NURS 6512 Week 7 Focused Exam Chest Pain Brian Foster ResultsNURS 6512 Week 7 Focused Exam: Chest Pa

---

NURS 6512 Week 7 Focused Exam Chest Pain Brian Foster Results

NURS 6512 Week 7 Focused Exam: Chest Pain Brian Foster Results

Experience Overview

Patient: Brian Foster

Digital Clinical Experience Score

99.1%

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 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent.

CLICK HERE TO ORDER SHADOW HEALTH ASSESSMENTS

Student Performance Index

67

out of

69 

Proficiency Level:

Proficient

• Beginning
• Developing
• Proficient

Students rated as “proficient” demonstrate an entry-level 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.

Subjective Data Collection

30

out of

30

Objective Data Collection

31

out of

33

Education and Empathy

6

out of

6   

Time

602 minutes total spent in assignment

Interaction with patient

602 minutes

Transcript

Started: Oct 05, 2020 | Total Time: 602 minAll Lines (349)Interview Questions (133)Statements (42)Exam Actions (174) Hi Mr Foster, My name is , I am going to examine you today.

Greet
10/05/20 1:18 PM MDT

Good morning. What brought you here today ?

Question
10/05/20 1:18 PM MDT

I have been having some troubling chest pain in my chest now and then for the past month. Oh I’m sorry to hear that, it should be very uncomfortable to have that pain for a whole month.

Empathize
10/05/20 1:22 PM MDT

Thanks. I appreciate that. ? (No matching questions found.)

Question
10/05/20 1:22 PM MDT

What is the onset of your pain ?

Question
10/05/20 1:23 PM MDT

I first noticed it earlier this month. I thought it might just be heartburn and it passed after about a couple of minutes. What is the exact location of the pain ?

Question
10/05/20 1:24 PM MDT

When the pain happens, I feel it mostly in the middle of my chest, over my heart. When did you chest pain start ?

Question
10/05/20 1:25 PM MDT

I first noticed it earlier this month. I thought it might just be heartburn and it passed after a couple of minutes. What is the exact location of the pain ?

Question
10/05/20 1:25 PM MDT

When the pain happens, I feel it mostly in the middle of my chest, over my heart. Sorry to hear that

Empathize
10/05/20 1:26 PM MDT

Thanks. I appreciate that. Easter pain radiates anywhere ? (Clarified to Is your pain radiating?.)

Question
10/05/20 1:26 PM MDT

The pain doesn’t radiate anywhere. It’s mostly just right in the middle of my chest. (Clarified to if the pain is radiating.) If your arm hurts (Clarified to Do you have pain in your arm?.)

Question
10/05/20 1:26 PM MDT

No, when I am having the chest pain, it’s mostly just in middle of my chest. (Clarified to if I have pain in my arm.) Do you have a pain in your shoulder ?

Question
10/05/20 1:27 PM MDT

No, the pain hasn’t been in my shoulder. Do you have a back pain ?

Question
10/05/20 1:27 PM MDT

I haven’t had back pain, no. Can you tell me the duration of the pain ? (No matching questions found.)

Question
10/05/20 1:28 PM MDT

Can you describe the duration of the pain ? (Clarified to Can you tell me what the pain is like?.)

Question
10/05/20 1:28 PM MDT

Well, it mostly feels tight and uncomfortable right in the middle of my chest. (Clarified to if I can tell you what the pain is like.) How often pain occurs ? (Clarified to How often do you have pain?.)

Question
10/05/20 1:29 PM MDT

Well, it has happened three times the past month. It usually goes away after about a couple of minutes. (Clarified to how often I have pain.) Can you describe your pain from 0 to 10 scale ?

Question
10/05/20 1:29 PM MDT

I’d say maybe a . . . 5? It’s just really uncomfortable . . . like there’s nothing I can do about it. Right now it’s like a zero though. Sorry to hear that

Empathize
10/05/20 1:30 PM MDT

Thanks. I appreciate that. Can you describe your pain ?

Question
10/05/20 1:31 PM MDT

Well, it mostly feels tight and uncomfortable right in the middle of my chest. ASA pain crashing ? (Clarified to Do you take aspirin?.)

Question
10/05/20 1:31 PM MDT

I usually just take Tylenol or ibuprofen. (Clarified to if I take aspirin.) What is the dosage of Tylenol are you taking ?

Question
10/05/20 2:35 PM MDT

Just whatever the bottle recommends for an adult. What is the dosage of ibuprofen you taking ? (Clarified to What is the strength of the ibuprofen you take?.)

Question
10/05/20 2:35 PM MDT

Just whatever the bottle recommends for an adult. (Clarified to What strength ibuprofen I take.) Is it Tylenol helps ?

Question
10/05/20 2:35 PM MDT

Just a couple when I get a headache, which is not very often. How often do you take Tylenol ?

