Shadow Health - Tina Jones, Health History
1. Health History Tips & Tricks:: TJ Health Interview
2. Student: Hello!: Diana 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.
,3. Student: What is the situation?: Diana 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.
4. Student: What are my objectives in this assessment?: Diana 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 previ-
ously, 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.
5. Student: What else will this exam involve?: Diana 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.
,6. Student: How will I be evaluated?: Diana 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.
7. Student: How does this assignment prepare me for the real world?: Diana
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 effec-
tive 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.
,8. 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?: Student: So that you understand if there are any problems related
to their chief complaint. Also, to help treat their current condition.
9. Diana Shadow: Time to begin.:
10. Patient Exam - Vital Signs:: Height: 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%
11. Patient Exam - Interview::
12. Student: Hello, my name is Catlain, I am your nurse today.: Tina Jones:
Hey.
13. Student: Can you confirm your name?: Tina Jones: Tina Jones:.
14. Student: Why did you come in today?: Tina Jones: I got this scrape on my
foot a while ago, and it got really infected. It's killing me.
15. Student: What additional symptoms have you experienced?: Tina Jones:
I mean, it's all red and swollen, and there's pus, it feels hot, it hurts like hell... It's
got all that going on.
,16. Student: Can you rate your current pain level on a scale of 0 to 10?: Tina
Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER gave me is helping
a little bit.
17. Student: Please describe the pain.: Tina Jones: It's throbbing and like, sharp
if I try to put weight on it.
18. Student: How did you hurt your foot?: Tina Jones: I was changing a light
bulb, and I had to use our little stepstool to reach it. My foot slid off the bottom step
and it got all scraped up. I didn't realize how sharp the edge was!
19. Student: Has your foot been draining any liquids?: Tina Jones: Yeah,
there's definitely pus.
20. Student: What color was the pus?: Tina Jones: It's... white or maybe
off-white.
21. Student: How have you treated the wound?: Tina Jones: I've been taking
Advil for my foot for a few days.
22. Student: What did you do to treat your foot after your accident?: Tina
Jones: I made sure to clean it and keep it bandaged. And I put Neosporin on it.
23. Student: How effective was the Neosporin?: Tina Jones: Well, I'm here, so
I guess it didn't do its job.
,24. Student: Can you walk with your foot being injured?: Tina Jones: No, I
can't. I can't put any weight on it without like, shooting pain.
25. Student: What preexisting medical conditions do you have?: Tina Jones:
I mean, I have asthma and diabetes, but right I now I just care about my foot!
26. Student: I understand your foot hurts, but I need to know this information
to make sure I take care of the problem correctly.: Tina Jones: Thanks.
27. Student: When were you diagnosed with diabetes?: Tina Jones: I was
diagnosed when I was 24.
28. Student: What do you do to manage your asthma?: Tina Jones: I try to avoid
things that give me breathing problems, but when my asthma starts to act up, I just
use my inhaler.
29. Student: What medications did you take for your diabetes?: Tina Jones: It
was metformin.
30. Student: Do you currently take medicine for your diabetes?: Tina Jones:
No, I don't take anything for my diabetes anymore.
,31. Student: What made you stop taking medication for your diabetes?: Tina
Jones: I guess I just got sick of feeling sick and gassy all the time, and it was
overwhelming, remembering to take pills and check my sugar. I feel a lot better
now that I'm just eating healthier than I did when I was taking the pills.
32. Student: Do you monitor your blood glucose?: Tina Jones: I have a monitor
at home, but to be honest I don't really use it that often.
33. Student: How frequently do you urinate?: Tina Jones: I don't know. Every
hour or two when I'm awake?
34. Student: What is your current diet?: Tina Jones: It's pretty good, I think. I'm
not a huge health nut or anything.
35. Student: Have you had any change in appetite?: Tina Jones: Yeah, lately
I've definitely been much hungrier than usual.
36. Student: Has your weight changed?: Tina Jones: Yeah, I've lost some weight
recently.
37. Student: Do you know why you lost weight?: Tina Jones: I don't know what
caused it, I just lost weight.
