NSG 516 Neurological Shadow Health 2 Complete Solution
Advanced Health Assessment - Spring 2019, NSG516 Online
Return to Assignment
Experience
... [Show More] Overview
Patient: Tina Jones
Digital Clinical Experience Score
100%
Student Performance Index
59 out of 61
Proficiency Level: Proficient
Beginning Developing Proficient
Students rated as “proficient” demonstrate an entrylevel expertise in advanced practice competencies and
clinical reasoning skills. In comparable programs, the
top 25% of students perform at the level of a proficient
practitioner.
This score measures your performance on the Student
Performance Index in relation to other students in
comparable academic programs. Your instructor has
chosen to scale your Student Performance Index score
so that the average score on the index is a 87.0%. This
score may not be your final grade if your instructor
Subjective Data
Collection
20 out of 20
Education and Empathy
2 out of 4
Objective Data Collection
37 out of 37
chooses to include additional components, such as
documentation or time spent. Time
67 minutes total spent in assignment
Interaction with patient
56 minutes
Post-exam activities
11 minutes
Objective Data Collection: 37 of 37 (100%)
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Self-Reflection
Correct
Partially correct
Incorrect
Missed
Confirmed orientation 1 of 1 point
To Person (1/3 point) To Place (1/3 point)
Oriented to person
Not oriented to person
Oriented to place
Not oriented to place
To Time (1/3 point)
Oriented to time
Not oriented totime
Evaluated abstract thinking 1 of 1 point
Abstractness (1/2 point) Relevance (1/2 point)
Abstract
Concrete
Relevant
Not relevant
Evaluated attention span 1 of 1 point
Serial 7s Test (1/1 point)
Accurate
Not accurate
Evaluated comprehension 1 of 1 point
Observations (1/1 point)
Able to follow instructions
Unable to follow instructions
Evaluated general knowledge 1 of 1 point
Accuracy (1/1 point)
Accurate
Not accurate
Evaluated judgment 1 of 1 point
Observations (1/1 point)
Not intact
Evaluated memory 1 of 1 point
Remote Memory (1/3 point) Immediate Memory (1/3 point)
Intact
Not intact
Intact
Not intact
New Learning Ability (1/3 point)
Accurate
Not accurate
Observed vocabulary 1 of 1 point
Complexity (1/1 point)
Expected complex for patient's age, education
level, and general ability
Not expected complexity
Observed articulation 1 of 1 point
Observations (1/1 point)
No observed problems with pronunciation or
expression
Imprecise pronunciation of consonants
Slurring
Hesitation
Stutter
Tested olfactory nerve 1 of 1 point
Sense Of Smell (1/2 point) Symmetric (1/2 point)
Able to discriminate
Not able to discriminate
Symmetric bilaterally
Asymmetric
Tested visual acuity (optic nerve) 1 of 1 point
Right (1/2 point) Left (1/2 point)
20/100
20/70
20/50
20/40
20/30
20/25
20/20
20/15
20/10
20/100
20/70
20/50
20/40
20/30
20/25
20/20
20/15
20/13
20/10
Examined retina with ophthalmoscope (optic nerve) 1 of 1 point
Right: Fundus (1/4 point) Right: Disc Margin (1/4 point)
No visible abnormal findings
Myelinated nerve fibers
Papilledema
Glaucomatous cupping
Drusen bodies
Cotton wool bodies
Hemorrhage
Sharp
Blurred
Left: Fundus (1/4 point) Left: Disc Margin (1/4 point)
No visible abnormal findings
Myelinated nerve fibers
Papilledema
Glaucomatous cupping
Drusen bodies
Cotton wool bodies
Hemorrhage
Sharp
Blurred
Inspected pupils (optic and oculomotor nerves) 1 of 1 point
Observations With Penlight (1/1 point)
No visible abnormal findings (PERRL)
Unequal
Irregular
Miosis
Mydriasis
Non-reactive to light
Tested extraocular eye movements (extraocular movements:
oculomotor, trochlear, abducens nerves)
1 of 1 point
Cardinal Fields (1/2 point) Convergence (1/2 point)
No visible abnormal findings
Nystagmus
Fixed pupil
No visible abnormal findings
Unequal bilaterally
Fixed pupil
Tested facial sensation (trigeminal nerve) 1 of 1 point
Observations (1/1 point)
Intact
Unable to feel dull stimulus
Unable to feel sharp stimulus
Unable to feel soft stimulus
Inspected head and face (facial nerve) 1 of 1 point
Skull Symmetry (1/2 point) Facial Feature Symmetry (1/2 point)
Symmetric
Asymmetric
Symmetric
Asymmetric
Performed Weber test (auditory nerve) 1 of 1 point
Results (1/1 point)
Normal
Conductive or sensorineural loss
Performed Rinne test (auditory nerve) 1 of 1 point
Right (1/2 point) Left (1/2 point)
Normal
Conductive loss
Normal
Conductive loss
Tested gag reflex (glossopharyngeal, vagus nerves) 1 of 1 point
Observations (1/1 point)
Intact
Absent
Hypersensitive
Tested shoulder shrugging (accessory nerve) 1 of 1 point
