reports a typical lunch is dinner leftovers or tuna or chicken sandwich on wheat bread
(Found)
Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be particularly informative. Asking Tina what she typically has for lunch will illustrate her recent dietary patterns.
Example Question:
What is your typical lunch?
Finding:
Reports a typical dinner is vegetables with a protein and brown rice or quinoa
(Found)
Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be particularly informative. Asking Tina what she typically has for dinner will illustrate her recent dietary patterns.
Example Question:
What is your typical dinner?
Finding:
Reports a typical snack is carrot sticks or an apple
(Found)
Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be particularly informative. Asking Tina what she typically has for a snack will illustrate her recent dietary patterns.
Example Question:
What is a typical snack?

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Finding:
Asked about caffeine intake

Finding:
Denies drinking coffee
(Found)
Pro Tip: Finding out specifically if a patient drinks coffee helps you understand what constitutes her typical caffeine intake.
Example Question:
Do you drink coffee?
Finding:
Reports only caffeine is diet Coke
(Found)
Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be particularly informative. Asking Tina if she drinks soda will illustrate her recent dietary patterns.
Example Question:
Do you drink soda?
Finding:
Reports drinking 2 diet Cokes per day
(Found)
Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be particularly informative. Asking Tina how many diet cokes she drinks a day will illustrate her recent dietary patterns.
Example Question:
How much soda do you drink a day?

Finding:
Asked about alcohol intake

Finding:
Reports drinking 2-3 nights per month
(Found)
Pro Tip: Finding out how many nights per week/month your patient consumes alcohol gives insight into potential habits or abuse.
Example Question:
How many nights a month do you drink?
Finding:
Reports having 2 or 3 drinks when out with friends
(Found)
Pro Tip: Finding out how many alcoholic drinks a patient has in a single sitting is essential to uncover any binge-drinking habits that can be unhealthy for your patient.
Example Question:
How many drinks do you have in a sitting?

Finding:
Asked about tobacco use

Finding:
Denies tobacco use
(Found)
Pro Tip: Finding out if a patient uses tobacco products is important to understanding her overall health and identifying potential health risks.
Example Question:
Do you smoke?
Finding:
Denies vaping
(Found)
Pro Tip: Finding out if a patient uses tobacco products or inhales substances is important to understanding her overall health and identifying potential health risks.
Example Question:
Do you vape?

Finding:
Asked about illicit drugs

Finding:
Reports history of smoking recreational marijuana
(Found)
Pro Tip: Determining any recent or past history of drug use is essential to revealing any substance abuse issues, and if the patient is likely to seek drugs while admitted. It is also good practice to identify the purpose of drug use, such as recreation or pain management.
Example Question:
Do you smoke marijuana?

Finding:
Asked about exercise

Finding:
Reports walking for exercise
(Found)
Pro Tip: Exercise, in addition to diet, is a key part of physical and mental health. Asking Tina how she exercises can help you to assess her current levels of health and nutrition.
Example Question:
What kind of exercise do you do?
Finding:
Reports swimming for exercise
(Found)
Pro Tip: Exercise, in addition to diet, is a key part of physical and mental health. Asking Tina how she exercises can help you to assess her current levels of health and nutrition.
Example Question:
How do you exercise?
Finding:
Reports walking four or five times a week
(Found)
Pro Tip: Exercise, in addition to diet, is a key part of physical and mental health. Asking Tina how many days a week she exercises can help you to assess her current levels of health and nutrition.
Example Question:
How many days a week do you exercise?
Finding:
Reports that a typical walk is thirty or forty minutes
(Found)
Pro Tip: Exercise, in addition to diet, is a key part of physical and mental health. Asking Tina how long her walks are can help you to assess her current levels of health and nutrition.
Example Question:
How long are your walks?
Finding:
Reports swimming weekly
(Found)
Pro Tip: Exercise, in addition to diet, is a key part of physical and mental health. Asking Tina what exercise she does can help you to assess her current levels of health and nutrition.
Example Question:
What exercise do you do?

