NEW UPDATED SHADOW HEALTH -
TINA JONES, HEALTH HISTORY WITH
ACCURATE ANSWERS
,NEW UPDATED SHADOW HEALTH -
TINA JONES, HEALTH HISTORY WITH
ACCURATE ANSWERS
Medical History - CORRECT ANSWERSType 2 diabetes at 24 years old. Prescribed metformin but she
stopped taking due to gastrointestinal issues. She stopped monitoring her blood glucose. Reports she
has not seen her primary care in at least 2 years and last dental exam was over 2 years ago. Her last
menstrual period was 3 weeks ago and are irregular. Her last gynecological exam was approximately 4
years ago. Her last eye exam was during childhood, and notices recent blurry vision when reading or
studying.
Surgical History - CORRECT ANSWERSNo surgeries
Previous Hospitalizations - CORRECT ANSWERSFor exacerbation of asthma at 16 years old
Medications - CORRECT ANSWERSAlbuterol MDI, 2 puffs every 4 hours as needed for wheezing
Acetaminophen 325 mg tabs by mouth, 2 tabs every 4 hours as needed for fever greater than 38.6C
/101.5F
Clindamycin 600mg/50ml every 6 hours intravenously
0.9 NaCl intravenously 100 ml/hr continuously x2 Liters
Lortab 5mg 1-2 tabs by mouth as needed for pain
Oxycodone 5mg 1 tab by mouth as needed
Insulin glargine 10 units at bedtime
Health History Tips & Tricks: - CORRECT ANSWERS
Student: Hello! - CORRECT ANSWERSDiana Shadow: Hi. I'm Preceptor Diana. I will explain the details of
this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this
information as it will help guide your exam. At the end of this prebrief, you will answer a short question
about the upcoming assignment. During the simulation, you may return to these instructions at any time
by scrolling to the top of your transcript.
,Student: What is the situation? - CORRECT ANSWERSDiana Shadow: Your patient is Tina Jones:, a 28-
year-old African American woman who has just been admitted to Shadow General Hospital for a painful
foot wound. Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health
history, a key component of her admission process.
Student: What are my objectives in this assessment? - CORRECT ANSWERSDiana Shadow: A health
history requires you to ask questions related to Ms. Jones' past and present health, from her current
foot wound to her pre-existing conditions. You will also want to review Ms. Jones' systems, psychosocial
history, and family medical history. These assessments together will give you a comprehensive picture of
Ms. Jones' overall health. If you discover any disease states, ask about symptoms and the patient's
experiences of them. Your questioning should cover a broad array of the symptoms' characteristics.
Throughout the conversation, you should educate and empathize with Ms. Jones when appropriate to
increase her health literacy and sense of well-being. Regardless of whether you have assessed Ms. Jones
previously, ask all questions that are necessary for obtaining a complete health history. While you
should communicate with patients using accessible, everyday language, it is standard practice to use
professional medical terminology everywhere else, such as in documenting physical findings and nursing
notes. You may complete the exam activities in any order and move between them as needed. After
obtaining Ms. Jones' health history, you will complete an information processing activity. You will
identify and prioritize diagnoses, then create a plan to address the identified diagnoses.
Student: What else will this exam involve? - CORRECT ANSWERSDiana Shadow: You will complete
nursing tasks to protect the patients safety, privacy, and health. You can document your findings,
including vital signs, in the Electronic Health Record. This record provides necessary information for
healthcare professionals who will continue patient care. Besides Subjective Data Collection, and
Education and Empathy, there are activities within the simulation that provide valuable practice for their
real-world counterparts, but they are not automatically graded by the simulation.
Student: How will I be evaluated? - CORRECT ANSWERSDiana Shadow: In this assignment, you will be
evaluated on your Subjective Data Collection, as well as your Education and Empathy. Your success in
Education and Empathy is based on whether you promptly respond after identifying a moment worthy
of therapeutic communication. The evaluation of your interview is dependent on how you word your
questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and
depth. You will also be evaluated on your ability to collect data and form nursing diagnoses in the
information processing activity. This assignment takes on average between 90 and 110 minutes. This
exam may take longer than in real life, because in this safe simulation, students of all experience levels
can take time to hone and review their skills. You can pause and resume the assignment at any time;
your work is always saved automatically.
