Shadow Health - Tina Jones, Health Case
Study History with Answers
Question 1
Medications
Correct Answer
Albuterol MDI, 2 puffs every 4 hours as needed for wheezing
Acetaminophen 325 mg tabs by mouth, 2 tabs every 4 hours as needed for fever
greater than 38.6C /101.5F
Clindamycin 600mg/50ml every 6 hours intravenously
0.9 NaCl intravenously 100 ml/hr continuously x2 Liters
Lortab 5mg 1-2 tabs by mouth as needed for pain
Oxycodone 5mg 1 tab by mouth as needed
Insulin glargine 10 units at bedtime
Question 2
Health History Tips & Tricks:
Correct Answer
Question 3
Student: Hello!
Correct 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.
Page 1 of 110
,Question 4
Student: What is the situation?
Correct 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.
Question 5
Student: What are my objectives in this assessment?
Correct 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.
Page 2 of 110
,Question 6
Student: What else will this exam involve?
Correct 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.
Question 7
Student: How will I be evaluated?
Correct 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.
Question 8
Student: How does this assignment prepare me for the real world?
Correct 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.
Page 3 of 110
, Question 9
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?
Correct Answer
Student: Getting a complete health history enables the nurse to make informed
judgments about the client including formulating nursing diagnoses requiring
nursing care, identifying collaborative problems requiring interdisciplinary care,
medical issues requiring immediate referral, and the need for client teaching.
Question 10
Diana Shadow: Time to begin.
Correct Answer
Question 11
Patient Exam - Vital Signs:
Correct 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%
Question 12
Patient Exam - Interview:
Correct Answer
Question 13
Student: Hello, my name is Rachel and I am your nurse today.
Correct Answer
Tina Jones: Hey.
Page 4 of 110
Study History with Answers
Question 1
Medications
Correct Answer
Albuterol MDI, 2 puffs every 4 hours as needed for wheezing
Acetaminophen 325 mg tabs by mouth, 2 tabs every 4 hours as needed for fever
greater than 38.6C /101.5F
Clindamycin 600mg/50ml every 6 hours intravenously
0.9 NaCl intravenously 100 ml/hr continuously x2 Liters
Lortab 5mg 1-2 tabs by mouth as needed for pain
Oxycodone 5mg 1 tab by mouth as needed
Insulin glargine 10 units at bedtime
Question 2
Health History Tips & Tricks:
Correct Answer
Question 3
Student: Hello!
Correct 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.
Page 1 of 110
,Question 4
Student: What is the situation?
Correct 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.
Question 5
Student: What are my objectives in this assessment?
Correct 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.
Page 2 of 110
,Question 6
Student: What else will this exam involve?
Correct 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.
Question 7
Student: How will I be evaluated?
Correct 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.
Question 8
Student: How does this assignment prepare me for the real world?
Correct 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.
Page 3 of 110
, Question 9
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?
Correct Answer
Student: Getting a complete health history enables the nurse to make informed
judgments about the client including formulating nursing diagnoses requiring
nursing care, identifying collaborative problems requiring interdisciplinary care,
medical issues requiring immediate referral, and the need for client teaching.
Question 10
Diana Shadow: Time to begin.
Correct Answer
Question 11
Patient Exam - Vital Signs:
Correct 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%
Question 12
Patient Exam - Interview:
Correct Answer
Question 13
Student: Hello, my name is Rachel and I am your nurse today.
Correct Answer
Tina Jones: Hey.
Page 4 of 110
