Shadow Health - Tina Jones, Health History
Questions and Answers 2025
HealthAHistoryATipsA&ATricks:A-ACORRECTAANSWERS-TJAHealthAInterview
Student:AHello!A-ACORRECTAANSWERS-
DianaAShadow:AHi.AI'mAPreceptorADiana.AIAwillAexplainAtheAdetailsAofAthisAassignmentAandA
yourAobjectives,AjustAasAaApreceptorAwouldAinArealAlife.APayAcloseAattentionAtoAthisAinformati
onAasAitAwillAhelpAguideAyourAexam.AAtAtheAendAofAthisAprebrief,AyouAwillAanswerAaAshortAqu
estionAaboutAtheAupcomingAassignment.ADuringAtheAsimulation,AyouAmayAreturnAtoAtheseAi
nstructionsAatAanyAtimeAbyAscrollingAtoAtheAtopAofAyourAtranscript.
Student:AWhatAisAtheAsituation?A-ACORRECTAANSWERS-
DianaAShadow:AYourApatientAisATinaAJones:,AaA28-year-
oldAAfricanAAmericanAwomanAwhoAhasAjustAbeenAadmittedAtoAShadowAGeneralAHospitalAf
orAaApainfulAfootAwound.AYourAroleAinAthisAsimulationAisAthatAofAaAhealthcareAproviderAwhoA
willAtakeAMs.AJones'AhealthAhistory,AaAkeyAcomponentAofAherAadmissionAprocess.
Student:AWhatAareAmyAobjectivesAinAthisAassessment?A-ACORRECTAANSWERS-
DianaAShadow:AAAhealthAhistoryArequiresAyouAtoAaskAquestionsArelatedAtoAMs.AJones'Apast
AandApresentAhealth,AfromAherAcurrentAfootAwoundAtoAherApre-
existingAconditions.AYouAwillAalsoAwantAtoAreviewAMs.AJones'Asystems,ApsychosocialAhistor
y,AandAfamilyAmedicalAhistory.ATheseAassessmentsAtogetherAwillAgiveAyouAaAcomprehensiv
eApictureAofAMs.AJones'AoverallAhealth.AIfAyouAdiscoverAanyAdiseaseAstates,AaskAaboutAsym
ptomsAandAtheApatient'sAexperiencesAofAthem.AYourAquestioningAshouldAcoverAaAbroadAarr
ayAofAtheAsymptoms'Acharacteristics.AThroughoutAtheAconversation,AyouAshouldAeducateAa
ndAempathizeAwithAMs.AJonesAwhenAappropriateAtoAincreaseAherAhealthAliteracyAandAsens
eAofAwell-
being.ARegardlessAofAwhetherAyouAhaveAassessedAMs.AJonesApreviously,AaskAallAquestion
sAthatAareAnecessaryAforAobtainingAaAcompleteAhealthAhistory.AWhileAyouAshouldAcommuni
cateAwithApatientsAusingAaccessible,AeverydayAlanguage,AitAisAstandardApracticeAtoAuseApr
ofessionalAmedicalAterminologyAeverywhereAelse,AsuchAasAinAdocumentingAphysicalAfindin
gsAandAnursingAnotes.AYouAmayAcompleteAtheAexamAactivitiesAinAanyAorderAandAmoveAbet
weenAthemAasAneeded.AAfterAobtainingAMs.AJones'AhealthAhistory,AyouAwillAcompleteAanAinf
ormationAprocessingAactivity.AYouAwillAidentifyAandAprioritizeAdiagnoses,AthenAcreateAaApla
nAtoAaddressAtheAidentifiedAdiagnoses.
Student:AWhatAelseAwillAthisAexamAinvolve?A-ACORRECTAANSWERS-
DianaAShadow:AYouAwillAcompleteAnursingAtasksAtoAprotectAtheApatientsAsafety,Aprivacy,Aa
ndAhealth.AYouAcanAdocumentAyourAfindings,AincludingAvitalAsigns,AinAtheAElectronicAHealth
ARecord.AThisArecordAprovidesAnecessaryAinformationAforAhealthcareAprofessionalsAwhoAw
illAcontinueApatientAcare.ABesidesASubjectiveADataACollection,AandAEducationAandAEmpath
y,AthereAareAactivitiesAwithinAtheAsimulationAthatAprovideAvaluableApracticeAforAtheirAreal-
worldAcounterparts,AbutAtheyAareAnotAautomaticallyAgradedAbyAtheAsimulation.
