Rachel Adler Alcohol Use Disorder Shadow Health Transcript Transcript

Rachel Adler Alcohol Use Disorder Shadow Health Transcript
Transcript

Hello. My name is xxx, and I will be conducting an interview with you and performing a physical examination.

Greet
June 16, 2022, 10:13 PM EDT
Rachel Adler.
Hi. Thank you for being here.

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What brings you here today?

Question
June 16, 2022, 10:17 PM EDT
Rachel Adler.
I don’t know what happened. They told me I was in a car accident, that I hit a pole, and I’m getting a DUI. That’s how I hurt my wrist. I don’t care what happened; I kind of wish it had been worse.

Your Avatar.
Did you sustain an injury?

Question
June 16, 2022, 10:18 PM EDT
Rachel Adler.
Other than my wrist? No, I don’t think so.

Your Avatar.
Have you ever attempted suicide?

Question
June 16, 2022, 10:22 PM EDT
Rachel Adler.
No, I’ve never attempted suicide. I’ve never planned anything. Before last night, I wasn’t trying to hurt myself. I just wish things were easier, and if I’d died last night, I’d be free from feeling so sick and tired of everything.

Your Avatar.
Did you lose consciousness?

Question
June 16, 2022, 10:30 PM EDT
Rachel Adler.
I passed out in the car crash. I don’t remember how it happened.

Your Avatar.
Were you wearing a seatbelt?

Question
June 16, 2022, 10:34 PM EDT
Rachel Adler.
I always wear my seatbelt. Even when I’m drunk driving, apparently.

Your Avatar.
Did you consume alcohol before the accident?

Question
June 16, 2022, 10:34 PM EDT
Rachel Adler.
Yeah, I was. I think I had at least five drinks. I was at a party with my friends, so I didn’t think it was a big deal. Shows you where that gets you, I guess.

Your Avatar.
Were you driving cautiously?

Question
June 16, 2022, 10:35 PM EDT
Rachel Adler.
Honestly, I didn’t care that I was driving drunk. I mean, I’ve done it before, all my friends do it, I didn’t think it was a big deal. I was too upset to care, anyway. I didn’t really think I was going to get hurt, but, like, at the same time, I didn’t care what happened to me.

Your Avatar.
When did the pain start?

Question
June 16, 2022, 10:36 PM EDT
Rachel Adler.
The pain probably started around the moment when I passed out and my car hit that pole.

Your Avatar.
Where is your pain located?

Question
June 16, 2022, 10:37 PM EDT
Rachel Adler.
My wrist hurts the most. The right one, in the brace.

Your Avatar.
What exacerbates your pain?

Question
June 16, 2022, 10:37 PM EDT
Rachel Adler.
It hurts pretty bad when I move it. If I bend or twist it, or if I try to pick something up, it hurts a lot.

Your Avatar.
I’m sorry to hear that.

Empathize
June 16, 2022, 10:38 PM EDT
Rachel Adler.
Ha, thanks.

Your Avatar.
What provides relief from your pain?

Question
June 16, 2022, 10:38 PM EDT
Rachel Adler.
The ibuprofen has helped with the pain. That, and the sling.

Your Avatar.
Does resting improve your pain?

Question
June 16, 2022, 10:39 PM EDT
Rachel Adler.
Yeah, resting here does help.

Your Avatar.
How would you describe your pain?

Question
June 16, 2022, 10:40 PM EDT
Rachel Adler.
It’s kind of this constant ache.

Your Avatar.
Do you experience any sharp pain?

Question
June 16, 2022, 10:40 PM EDT
Rachel Adler.
No, I wouldn’t describe it that way. It’s more of an ache.

Your Avatar.
On a scale of 1 to 10, with 10 being the worst, how would you rate your pain?

Question
June 16, 2022, 10:40 PM EDT
Rachel Adler.
I’d say my pain is about a two out of ten.

Your Avatar.
Does your medication alleviate the pain?

Question
June 16, 2022, 10:41 PM EDT
Rachel Adler.
The ibuprofen has helped with the pain. That, and the sling.