Question
10/05/20 2:36 PM MDT

I took some today . . . maybe every couple days for mild pain. What is the reason you’re taking ibuprofen ?

Question
10/05/20 2:36 PM MDT

Just when I need it for various aches and pains. Probably not more than 3 or 4 times a month. Where else do you have a pain ?

Question
10/05/20 2:36 PM MDT

No, when I am having the chest pain, it’s mostly just in middle of my chest. Do you have a pain somewhere else in your body ?

Question
10/05/20 2:37 PM MDT

No, when I am having the chest pain, it’s mostly just in middle of my chest. What is the aggravating factors ? (Clarified to Are there any aggravating factors?.)

Question
10/05/20 2:37 PM MDT

Well, the pain seems to start when I’m doing something physical . . . the first time it happened while I was doing yard work, and the second time . . . I had to take the stairs at work because the elevator broke. Both times it got better if I took a break or sat down to rest. (Clarified to if there are aggravating factors.) What activity triggers pain ?

Question
10/05/20 2:39 PM MDT

If I’m up and moving around I definitely notice it more and it makes me feel like I should sit down and take a deep breath or something. He’s a pain worse when you eat ?

Question
10/05/20 2:40 PM MDT

I don’t think eating has anything to do with it. One episode did happen when my wife and I were out for dinner, but it seemed to happen before we even settled. The episodes don’t seem all that related, to be honest. It can be a lot of triggers in your diet which would aggravate and trigger your pain Mr.Foster.

Educate
10/05/20 2:43 PM MDT

Good to know. Thank you. Do you like spicy food ?

Question
10/05/20 2:43 PM MDT

Sure, I like spicy food. I don’t eat it very often, though. Maybe once or twice a month. Do you like high-fat food ? (Clarified to Do fatty foods cause the pain?.)

Question
10/05/20 2:44 PM MDT

I don’t think that has anything to do with it, but I guess I don’t know. (Clarified to if fatty foods cause the pain.) What relieves your pain ?

Question
10/05/20 2:44 PM MDT

I’m not sure. I think lying still seems to help a little. Take anything for chest pain ?

Question
10/05/20 2:46 PM MDT

No, not yet. Do you take medication for hypertension ?

Question
10/05/20 2:46 PM MDT

I take metoprolol, yes. [AUDIO COMING SOON] Is a dosage of Metoprolol ? (Clarified to What dose of Lopressor do you take?.)

Question
10/05/20 2:47 PM MDT

I think it’s 100 mg, once a day. (Clarified to what dose of Lopressor I take.) Do you take any medication for hyperlipidemia ?

Question
10/05/20 2:47 PM MDT

I take atorvastatin. [AUDIO COMING SOON] What is the dosage of atorvastatin are you taking ?

Question
10/05/20 2:48 PM MDT

I think it’s twenty milligrams a day. Do you take over-the-counter medications ?

Question
10/05/20 2:48 PM MDT

Oh, just ibuprofen or Tylenol occasionally for pain. Do you take any supplements ?

Question
10/05/20 2:48 PM MDT

I take fish oil, that’s it. How frequently you take medication for hyperlipidemia ? (Clarified to Do you take cholesterol medication?.)

Question
10/05/20 2:49 PM MDT

I take atorvastatin. [AUDIO COMING SOON] (Clarified to if I take cholesterol medication.) How often do you take atorvastatin ?

Question
10/05/20 2:50 PM MDT

I take them daily. I’m pretty good about following the doctor’s orders. When have you been diagnosed with high blood pressure ?

Question
10/05/20 2:51 PM MDT

Yes, I supposedly have moderately high blood pressure. When you started to take metoprolol ?

Question
10/05/20 2:51 PM MDT

I think it’s been about one year. When have you been diagnosed with hyperlipidemia ? (Clarified to Do you have an anxiety disorder?.)

Question
10/05/20 2:51 PM MDT

I’ve never had any anxiety problems before. [AUDIO COMING SOON] (Clarified to if I have an anxiety disorder.) When have you been diagnosed with hyperlipidemia ? (Clarified to Are you diagnosed with high blood pressure?.)

Question
10/05/20 2:52 PM MDT

Yes, I supposedly have moderately high blood pressure. (Clarified to if I have been diagnosed with hypertension.) I’m sorry to hear that

Empathize
10/05/20 2:52 PM MDT

Thanks. I appreciate that. Do you do exercise ?

Question
10/05/20 2:53 PM MDT

Well I used to ride my bike a lot but it got stolen a couple years ago. I guess I haven’t had much regular exercise since then. I want to get a new bike if the doctor says it is OK to exercise with this chest pain I’ve been having. I’m sorry to hear that your bike was stolen

Empathize
10/05/20 2:53 PM MDT

Thanks. I appreciate that. When did the exercise last time ?

Question
10/05/20 2:53 PM MDT

Well I used to ride my bike a lot but it got stolen a couple years ago. I guess

---

Solution: