G*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_Health__Danny_Rivera.pdf.pdf*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!
Page 1 of 1210/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_
5:42:03 AM
5/9/25, 2:38 PM | Shadow Health® │ Digital Clinical Experiences™ from Elsevier
Focused Exam: Cough Results | Completed
Concepts of Nursing - Health Promotion - 2025-1-bsn-225-05, 20251bsn22505
Return to Assignment (/assignments/1111701/)
Your Results Lab Pass (/assignment_attempts/18671902/lab_pass.pd
Overview
Transcript
Transcript
Started: Mar 07, 2025 | Total Time: 47 min
Subjective Data Collection
All Lines (142) Interview Questions (36) Statements (11) Exam Actions (95)
Objective Data Collection
Education & Empathy Que
Hello!
03/07/25 12:44 AM
Documentation
Hi. I'm Preceptor Diana. I will explain the details of this assignment and your
Care Plan
objectives, just as a preceptor would in real life. Pay close attention to this
Program Competency Progress 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
Student Survey
simulation, you may return to these instructions at any time by scrolling to
the top of your transcript.
Que
What is the situation?
03/07/25 12:44 AM
Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with
a cough in the Shadowville Elementary nurse's office. Your role in this
simulation is that of a healthcare provider who will perform a focused
history and physical examination in order to collect data, assess Danny's
condition, and transfer care. In this simulation, you will be able to perform
procedures not always typical to a school setting so you can gather as much
data as possible.
Que
What are my objectives in this assessment?
03/07/25 12:44 AM
https://app.shadowhealth.com/assignment_attempts/18671902 1/12
G*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_Health__Danny_Rivera.pdf.pdf*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!
Page 1 of 1210/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_
5:42:03 AM
,G*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_Health__Danny_Rivera.pdf.pdf*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!
Page 2 of 1210/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_
5:42:03 AM
5/9/25, 2:38 PM | Shadow Health® │ Digital Clinical Experiences™ from Elsevier
Danny is very health literate and a good historian of his own health history; he can answer questions
that not every child may be able to. In your interview with Danny, you will ask about the history of his
presenting illness and the functioning of relevant systems in order to obtain subjective data
related to his cough. 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.
You will also inquire into the health history of Danny's family so you can determine his genetic
predisposition to any diseases. In addition to collecting subjective data, you will perform a physical
exam on Danny to gather objective data about his health and physiology. Throughout the
conversation, you should educate and empathize with Danny when appropriate to increase his
health literacy and sense of well-being. 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.
What else will this exam involve?
Because Danny is a pediatric patient, you will also be required to make a phone call to his
guardian's home to gather additional information. 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. You will then move onto the Care Plan activity, in which
you will synthesize your subjective and objective data to complete the nursing process. You will
develop a nursing diagnosis for Mr. Rivera's condition, identify a treatment goal, plan your
interventions and evaluations, and finally assess if your goal was achieved. You may also need to
call Danny's guardian again to involve them in his treatments. The Care Plan is just as important as
your assessment, and the patient's well-being will be greatly affected by your diagnosis and
interventions.
How will I be evaluated?
The activities evaluated by the simulation are Subjective and Objective Data Collection, Education and
Empathy, and the Care Plan activity. Nursing tasks and Documentation, while they provide valuable
practice for their real-world counterparts, are not automatically evaluated by the simulation. 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. The evaluation
of your physical exam is based on how successfully you report on your physical findings by
selecting among clinical terms in the Electronic Health Record. Your success in Education and
Empathy is based on whether you promptly respond after identifying a moment worthy of
therapeutic communication. Your success in the Care Plan activity is based on whether you
accurately identify Mr. Rivera's nursing diagnosis, select a goal most immediately beneficial to
him, select and prioritize the most effective treatments, and accurately evaluate your results.
The Care Plan will make up a signficant part of your grade, so be sure to carefully choose your
answers based on evidence. This assignment takes on average between 80 and 100 minutes. You
can pause and resume the assignment at any time; your work is always saved automatically.
How does this assignment prepare me for the real world?
https://app.shadowhealth.com/assignment_attempts/18671902 2/12
G*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_Health__Danny_Rivera.pdf.pdf*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!
Page 2 of 1210/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_
5:42:03 AM
#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_Health__Danny_Rivera.pdf.pdf*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!