Student:AHowAwillAIAbeAevaluated?A-ACORRECTAANSWERS-
DianaAShadow:AInAthisAassignment,AyouAwillAbeAevaluatedAonAyourASubjectiveADataACollec
tion,AasAwellAasAyourAEducationAandAEmpathy.AYourAsuccessAinAEducationAandAEmpathyAi
,sAbasedAonAwhetherAyouApromptlyArespondAafterAidentifyingAaAmomentAworthyAofAtherapeu
ticAcommunication.ATheAevaluationAofAyourAinterviewAisAdependentAonAhowAyouAwordAyour
AquestionsAtherapeuticallyAandApreciselyAandAexploreAallArelevantAtopicsAwithAcomprehens
iveAbreadthAandAdepth.AYouAwillAalsoAbeAevaluatedAonAyourAabilityAtoAcollectAdataAandAform
AnursingAdiagnosesAinAtheAinformationAprocessingAactivity.AThisAassignmentAtakesAonAaver
ageAbetweenA90AandA110Aminutes.AThisAexamAmayAtakeAlongerAthanAinArealAlife,AbecauseAi
nAthisAsafeAsimulation,AstudentsAofAallAexperienceAlevelsAcanAtakeAtimeAtoAhoneAandArevie
wAtheirAskills.AYouAcanApauseAandAresumeAtheAassignmentAatAanyAtime;AyourAworkAisAalwa
ysAsavedAautomatically.
Student:AHowAdoesAthisAassignmentAprepareAmeAforAtheArealAworld?A-
ACORRECTAANSWERS-
DianaAShadow:AInAthisAassessment,AyouAwillAbecomeAfamiliarizedAwithAtheAstructureAandAc
ontentAofAaAhealthAhistoryAexamAsoAthatAwithAreal-
lifeApatients,AyouAcan:AºAaskAeffectiveAandAcomprehensiveAquestionsAºAobtainAaAthoroughAh
ealthAhistoryAºAevaluateAtheApatient'sAriskAofAdisease,Ainfection,Ainjury,AandAcomplicationsAº
AeducateAandAempathizeAºAreflectAonAyourAexperienceAandAidentifyAareasAtoAimproveAºAide
ntifyAandAprioritizeAnursingAdiagnosesAºAandAdevelopAaAplanAtoAaddressAnursingAdiagnoses
.
DianaAShadow:AInA1AorA2Asentences,AanswerAthisAquestionAtoAhelpAprepareAforAtheAupcomi
ngAexam:AWhyAisAitAimportantAtoAobtainAaApatient'sAcompleteAhealthAhistory?A-
ACORRECTAANSWERS-
Student:ASoAthatAyouAunderstandAifAthereAareAanyAproblemsArelatedAtoAtheirAchiefAcomplai
nt.AAlso,AtoAhelpAtreatAtheirAcurrentAcondition.
DianaAShadow:ATimeAtoAbegin.A-ACORRECTAANSWERS-
PatientAExamA-AVitalASigns:A-ACORRECTAANSWERS-
Height:A170Acm,AWeight:A90Akg,ABMI:A31,ARandomAbloodAglucose:A238,ATemperature:A102
.4°AF,ABloodApressure:A138/90AmmHg,AHeartArate:A90,ARespiratoryArate:A18,AO2Asat:A98%
PatientAExamA-AInterview:A-ACORRECTAANSWERS-
Student:AHello,AmyAnameAisACatlain,AIAamAyourAnurseAtoday.A-ACORRECTAANSWERS-
TinaAJones:AHey.
Student:ACanAyouAconfirmAyourAname?A-ACORRECTAANSWERS-
TinaAJones:ATinaAJones:.
Student:AWhyAdidAyouAcomeAinAtoday?A-ACORRECTAANSWERS-
TinaAJones:AIAgotAthisAscrapeAonAmyAfootAaAwhileAago,AandAitAgotAreallyAinfected.AIt'sAkillingA
me.
Student:AWhatAadditionalAsymptomsAhaveAyouAexperienced?A-ACORRECTAANSWERS-
TinaAJones:AIAmean,Ait'sAallAredAandAswollen,AandAthere'sApus,AitAfeelsAhot,AitAhurtsAlikeAhell.
..AIt'sAgotAallAthatAgoingAon.
Student:ACanAyouArateAyourAcurrentApainAlevelAonAaAscaleAofA0AtoA10?A-
ACORRECTAANSWERS-
TinaAJones:A...LikeAaA7.AItAhurtsAaAlot,AbutAwhateverApainAmedAtheAERAgaveAmeAisAhelpingA
aAlittleAbit.
Student:APleaseAdescribeAtheApain.A-ACORRECTAANSWERS-
TinaAJones:AIt'sAthrobbingAandAlike,AsharpAifAIAtryAtoAputAweightAonAit.
Student:AHowAdidAyouAhurtAyourAfoot?A-ACORRECTAANSWERS-
TinaAJones:AIAwasAchangingAaAlightAbulb,AandAIAhadAtoAuseAourAlittleAstepstoolAtoAreachAit.A
,MyAfootAslidAoffAtheAbottomAstepAandAitAgotAallAscrapedAup.AIAdidn'tArealizeAhowAsharpAtheAe
dgeAwas!
