Shadow Health - Tina Jones, Health
History questions with correct answers
Health History Tips & Tricks: - answer-TJ Health Interview
b b b b b b b b
Student: Hello! - answer-Diana Shadow: Hi. I'm Preceptor Diana. I will explain the
b b b b b b b b b b b b
details of this assignment and your objectives, just as a preceptor would in real life. Pay
b b b b b b b b b b b b b b b b
close attention to this information as it will help guide your exam. At the end of this
b b b b b b b b b b b b b b b b b
prebrief, you will answer a short question about the upcoming assignment. During the
b b b b b b b b b b b b b
simulation, you may return to these instructions at any time by scrolling to the top of
b b b b b b b b b b b b b b b b
your transcript.
b b
Student: What is the situation? - answer-Diana Shadow: Your patient is Tina Jones:, a
b b b b b b b b b b b b b
28-year-old African American woman who has just been admitted to Shadow General
b b b b b b b b b b b b
Hospital for a painful foot wound. Your role in this simulation is that of a healthcare
b b b b b b b b b b b b b b b b
provider who will take Ms. Jones' health history, a key component of her admission
b b b b b b b b b b b b b b
process.
b
Student: What are my objectives in this assessment? - answer-Diana Shadow: A health
b b b b b b b b b b b b
history requires you to ask questions related to Ms. Jones' past and present health,
b b b b b b b b b b b b b b
from her current foot wound to her pre-existing conditions. You will also want to review
b b b b b b b b b b b b b b b
Ms. Jones' systems, psychosocial history, and family medical history. These
b b b b b b b b b b
assessments together will give you a comprehensive picture of Ms. Jones' overall
b b b b b b b b b b b b
health. If you discover any disease states, ask about symptoms and the patient's
b b b b b b b b b b b b b
experiences of them. Your questioning should cover a broad array of the symptoms'
b b b b b b b b b b b b b
characteristics. Throughout the conversation, you should educate and empathize with
b b b b b b b b b b
Ms. Jones when appropriate to increase her health literacy and sense of well-being.
b b b b b b b b b b b b b
Regardless of whether you have assessed Ms. Jones previously, ask all questions that
b b b b b b b b b b b b b
are necessary for obtaining a complete health history. While you should communicate
b b b b b b b b b b b b
with patients using accessible, everyday language, it is standard practice to use
b b b b b b b b b b b b
professional medical terminology everywhere else, such as in documenting physical
b b b b b b b b b b
findings and nursing notes. You may complete the exam activities in any order and
b b b b b b b b b b b b b b
move between them as needed. After obtaining Ms. Jones' health history, you will
b b b b b b b b b b b b b
complete an information processing activity. You will identify and prioritize diagnoses,
b b b b b b b b b b b
then create a plan to address the identified diagnoses.
b b b b b b b b b
Student: What else will this exam involve? - answer-Diana Shadow: You will complete
b b b b b b b b b b b b
nursing tasks to protect the patients safety, privacy, and health. You can document
b b b b b b b b b b b b b
your findings, including vital signs, in the Electronic Health Record. This record
b b b b b b b b b b b b
provides necessary information for healthcare professionals who will continue patient
b b b b b b b b b b
,b care. Besides Subjective Data Collection, and Education and Empathy, there are
b b b b b b b b b b
b activities within the simulation that provide valuable practice for their real-world
b b b b b b b b b b
b counterparts, but they are not automatically graded by the simulation. b b b b b b b b b
Student: How will I be evaluated? - answer-Diana Shadow: In this assignment, you will
b b b b b b b b b b b b b
be evaluated on your Subjective Data Collection, as well as your Education and
b b b b b b b b b b b b b
Empathy. Your success in Education and Empathy is based on whether you promptly
b b b b b b b b b b b b b
respond after identifying a moment worthy of therapeutic communication. The
b b b b b b b b b b
evaluation of your interview is dependent on how you word your questions
b b b b b b b b b b b b
therapeutically and precisely and explore all relevant topics with comprehensive
b b b b b b b b b b
breadth and depth. You will also be evaluated on your ability to collect data and form
b b b b b b b b b b b b b b b b
nursing diagnoses in the information processing activity. This assignment takes on
b b b b b b b b b b b
average between 90 and 110 minutes. This exam may take longer than in real life,
b b b b b b b b b b b b b b b
because in this safe simulation, students of all experience levels can take time to hone
b b b b b b b b b b b b b b b
and review their skills. You can pause and resume the assignment at any time; your
b b b b b b b b b b b b b b b
work is always saved automatically.