Observations (1/2 point) Strength (1/2 point)
Symmetric
Asymmetric
0 - No evidence of movement
1 - Trace of movement
2 - Full range of motion with passive movement
only
3 - Full range of motion against gravity, with no
resistance
4 - Full but weak range of motion against gravity,
with some resistance
5 - Full range of motion against gravity, with
resistance
Tested neck strength (accessory nerve) 1 of 1 point
Strength (1/1 point)
0 - No evidence of movement
1 - Trace of movement
2 - Full range of motion with passive movement
only
3 - Full range of motion against gravity, with no
resistance
4 - Full but weak range of motion against gravity,
with some resistance
5 - Full range of motion against gravity, with
resistance
Inspected tongue (hypoglossal nerve) 1 of 1 point
Symmetry (1/2 point) Observations (1/2 point)
Symmetric
Asymmetric
No visible abnormal findings
Fasciculations
Deviation from midline
Atrophy
Tested deep tendon reflexes in triceps 1 of 1 point
Right (1/2 point) Left (1/2 point)
0 - No response
1 - Diminished
2 - Expected (active)
3 - Hyperactive
4 - Hyperactive, with clonus
0 - No response
1 - Diminished
2 - Expected (active)
3 - Hyperactive
4 - Hyperactive, with clonus
Tested deep tendon reflexes in biceps 1 of 1 point
Right (1/2 point) Left (1/2 point)
0 - No response
1 - Diminished
2 - Expected (active)
3 - Hyperactive
4 - Hyperactive, with clonus
0 - No response
1 - Diminished
2 - Expected (active)
3 - Hyperactive
4 - Hyperactive, with clonus
Tested deep tendon reflexes in brachioradialis 1 of 1 point
Right (1/2 point) Left (1/2 point)
0 - No response
1 - Diminished
2 - Expected (active)
3 - Hyperactive
4 - Hyperactive, with clonus
0 - No response
1 - Diminished
2 - Expected (active)
3 - Hyperactive
4 - Hyperactive, with clonus
Tested deep tendon reflexes in patellar tendon 1 of 1 point
Right (1/2 point) Left (1/2 point)
0 - No response
1 - Diminished
2 - Expected (active)
3 - Hyperactive
4 - Hyperactive, with clonus
0 - No response
1 - Diminished
2 - Expected (active)
3 - Hyperactive
4 - Hyperactive, with clonus
Tested deep tendon reflexes in Achilles tendon 1 of 1 point
Right (1/2 point) Left (1/2 point)
0 - No response
1 - Diminished
2 - Expected (active)
3 - Hyperactive
4 - Hyperactive, with clonus
0 - No response
1 - Diminished
2 - Expected (active)
3 - Hyperactive
4 - Hyperactive, with clonus
Tested point-to-point movements: Finger to nose 1 of 1 point
Right (1/2 point) Left (1/2 point)
Smooth and accurate
Jerky
Inaccurate
Smooth and accurate
Jerky
Inaccurate
Tested point-to-point movements: Heel to shin 1 of 1 point
Right (1/2 point) Left (1/2 point)
Smooth and accurate
Jerky
Inaccurate
Smooth and accurate
Jerky
Inaccurate
Tested coordination with rapid alternating hand movements 1 of 1 point
Observations (1/1 point)
Able to perform without difficulty
Performs but with difficulty
Unable to perform
Observed gait 1 of 1 point
Balance (1/2 point) Gait (1/2 point)
Steady
Unsteady
Continuous, symmetric steps
Discontinuous steps
Asymmetric steps
Stagger
Swaying
Hesitancy due to injury
Use of arms
Tested graphesthesia 1 of 1 point
Right (1/2 point) Left (1/2 point)
Able to identify Able to identify
Unable to identify Unable to identify
Tested sensation in arms 1 of 1 point
Right: Dull Touch (1/6 point) Left: Dull Touch (1/6 point)
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Right: Soft Touch (1/6 point) Left: Soft Touch (1/6 point)
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Right: Sharp Touch (1/6 point) Left: Sharp Touch (1/6 point)
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Tested sensation in legs 1 of 1 point
Right: Dull Touch (1/6 point) Left: Dull Touch (1/6 point)
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Right: Soft Touch (1/6 point) Left: Soft Touch (1/6 point)
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Right: Sharp Touch (1/6 point) Left: Sharp Touch (1/6 point)
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Expected sensation in proximal and distal
Decreased proximal sensation
Decreased distal sensation
Tested sensation in feet 1 of 1 point
Right (1/2 point) Left (1/2 point)
Expected sensation
Decreased sensation
Expected sensation
Decreased sensation
Tested position sense 1 of 1 point
Fingers (1/2 point)
Intact
Not intact
Toes (1/2 point)
Intact
Not intact
Tested stereognosis 1 of 1 point
Right (1/2 point) Left (1/2 point)
Able to identify
Unable toidentify
Able to identify
Unable toidentify
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
© Shadow Health® 2018 [Show Less]