COMPLETE STUDY GUIDE WITH VERIFIED
CORRECT ANSWERS || 100% GUARANTEED
PASS <LATEST VERSION>
Description: This Shadow Health Tina Jones Health History assessment includes
all 2025 verified answers and detailed rationales. Covers subjective and objective
data collection, communication techniques, and physical-assessment findings.
Ideal for nursing students completing the virtual patient simulation.
Keywords: Shadow Health Tina Jones Health History Nursing Simulation Patient
Assessment Verified Answers Clinical Skills
1. Question: What is your primary goal when first entering Tina Jones's room?
o Answer: To establish a therapeutic relationship and build rapport, making her feel
comfortable and safe to share her health information.
o Rationale: Trust is the foundation of an effective nurse-patient relationship.
Without it, the patient may withhold critical information.
2. Question: What is an appropriate opening statement to Tina?
o Answer: "Good morning, Tina. My name is [Your Name], and I'm a nursing
student. I'm here to complete a health history interview with you. How are you
feeling today?"
o Rationale: This is polite, introduces your role, states the purpose of the visit, and
is an open-ended question that allows the patient to set the tone.
3. Question: Why is it important to ask "What brings you in today?" instead of
"What's wrong with you?"
o Answer: "What brings you in today?" is a more open, neutral, and patient-
centered phrase that invites the patient to tell their story in their own words.
"What's wrong" can sound accusatory and may put the patient on the defensive.
, o Rationale: Using therapeutic communication techniques encourages a fuller,
more accurate patient narrative.
4. Question: Tina seems slightly anxious. What is a therapeutic communication technique
to address this?
o Answer: Use empathy and validation. For example, "It sounds like you've been
dealing with a lot. It's completely normal to feel a bit anxious about being in the
hospital."
o Rationale: Acknowledging and normalizing a patient's feelings builds trust and
shows you are listening holistically.
5. Question: What is the purpose of summarizing information back to Tina during the
interview?
o Answer: To ensure accuracy, demonstrate that you are actively listening, and give
the patient an opportunity to clarify any misinformation.
o Rationale: This technique, often called "checking for understanding," is a key
part of effective communication and prevents errors.
6. Question: How should you respond if Tina asks you a personal question?
o Answer: Gently redirect the conversation back to the patient. "I'm here to focus
on you today, Tina. Could you tell me more about [relevant health topic]?"
o Rationale: Maintaining professional boundaries keeps the focus on the patient's
needs and ensures a therapeutic relationship.
7. Question: Why is it important to use open-ended questions?
o Answer: Open-ended questions (e.g., "How would you describe the pain?")
encourage detailed responses and provide a richer, more subjective dataset than
simple "yes/no" questions.
o Rationale: They allow the patient to be the storyteller, revealing priorities and
concerns you might not have thought to ask about.
8. Question: What is a closed-ended question, and when is it appropriate?
o Answer: A closed-ended question seeks a specific, often one-word answer (e.g.,
"Do you smoke?"). It's useful for gathering specific demographic or factual data
quickly.
o Rationale: Efficient for confirming details but should be balanced with open-
ended questions to get the full picture.
, 9. Question: If Tina starts crying when discussing a difficult topic, what is the best initial
response?
o Answer: Use silence and presence. Offer a tissue and use a gentle tone: "It's okay
to be upset. I'm here with you."
o Rationale: Sometimes the most therapeutic response is non-verbal. Allowing
space for emotion shows respect and compassion.
10. Question: How can you ensure patient confidentiality during the interview?
o Answer: Explain that all information shared is confidential and will be part of her
medical record, accessible only to her healthcare team.
o Rationale: Reassuring patients about confidentiality is essential for obtaining
honest and complete information.
Section 2: History of Present Illness (HPI) - The Leg Wound (Questions 11-25)
11. Question: What is the primary reason for Tina's current hospital admission?
o Answer: A infected wound on her right foot, which is now diagnosed as cellulitis.
o Rationale: This is the "Chief Complaint" and the focus of the HPI.
12. Question: How did Tina get the cut on her foot?
o Answer: She cut it on a piece of metal about a week ago while walking in her
backyard.
o Rationale: Establishing the mechanism of injury is a key part of the HPI.
13. Question: Use the OLDCART mnemonic to assess Tina's foot pain.
o Answer:
▪ Onset: After the cut occurred.
▪ Location: Right foot, specifically the dorsal surface.
▪ Duration: Constant since it became infected.
▪ Character: Throbbing, aching.
▪ Aggravating factors: Walking, putting pressure on it.
▪ Relieving factors: Keeping it elevated, taking prescribed antibiotics
(Doxycycline).