Your Avatar.
Do you have any other medical conditions?

Question
June 16, 2022, 10:42 PM EDT
Rachel Adler.
I don’t have any illnesses.

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Have you ever been diagnosed with a mental disorder?

Question
June 16, 2022, 10:42 PM EDT
Rachel Adler.
I’ve never been diagnosed with a mental illness.

Your Avatar.
Any history of depression?

Question
June 16, 2022, 11:14 PM EDT
Rachel Adler.
No, no one’s ever told me I have depression.

Your Avatar.
Have you been experiencing stress?

Question
June 16, 2022, 11:15 PM EDT
Rachel Adler.
The last year has been hard, but I’ve been especially stressed out for the last six months. It’s been so tough to keep my grades up at school, deal with my parents, and have problems with my friends… I wish I could be a normal carefree college student, but that’s never going to happen now.

Your Avatar.
I’m sorry to hear that.

Empathize
June 16, 2022, 11:16 PM EDT
Rachel Adler.
Thanks. I wish I were kind to myself like that.

Your Avatar.
Have you had any thoughts of suicide?

Question
June 16, 2022, 11:17 PM EDT
Rachel Adler.
I don’t have a plan, if that’s what you mean. Before last night, I didn’t want to end my life. Right now… I don’t know. Everything is so hard, and I wish it would all just stop.

Your Avatar.
Have you ever attempted suicide?

Question
June 16, 2022, 11:17 PM EDT
Rachel Adler.
No, I’ve never attempted suicide. I’ve never planned anything. Before last night, I wasn’t trying to hurt myself. I just wish things were easier, and if I’d died last night, I’d be free from feeling so sick and tired of everything.

Your Avatar.
Do you feel uncertain about your life?

Question
June 16, 2022, 11:18 PM EDT
Rachel Adler.
I don’t know. I haven’t contemplated physically ending my life or how I would do it or anything. It’s more about wishing not to be here. It would be so much simpler.

Your Avatar.
I’m sorry to hear that.

Empathize
June 17, 2022, 12:

40 AM EDT
Rachel Adler.
Thanks for understanding.

Your Avatar.
Why do you wish you had died in the car accident?

Question
June 17, 2022, 12:43 AM EDT
Rachel Adler.
Well, it would be so much better if I didn’t have to endure the stress of life anymore. Like, I didn’t care if I could’ve hurt myself last night, even though I know drinking and driving is bad… in some ways, it might have been better if I had just died last night. Then I wouldn’t have to go through all this. I wouldn’t have to face the court for this DUI, wouldn’t have to face my parents…

Your Avatar.
What makes you contemplate death?

Question
June 17, 2022, 12:45 AM EDT
Rachel Adler.
Well, it would be so much better if I didn’t have to endure the stress of life anymore. Like, I didn’t care if I could’ve hurt myself last night, even though I know drinking and driving is bad… in some ways, it might have been better if I had just died last night. Then I wouldn’t have to go through all this. I wouldn’t have to face the court for this DUI, wouldn’t have to face my parents…

Your Avatar.
I’m sorry to hear that.

Empathize
June 17, 2022, 12:40 AM EDT
Rachel Adler.
Thanks. I wish I were kind to myself like that.

Your Avatar.
Assess vital signs

Exam Action
June 17, 2022, 12:40 AM EDT
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Inspect the right eye

Exam Action
June 17, 2022, 12:40 AM EDT
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Inspect the left eye

Exam Action
June 17, 2022, 12:40 AM EDT
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Inspect the right eye

Exam Action
June 17, 2022, 12:40 AM EDT
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Inspect the left eye

Exam Action
June 17, 2022, 12:40 AM EDT
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Inspect the left arm

Exam Action
June 17, 2022, 12:40 AM EDT
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Inspect the right arm: the right hand appears normal, the right wrist shows redness and swelling

Exam Action
June 17, 2022, 12:40 AM EDT
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Inspect the left arm: no visible abnormalities

Exam Action
June 17, 2022, 12:41 AM EDT
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Inspect the left wrist: no visible abnormalities