, Student: How does this assignment prepare me for the real world? - CORRECT ANSWERSDiana Shadow:
In this assessment, you will become familiarized with the structure and content of a health history exam
so that with real-life patients, you can: º ask effective and comprehensive questions º obtain a thorough
health history º evaluate the patient's risk of disease, infection, injury, and complications º educate and
empathize º reflect on your experience and identify areas to improve º identify and prioritize nursing
diagnoses º and develop a plan to address nursing diagnoses.
Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: Why is
it important to obtain a patient's complete health history? - CORRECT ANSWERSStudent: Getting a
complete health history enables the nurse to make informed judgments about the client including
formulating nursing diagnoses requiring nursing care, identifying collaborative problems requiring
interdisciplinary care, medical issues requiring immediate referral, and the need for client teaching.
Diana Shadow: Time to begin. - CORRECT ANSWERS
Patient Exam - Vital Signs: - CORRECT ANSWERSHeight: 170 cm, Weight: 90 kg, BMI: 31, Random blood
glucose: 238, Temperature: 102.4° F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory rate:
18, O2 sat: 98%
Patient Exam - Interview: - CORRECT ANSWERS
Student: Hello, my name is Rachel and I am your nurse today. - CORRECT ANSWERSTina Jones: Hey.
Student: Can you confirm your name? - CORRECT ANSWERSTina Jones: Tina Jones:.
Student: What brings you in today? - CORRECT ANSWERSTina Jones: I got this scrape on my foot a while
ago, and it got really infected. It's killing me.
Student: Where is your wound located? - CORRECT ANSWERSTina Jones: It's on the ball of my foot.
Student: Which foot is injured? - CORRECT ANSWERSTina Jones: My right foot.
TINA JONES, HEALTH HISTORY WITH
ACCURATE ANSWERS
,NEW UPDATED SHADOW HEALTH -
TINA JONES, HEALTH HISTORY WITH
ACCURATE ANSWERS
Medical History - CORRECT ANSWERSType 2 diabetes at 24 years old. Prescribed metformin but she
stopped taking due to gastrointestinal issues. She stopped monitoring her blood glucose. Reports she
has not seen her primary care in at least 2 years and last dental exam was over 2 years ago. Her last
menstrual period was 3 weeks ago and are irregular. Her last gynecological exam was approximately 4
years ago. Her last eye exam was during childhood, and notices recent blurry vision when reading or
studying.
Surgical History - CORRECT ANSWERSNo surgeries
Previous Hospitalizations - CORRECT ANSWERSFor exacerbation of asthma at 16 years old
Medications - CORRECT ANSWERSAlbuterol MDI, 2 puffs every 4 hours as needed for wheezing
Acetaminophen 325 mg tabs by mouth, 2 tabs every 4 hours as needed for fever greater than 38.6C
/101.5F
Clindamycin 600mg/50ml every 6 hours intravenously
0.9 NaCl intravenously 100 ml/hr continuously x2 Liters
Lortab 5mg 1-2 tabs by mouth as needed for pain
Oxycodone 5mg 1 tab by mouth as needed
Insulin glargine 10 units at bedtime
Health History Tips & Tricks: - CORRECT ANSWERS
Student: Hello! - CORRECT ANSWERSDiana Shadow: Hi. I'm Preceptor Diana. I will explain the details of
this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this
information as it will help guide your exam. At the end of this prebrief, you will answer a short question
about the upcoming assignment. During the simulation, you may return to these instructions at any time
by scrolling to the top of your transcript.
,Student: What is the situation? - CORRECT ANSWERSDiana Shadow: Your patient is Tina Jones:, a 28-
year-old African American woman who has just been admitted to Shadow General Hospital for a painful
foot wound. Your role in this simulation is that of a healthcare provider who will take Ms. Jones' health
history, a key component of her admission process.