b b b b b
Student: How does this assignment prepare me for the real world? - answer-Diana
b b b b b b b b b b b b
Shadow: In this assessment, you will become familiarized with the structure and
b b b b b b b b b b b b
content of a health history exam so that with real-life patients, you can: º ask effective
b b b b b b b b b b b b b b b b
and comprehensive questions º obtain a thorough health history º evaluate the patient's
b b b b b b b b b b b b b
risk of disease, infection, injury, and complications º educate and empathize º reflect on
b b b b b b b b b b b b b b
your experience and identify areas to improve º identify and prioritize nursing diagnoses
b b b b b b b b b b b b b
º and develop a plan to address nursing diagnoses.
b b b b b b b b b
Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for the
b b b b b b b b b b b b b b
upcoming exam: Why is it important to obtain a patient's complete health history? -
b b b b b b b b b b b b b b
answer-Student: So that you understand if there are any problems related to their chief
b b b b b b b b b b b b b b
complaint. Also, to help treat their current condition.
b b b b b b b b
Diana Shadow: Time to begin. - answer-
b b b b b b
Patient Exam - Vital Signs: - answer-Height: 170 cm, Weight: 90 kg, BMI: 31, Random
b b b b b b b b b b b b b b
blood glucose: 238, Temperature: 102.4° F, Blood pressure: 138/90 mmHg, Heart rate:
b b b b b b b b b b b b
90, Respiratory rate: 18, O2 sat: 98%
b b b b b b b
Patient Exam - Interview: - answer- b b b b b
Student: Hello, my name is Catlain, I am your nurse today. - answer-Tina Jones: Hey.
b b b b b b b b b b b b b b
Student: Can you confirm your name? - answer-Tina Jones: Tina Jones:.
b b b b b b b b b b
Student: Why did you come in today? - answer-Tina Jones: I got this scrape on my foot
b b b b b b b b b b b b b b b b
a while ago, and it got really infected. It's killing me.
b b b b b b b b b b b
,Student: What additional symptoms have you experienced? - answer-Tina Jones: I
b b b b b b b b b b
mean, it's all red and swollen, and there's pus, it feels hot, it hurts like hell... It's got all
b b b b b b b b b b b b b b b b b b b
that going on.
b b b
Student: Can you rate your current pain level on a scale of 0 to 10? - answer-Tina
b b b b b b b b b b b b b b b b
Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER gave me is helping a
b b b b b b b b b b b b b b b b b b b
little bit.
b b
Student: Please describe the pain. - answer-Tina Jones: It's throbbing and like, sharp if I
b b b b b b b b b b b b b b
try to put weight on it.
b b b b b b
Student: How did you hurt your foot? - answer-Tina Jones: I was changing a light bulb,
b b b b b b b b b b b b b b b
and I had to use our little stepstool to reach it. My foot slid off the bottom step and it got
b b b b b b b b b b b b b b b b b b b b b
all scraped up. I didn't realize how sharp the edge was!
b b b b b b b b b b b
Student: Has your foot been draining any liquids? - answer-Tina Jones: Yeah, there's
b b b b b b b b b b b b
definitely pus.
b b
Student: What color was the pus? - answer-Tina Jones: It's... white or maybe off-white.
b b b b b b b b b b b b b
Student: How have you treated the wound? - answer-Tina Jones: I've been taking Advil
b b b b b b b b b b b b b
for my foot for a few days.
b b b b b b b
Student: What did you do to treat your foot after your accident? - answer-Tina Jones: I
b b b b b b b b b b b b b b b
made sure to clean it and keep it bandaged. And I put Neosporin on it.
b b b b b b b b b b b b b b b
Student: How effective was the Neosporin? - answer-Tina Jones: Well, I'm here, so I
b b b b b b b b b b b b b
guess it didn't do its job.