Student:AHasAyourAfootAbeenAdrainingAanyAliquids?A-ACORRECTAANSWERS-
TinaAJones:AYeah,Athere'sAdefinitelyApus.
Student:AWhatAcolorAwasAtheApus?A-ACORRECTAANSWERS-
TinaAJones:AIt's...AwhiteAorAmaybeAoff-white.
Student:AHowAhaveAyouAtreatedAtheAwound?A-ACORRECTAANSWERS-
TinaAJones:AI'veAbeenAtakingAAdvilAforAmyAfootAforAaAfewAdays.
Student:AWhatAdidAyouAdoAtoAtreatAyourAfootAafterAyourAaccident?A-
ACORRECTAANSWERS-
TinaAJones:AIAmadeAsureAtoAcleanAitAandAkeepAitAbandaged.AAndAIAputANeosporinAonAit.
Student:AHowAeffectiveAwasAtheANeosporin?A-ACORRECTAANSWERS-
TinaAJones:AWell,AI'mAhere,AsoAIAguessAitAdidn'tAdoAitsAjob.
Student:ACanAyouAwalkAwithAyourAfootAbeingAinjured?A-ACORRECTAANSWERS-
TinaAJones:ANo,AIAcan't.AIAcan'tAputAanyAweightAonAitAwithoutAlike,AshootingApain.
Student:AWhatApreexistingAmedicalAconditionsAdoAyouAhave?A-ACORRECTAANSWERS-
TinaAJones:AIAmean,AIAhaveAasthmaAandAdiabetes,AbutArightAIAnowAIAjustAcareAaboutAmyAfoo
t!
Student:AIAunderstandAyourAfootAhurts,AbutAIAneedAtoAknowAthisAinformationAtoAmakeAsureAIA
takeAcareAofAtheAproblemAcorrectly.A-ACORRECTAANSWERS-TinaAJones:AThanks.
Student:AWhenAwereAyouAdiagnosedAwithAdiabetes?A-ACORRECTAANSWERS-
TinaAJones:AIAwasAdiagnosedAwhenAIAwasA24.
Student:AWhatAdoAyouAdoAtoAmanageAyourAasthma?A-ACORRECTAANSWERS-
TinaAJones:AIAtryAtoAavoidAthingsAthatAgiveAmeAbreathingAproblems,AbutAwhenAmyAasthmaAs
tartsAtoAactAup,AIAjustAuseAmyAinhaler.
Student:AWhatAmedicationsAdidAyouAtakeAforAyourAdiabetes?A-ACORRECTAANSWERS-
TinaAJones:AItAwasAmetformin.
Student:ADoAyouAcurrentlyAtakeAmedicineAforAyourAdiabetes?A-ACORRECTAANSWERS-
TinaAJones:ANo,AIAdon'tAtakeAanythingAforAmyAdiabetesAanymore.
Student:AWhatAmadeAyouAstopAtakingAmedicationAforAyourAdiabetes?A-
ACORRECTAANSWERS-
TinaAJones:AIAguessAIAjustAgotAsickAofAfeelingAsickAandAgassyAallAtheAtime,AandAitAwasAover
whelming,ArememberingAtoAtakeApillsAandAcheckAmyAsugar.AIAfeelAaAlotAbetterAnowAthatAI'mA
justAeatingAhealthierAthanAIAdidAwhenAIAwasAtakingAtheApills.
Student:ADoAyouAmonitorAyourAbloodAglucose?A-ACORRECTAANSWERS-
TinaAJones:AIAhaveAaAmonitorAatAhome,AbutAtoAbeAhonestAIAdon'tAreallyAuseAitAthatAoften.
Student:AHowAfrequentlyAdoAyouAurinate?A-ACORRECTAANSWERS-
TinaAJones:AIAdon'tAknow.AEveryAhourAorAtwoAwhenAI'mAawake?
Student:AWhatAisAyourAcurrentAdiet?A-ACORRECTAANSWERS-
TinaAJones:AIt'sAprettyAgood,AIAthink.AI'mAnotAaAhugeAhealthAnutAorAanything.
Student:AHaveAyouAhadAanyAchangeAinAappetite?A-ACORRECTAANSWERS-
TinaAJones:AYeah,AlatelyAI'veAdefinitelyAbeenAmuchAhungrierAthanAusual.
Student:AHasAyourAweightAchanged?A-ACORRECTAANSWERS-
TinaAJones:AYeah,AI'veAlostAsomeAweightArecently.
Student:ADoAyouAknowAwhyAyouAlostAweight?A-ACORRECTAANSWERS-
TinaAJones:AIAdon'tAknowAwhatAcausedAit,AIAjustAlostAweight.