Finding:
Asked about sexual activity

Finding:
Denies sexual activity
(Found)
Pro Tip: Asking if Tina is currently sexually active will help you determine is she is practicing safe sex and has any potential health risks.
Example Question:
Are you sexually active right now?

Finding:
Asked about mental health

Finding:
Denies mental health issues
(Found)
Pro Tip: Asking about a patient’s mental health is important for understanding their overall well-being. It may also reveal problems not covered elsewhere in the exam.
Example Question:
Do you have any mental health problems?

Review of Systems

Finding:
Asked about constitutional health

Finding:
Denies fatigue
(Found)
Pro Tip: Asking Tina if she experiences unusual fatigue will help you better understand her general health.
Example Question:
Are you fatigued?
Finding:
Denies fever
(Found)
Pro Tip: Asking Tina if she experiences fevers will help you better understand her general health.
Example Question:
Have you had fevers?
Finding:
Denies chills
(Found)
Pro Tip: Asking Tina if she experiences chills will help you better understand her general health.
Example Question:
Have you had chills?
Finding:
Denies current sleep issues
(Found)
Pro Tip: Asking Tina if she experiences sleep issues will help you better understand her general health.
Example Question:
Do you sleep well?
Finding:
Denies night sweats
(Found)
Pro Tip: Asking Tina if she experiences night sweats will help you better understand her general health.
Example Question:
Have you had night sweats?
Finding:
Denies swelling
(Found)
Pro Tip: Asking Tina if she experiences swelling will help you better understand her general health.
Example Question:
Do you have swelling?

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Finding:
Asked about HEENT

Finding:
Denies general HEENT issues
(Found)
Pro Tip: Broad, open questions about HEENT systems will allow Tina to describe, in her own words, any specific head conditions and symptoms that she is experiencing.
Example Question:
Have you noticed any problems with your head?

Finding:
Asked about review of systems for respiratory

Finding:
Denies current breathing problems
(Found)
Pro Tip: Determining if Tina has any current breathing problems is important for assessing her respiratory health and providing quality patient care.
Example Question:
Have you had breathing problems?
Finding:
Reports occasional shortness of breath
(Found)
Pro Tip: Determining if Tina has any current breathing problems is important for assessing her respiratory health and providing quality patient care.
Example Question:
Have you had shortness of breath?
Finding:
Reports occasional wheezing
(Found)
Pro Tip: Determining if Tina experiences wheezing is important for assessing her respiratory health and providing quality patient care.
Example Question:
Have you been wheezing?
Finding:
Reports occasional chest tightness
(Found)
Pro Tip: Determining if Tina experiences chest tightness is important for assessing her respiratory health and providing quality patient care.
Example Question:
Have you had chest tightness?
Finding:
Denies pain while breathing
(Found)
Pro Tip: Determining if Tina experiences pain while breathing is important for assessing her respiratory health and providing quality patient care.
Example Question:
Does it hurt when you breathe?
Finding:
Denies coughing
(Found)
Pro Tip: Determining if Tina has abnormal, persistent, or recurring coughs is important for assessing her respiratory health and providing quality patient care.
Example Question:
Have you been coughing?

Finding:
Asked about review of systems for cardiovascular

Finding:
Denies cardiovascular issues
(Found)
Pro Tip: Broad questions about the cardiovascular system will enable the patient to express any symptoms, concerns, or conditions concerning that she may have.
Example Question:
Do you have any heart problems?

Finding:
Asked review of systems for gastrointestinal

Finding:
Denies gastrointestinal issues
(Found)
Pro Tip: Broad questions about the gastrointestinal system will enable the patient to express any symptoms, concerns, or conditions that she may have.
Example Question:
Have you had any stomach or bowel problems?

Finding:
Asked review of systems for genitourinary

Finding:
Denies genitourinary issues
(Found)
Pro Tip: Broad questions about the genitourinary system will enable the patient to express any symptoms, concerns, or conditions that she may have.
Example Question:
Have you experienced any urinary problems?