b b b b b b
Student: Can you walk with your foot being injured? - answer-Tina Jones: No, I can't. I
b b b b b b b b b b b b b b b
can't put any weight on it without like, shooting pain.
b b b b b b b b b b
Student: What preexisting medical conditions do you have? - answer-Tina Jones: I
b b b b b b b b b b b
mean, I have asthma and diabetes, but right I now I just care about my foot!
b b b b b b b b b b b b b b b b
Student: I understand your foot hurts, but I need to know this information to make sure I
b b b b b b b b b b b b b b b b
take care of the problem correctly. - answer-Tina Jones: Thanks.
b b b b b b b b b b
Student: When were you diagnosed with diabetes? - answer-Tina Jones: I was
b b b b b b b b b b b
diagnosed when I was 24.
b b b b b
Student: What do you do to manage your asthma? - answer-Tina Jones: I try to avoid
b b b b b b b b b b b b b b b
things that give me breathing problems, but when my asthma starts to act up, I just use
b b b b b b b b b b b b b b b b b
my inhaler.
b b
, Student: What medications did you take for your diabetes? - answer-Tina Jones: It was
b b b b b b b b b b b b b
metformin.
b
Student: Do you currently take medicine for your diabetes? - answer-Tina Jones: No, I
b b b b b b b b b b b b b
don't take anything for my diabetes anymore.
b b b b b b b
Student: What made you stop taking medication for your diabetes? - answer-Tina
b b b b b b b b b b b
Jones: I guess I just got sick of feeling sick and gassy all the time, and it was
b b b b b b b b b b b b b b b b b b
overwhelming, remembering to take pills and check my sugar. I feel a lot better now
b b b b b b b b b b b b b b b
that I'm just eating healthier than I did when I was taking the pills.
b b b b b b b b b b b b b b
Student: Do you monitor your blood glucose? - answer-Tina Jones: I have a monitor at
b b b b b b b b b b b b b b
home, but to be honest I don't really use it that often.
b b b b b b b b b b b b
Student: How frequently do you urinate? - answer-Tina Jones: I don't know. Every hour
b b b b b b b b b b b b b
or two when I'm awake?
b b b b b
Student: What is your current diet? - answer-Tina Jones: It's pretty good, I think. I'm not
b b b b b b b b b b b b b b b
a huge health nut or anything.
b b b b b b
Student: Have you had any change in appetite? - answer-Tina Jones: Yeah, lately I've
b b b b b b b b b b b b b
definitely been much hungrier than usual.
b b b b b b
Student: Has your weight changed? - answer-Tina Jones: Yeah, I've lost some weight
b b b b b b b b b b b b
recently.
b
Student: Do you know why you lost weight? - answer-Tina Jones: I don't know what
b b b b b b b b b b b b b b
caused it, I just lost weight.
b b b b b b
Student: How often do you have asthma exacerbations? - answer-Tina Jones: I haven't
b b b b b b b b b b b b
had a full attack in years. But my breathing definitely acts up. . .not always. Max twice a
b b b b b b b b b b b b b b b b b b
week.
b
Student: What asthma symptoms have you experienced? - answer-Tina Jones: My
b b b b b b b b b b
chest and throat get tight, and I start to wheeze. It feels like I can't take in air, like I can't
b b b b b b b b b b b b b b b b b b b b b
get enough air into my lungs.
b b b b b b
Student: How many puffs do you take when using your asthma inhaler? - answer-Tina
b b b b b b b b b b b b b
Jones: I usually use two puffs from my inhaler, but sometimes I need three. [Nurse
b b b b b b b b b b b b b b b
confirmed with Pharmacy: albuterol 90mcg/spray MDI]
b b b b b b
Student: What are some things that trigger your asthma? - answer-Tina Jones: Being
b b b b b b b b b b b b
around cats is the worst, but dust and running up stairs can make my breathing bad,
b b b b b b b b b b b b b b b b
too.
b
Student: What allergies do you have? - answer-Tina Jones: I'm allergic to cats.