Exam Action
June 17, 2022, 12:41 AM EDT
Your Avatar.
Inspect the left hand: no visible abnormalities

Exam Action
June 17, 2022, 12:41 AM EDT
Your Avatar.
Inspect the right arm: no visible abnormalities

Exam Action
June 17, 2022, 12:42 AM EDT
Your Avatar.
Inspect the right wrist: no visible abnormalities

Exam Action
June 17, 2022, 12:42 AM EDT
Your Avatar.
Inspect the right hand: no visible abnormalities

Exam Action
June 17, 2022, 12:42 AM EDT
Your Avatar.
Inspect the left arm: no visible abnormalities

Exam Action
June 17, 2022, 12:43 AM EDT
Your Avatar.
Auscultate breath sounds

Exam Action
June 17, 2022, 12:44 AM EDT
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Auscultate heart sounds

Exam Action
June 17, 2022, 12:44 AM EDT
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Palpate radial arteries

Exam Action
June 17, 2022, 12:44 AM EDT
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Test capillary refill

Exam Action
June 17, 2022, 12:44 AM EDT
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Assess general appearance: indirect eye contact, tension and rigidity, clean clothing, and appropriate level of grooming

Exam Action
June 17, 2022, 12:45 AM EDT
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Assess attitude: suspicious, guarded, or evasive

Exam Action
June 17, 2022, 12:45 AM EDT
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Assess speech: expected rate of speech, loud speech volume, and no appreciable issues with articulation

Exam Action
June 17, 2022, 12:45 AM EDT
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Assess mood and affect: stable mood and a balanced affect

Sick Visit: Integumentary Felipe Barbosa Shadow Health Treatment Plan

Exam Action
June 17, 2022, 12:45 AM EDT
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Assess thought process: no presence of thought disturbances

Exam Action
June 17, 2022, 12:46 AM EDT
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Assess thought content: mentions suicidal ideation but no perceptual disturbances

Exam Action
June 17, 2022, 12:46 AM EDT
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Confirm orientation

Exam Action
June 17, 2022, 12:46 AM EDT
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What is your name and date of birth?

Question
June 17, 2022, 12:46 AM EDT
Rachel Adler.
Rachel Adler, and I was born… [Ms. Adler provides her correct date of birth.]

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In which building are you currently?

Question
June 17, 2022, 12:47 AM EDT
Rachel Adler.
We’re in Shadow General Hospital.

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Can you tell me the date and year?

Question
June 17, 2022, 12:47 AM EDT
Rachel Adler.
Yeah, it’s… [Ms. Adler provides the correct date and year.]

Your Avatar.
Assess cognition

Exam Action
June 17, 2022, 12:48 AM EDT
Your Avatar.
Count backward from 100 by 7 until you reach the 60s.

Question
June 17, 2022, 12:49 AM EDT
Rachel Adler.
Uh, sure… 100, 93, 86, 79… (Ms. Adler completes the sequence)

Your Avatar.
Assess cognition

Exam Action
June 17, 2022, 12:49 AM EDT
Your Avatar.
How are apples and oranges similar?

Question
June 17, 2022, 12:49 AM EDT
Rachel Adler.
Those are both types of fruit.

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How are a lake and an ocean similar?

Question
June 17, 2022, 12:50 AM EDT
Rachel Adler.
Obviously, those are both bodies of water.

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How are a trumpet and a flute similar?

Question
June 17, 2022, 12:50 AM EDT
Rachel Adler.
Those are both instruments. Wind instruments.

Your Avatar.
Assess cognition

Exam Action
June 17, 2022, 12:50 AM EDT
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Repeat and remember the words “burger, tulip, nose, and tea.”

Question
June 17, 2022, 12:51 AM EDT
Rachel Adler.
Burger, tulip, nose, tea. Got it.

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How did you celebrate your last birthday?

Question
June 17, 2022, 12

:51 AM EDT
Rachel Adler.
It was pretty low-key, actually. I went to dinner with some friends, and then we watched movies at my place. It was nice.

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Repeat the four words from earlier.

