Shadow Health - Tina Jones, Health History
Comprehensive Objective Assessment
Correct 369
Incorrect 000
1 of 369
Definition
Example Question: Does your father have health conditions?
Give this one a try later!
Finding: Reports father was diagnosed with high cholesterol (Found)Pro Tip:
Family histories might indicate a genetic predisposition. Asking Tina if her
father had high cholesterol can reveal generational patterns.
Finding: Reports paternal grandfather died of colon cancer (Found)Pro Tip: Family
histories might indicate a genetic predisposition. Asking Tina if any of her family
members had cancer is essential for understanding her risks.
, Finding: Reports she stopped because of health reasons and waning interest
(Available)Pro Tip: Communicating about why a patient stopped or started drug use
gives insight into their attitudes and dependencies on a substance. Example
Question: What happened to cause you to stop smoking pot?
Student: Do you have a family history of psychiatric illness?
Don't know?
2 of 369
Term
Student: How did you cope with your fathers death?
Give this one a try later!
Tina Jones: He was driving to work, and it was raining...and his car hydroplaned. And
hit a tree. So, it was really sudden.
Tina Jones: She's pretty healthy. She has asthma too, but she almost never has
attacks.
Tina Jones: He had high blood pressure and cholesterol. And diabetes -- we have
diabetes in common.
, Tina Jones: Well, right after he died, after the funeral and everything, I just tried
to get through that. Mom was having such a hard time, crying a lot, everything
made her sad, she was kind of depressed. So, I guess at first I just focused on
getting things done--groceries, laundry, insurance papers and stuff. Knowing
that Mom needed me kind of helped me get through day by day. There was
about a month where it was hard for us to get to church. Even getting up and
ready for church was too overwhelming. But our church family helped us out
and gave us rides to church and brought meals and all that, so they really
helped build us back up. T h i n g sDwo en'rt ek noonwl y? hard like that for a few months.
3 of 369
Definition
Example Question: Do you have facial hair?
Give this one a try later!
Finding: Reports last dental visit was several years ago (Available)Pro Tip: Asking
about a patient's dental care is one possible component of a review of systems
interview. The patient's response to these questions may uncover additional
problems not discovered during discussion of the patient's chief complaint.
Finding: Reports history of recreational marijuana smoking (Found)Pro Tip:
Determining any recent or past history of drug use is essential to revealing any
substance abuse issues, and if the patient is likely to seek drugs while admitted.
Finding: Reports eating chicken and roll for dinner yesterday (Available)Pro
Tip:Finding out the foods a patient last ate can provide evidence for any current
stomach upset and for their current level of hunger and blood sugar status and can
affect medications given while in your care.
, Finding: Reports excessive facial or body hair (Available)Pro Tip: Increases in
body hair can suggest changes in hormone levels. The patient's response to
these questions may uncover additional problems not discovered during
discussion of the patient's chief complaint.
Don't know?
4 of 369
Definition
Example Question: Tell me more about living at home.
Give this one a try later!
Student: How did your father die?
Finding: Reports paternal grandfather died of colon cancer (Found)Pro Tip: Family
histories might indicate a genetic predisposition. Asking Tina if any of her family
members had cancer is essential for understanding her risks.
Finding: Reports that she used to take diabetes medication (Found)Pro Tip: Asking
about Tina's medication history for asthma will provide a timeline of treatment. You
will be able to see what has been effective and ineffective in the past, which will
allow you to make a more informed decision about current treatment.
Finding: Reports family members will be able to help with activities
(Available)Pro Tip: Learning about your patient's living situation helps develop
rapport and gives you a broad picture of her lifestyle.
Comprehensive Objective Assessment
Correct 369
Incorrect 000
1 of 369
Definition
Example Question: Does your father have health conditions?
Give this one a try later!
Finding: Reports father was diagnosed with high cholesterol (Found)Pro Tip:
Family histories might indicate a genetic predisposition. Asking Tina if her
father had high cholesterol can reveal generational patterns.
Finding: Reports paternal grandfather died of colon cancer (Found)Pro Tip: Family
histories might indicate a genetic predisposition. Asking Tina if any of her family
members had cancer is essential for understanding her risks.
, Finding: Reports she stopped because of health reasons and waning interest
(Available)Pro Tip: Communicating about why a patient stopped or started drug use
gives insight into their attitudes and dependencies on a substance. Example
Question: What happened to cause you to stop smoking pot?
Student: Do you have a family history of psychiatric illness?
Don't know?
2 of 369
Term
Student: How did you cope with your fathers death?
Give this one a try later!
Tina Jones: He was driving to work, and it was raining...and his car hydroplaned. And
hit a tree. So, it was really sudden.
Tina Jones: She's pretty healthy. She has asthma too, but she almost never has
attacks.
Tina Jones: He had high blood pressure and cholesterol. And diabetes -- we have
diabetes in common.
, Tina Jones: Well, right after he died, after the funeral and everything, I just tried
to get through that. Mom was having such a hard time, crying a lot, everything
made her sad, she was kind of depressed. So, I guess at first I just focused on
getting things done--groceries, laundry, insurance papers and stuff. Knowing
that Mom needed me kind of helped me get through day by day. There was
about a month where it was hard for us to get to church. Even getting up and
ready for church was too overwhelming. But our church family helped us out
and gave us rides to church and brought meals and all that, so they really
helped build us back up. T h i n g sDwo en'rt ek noonwl y? hard like that for a few months.
3 of 369
Definition
Example Question: Do you have facial hair?
Give this one a try later!
Finding: Reports last dental visit was several years ago (Available)Pro Tip: Asking
about a patient's dental care is one possible component of a review of systems
interview. The patient's response to these questions may uncover additional
problems not discovered during discussion of the patient's chief complaint.
Finding: Reports history of recreational marijuana smoking (Found)Pro Tip:
Determining any recent or past history of drug use is essential to revealing any
substance abuse issues, and if the patient is likely to seek drugs while admitted.
Finding: Reports eating chicken and roll for dinner yesterday (Available)Pro
Tip:Finding out the foods a patient last ate can provide evidence for any current
stomach upset and for their current level of hunger and blood sugar status and can
affect medications given while in your care.
, Finding: Reports excessive facial or body hair (Available)Pro Tip: Increases in
body hair can suggest changes in hormone levels. The patient's response to
these questions may uncover additional problems not discovered during
discussion of the patient's chief complaint.
Don't know?
4 of 369
Definition
Example Question: Tell me more about living at home.
Give this one a try later!
Student: How did your father die?
Finding: Reports paternal grandfather died of colon cancer (Found)Pro Tip: Family
histories might indicate a genetic predisposition. Asking Tina if any of her family
members had cancer is essential for understanding her risks.
Finding: Reports that she used to take diabetes medication (Found)Pro Tip: Asking
about Tina's medication history for asthma will provide a timeline of treatment. You
will be able to see what has been effective and ineffective in the past, which will
allow you to make a more informed decision about current treatment.
Finding: Reports family members will be able to help with activities
(Available)Pro Tip: Learning about your patient's living situation helps develop
rapport and gives you a broad picture of her lifestyle.