Page 1 of 1210/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_
5:42:03 AM
5/9/25, 2:38 PM | Shadow Health® │ Digital Clinical Experiences™ from Elsevier
Focused Exam: Cough Results | Completed
Concepts of Nursing - Health Promotion - 2025-1-bsn-225-05, 20251bsn22505
Return to Assignment (/assignments/1111701/)
Your Results Lab Pass (/assignment_attempts/18671902/lab_pass.pd
Overview
Transcript
Transcript
Started: Mar 07, 2025 | Total Time: 47 min
Subjective Data Collection
All Lines (142) Interview Questions (36) Statements (11) Exam Actions (95)
Objective Data Collection
Education & Empathy Que
Hello!
03/07/25 12:44 AM
Documentation
Hi. I'm Preceptor Diana. I will explain the details of this assignment and your
Care Plan
objectives, just as a preceptor would in real life. Pay close attention to this
Program Competency Progress information as it will help guide your exam. At the end of this prebrief, you
will answer a short question about the upcoming assignment. During the
Student Survey
simulation, you may return to these instructions at any time by scrolling to
the top of your transcript.
Que
What is the situation?
03/07/25 12:44 AM
Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with
a cough in the Shadowville Elementary nurse's office. Your role in this
simulation is that of a healthcare provider who will perform a focused
history and physical examination in order to collect data, assess Danny's
condition, and transfer care. In this simulation, you will be able to perform
procedures not always typical to a school setting so you can gather as much
data as possible.
Que
What are my objectives in this assessment?
03/07/25 12:44 AM
https://app.shadowhealth.com/assignment_attempts/18671902 1/12
G*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_Health__Danny_Rivera.pdf.pdf*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!
Page 1 of 1210/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_
5:42:03 AM
,G*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_Health__Danny_Rivera.pdf.pdf*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!
Page 2 of 1210/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_
5:42:03 AM
5/9/25, 2:38 PM | Shadow Health® │ Digital Clinical Experiences™ from Elsevier
Danny is very health literate and a good historian of his own health history; he can answer questions
that not every child may be able to. In your interview with Danny, you will ask about the history of his
presenting illness and the functioning of relevant systems in order to obtain subjective data
related to his cough. 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.
You will also inquire into the health history of Danny's family so you can determine his genetic
predisposition to any diseases. In addition to collecting subjective data, you will perform a physical
exam on Danny to gather objective data about his health and physiology. Throughout the
conversation, you should educate and empathize with Danny when appropriate to increase his
health literacy and sense of well-being. 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.
What else will this exam involve?
Because Danny is a pediatric patient, you will also be required to make a phone call to his
guardian's home to gather additional information. 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. You will then move onto the Care Plan activity, in which
you will synthesize your subjective and objective data to complete the nursing process. You will
develop a nursing diagnosis for Mr. Rivera's condition, identify a treatment goal, plan your
interventions and evaluations, and finally assess if your goal was achieved. You may also need to
call Danny's guardian again to involve them in his treatments. The Care Plan is just as important as
your assessment, and the patient's well-being will be greatly affected by your diagnosis and
interventions.
How will I be evaluated?
The activities evaluated by the simulation are Subjective and Objective Data Collection, Education and
Empathy, and the Care Plan activity. Nursing tasks and Documentation, while they provide valuable
practice for their real-world counterparts, are not automatically evaluated by the simulation. 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. The evaluation
of your physical exam is based on how successfully you report on your physical findings by
selecting among clinical terms in the Electronic Health Record. Your success in Education and
Empathy is based on whether you promptly respond after identifying a moment worthy of
therapeutic communication. Your success in the Care Plan activity is based on whether you
accurately identify Mr. Rivera's nursing diagnosis, select a goal most immediately beneficial to
him, select and prioritize the most effective treatments, and accurately evaluate your results.
The Care Plan will make up a signficant part of your grade, so be sure to carefully choose your
answers based on evidence. This assignment takes on average between 80 and 100 minutes. You
can pause and resume the assignment at any time; your work is always saved automatically.
How does this assignment prepare me for the real world?
https://app.shadowhealth.com/assignment_attempts/18671902 2/12
G*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_Health__Danny_Rivera.pdf.pdf*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!
Page 2 of 1210/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Shadow_Health__Danny_Rivera.pdf10/16/2026,
5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Shadow_
5:42:03 AM
