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Shadow Health Alcohol Disorder
Course: Mental Health Nursing (NUR-355)
113 Documents
Students shared 113 documents in this course
University: California Baptist University
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Reflections
Activity Description: Reflective writing develops your clinical reasoning skills as you grow and
improve as a clinician and gives your instructor insight into your learning process. This reflection
activity will help you think more deeply about your performance in the assignment. Use your
documentation as you respond to the prompts at the bottom of the page.
Documentation Review
Nursing Admitting...
Mental Status Note
SBAR
Nursing Admitting Note
Student Response
Model Documentation
Chief
Complaint
Rachel Adler 20 y/o female brought
into the ED after a car accident driving
under the influence, her right wrist is
injured
Ms. Adler has a sprained (R) wrist due
to an MVA caused by impaired driving.
She is a self-harm risk and expressed
passive suicidal ideation.