, Student:AHowAoftenAdoAyouAhaveAasthmaAexacerbations?A-ACORRECTAANSWERS-
TinaAJones:AIAhaven'tAhadAaAfullAattackAinAyears.AButAmyAbreathingAdefinitelyAactsAup.A.A.not
Aalways.AMaxAtwiceAaAweek.
Student:AWhatAasthmaAsymptomsAhaveAyouAexperienced?A-ACORRECTAANSWERS-
TinaAJones:AMyAchestAandAthroatAgetAtight,AandAIAstartAtoAwheeze.AItAfeelsAlikeAIAcan'tAtakeAi
nAair,AlikeAIAcan'tAgetAenoughAairAintoAmyAlungs.
Student:AHowAmanyApuffsAdoAyouAtakeAwhenAusingAyourAasthmaAinhaler?A-
ACORRECTAANSWERS-
TinaAJones:AIAusuallyAuseAtwoApuffsAfromAmyAinhaler,AbutAsometimesAIAneedAthree.A[NurseA
confirmedAwithAPharmacy:AalbuterolA90mcg/sprayAMDI]
Student:AWhatAareAsomeAthingsAthatAtriggerAyourAasthma?A-ACORRECTAANSWERS-
TinaAJones:ABeingAaroundAcatsAisAtheAworst,AbutAdustAandArunningAupAstairsAcanAmakeAmy
AbreathingAbad,Atoo.
Student:AWhatAallergiesAdoAyouAhave?A-ACORRECTAANSWERS-
TinaAJones:AI'mAallergicAtoAcats.
Student:AWhenAdidAyouArealizeAyouAwereAallergicAtoAcats?A-ACORRECTAANSWERS-
TinaAJones:AForAasAlongAasAI'veAbeenAaround.
Student:AHowAeffectiveAwasAyourApainAmedicationAatAhome?A-ACORRECTAANSWERS-
TinaAJones:AWhateverApainAmedicationAtheAERAgaveAmeAisAhelping.ABeforeAIAcameAin,AIAw
asAjustAtakingAAdvil.AForAtheApastAfewAdays,AtheAAdvilAwasn'tAdoingAmuchAforAmeA--
AitAwouldAonlyAlastAaAcoupleAofAhours.
Student:AWhatAmedicationAallergiesAdoAyouAhave?A-ACORRECTAANSWERS-
TinaAJones:AI'mAallergicAtoApenicillin.
Student:AWhatAfoodAallergiesAdoAyouAhave?A-ACORRECTAANSWERS-
TinaAJones:AIAdon'tAhaveAanyAfoodAallergiesAthatAIAknowAof.
Student:AAreAyouAallergicAtoAdust,Amold,AorApollen?A-ACORRECTAANSWERS-
TinaAJones:AWell.A.A.AIAdon'tAknowAifAit'sAallergies,AbutAsometimesAmyAasthmaAactsAupAarou
ndAdust.
Student:AWhatAimmunizationsAhaveAyouAreceived?A-ACORRECTAANSWERS-
TinaAJones:AIAgotAaAtetanusAboosterAforAworkAaboutAaAyearAago.AForAtheAotherAkinds,AIAgotA
allAtheArequiredAonesAwhenAIAwasAaAkid,AandAforAcollege...I'mAsureAIAhaveAaArecordAsomew
hereAatAhome.
Student:AHaveAyouAreceivedAaAfluAvaccine?A-ACORRECTAANSWERS-TinaAJones:ANo.
Student:AHaveAyouAhadAanyApriorAhospitalizations?A-ACORRECTAANSWERS-
TinaAJones:AWell,AbeforeAthisAIAwentAaAbunchAofAtimesAwhenAIAwasAlittle,AforAasthmaAattack
s.AThisAisAtheAfirstAtimeAI'veAbeenAinAtheAhospitalAsinceAIAwasAprobablyAsixteen,Athough.
Student:AHaveAyouAhadAanyAgastrointestinalAproblems?A-ACORRECTAANSWERS-
TinaAJones:ANo.AI'veAneverAreallyAhadAstomachAorAbowelAproblems.
Student:ADoAyouAhaveAaAfamilyAhistoryAofApsychiatricAillness?A-ACORRECTAANSWERS-
TinaAJones:ANo.AThey'reAcrazy,AbutAnobody'sAdiagnosedAwithAanything.
Student:ADoAyouAhaveAanyAneck,AthroatAorAglandAproblems?A-ACORRECTAANSWERS-
TinaAJones:ANo,AnotAthatAIAnoticed.
Student:ADoAyouAhaveAanyAproblemsAwithAyourAhead?A-ACORRECTAANSWERS-
TinaAJones:AIAdon'tAthinkAIAhaveAanyAproblems.AIAgetAheadachesAsometimes,AbutAthat'sAall.
Student:AAnyAproblemsAwithAyourAears?A-ACORRECTAANSWERS-TinaAJones:ANo.