b b b b b b b b b b b b
History questions with correct answers
Health History Tips & Tricks: - answer-TJ Health Interview
b b b b b b b b
Student: Hello! - answer-Diana Shadow: Hi. I'm Preceptor Diana. I will explain the
b b b b b b b b b b b b
details of this assignment and your objectives, just as a preceptor would in real life. Pay
b b b b b b b b b b b b b b b b
close attention to this information as it will help guide your exam. At the end of this
b b b b b b b b b b b b b b b b b
prebrief, you will answer a short question about the upcoming assignment. During the
b b b b b b b b b b b b b
simulation, you may return to these instructions at any time by scrolling to the top of
b b b b b b b b b b b b b b b b
your transcript.
b b
Student: What is the situation? - answer-Diana Shadow: Your patient is Tina Jones:, a
b b b b b b b b b b b b b
28-year-old African American woman who has just been admitted to Shadow General
b b b b b b b b b b b b
Hospital for a painful foot wound. Your role in this simulation is that of a healthcare
b b b b b b b b b b b b b b b b
provider who will take Ms. Jones' health history, a key component of her admission
b b b b b b b b b b b b b b
process.
b
Student: What are my objectives in this assessment? - answer-Diana Shadow: A health
b b b b b b b b b b b b
history requires you to ask questions related to Ms. Jones' past and present health,
b b b b b b b b b b b b b b
from her current foot wound to her pre-existing conditions. You will also want to review
b b b b b b b b b b b b b b b
Ms. Jones' systems, psychosocial history, and family medical history. These
b b b b b b b b b b
assessments together will give you a comprehensive picture of Ms. Jones' overall
b b b b b b b b b b b b
health. If you discover any disease states, ask about symptoms and the patient's
b b b b b b b b b b b b b
experiences of them. Your questioning should cover a broad array of the symptoms'
b b b b b b b b b b b b b
characteristics. Throughout the conversation, you should educate and empathize with
b b b b b b b b b b
Ms. Jones when appropriate to increase her health literacy and sense of well-being.
b b b b b b b b b b b b b
Regardless of whether you have assessed Ms. Jones previously, ask all questions that
b b b b b b b b b b b b b
are necessary for obtaining a complete health history. While you should communicate
b b b b b b b b b b b b
with patients using accessible, everyday language, it is standard practice to use
b b b b b b b b b b b b
professional medical terminology everywhere else, such as in documenting physical
b b b b b b b b b b
findings and nursing notes. You may complete the exam activities in any order and
b b b b b b b b b b b b b b
move between them as needed. After obtaining Ms. Jones' health history, you will
b b b b b b b b b b b b b
complete an information processing activity. You will identify and prioritize diagnoses,
b b b b b b b b b b b
then create a plan to address the identified diagnoses.
b b b b b b b b b
Student: What else will this exam involve? - answer-Diana Shadow: You will complete
b b b b b b b b b b b b
nursing tasks to protect the patients safety, privacy, and health. You can document
b b b b b b b b b b b b b
your findings, including vital signs, in the Electronic Health Record. This record
b b b b b b b b b b b b
provides necessary information for healthcare professionals who will continue patient
b b b b b b b b b b
,b care. Besides Subjective Data Collection, and Education and Empathy, there are
b b b b b b b b b b
b activities within the simulation that provide valuable practice for their real-world
b b b b b b b b b b
b counterparts, but they are not automatically graded by the simulation. b b b b b b b b b
Student: How will I be evaluated? - answer-Diana Shadow: In this assignment, you will
b b b b b b b b b b b b b
be evaluated on your Subjective Data Collection, as well as your Education and
b b b b b b b b b b b b b
Empathy. Your success in Education and Empathy is based on whether you promptly
b b b b b b b b b b b b b
respond after identifying a moment worthy of therapeutic communication. The
b b b b b b b b b b
evaluation of your interview is dependent on how you word your questions
b b b b b b b b b b b b
therapeutically and precisely and explore all relevant topics with comprehensive
b b b b b b b b b b
breadth and depth. You will also be evaluated on your ability to collect data and form
b b b b b b b b b b b b b b b b
nursing diagnoses in the information processing activity. This assignment takes on
b b b b b b b b b b b
average between 90 and 110 minutes. This exam may take longer than in real life,
b b b b b b b b b b b b b b b
because in this safe simulation, students of all experience levels can take time to hone
b b b b b b b b b b b b b b b
and review their skills. You can pause and resume the assignment at any time; your
b b b b b b b b b b b b b b b
work is always saved automatically.
