John Larsen Anxiety shadow health Objective Data

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John Larsen Anxiety shadow health Objective Data

Objective Data Collection: 26.05 of 27 (96.48%)

 Correct

 Partially correct

 Incorrect

 Missed

 Assessed Vitals

0.8 of 1 point

Temperature 
(1/5 point)

 Normothermic

 Hyperthermic

 Hypothermic

Blood Pressure 
(No point)

 Normotensive

 Hypertensive

 Hypotensive

Heart Rate 
(1/5 point)

 Normal

 Tachycardic

 Bradycardic

John Larsen Anxiety shadow health Objective Data

Respiratory Rate 
(1/5 point)

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 Normal

 Tachypnea

 Bradypnea

O2 Saturation 
(1/5 point)

 Normal

 Hypoxemia

 Inspected Legs

1 of 1 point

Right: Edema 
(1/2 point)

 No edema

 Pitting

 Non-pitting

Left: Edema 
(1/2 point)

 No edema

 Pitting

 Non-pitting

 Auscultated Carotid Arteries

1 of 1 point

Right 
(1/2 point)

 No bruit

 Bruit

Left 
(1/2 point)

 No bruit

 Bruit

 Auscultated Breath Sounds

0.5 of 1 point

Breath Sounds 
(No point)

 Clear in all areas

 Diminished in some areas

 Absent in some areas

Adventitious Sounds 
(1/2 point)

 No adventitious sounds

 Wheezing

 Fine crackles

 Stridor

 Rhonchi

 Rales

 Auscultated Heart Sounds

1 of 1 point

Heart Sounds 
(1/3 point)

 S1 and S2 audible

 S1, S2, and S3 audible

 S1, S2, and S4 audible

 S1, S2, S3, and S4 audible

Extra Heart Sounds 
(1/3 point)

 No extra sounds

 Gallops

 Murmur

 Friction rub

 Valve clicks

Rate And Rhythm 
(1/3 point)

 Regular rate and rhythm

 Irregular rate

 Arrhythmia

 Palpated Carotid Arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No thrill

 Thrill

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated Radial Arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No Thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No Thrill

 Thrills

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated Brachial Arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No Thrill

 Thrills

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No Thrill

 Thrills

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated Femoral Arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No thrill

 Thrill

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated Popliteal Arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No thrill

 Thrill

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated Tibial Arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No Thrill

 Thrills

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No Thrill

 Thrills

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated Dorsalis Pedis Arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No Thrill

 Thrills

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No Thrill

 Thrills

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

John Larsen Anxiety shadow health Objective Data

 Performed EKG

1 of 1 point

Sinus Rhythm 
(1/2 point)

 Regular

 Irregular

St Changes 
(1/2 point)

 No ST changes present

 ST changes present

 Assessed Labs

1 of 1 point

Drug Screen Results 
(1/2 point)

 Positive for substances

 Negative for substances

Thyroid Function Tests 
(1/2 point)

 Both levels within normal ranges

 Thyroxine-binding globulin elevated

 Thyroxine-binding globulin low

 Thyroid-stimulating hormone (TSH) elevated

 Thyroid-stimulating hormone (TSH) low

 Assessed General Appearance

0.75 of 1 point

Eye Contact 
(1/4 point)

 Direct eye contact

 Indirect or no eye contact

Posture 
(No point)

 Upright posture without tension or rigidity

 Bent or hunched posture, tension, or rigidity

Clothing 
(1/4 point)

 Clean clothing, appropriate to age, fit, season, and occasion

 Dirty, disheveled, or inappropriate to age, fit, season, or occasion

John Larsen Anxiety shadow health Objective Data

Grooming 
(1/4 point)

 Demonstrates an appropriate level of grooming

 Signs indicating lack of grooming or self-care

 Assessed Attitude Toward Medical Staff

1 of 1 point

Attitude Toward Medical Staff 
(1/1 point)

 Generally open and cooperative

 Generally suspicious, guarded, or evasive

 Assessed Speech

1 of 1 point

Rate 
(1/3 point)

 Demonstrates appropriate or expected rate of speech

 Excessively slow or rapid rate of speech

Volume 
(1/3 point)

 Demonstrates appropriate or expected speech volume

 Excessively loud or soft speech volume

Articulation 
(1/3 point)

 No appreciable issues with articulation

 Issues with articulation, slurring, or stutters

 Assessed Mood and Affect

1 of 1 point

Mood 
(1/2 point)

 Stable mood with little or no fluctuation throughout the interview

 Frequent and appreciable mood changes throughout the interview

Affect 
(1/2 point)

 Full or balanced (normal)

 Expansive affect (excessively cheerful affect characterized by contagious laughter or smiling)

 Blunted or flat affect (little to no variation of expression regardless of conversation topic)

 Assessed Thought Process

1 of 1 point

Thought Process 
(1/1 point)

 No presence of thought process disturbances

 Presence of rapid thinking, disorganized or illogical flow of thought, “word salad,” neologisms, echolalia, or clanging associations

John Larsen Anxiety shadow health Objective Data

 Assessed Thought Content

1 of 1 point

Thought Content 
(1/2 point)

 No presence of thought content disturbances

 Presence of delusions, obsessive or intrusive thoughts, or suicidal or homicidal ideation

Perceptual Disturbances 
(1/2 point)

 No presence of perceptual disturbances

 Presence of auditory or visual hallucinations

 Confirmed Orientation

1 of 1 point

To Person 
(1/4 point)

 Oriented to person

 Not oriented to person

To Place 
(1/4 point)

 Oriented to place

 Not oriented to place

To Time 
(1/4 point)

 Oriented to time

 Not oriented to time

To Situation 
(1/4 point)

 Oriented to situation

 Not oriented to situation

 Assessed Serial Sevens

1 of 1 point

Serial Sevens 
(1/1 point)

 Able to complete the series

 Unable to complete the series

 Assessed Abstract Thinking

1 of 1 point

Abstract Thinking 
(1/1 point)

 Demonstrates abstract thinking with similarities test

 Demonstrates concrete thinking with similarities test

 Assessed Memory

1 of 1 point

Memory 
(1/1 point)

 Remote and immediate memory intact

 Remote or immediate memory not intact

 Assessed Visuospatial Ability

1 of 1 point

Visuospatial Ability 
(1/1 point)

 Visuospatial ability intact for interlocking shapes test

 Visuospatial ability impaired with interlocking shapes test

 Assessed Insight

1 of 1 point

Insight 
(1/1 point)

 Demonstrates full awareness of illness and willingness to seek treatment

 Demonstrates limited or no awareness of illness and/or is unwilling to seek treatment

 Assessed Judgment

1 of 1 point

Judgment 
(1/1 point)

 Demonstrates good judgment

 Judgment poor or impaired judgment

John Larsen Anxiety shadow health Objective Data

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