38. Student: How often do you have asthma exacerbations?: Tina Jones: I
haven't had a full attack in years. But my breathing definitely acts up. . .not always.
,Max twice a week.
39. Student: What asthma symptoms have you experienced?: Tina Jones: My
chest and throat get tight, and I start to wheeze. It feels like I can't take in air, like
I can't get enough air into my lungs.
40. Student: How many puffs do you take when using your asthma inhaler?-
: Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three.
[Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI]
41. Student: What are some things that trigger your asthma?: Tina Jones:
Being around cats is the worst, but dust and running up stairs can make my
breathing bad, too.
42. Student: What allergies do you have?: Tina Jones: I'm allergic to cats.
43. Student: When did you realize you were allergic to cats?: Tina Jones: For
as long as I've been around.
44. Student: How effective was your pain medication at home?: Tina Jones:
Whatever pain medication the ER gave me is helping. Before I came in, I was just
taking Advil. For the past few days, the Advil wasn't doing much for me -- it would
only last a couple of hours.
, 45. Student: What medication allergies do you have?: Tina Jones: I'm allergic
to penicillin.
46. Student: What food allergies do you have?: Tina Jones: I don't have any
food allergies that I know of.
47. Student: Are you allergic to dust, mold, or pollen?: Tina Jones: Well. . . I
don't know if it's allergies, but sometimes my asthma acts up around dust.
48. Student: What immunizations have you received?: Tina Jones: I got a
tetanus booster for work about a year ago. For the other kinds, I got all the required
ones when I was a kid, and for college...I'm sure I have a record somewhere at
home.
49. Student: Have you received a flu vaccine?: Tina Jones: No.
50. Student: Have you had any prior hospitalizations?: Tina Jones: Well, before
this I went a bunch of times when I was little, for asthma attacks. This is the first
time I've been in the hospital since I was probably sixteen, though.
51. Student: Have you had any gastrointestinal problems?: Tina Jones: No.
I've never really had stomach or bowel problems.
52. Student: Do you have a family history of psychiatric illness?: Tina Jones:
No. They're crazy, but nobody's diagnosed with anything.
1. Health History Tips & Tricks:: TJ Health Interview
2. Student: Hello!: Diana 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.
,3. Student: What is the situation?: Diana 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.
4. Student: What are my objectives in this assessment?: Diana 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 previ-
ously, 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.
5. Student: What else will this exam involve?: Diana 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.
,6. Student: How will I be evaluated?: Diana 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.
7. Student: How does this assignment prepare me for the real world?: Diana
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 effec-
tive 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.
,8. 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?: Student: So that you understand if there are any problems related
to their chief complaint. Also, to help treat their current condition.
9. Diana Shadow: Time to begin.:
10. Patient Exam - Vital Signs:: Height: 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%
11. Patient Exam - Interview::
12. Student: Hello, my name is Catlain, I am your nurse today.: Tina Jones:
Hey.
13. Student: Can you confirm your name?: Tina Jones: Tina Jones:.
14. Student: Why did you come in today?: Tina Jones: I got this scrape on my
foot a while ago, and it got really infected. It's killing me.
15. Student: What additional symptoms have you experienced?: Tina Jones:
I mean, it's all red and swollen, and there's pus, it feels hot, it hurts like hell... It's
got all that going on.
,16. Student: Can you rate your current pain level on a scale of 0 to 10?: Tina
Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER gave me is helping
a little bit.
17. Student: Please describe the pain.: Tina Jones: It's throbbing and like, sharp
if I try to put weight on it.
18. Student: How did you hurt your foot?: Tina Jones: I was changing a light
bulb, and I had to use our little stepstool to reach it. My foot slid off the bottom step
and it got all scraped up. I didn't realize how sharp the edge was!
19. Student: Has your foot been draining any liquids?: Tina Jones: Yeah,
there's definitely pus.
20. Student: What color was the pus?: Tina Jones: It's... white or maybe
off-white.
21. Student: How have you treated the wound?: Tina Jones: I've been taking
Advil for my foot for a few days.
22. Student: What did you do to treat your foot after your accident?: Tina
Jones: I made sure to clean it and keep it bandaged. And I put Neosporin on it.