Questions and Answers 2025
HealthAHistoryATipsA&ATricks:A-ACORRECTAANSWERS-TJAHealthAInterview
Student:AHello!A-ACORRECTAANSWERS-
DianaAShadow:AHi.AI'mAPreceptorADiana.AIAwillAexplainAtheAdetailsAofAthisAassignmentAandA
yourAobjectives,AjustAasAaApreceptorAwouldAinArealAlife.APayAcloseAattentionAtoAthisAinformati
onAasAitAwillAhelpAguideAyourAexam.AAtAtheAendAofAthisAprebrief,AyouAwillAanswerAaAshortAqu
estionAaboutAtheAupcomingAassignment.ADuringAtheAsimulation,AyouAmayAreturnAtoAtheseAi
nstructionsAatAanyAtimeAbyAscrollingAtoAtheAtopAofAyourAtranscript.
Student:AWhatAisAtheAsituation?A-ACORRECTAANSWERS-
DianaAShadow:AYourApatientAisATinaAJones:,AaA28-year-
oldAAfricanAAmericanAwomanAwhoAhasAjustAbeenAadmittedAtoAShadowAGeneralAHospitalAf
orAaApainfulAfootAwound.AYourAroleAinAthisAsimulationAisAthatAofAaAhealthcareAproviderAwhoA
willAtakeAMs.AJones'AhealthAhistory,AaAkeyAcomponentAofAherAadmissionAprocess.
Student:AWhatAareAmyAobjectivesAinAthisAassessment?A-ACORRECTAANSWERS-
DianaAShadow:AAAhealthAhistoryArequiresAyouAtoAaskAquestionsArelatedAtoAMs.AJones'Apast
AandApresentAhealth,AfromAherAcurrentAfootAwoundAtoAherApre-
existingAconditions.AYouAwillAalsoAwantAtoAreviewAMs.AJones'Asystems,ApsychosocialAhistor
y,AandAfamilyAmedicalAhistory.ATheseAassessmentsAtogetherAwillAgiveAyouAaAcomprehensiv
eApictureAofAMs.AJones'AoverallAhealth.AIfAyouAdiscoverAanyAdiseaseAstates,AaskAaboutAsym
ptomsAandAtheApatient'sAexperiencesAofAthem.AYourAquestioningAshouldAcoverAaAbroadAarr
ayAofAtheAsymptoms'Acharacteristics.AThroughoutAtheAconversation,AyouAshouldAeducateAa
ndAempathizeAwithAMs.AJonesAwhenAappropriateAtoAincreaseAherAhealthAliteracyAandAsens
eAofAwell-
being.ARegardlessAofAwhetherAyouAhaveAassessedAMs.AJonesApreviously,AaskAallAquestion
sAthatAareAnecessaryAforAobtainingAaAcompleteAhealthAhistory.AWhileAyouAshouldAcommuni
cateAwithApatientsAusingAaccessible,AeverydayAlanguage,AitAisAstandardApracticeAtoAuseApr
ofessionalAmedicalAterminologyAeverywhereAelse,AsuchAasAinAdocumentingAphysicalAfindin
gsAandAnursingAnotes.AYouAmayAcompleteAtheAexamAactivitiesAinAanyAorderAandAmoveAbet
weenAthemAasAneeded.AAfterAobtainingAMs.AJones'AhealthAhistory,AyouAwillAcompleteAanAinf
ormationAprocessingAactivity.AYouAwillAidentifyAandAprioritizeAdiagnoses,AthenAcreateAaApla
nAtoAaddressAtheAidentifiedAdiagnoses.
Student:AWhatAelseAwillAthisAexamAinvolve?A-ACORRECTAANSWERS-
DianaAShadow:AYouAwillAcompleteAnursingAtasksAtoAprotectAtheApatientsAsafety,Aprivacy,Aa
ndAhealth.AYouAcanAdocumentAyourAfindings,AincludingAvitalAsigns,AinAtheAElectronicAHealth
ARecord.AThisArecordAprovidesAnecessaryAinformationAforAhealthcareAprofessionalsAwhoAw
illAcontinueApatientAcare.ABesidesASubjectiveADataACollection,AandAEducationAandAEmpath
y,AthereAareAactivitiesAwithinAtheAsimulationAthatAprovideAvaluableApracticeAforAtheirAreal-
worldAcounterparts,AbutAtheyAareAnotAautomaticallyAgradedAbyAtheAsimulation.