Student: What are my objectives in this assessment? - CORRECT ANSWERSDiana Shadow: A health
history requires you to ask questions related to Ms. Jones' past and present health, from her current
foot wound to her pre-existing conditions. You will also want to review Ms. Jones' systems, psychosocial
history, and family medical history. These assessments together will give you a comprehensive picture of
Ms. Jones' overall health. If you discover any disease states, ask about symptoms and the patient's
experiences of them. Your questioning should cover a broad array of the symptoms' characteristics.
Throughout the conversation, you should educate and empathize with Ms. Jones when appropriate to
increase her health literacy and sense of well-being. Regardless of whether you have assessed Ms. Jones
previously, ask all questions that are necessary for obtaining a complete health history. While you
should communicate with patients using accessible, everyday language, it is standard practice to use
professional medical terminology everywhere else, such as in documenting physical findings and nursing
notes. You may complete the exam activities in any order and move between them as needed. After
obtaining Ms. Jones' health history, you will complete an information processing activity. You will
identify and prioritize diagnoses, then create a plan to address the identified diagnoses.
Student: What else will this exam involve? - CORRECT ANSWERSDiana Shadow: You will complete
nursing tasks to protect the patients safety, privacy, and health. You can document your findings,
including vital signs, in the Electronic Health Record. This record provides necessary information for
healthcare professionals who will continue patient care. Besides Subjective Data Collection, and
Education and Empathy, there are activities within the simulation that provide valuable practice for their
real-world counterparts, but they are not automatically graded by the simulation.
Student: How will I be evaluated? - CORRECT ANSWERSDiana Shadow: In this assignment, you will be
evaluated on your Subjective Data Collection, as well as your Education and Empathy. Your success in
Education and Empathy is based on whether you promptly respond after identifying a moment worthy
of therapeutic communication. The evaluation of your interview is dependent on how you word your
questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and
depth. You will also be evaluated on your ability to collect data and form nursing diagnoses in the
information processing activity. This assignment takes on average between 90 and 110 minutes. This
exam may take longer than in real life, because in this safe simulation, students of all experience levels
can take time to hone and review their skills. You can pause and resume the assignment at any time;
your work is always saved automatically.
, Student: How does this assignment prepare me for the real world? - CORRECT ANSWERSDiana Shadow:
In this assessment, you will become familiarized with the structure and content of a health history exam
so that with real-life patients, you can: º ask effective and comprehensive questions º obtain a thorough
health history º evaluate the patient's risk of disease, infection, injury, and complications º educate and
empathize º reflect on your experience and identify areas to improve º identify and prioritize nursing
diagnoses º and develop a plan to address nursing diagnoses.
Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: Why is
it important to obtain a patient's complete health history? - CORRECT ANSWERSStudent: Getting a
complete health history enables the nurse to make informed judgments about the client including
formulating nursing diagnoses requiring nursing care, identifying collaborative problems requiring
interdisciplinary care, medical issues requiring immediate referral, and the need for client teaching.
Diana Shadow: Time to begin. - CORRECT ANSWERS
Patient Exam - Vital Signs: - CORRECT ANSWERSHeight: 170 cm, Weight: 90 kg, BMI: 31, Random blood
glucose: 238, Temperature: 102.4° F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory rate:
18, O2 sat: 98%
Patient Exam - Interview: - CORRECT ANSWERS
Student: Hello, my name is Rachel and I am your nurse today. - CORRECT ANSWERSTina Jones: Hey.
Student: Can you confirm your name? - CORRECT ANSWERSTina Jones: Tina Jones:.
Student: What brings you in today? - CORRECT ANSWERSTina Jones: I got this scrape on my foot a while
ago, and it got really infected. It's killing me.
Student: Where is your wound located? - CORRECT ANSWERSTina Jones: It's on the ball of my foot.
Student: Which foot is injured? - CORRECT ANSWERSTina Jones: My right foot.
