Shadow Health Concept Lab Q&A | 40 Questions | Patient History, Allergy & Substance Use – Updated Simulation 2025

This updated 2025/2026 edition contains 40 fully solved questions and answers from the Shadow Health Conversation Concept Lab with Rachel Adler. Designed to mirror real digital clinical assessments, this document helps students develop structured interviewing techniques and a deeper understanding of patient history documentation. Topics include patient intake and medical background, over-the-counter and prescription medication usage, detailed allergy assessments (including peanut, medication, latex, food, and environmental), and lifestyle-related questions about tobacco, alcohol, and drug use. Each answer models appropriate clinical communication, offering insight into how to build rapport while collecting accurate patient data. The document also addresses psychosocial aspects such as peer influence and behavioral attitudes, essential for comprehensive nursing care assessments. This guide is highly beneficial for students pursuing degrees in nursing, public health, physician assistant studies, or clinical psychology, and is especially relevant to those enrolled in Health Assessment, Nursing Communication, Clinical Interviewing, or Simulation Lab courses. Institutions using Shadow Health simulations—such as Chamberlain University, Walden University, or Capella University—will find this a valuable and exam-aligned resource. Keywords: shadow health, Rachel Adler, conversation lab, nursing simulation, patient history, health interview, allergy assessment, OTC medications, substance use, tobacco history, alcohol behavior, digital clinical experience, simulation practice, OSCE preparation, peer pressure