Student:AHowAwillAIAbeAevaluated?A-ACORRECTAANSWERS-
DianaAShadow:AInAthisAassignment,AyouAwillAbeAevaluatedAonAyourASubjectiveADataACollec
tion,AasAwellAasAyourAEducationAandAEmpathy.AYourAsuccessAinAEducationAandAEmpathyAi
,sAbasedAonAwhetherAyouApromptlyArespondAafterAidentifyingAaAmomentAworthyAofAtherapeu
ticAcommunication.ATheAevaluationAofAyourAinterviewAisAdependentAonAhowAyouAwordAyour
AquestionsAtherapeuticallyAandApreciselyAandAexploreAallArelevantAtopicsAwithAcomprehens
iveAbreadthAandAdepth.AYouAwillAalsoAbeAevaluatedAonAyourAabilityAtoAcollectAdataAandAform
AnursingAdiagnosesAinAtheAinformationAprocessingAactivity.AThisAassignmentAtakesAonAaver
ageAbetweenA90AandA110Aminutes.AThisAexamAmayAtakeAlongerAthanAinArealAlife,AbecauseAi
nAthisAsafeAsimulation,AstudentsAofAallAexperienceAlevelsAcanAtakeAtimeAtoAhoneAandArevie
wAtheirAskills.AYouAcanApauseAandAresumeAtheAassignmentAatAanyAtime;AyourAworkAisAalwa
ysAsavedAautomatically.
Student:AHowAdoesAthisAassignmentAprepareAmeAforAtheArealAworld?A-
ACORRECTAANSWERS-
DianaAShadow:AInAthisAassessment,AyouAwillAbecomeAfamiliarizedAwithAtheAstructureAandAc
ontentAofAaAhealthAhistoryAexamAsoAthatAwithAreal-
lifeApatients,AyouAcan:AºAaskAeffectiveAandAcomprehensiveAquestionsAºAobtainAaAthoroughAh
ealthAhistoryAºAevaluateAtheApatient'sAriskAofAdisease,Ainfection,Ainjury,AandAcomplicationsAº
AeducateAandAempathizeAºAreflectAonAyourAexperienceAandAidentifyAareasAtoAimproveAºAide
ntifyAandAprioritizeAnursingAdiagnosesAºAandAdevelopAaAplanAtoAaddressAnursingAdiagnoses
.
DianaAShadow:AInA1AorA2Asentences,AanswerAthisAquestionAtoAhelpAprepareAforAtheAupcomi
ngAexam:AWhyAisAitAimportantAtoAobtainAaApatient'sAcompleteAhealthAhistory?A-
ACORRECTAANSWERS-
Student:ASoAthatAyouAunderstandAifAthereAareAanyAproblemsArelatedAtoAtheirAchiefAcomplai
nt.AAlso,AtoAhelpAtreatAtheirAcurrentAcondition.
DianaAShadow:ATimeAtoAbegin.A-ACORRECTAANSWERS-
PatientAExamA-AVitalASigns:A-ACORRECTAANSWERS-
Height:A170Acm,AWeight:A90Akg,ABMI:A31,ARandomAbloodAglucose:A238,ATemperature:A102
.4°AF,ABloodApressure:A138/90AmmHg,AHeartArate:A90,ARespiratoryArate:A18,AO2Asat:A98%
PatientAExamA-AInterview:A-ACORRECTAANSWERS-
Student:AHello,AmyAnameAisACatlain,AIAamAyourAnurseAtoday.A-ACORRECTAANSWERS-
TinaAJones:AHey.
Student:ACanAyouAconfirmAyourAname?A-ACORRECTAANSWERS-
TinaAJones:ATinaAJones:.
Student:AWhyAdidAyouAcomeAinAtoday?A-ACORRECTAANSWERS-
TinaAJones:AIAgotAthisAscrapeAonAmyAfootAaAwhileAago,AandAitAgotAreallyAinfected.AIt'sAkillingA
me.
Student:AWhatAadditionalAsymptomsAhaveAyouAexperienced?A-ACORRECTAANSWERS-
TinaAJones:AIAmean,Ait'sAallAredAandAswollen,AandAthere'sApus,AitAfeelsAhot,AitAhurtsAlikeAhell.
..AIt'sAgotAallAthatAgoingAon.
Student:ACanAyouArateAyourAcurrentApainAlevelAonAaAscaleAofA0AtoA10?A-
ACORRECTAANSWERS-
TinaAJones:A...LikeAaA7.AItAhurtsAaAlot,AbutAwhateverApainAmedAtheAERAgaveAmeAisAhelpingA
aAlittleAbit.
Student:APleaseAdescribeAtheApain.A-ACORRECTAANSWERS-
TinaAJones:AIt'sAthrobbingAandAlike,AsharpAifAIAtryAtoAputAweightAonAit.
Student:AHowAdidAyouAhurtAyourAfoot?A-ACORRECTAANSWERS-
TinaAJones:AIAwasAchangingAaAlightAbulb,AandAIAhadAtoAuseAourAlittleAstepstoolAtoAreachAit.A
,MyAfootAslidAoffAtheAbottomAstepAandAitAgotAallAscrapedAup.AIAdidn'tArealizeAhowAsharpAtheAe
dgeAwas!
