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A series of questions and answers related to a simulated patient case study, tina jones, within the shadowhealth platform. It focuses on mental health, specifically addressing sleep difficulties and anxiety. The questions and answers offer insights into the patient's symptoms, history, and potential diagnoses, providing valuable practice for healthcare professionals or students in the field.
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what brings you in today - - - correct answer ✅Reports difficulty sleeping and "feeling nervous" Why did you decide to seek treatment? - - - correct answer ✅Reports seeking treatment because she has an upcoming exam and feels "too foggy to study" how do you feel just before bed - - - correct answer ✅reports excessive worry and racing thoughts before bed "I'm sorry to hear about your trouble sleeping and stress. I'm glad you came in. Let me learn more about what you're experiencing, and I will try to help." - - - correct answer ✅Tina describes problems sleeping and stress- symptoms like racing thoughts. how long have you been having trouble sleeping - - - correct answer ✅Reports difficulty sleeping began 3 1/2 weeks ago
how long have your sleep difficulties lasted - - - correct answer ✅reports sleep difficulties have been occurring regularly past 3.5 weeks how many nights a week do you have trouble sleeping - - - correct answer ✅reports difficulty sleeping at least four or five times a week what makes it harder to sleep - - - correct answer ✅reports sleeping becomes more difficult when she can not redirect her thoughts from the things she is worried about do you take naps - - - correct answer ✅denies naps during the day do you drink caffeine - - - correct answer ✅reports drinking caffeine to stay alert when do you usually have your last caffeinated drink - - - correct answer ✅reports stopping caffeine use after 4 pm
have you been falling asleep when you didnt mean to - - - correct answer ✅reports no increased chance of drifting off during the day despite lack of sleep what do you mean when you say you feel out of it - - - correct answer ✅reports feeling slowed down and tired, having trouble focusing, and generally feeling less sharp can you tell me about how your anxiety feels - - - correct answer ✅reports feelings of anxiety as thoughts she cant turn off and being on edge do you ever have a sense of impending doom - - - correct answer ✅reports worry about the future but no sense of impending doom have you been having panic attacks - - - correct answer ✅reports no panic attacks
have you been having trouble concentrating - - - correct answer ✅reports difficulty concentrating due to fatigue from lack of sleep do you feel restless - - - correct answer ✅reports only restlessness occurs just before bed do you feel irritable - - - correct answer ✅reports slight irritability due to fatigue how does your anxiety interfere with your daily life - - - correct answer ✅reports stress only interferes with daily life because it interrupts her sleep how often do you awaken during the night - - - correct answer ✅reports waking up two or three times during the night for at least 10 minutes how do you feel when you wake up in the morning - - - correct answer ✅reports waking in the morning feeling out of it and not rested
"It's hard to function at our best when we don't get enough sleep. I know you're very busy with work and school, but let's talk about some strategies to help you get more sleep and make sure you're getting good quality sleep." - - - correct answer ✅Tina describes her sleep hygiene and routine. can you describe where you sleep - - - correct answer ✅reports sleeping alone in a quiet room how do you feel when you're stressed - - - correct answer ✅reports feeling nervous and worrying about the future with racing thoughts are you taking any new medications - - - correct answer ✅confirms medications have you been taking OTC meds to help you sleep - - - correct answer ✅denies taking OTC sleep meds have you taken prescription medications to help you sleep - - - correct answer ✅denies taking prescription sleep medications
have you had any new allergies - - - correct answer ✅confirms allergies do you have a history of sleep problems - - - correct answer ✅reports usually falls asleep very easily and sleeps like a log have you had difficultly falling asleep before - - - correct answer ✅reports only past sleep problems occurred for a few months after dad died have you ever had depression - - - correct answer ✅denies history of depression have you ever had anxiety - - - correct answer ✅denies history of anxiety do you have a psychiatric illness - - - correct answer ✅denies current psychiatric illness
do you have symptoms of depression - - - correct answer ✅reports belief she does not have depression symptoms do you have difficulty making decisions - - - correct answer ✅reports no difficultly making decisions have you had less energy than usual - - - correct answer ✅reports slightly decreased energy due to lack of sleep do you feel guilty for no reason - - - correct answer ✅denies feelings of guilt or worthlessness do you feel hopeless - - - correct answer ✅denies feelings of hopelessness have you had trouble enjoying your usual activities - - - correct answer ✅denies loss of enjoyment in activities usually found enjoyable
have you had a change in appetite - - - correct answer ✅reports slightly less appetite because she feels queasy from lack of sleep do you feel sad - - - correct answer ✅denies feelings of sadness have you ever had suicidal thoughts - - - correct answer ✅denies suicidal thoughts have you ever done something that could end your life - - - correct answer ✅denies suicidal behaviors have you ever attempted suicide in the past - - - correct answer ✅denies suicide attempts have you ever hurt yourself - - - correct answer ✅denies self harm
how much work do you miss - - - correct answer ✅rarely misses work "It sounds like you have a lot on your plate. I'm sorry you're dealing with so much stress." - - - correct answer ✅Tina describes how busy she is with school and work what is your highest level of education - - - correct answer ✅about to receive BA in accounting have you ever taken special education courses - - - correct answer ✅denies past special education courses do you have any learning disablities - - - correct answer ✅denies learning disabilities do you have any speech problems - - - correct answer ✅denies speech problems
do you have hearing problems - - - correct answer ✅denies hearing problems what do you do for fun - - - correct answer ✅hobbies are reading and watching TV do you have a legal history - - - correct answer ✅denies past legal issues have you served in the military - - - correct answer ✅denies military service can you tell me about your housing - - - correct answer ✅lives in a house do you live with anyone - - - correct answer ✅lives a home with mom and sister
do you attend church regularly - - - correct answer ✅attending baptist church regularly since childhood have you ever used drugs - - - correct answer ✅smoked pot in high school do you currently use drugs - - - correct answer ✅denies current substance use how long did you smoke pot - - - correct answer ✅reports smoking marijuana for 5 or 6 years when did you last smoke pot - - - correct answer ✅last smoked pot when she was 20 or 21 why did you stop smoking pot - - - correct answer ✅it wasnt fun anymore and bad for asthma why did you smoke pot - - - correct answer ✅for recreation
do you drink alcohol - - - correct answer ✅confirms alcohol use how often do you drink alcohol - - - correct answer ✅couple times a month how much alcohol do you drink - - - correct answer ✅few drinks when she goes out how many drinks per month - - - correct answer ✅10-12 drinks per month why do you drink alcohol - - - correct answer ✅to relax and blow off steam has anyone asked you to stop drinking - - - correct answer ✅denies anyone has asked her to stop drinking
when was your last relationship - - - correct answer ✅ended 3 years ago how long was your last relationship - - - correct answer ✅lasted 3 years have you ever been married - - - correct answer ✅never been married have you had sex in the past - - - correct answer ✅past sexual relationships how many sexual partners have you had - - - correct answer ✅3 previous partners when did you last have sex - - - correct answer ✅with boyfriend 3 years ago
do you have a history of abuse - - - correct answer ✅denies abuse have you ever been physically abused - - - correct answer ✅denies physical abuse have you ever been verbally abused - - - correct answer ✅denies verbal abuse what stresses you out - - - correct answer ✅feeling stressed about studying and the future what tests are you studying for - - - correct answer ✅CPA in one month what about the future stresses you out - - - correct answer ✅upcoming graduation from college and needing to find a job