SHADOW HEALTH – TINA JONES,
HEALTH HISTORY QUESTIONS AND
VERIFIED DETAILED ANSWERS
GRADED A+ (NEWEST VERSION)
QUESTIONS AND ANSWERS
Health History Tips & Tricks: ANSWER -TJ Health Interview
Student: Hello! ANSWER -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.
Student: What is the situation? ANSWER -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.
Student: What are my objectives in this assessment? ANSWER -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 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? ANSWER -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.
Student: How will I be evaluated? ANSWER -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.
Student: How does this assignment prepare me for the real world? ANSWER -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 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? ANSWER -
Student: So that you understand if there are any problems related to their chief complaint.
Also, to help treat their current condition.
Diana Shadow: Time to begin. ANSWER -
Patient Exam - Vital Signs: ANSWER -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%
,Patient Exam - Interview: ANSWER -
Student: Hello, my name is Catlain, I am your nurse today. ANSWER -Tina Jones: Hey.
Student: Can you confirm your name? ANSWER -Tina Jones: Tina Jones:.
Student: Why did you come in today? ANSWER -Tina Jones: I got this scrape on my foot a
while ago, and it got really infected. It's killing me.
Student: What additional symptoms have you experienced? ANSWER -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.
Student: Can you rate your current pain level on a scale of 0 to 10? ANSWER -Tina Jones:
...Like a 7. It hurts a lot, but whatever pain med the ER gave me is helping a little bit.
Student: Please describe the pain. ANSWER -Tina Jones: It's throbbing and like, sharp if I
try to put weight on it.
Student: How did you hurt your foot? ANSWER -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!
Student: Has your foot been draining any liquids? ANSWER -Tina Jones: Yeah, there's
definitely pus.
Student: What color was the pus? ANSWER -Tina Jones: It's... white or maybe off-white.
Student: How have you treated the wound? ANSWER -Tina Jones: I've been taking Advil
for my foot for a few days.
Student: What did you do to treat your foot after your accident? ANSWER -Tina Jones: I
made sure to clean it and keep it bandaged. And I put Neosporin on it.
, Student: How effective was the Neosporin? ANSWER -Tina Jones: Well, I'm here, so I
guess it didn't do its job.
Student: Can you walk with your foot being injured? ANSWER -Tina Jones: No, I can't. I
can't put any weight on it without like, shooting pain.
Student: What preexisting medical conditions do you have? ANSWER -Tina Jones: I mean,
I have asthma and diabetes, but right I now I just care about my foot!
Student: I understand your foot hurts, but I need to know this information to make sure I
take care of the problem correctly. ANSWER -Tina Jones: Thanks.
Student: When were you diagnosed with diabetes? ANSWER -Tina Jones: I was diagnosed
when I was 24.
Student: What do you do to manage your asthma? ANSWER -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.
Student: What medications did you take for your diabetes? ANSWER -Tina Jones: It was
metformin.
Student: Do you currently take medicine for your diabetes? ANSWER -Tina Jones: No, I
don't take anything for my diabetes anymore.
Student: What made you stop taking medication for your diabetes? ANSWER -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.
Student: Do you monitor your blood glucose? ANSWER -Tina Jones: I have a monitor at
home, but to be honest I don't really use it that often.
HEALTH HISTORY QUESTIONS AND
VERIFIED DETAILED ANSWERS
GRADED A+ (NEWEST VERSION)
QUESTIONS AND ANSWERS
Health History Tips & Tricks: ANSWER -TJ Health Interview
Student: Hello! ANSWER -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.
Student: What is the situation? ANSWER -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.
Student: What are my objectives in this assessment? ANSWER -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 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? ANSWER -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.
Student: How will I be evaluated? ANSWER -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.
Student: How does this assignment prepare me for the real world? ANSWER -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 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? ANSWER -
Student: So that you understand if there are any problems related to their chief complaint.
Also, to help treat their current condition.
Diana Shadow: Time to begin. ANSWER -
Patient Exam - Vital Signs: ANSWER -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%
,Patient Exam - Interview: ANSWER -
Student: Hello, my name is Catlain, I am your nurse today. ANSWER -Tina Jones: Hey.
Student: Can you confirm your name? ANSWER -Tina Jones: Tina Jones:.
Student: Why did you come in today? ANSWER -Tina Jones: I got this scrape on my foot a
while ago, and it got really infected. It's killing me.
Student: What additional symptoms have you experienced? ANSWER -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.
Student: Can you rate your current pain level on a scale of 0 to 10? ANSWER -Tina Jones:
...Like a 7. It hurts a lot, but whatever pain med the ER gave me is helping a little bit.
Student: Please describe the pain. ANSWER -Tina Jones: It's throbbing and like, sharp if I
try to put weight on it.
Student: How did you hurt your foot? ANSWER -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!
Student: Has your foot been draining any liquids? ANSWER -Tina Jones: Yeah, there's
definitely pus.
Student: What color was the pus? ANSWER -Tina Jones: It's... white or maybe off-white.
Student: How have you treated the wound? ANSWER -Tina Jones: I've been taking Advil
for my foot for a few days.
Student: What did you do to treat your foot after your accident? ANSWER -Tina Jones: I
made sure to clean it and keep it bandaged. And I put Neosporin on it.
, Student: How effective was the Neosporin? ANSWER -Tina Jones: Well, I'm here, so I
guess it didn't do its job.
Student: Can you walk with your foot being injured? ANSWER -Tina Jones: No, I can't. I
can't put any weight on it without like, shooting pain.
Student: What preexisting medical conditions do you have? ANSWER -Tina Jones: I mean,
I have asthma and diabetes, but right I now I just care about my foot!
Student: I understand your foot hurts, but I need to know this information to make sure I
take care of the problem correctly. ANSWER -Tina Jones: Thanks.
Student: When were you diagnosed with diabetes? ANSWER -Tina Jones: I was diagnosed
when I was 24.
Student: What do you do to manage your asthma? ANSWER -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.
Student: What medications did you take for your diabetes? ANSWER -Tina Jones: It was
metformin.
Student: Do you currently take medicine for your diabetes? ANSWER -Tina Jones: No, I
don't take anything for my diabetes anymore.
Student: What made you stop taking medication for your diabetes? ANSWER -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.
Student: Do you monitor your blood glucose? ANSWER -Tina Jones: I have a monitor at
home, but to be honest I don't really use it that often.