Student:AHasAyourAfootAbeenAdrainingAanyAliquids?A-ACORRECTAANSWERS-
TinaAJones:AYeah,Athere'sAdefinitelyApus.
Student:AWhatAcolorAwasAtheApus?A-ACORRECTAANSWERS-
TinaAJones:AIt's...AwhiteAorAmaybeAoff-white.
Student:AHowAhaveAyouAtreatedAtheAwound?A-ACORRECTAANSWERS-
TinaAJones:AI'veAbeenAtakingAAdvilAforAmyAfootAforAaAfewAdays.
Student:AWhatAdidAyouAdoAtoAtreatAyourAfootAafterAyourAaccident?A-
ACORRECTAANSWERS-
TinaAJones:AIAmadeAsureAtoAcleanAitAandAkeepAitAbandaged.AAndAIAputANeosporinAonAit.
Student:AHowAeffectiveAwasAtheANeosporin?A-ACORRECTAANSWERS-
TinaAJones:AWell,AI'mAhere,AsoAIAguessAitAdidn'tAdoAitsAjob.
Student:ACanAyouAwalkAwithAyourAfootAbeingAinjured?A-ACORRECTAANSWERS-
TinaAJones:ANo,AIAcan't.AIAcan'tAputAanyAweightAonAitAwithoutAlike,AshootingApain.
Student:AWhatApreexistingAmedicalAconditionsAdoAyouAhave?A-ACORRECTAANSWERS-
TinaAJones:AIAmean,AIAhaveAasthmaAandAdiabetes,AbutArightAIAnowAIAjustAcareAaboutAmyAfoo
t!
Student:AIAunderstandAyourAfootAhurts,AbutAIAneedAtoAknowAthisAinformationAtoAmakeAsureAIA
takeAcareAofAtheAproblemAcorrectly.A-ACORRECTAANSWERS-TinaAJones:AThanks.
Student:AWhenAwereAyouAdiagnosedAwithAdiabetes?A-ACORRECTAANSWERS-
TinaAJones:AIAwasAdiagnosedAwhenAIAwasA24.
Student:AWhatAdoAyouAdoAtoAmanageAyourAasthma?A-ACORRECTAANSWERS-
TinaAJones:AIAtryAtoAavoidAthingsAthatAgiveAmeAbreathingAproblems,AbutAwhenAmyAasthmaAs
tartsAtoAactAup,AIAjustAuseAmyAinhaler.
Student:AWhatAmedicationsAdidAyouAtakeAforAyourAdiabetes?A-ACORRECTAANSWERS-
TinaAJones:AItAwasAmetformin.
Student:ADoAyouAcurrentlyAtakeAmedicineAforAyourAdiabetes?A-ACORRECTAANSWERS-
TinaAJones:ANo,AIAdon'tAtakeAanythingAforAmyAdiabetesAanymore.
Student:AWhatAmadeAyouAstopAtakingAmedicationAforAyourAdiabetes?A-
ACORRECTAANSWERS-
TinaAJones:AIAguessAIAjustAgotAsickAofAfeelingAsickAandAgassyAallAtheAtime,AandAitAwasAover
whelming,ArememberingAtoAtakeApillsAandAcheckAmyAsugar.AIAfeelAaAlotAbetterAnowAthatAI'mA
justAeatingAhealthierAthanAIAdidAwhenAIAwasAtakingAtheApills.
Student:ADoAyouAmonitorAyourAbloodAglucose?A-ACORRECTAANSWERS-
TinaAJones:AIAhaveAaAmonitorAatAhome,AbutAtoAbeAhonestAIAdon'tAreallyAuseAitAthatAoften.
Student:AHowAfrequentlyAdoAyouAurinate?A-ACORRECTAANSWERS-
TinaAJones:AIAdon'tAknow.AEveryAhourAorAtwoAwhenAI'mAawake?
Student:AWhatAisAyourAcurrentAdiet?A-ACORRECTAANSWERS-
TinaAJones:AIt'sAprettyAgood,AIAthink.AI'mAnotAaAhugeAhealthAnutAorAanything.
Student:AHaveAyouAhadAanyAchangeAinAappetite?A-ACORRECTAANSWERS-
TinaAJones:AYeah,AlatelyAI'veAdefinitelyAbeenAmuchAhungrierAthanAusual.
Student:AHasAyourAweightAchanged?A-ACORRECTAANSWERS-
TinaAJones:AYeah,AI'veAlostAsomeAweightArecently.
Student:ADoAyouAknowAwhyAyouAlostAweight?A-ACORRECTAANSWERS-
TinaAJones:AIAdon'tAknowAwhatAcausedAit,AIAjustAlostAweight.