Question
June 17, 2022, 12:52 AM EDT
Rachel Adler.
Burger, tulip, nose, and tea.

Your Avatar.
Copy the shapes exactly as you see them.

Question
June 17, 2022, 12:52 AM EDT
Rachel Adler.
I’ll have to do it with my other hand because of my wrist, but luckily I’m pretty good with both.

Your Avatar.
Assess insight: demonstrates limited or no awareness of illness and/or is unwilling to seek treatment

Exam Action
June 17, 2022, 12:53 AM EDT
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Assess judgment: demonstrates good judgment

Exam Action
June 17, 2022, 12:53 AM EDT
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What would you do if you found a stamped envelope on the sidewalk?

Question
June 17, 2022, 12:54 AM EDT
Rachel Adler.
Uh, I guess I’d try to drop it in a postbox somewhere.

Rachel Adler Alcohol Use Disorder shadow health transcript

Transcript

	Hello. My name is xxx, I will interview you and conduct a physical exam	Greet 06/16/22 10:13 PM EDT
	Hi. Thanks for being here.
	What brings you here? Rachel Adler Alcohol Use Disorder shadow health transcript	Question 06/16/22 10:17 PM EDT
	I don’t know what happened. They told me I was in a car accident, that I hit a pole and I’m getting a DUI. That’s how I hurt my wrist. I don’t care what happened, I kind of wish it had been worse.
	Did you get an injury?	Question 06/16/22 10:18 PM EDT
	Other than my wrist? No, I don’t think so.
	Were you attempting suicide? (Clarified to Have you ever attempted suicide?.)	Question 06/16/22 10:22 PM EDT
	No, I’ve never attempted suicide. I’ve never planned anything. Before last night, I wasn’t trying to hurt myself. I just wish things were easier, and if I’d died last night, I’d be free of being so sick and tired of everything Rachel Adler Alcohol Use Disorder shadow health transcript. (Clarified to if I have ever attempted suicide.)
	Did you lose consciousness?	Question 06/16/22 10:30 PM EDT
	I passed out in the car crash. I don’t remember how it happened.
	Were you wearing a seatbelt?	Question 06/16/22 10:34 PM EDT
	I always wear my seatbelt. Even when I’m drunk driving, apparently.
	Did you drink before the accident?	Question 06/16/22 10:34 PM EDT
	Yeah. I was. I think I had at least five drinks. I was at a party with my friends, so, I didn’t think it was a big deal. Shows you where that gets you, I guess.
	Did you drive carefully?	Question 06/16/22 10:35 PM EDT
	Honestly, I didn’t care that I was driving drunk. I mean, I’ve done it before, all my friends do it, I didn’t think it was a big deal. I was too upset to care, anyway. I didn’t really think I was going to get hurt, but, like, at the same time, I didn’t care what happened to me.
	When did the pain start?	Question 06/16/22 10:36 PM EDT
	The pain probably started around the moment when I passed out and my car hit that pole.
	Where is your pain located?	Question 06/16/22 10:37 PM EDT
	My wrist hurts the most. The right one, in the brace.
	What makes your pain worse?	Question 06/16/22 10:37 PM EDT
	It hurts pretty bad when I move it. If I bend or twist it, or if I try to pick something up, it hurts a lot.
	Am sorry about that	Empathize 06/16/22 10:38 PM EDT
	Ha, thanks.
	What relieves your pain?	Question 06/16/22 10:38 PM EDT
	The ibuprofen has helped the pain. That, and the sling.
	Does rest improve your pain?	Question 06/16/22 10:39 PM EDT
	Yeah, resting here does help.
	What is your pain like?	Question 06/16/22 10:40 PM EDT