Finding:
Asked review of systems for musculoskeletal

Finding:
Denies musculoskeletal issues
(Found)
Pro Tip: When doing a review of the musculoskeletal system, you will want to ask about general symptoms that will allow Tina to describe, in her own words, any specific bone or muscle problems that she is experiencing.
Example Question:
Do you have any bone problems?

Finding:
Asked review of systems for neurological

Finding:
Denies neurological issues
(Found)
Pro Tip: When doing a review of the neurological system, you will want to ask about general symptoms that will allow Tina to describe, in her own words, any specific neurological problems that she is experiencing.
Example Question:
Have you experienced any neurological problems?

Finding:
Asked review of systems for skin, hair and nails

Finding:
Denies integumentary issues NRS 434 Shadow Health: Comprehensive Assessment

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me: 
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Collaborative Learning Community: Health Promotion Presentation

• As a group, develop a 12-15 slide PowerPoint presentation that addresses a childhood disease or illness (infectious, noncontiguous, or congenital) seen in the adult population.
  1. Examples of such diseases include:
     1. Sickle cell anemia
     2. Cystic fibrosis
• Tay Sachs

1. Juvenile diabetes (Type I)
2. Juvenile rheumatoid arthritis
3. Hemophilia, congenital heart disease
4. Examples of vaccine preventable adult diseases include:
   1. Diphtheria tetanus
   2. Pertussis

• Rubella

1. Measles
2. Mumps

• Include the following in the presentation:
  1. A clinical description and definition of the disease or illness.
  2. Pathophysiology and history of the disease or illness.
  3. An explanation of the impact of this disease/condition on adults to the health care system and nursing practice.
  4. A description of the impact of this disease or illness during childhood.
  5. A description of the impact of this disease in adults. Explain why adults live into adulthood with this childhood condition or why adults would contract this childhood illness during adulthood.
  6. A validation of the health problem with demographic and health statistics, including citations of sources.
• Evaluate how this disease or illness impacts the adult client in the following areas:
  1. Mentally and emotionally.
  4. Economically, specifically as it relates to the ability to access health insurance and health care.
  5. Susceptibility to engage in substance abuse.
  6. Prenatal care and childbearing.
  7. Occupational considerations and hazards.
  8. Ability to cope with stress.
• Develop a care plan that addresses the following:
  1. Identify expected outcomes for an adult client living with this childhood condition.
  2. Develop health screening, health promotion, health interventions, and education for adults with this condition.
  3. Identify a comprehensive set of relevant resources, both community and national, for adults with this condition. Provide description of resources.
• Post the assignment to the main forum as directed by the instructor.

1. Respond to other learners’ posts in a manner that initiates or contributes to discussion.
2. Each person should make at least three substantive comments.

Related FAQs

1. What is included in a comprehensive health assessment?

A comprehensive health assessment gives nurses insight into a patient’s physical status through observation, the measurement of vital signs and self-reported symptoms. It includes a medical history, a general survey and a complete physical examination.

2. What is the difference between a focused and a comprehensive assessment?

Comprehensive health assessments include the patient’s history, a physical examination, and vital signs. This is used frequently during regular health visits and preventative care situations. Focused health assessments are more detailed assessments that relate to a current medical condition or patient complaint.

3. What is a comprehensive initial assessment?

An Initial Comprehensive Assessment describes in detail the client’s medical, physical and psychosocial condition and needs. It identifies service needs being addressed and by whom; services that have not been provided; barriers to service access; and services not adequately coordinated.

4. What are the four basic types of health assessment?

WHEN YOU PERFORM a physical assessment, you’ll use four techniques: inspection, palpation, percussion, and auscultation. Use them in sequence—unless you’re performing an abdominal assessment.

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https://thestudycorp.com/pharmacokinetics-and-pharmacodynamics/