, Student:AHowAoftenAdoAyouAhaveAasthmaAexacerbations?A-ACORRECTAANSWERS-
TinaAJones:AIAhaven'tAhadAaAfullAattackAinAyears.AButAmyAbreathingAdefinitelyAactsAup.A.A.not
Aalways.AMaxAtwiceAaAweek.
Student:AWhatAasthmaAsymptomsAhaveAyouAexperienced?A-ACORRECTAANSWERS-
TinaAJones:AMyAchestAandAthroatAgetAtight,AandAIAstartAtoAwheeze.AItAfeelsAlikeAIAcan'tAtakeAi
nAair,AlikeAIAcan'tAgetAenoughAairAintoAmyAlungs.
Student:AHowAmanyApuffsAdoAyouAtakeAwhenAusingAyourAasthmaAinhaler?A-
ACORRECTAANSWERS-
TinaAJones:AIAusuallyAuseAtwoApuffsAfromAmyAinhaler,AbutAsometimesAIAneedAthree.A[NurseA
confirmedAwithAPharmacy:AalbuterolA90mcg/sprayAMDI]
Student:AWhatAareAsomeAthingsAthatAtriggerAyourAasthma?A-ACORRECTAANSWERS-
TinaAJones:ABeingAaroundAcatsAisAtheAworst,AbutAdustAandArunningAupAstairsAcanAmakeAmy
AbreathingAbad,Atoo.
Student:AWhatAallergiesAdoAyouAhave?A-ACORRECTAANSWERS-
TinaAJones:AI'mAallergicAtoAcats.
Student:AWhenAdidAyouArealizeAyouAwereAallergicAtoAcats?A-ACORRECTAANSWERS-
TinaAJones:AForAasAlongAasAI'veAbeenAaround.
Student:AHowAeffectiveAwasAyourApainAmedicationAatAhome?A-ACORRECTAANSWERS-
TinaAJones:AWhateverApainAmedicationAtheAERAgaveAmeAisAhelping.ABeforeAIAcameAin,AIAw
asAjustAtakingAAdvil.AForAtheApastAfewAdays,AtheAAdvilAwasn'tAdoingAmuchAforAmeA--
AitAwouldAonlyAlastAaAcoupleAofAhours.
Student:AWhatAmedicationAallergiesAdoAyouAhave?A-ACORRECTAANSWERS-
TinaAJones:AI'mAallergicAtoApenicillin.
Student:AWhatAfoodAallergiesAdoAyouAhave?A-ACORRECTAANSWERS-
TinaAJones:AIAdon'tAhaveAanyAfoodAallergiesAthatAIAknowAof.
Student:AAreAyouAallergicAtoAdust,Amold,AorApollen?A-ACORRECTAANSWERS-
TinaAJones:AWell.A.A.AIAdon'tAknowAifAit'sAallergies,AbutAsometimesAmyAasthmaAactsAupAarou
ndAdust.
Student:AWhatAimmunizationsAhaveAyouAreceived?A-ACORRECTAANSWERS-
TinaAJones:AIAgotAaAtetanusAboosterAforAworkAaboutAaAyearAago.AForAtheAotherAkinds,AIAgotA
allAtheArequiredAonesAwhenAIAwasAaAkid,AandAforAcollege...I'mAsureAIAhaveAaArecordAsomew
hereAatAhome.
Student:AHaveAyouAreceivedAaAfluAvaccine?A-ACORRECTAANSWERS-TinaAJones:ANo.
Student:AHaveAyouAhadAanyApriorAhospitalizations?A-ACORRECTAANSWERS-
TinaAJones:AWell,AbeforeAthisAIAwentAaAbunchAofAtimesAwhenAIAwasAlittle,AforAasthmaAattack
s.AThisAisAtheAfirstAtimeAI'veAbeenAinAtheAhospitalAsinceAIAwasAprobablyAsixteen,Athough.
Student:AHaveAyouAhadAanyAgastrointestinalAproblems?A-ACORRECTAANSWERS-
TinaAJones:ANo.AI'veAneverAreallyAhadAstomachAorAbowelAproblems.
Student:ADoAyouAhaveAaAfamilyAhistoryAofApsychiatricAillness?A-ACORRECTAANSWERS-
TinaAJones:ANo.AThey'reAcrazy,AbutAnobody'sAdiagnosedAwithAanything.
Student:ADoAyouAhaveAanyAneck,AthroatAorAglandAproblems?A-ACORRECTAANSWERS-
TinaAJones:ANo,AnotAthatAIAnoticed.
Student:ADoAyouAhaveAanyAproblemsAwithAyourAhead?A-ACORRECTAANSWERS-
TinaAJones:AIAdon'tAthinkAIAhaveAanyAproblems.AIAgetAheadachesAsometimes,AbutAthat'sAall.
Student:AAnyAproblemsAwithAyourAears?A-ACORRECTAANSWERS-TinaAJones:ANo.