	It’s kind of this constant ache Rachel Adler Alcohol Use Disorder shadow health transcript.
	Any sharp pain?	Question 06/16/22 10:40 PM EDT
	No, I wouldn’t describe it that way. It’s more of an ache.
	How would you rate your pain level? Rachel Adler Alcohol Use Disorder shadow health transcript	Question 06/16/22 10:40 PM EDT
	I’d say my pain is about a two out of ten.
	Does your medication improve the pain?	Question 06/16/22 10:41 PM EDT
	The ibuprofen has helped the pain. That, and the sling.
	Do you have any other health problems?	Question 06/16/22 10:42 PM EDT
	I don’t have any illnesses.
	Any history of mental disorder?	Question 06/16/22 10:42 PM EDT
	I’ve never been diagnosed with a mental illness.
	Any history of depression?	Question 06/16/22 11:14 PM EDT
	No, no one’s ever told me I have depression.
	Any stress?	Question 06/16/22 11:15 PM EDT
	The last year has been hard, but I’ve been especially stressed out for the last six months. It’s been so tough to keep my grades up at school, to deal with my parents, and then to have problems with my friends . . . I wish I could be a normal carefree college student, but that’s never going to happen now.
	Am sorry about that	Empathize 06/16/22 11:16 PM EDT
	Thanks. Wish I were kind to myself like that.
	Any suicidal thoughts?	Question 06/16/22 11:17 PM EDT
	I don’t have a plan, if that’s what you mean. Before last night, I didn’t want to kill myself. Right now . . . I don’t know. Everything is so hard, and I wish it would all just stop.
	Have you ever attempted suicide?	Question 06/16/22 11:17 PM EDT
	No, I’ve never attempted suicide. I’ve never planned anything. Before last night, I wasn’t trying to hurt myself. I just wish things were easier, and if I’d died last night, I’d be free of being so sick and tired of everything.
	do you feel confused about your life?	Question 06/16/22 11:18 PM EDT
	I don’t know. I haven’t thought about physically killing myself or how I would do it or anything. It’s more just wishing not to be here. Rachel Adler Alcohol Use Disorder shadow health transcript It would be so much easier.
	Am sorry about that	Empathize 06/16/22 11:40 PM EDT
	Thanks for getting it.
	Why do you wish you had died? (Clarified to Why do you think it would be better if you had died in the car accident?.)	Question 06/16/22 11:43 PM EDT
	Well, it would be so much better if I didn’t have to put up with the stress of life anymore. Like, I didn’t care if I could’ve hurt myself last night, even though I know drinking and driving is bad . . . in some ways, it might have been better if I had just died last night. Then I wouldn’t have to go through all this. I wouldn’t have to face the court for this DUI, wouldn’t have to face my parents . . . (Clarified to why I think it would be better if I had died in the car accident.)
	What makes you think about dying? (Clarified to Why do you think life is not worth living?.)	Question 06/16/22 11:45 PM EDT
	Well, it would be so much better if I didn’t have to put up with the stress of life anymore. Like, I didn’t care if I could’ve hurt myself last night, even though I know drinking and driving is bad . . . in some ways, it might have been better if I had just died last night. Then I wouldn’t have to go through all this. I wouldn’t have to face the court for this DUI, wouldn’t have to face my parents . . . (Clarified to why I think life is not worth living.)

