GUIDE COMPLETE TEST 2025/2026 ACTUAL QUESTIONS AND
CORRECT DETAILED ANSWERS (COMPLETE VERIFIED
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Health History Tips & Tricks: TJ Health Interview
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.
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.
,Student: What are my objectives in this Diana Shadow: A health history requires you to ask questions
assessment? 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? 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? 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 Diana Shadow: In this assessment, you will become
me for the real world? 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 Student: So that you understand if there are any problems
this question to help prepare for the related to their chief complaint. Also, to help treat their current
upcoming exam: Why is it important to condition.
obtain a patient's complete health history?
Diana Shadow: Time to begin.
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%
Patient Exam - Interview:
Student: Hello, my name is Catlain, I am your Tina Jones: Hey.
nurse today.
Student: Can you confirm your name? Tina Jones: Tina Jones:.
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.
Student: What additional symptoms have Tina Jones: I mean, it's all red and swollen, and there's pus, it
you experienced? feels hot, it hurts like hell... It's got all that going on.
Student: Can you rate your current pain Tina Jones: ...Like a 7. It hurts a lot, but whatever pain med the
level on a scale of 0 to 10? ER gave me is helping a little bit.
Student: Please describe the pain. Tina Jones: It's throbbing and like, sharp if I try to put weight on
it.
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!
Student: Has your foot been draining any Tina Jones: Yeah, there's definitely pus.
liquids?
Student: What color was the pus? Tina Jones: It's... white or maybe off-white.
Student: How have you treated the wound? Tina Jones: I've been taking Advil for my foot for a few days.
, Student: What did you do to treat your foot Tina Jones: I made sure to clean it and keep it bandaged.
after your accident? And I put Neosporin on it.
Student: How effective was the Neosporin? Tina Jones: Well, I'm here, so I guess it didn't do its job.
Student: Can you walk with your foot being Tina Jones: No, I can't. I can't put any weight on it without like,
injured? shooting pain.
Student: What preexisting medical Tina Jones: I mean, I have asthma and diabetes, but right I now I
conditions do you have? just care about my foot!
Student: I understand your foot hurts, but I Tina Jones: Thanks.
need to know this information to make sure I
take care of the problem correctly.
Student: When were you diagnosed with Tina Jones: I was diagnosed when I was 24.
diabetes?
Student: What do you do to manage your Tina Jones: I try to avoid things that give me breathing
asthma? problems, but when my asthma starts to act up, I just use my
inhaler.
Student: What medications did you take for Tina Jones: It was metformin.
your diabetes?
Student: Do you currently take medicine for Tina Jones: No, I don't take anything for my diabetes anymore.
your diabetes?
Student: What made you stop taking Tina Jones: I guess I just got sick of feeling sick and gassy all
medication for your diabetes? 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 Tina Jones: I have a monitor at home, but to be honest I don't
glucose? really use it that often.
Student: How frequently do you urinate? Tina Jones: I don't know. Every hour or two when I'm awake?
Student: What is your current diet? Tina Jones: It's pretty good, I think. I'm not a huge health nut or
anything.
Student: Have you had any change in Tina Jones: Yeah, lately I've definitely been much hungrier than
appetite? usual.
Student: Has your weight changed? Tina Jones: Yeah, I've lost some weight recently.
Student: Do you know why you lost weight? Tina Jones: I don't know what caused it, I just lost weight.
Student: How often do you have Tina Jones: I haven't had a full attack in years. But my breathing
asthma exacerbations? definitely acts up. . .not always. Max twice a week.