23. Student: How effective was the Neosporin?: Tina Jones: Well, I'm here, so
I guess it didn't do its job.
,24. Student: Can you walk with your foot being injured?: Tina Jones: No, I
can't. I can't put any weight on it without like, shooting pain.
25. Student: What preexisting medical conditions do you have?: Tina Jones:
I mean, I have asthma and diabetes, but right I now I just care about my foot!
26. Student: I understand your foot hurts, but I need to know this information
to make sure I take care of the problem correctly.: Tina Jones: Thanks.
27. Student: When were you diagnosed with diabetes?: Tina Jones: I was
diagnosed when I was 24.
28. Student: What do you do to manage your asthma?: Tina Jones: I try to avoid
things that give me breathing problems, but when my asthma starts to act up, I just
use my inhaler.
29. Student: What medications did you take for your diabetes?: Tina Jones: It
was metformin.
30. Student: Do you currently take medicine for your diabetes?: Tina Jones:
No, I don't take anything for my diabetes anymore.
,31. Student: What made you stop taking medication for your diabetes?: Tina
Jones: I guess I just got sick of feeling sick and gassy all the time, and it was
overwhelming, remembering to take pills and check my sugar. I feel a lot better
now that I'm just eating healthier than I did when I was taking the pills.
32. Student: Do you monitor your blood glucose?: Tina Jones: I have a monitor
at home, but to be honest I don't really use it that often.
33. Student: How frequently do you urinate?: Tina Jones: I don't know. Every
hour or two when I'm awake?
34. Student: What is your current diet?: Tina Jones: It's pretty good, I think. I'm
not a huge health nut or anything.
35. Student: Have you had any change in appetite?: Tina Jones: Yeah, lately
I've definitely been much hungrier than usual.
36. Student: Has your weight changed?: Tina Jones: Yeah, I've lost some weight
recently.
37. Student: Do you know why you lost weight?: Tina Jones: I don't know what
caused it, I just lost weight.
38. Student: How often do you have asthma exacerbations?: Tina Jones: I
haven't had a full attack in years. But my breathing definitely acts up. . .not always.
,Max twice a week.
39. Student: What asthma symptoms have you experienced?: Tina Jones: My
chest and throat get tight, and I start to wheeze. It feels like I can't take in air, like
I can't get enough air into my lungs.
40. Student: How many puffs do you take when using your asthma inhaler?-
: Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three.
[Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI]
41. Student: What are some things that trigger your asthma?: Tina Jones:
Being around cats is the worst, but dust and running up stairs can make my
breathing bad, too.
42. Student: What allergies do you have?: Tina Jones: I'm allergic to cats.
43. Student: When did you realize you were allergic to cats?: Tina Jones: For
as long as I've been around.
44. Student: How effective was your pain medication at home?: Tina Jones:
Whatever pain medication the ER gave me is helping. Before I came in, I was just
taking Advil. For the past few days, the Advil wasn't doing much for me -- it would
only last a couple of hours.
, 45. Student: What medication allergies do you have?: Tina Jones: I'm allergic
to penicillin.
46. Student: What food allergies do you have?: Tina Jones: I don't have any
food allergies that I know of.
47. Student: Are you allergic to dust, mold, or pollen?: Tina Jones: Well. . . I
don't know if it's allergies, but sometimes my asthma acts up around dust.
48. Student: What immunizations have you received?: Tina Jones: I got a
tetanus booster for work about a year ago. For the other kinds, I got all the required
ones when I was a kid, and for college...I'm sure I have a record somewhere at
home.
49. Student: Have you received a flu vaccine?: Tina Jones: No.
50. Student: Have you had any prior hospitalizations?: Tina Jones: Well, before
this I went a bunch of times when I was little, for asthma attacks. This is the first
time I've been in the hospital since I was probably sixteen, though.
51. Student: Have you had any gastrointestinal problems?: Tina Jones: No.
I've never really had stomach or bowel problems.
52. Student: Do you have a family history of psychiatric illness?: Tina Jones:
No. They're crazy, but nobody's diagnosed with anything.