Am sorry about that	Empathize 06/17/22 12:40 AM EDT
	Thanks. Wish I were kind to myself like that.
	Assess vitals	Exam Action 06/17/22 12:40 AM EDT
	Inspected right eye	Exam Action 06/17/22 12:40 AM EDT
	Inspected left eye	Exam Action 06/17/22 12:40 AM EDT
	Inspected right eye	Exam Action 06/17/22 12:40 AM EDT
	Inspected left eye	Exam Action 06/17/22 12:40 AM EDT
	Inspected left arm	Exam Action 06/17/22 12:40 AM EDT
	Inspected right arm: right hand is normal, right wrist has redness and swelling	Exam Action 06/17/22 12:40 AM EDT
	Inspected left arm: no visible abnormalities Rachel Adler Alcohol Use Disorder shadow health transcript	Exam Action 06/17/22 12:41 AM EDT
	Inspected left wrist: no visible abnormalities	Exam Action 06/17/22 12:41 AM EDT
	Inspected left hand: no visible abnormalities	Exam Action 06/17/22 12:41 AM EDT
	Inspected right arm: no visible abnormalities	Exam Action 06/17/22 12:42 AM EDT
	Inspected right wrist: no visible abnormalities	Exam Action 06/17/22 12:42 AM EDT
	Inspected right hand: no visible abnormalities	Exam Action 06/17/22 12:42 AM EDT
	Inspected left arm: no visible abnormalities	Exam Action 06/17/22 12:43 AM EDT
	Auscultated breath sounds	Exam Action 06/17/22 12:44 AM EDT
	Auscultate heart sounds	Exam Action 06/17/22 12:44 AM EDT
	Palpated radial arteries	Exam Action 06/17/22 12:44 AM EDT
	Tested capillary refill	Exam Action 06/17/22 12:44 AM EDT
	Assessed general appearance: indirect eye contact, tension and rigidity, clean clothing, and appropriate level of grooming Rachel Adler Alcohol Use Disorder shadow health transcript	Exam Action 06/17/22 12:45 AM EDT
	Assessed attitude: suspicious, guarded, or evasive	Exam Action 06/17/22 12:45 AM EDT
	Assessed speech: expected rate of speech, loud speech volume, and no appreciable issues with articulation	Exam Action 06/17/22 12:45 AM EDT
	Assessed mood and affect: stable mood and a balanced affect	Exam Action 06/17/22 12:45 AM EDT
	Assessed thought process: no presence of thought disturbances	Exam Action 06/17/22 12:46 AM EDT
	Assessed thought content: suicidal ideation but no perceptual disturbances	Exam Action 06/17/22 12:46 AM EDT
	Confirmed orientation	Exam Action 06/17/22 12:46 AM EDT
	What is your name and date of birth?	Question 06/17/22 12:46 AM EDT
	Rachel Adler and I was born. . . [Ms. Adler reports her correct date of birth.]
	What building are you in now?	Question 06/17/22 12:47 AM EDT
	We’re in Shadow General Hospital.
	What is the date and year?	Question 06/17/22 12:47 AM EDT
	Yeah, it’s . . . [Ms. Adler reports the correct date and year.]
	Assessed cognition	Exam Action 06/17/22 12:48 AM EDT
	Count backwards from 100 by 7 until you get to the 60s	Question 06/17/22 12:49 AM EDT
	Uh, sure . . . 100, 93, 86, 79… (Ms. Adler finishes the sequence)
	Assessed cognition	Exam Action 06/17/22 12:49 AM EDT
	How are apples and oranges alike?	Question 06/17/22 12:49 AM EDT
	Those are both types of fruit.
	How are a lake and an ocean alike?	Question 06/17/22 12:50 AM EDT
	Obviously those are both bodies of water.
	How are a trumpet and a flute alike?	Question 06/17/22 12:50 AM EDT
	Those are both instruments. Wind instruments.
	Assessed cognition	Exam Action 06/17/22 12:50 AM EDT
	Repeat and remember burger, tulip, nose, and tea.	Question 06/17/22 12:51 AM EDT
	Burger, tulip, nose, tea. Got it.
	How did you celebrate your last birthday?	Question 06/17/22 12:51 AM EDT
	It was pretty low key actually. I went to dinner with some friends, then we watched movies at my place. It was nice.
	Repeat the four words from before	Question 06/17/22 12:52 AM EDT
	Burger, tulip, nose, and tea.
	Copy the shapes exactly as you see them	Question 06/17/22 12:52 AM EDT
	I’ll have to do it with my other hand because of my wrist, but luckily I’m pretty good with both.
	Assessed insight: demonstrates limited or no awareness of illness and/or is unwilling to seek treatment	Exam Action 06/17/22 12:53 AM EDT
	Assessed judgment: demonstrates good judgment	Exam Action 06/17/22 12:53 AM EDT
	What would you do if you found a stamped envelope on the sidewalk?	Question 06/17/22 12:54 AM EDT Dont wait until the last minute. Provide your requirements and let our native nursing writers deliver your assignments ASAP. Start My Order
	Uh, I guess I’d try to drop it in a post box somewhere.