b b b b b
Student: How does this assignment prepare me for the real world? - answer-Diana
b b b b b b b b b b b b
Shadow: In this assessment, you will become familiarized with the structure and
b b b b b b b b b b b b
content of a health history exam so that with real-life patients, you can: º ask effective
b b b b b b b b b b b b b b b b
and comprehensive questions º obtain a thorough health history º evaluate the patient's
b b b b b b b b b b b b b
risk of disease, infection, injury, and complications º educate and empathize º reflect on
b b b b b b b b b b b b b b
your experience and identify areas to improve º identify and prioritize nursing diagnoses
b b b b b b b b b b b b b
º and develop a plan to address nursing diagnoses.
b b b b b b b b b
Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for the
b b b b b b b b b b b b b b
upcoming exam: Why is it important to obtain a patient's complete health history? -
b b b b b b b b b b b b b b
answer-Student: So that you understand if there are any problems related to their chief
b b b b b b b b b b b b b b
complaint. Also, to help treat their current condition.
b b b b b b b b
Diana Shadow: Time to begin. - answer-
b b b b b b
Patient Exam - Vital Signs: - answer-Height: 170 cm, Weight: 90 kg, BMI: 31, Random
b b b b b b b b b b b b b b
blood glucose: 238, Temperature: 102.4° F, Blood pressure: 138/90 mmHg, Heart rate:
b b b b b b b b b b b b
90, Respiratory rate: 18, O2 sat: 98%
b b b b b b b
Patient Exam - Interview: - answer- b b b b b
Student: Hello, my name is Catlain, I am your nurse today. - answer-Tina Jones: Hey.
b b b b b b b b b b b b b b
Student: Can you confirm your name? - answer-Tina Jones: Tina Jones:.
b b b b b b b b b b
Student: Why did you come in today? - answer-Tina Jones: I got this scrape on my foot
b b b b b b b b b b b b b b b b
a while ago, and it got really infected. It's killing me.
b b b b b b b b b b b
,Student: What additional symptoms have you experienced? - answer-Tina Jones: I
b b b b b b b b b b
mean, it's all red and swollen, and there's pus, it feels hot, it hurts like hell... It's got all
b b b b b b b b b b b b b b b b b b b
that going on.
b b b
Student: Can you rate your current pain level on a scale of 0 to 10? - answer-Tina
b b b b b b b b b b b b b b b b
Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER gave me is helping a
b b b b b b b b b b b b b b b b b b b
little bit.
b b
Student: Please describe the pain. - answer-Tina Jones: It's throbbing and like, sharp if I
b b b b b b b b b b b b b b
try to put weight on it.
b b b b b b
Student: How did you hurt your foot? - answer-Tina Jones: I was changing a light bulb,
b b b b b b b b b b b b b b b
and I had to use our little stepstool to reach it. My foot slid off the bottom step and it got
b b b b b b b b b b b b b b b b b b b b b
all scraped up. I didn't realize how sharp the edge was!
b b b b b b b b b b b
Student: Has your foot been draining any liquids? - answer-Tina Jones: Yeah, there's
b b b b b b b b b b b b
definitely pus.
b b
Student: What color was the pus? - answer-Tina Jones: It's... white or maybe off-white.
b b b b b b b b b b b b b
Student: How have you treated the wound? - answer-Tina Jones: I've been taking Advil
b b b b b b b b b b b b b
for my foot for a few days.
b b b b b b b
Student: What did you do to treat your foot after your accident? - answer-Tina Jones: I
b b b b b b b b b b b b b b b
made sure to clean it and keep it bandaged. And I put Neosporin on it.
b b b b b b b b b b b b b b b
Student: How effective was the Neosporin? - answer-Tina Jones: Well, I'm here, so I
b b b b b b b b b b b b b
guess it didn't do its job.
b b b b b b
Student: Can you walk with your foot being injured? - answer-Tina Jones: No, I can't. I
b b b b b b b b b b b b b b b
can't put any weight on it without like, shooting pain.
b b b b b b b b b b
Student: What preexisting medical conditions do you have? - answer-Tina Jones: I
b b b b b b b b b b b
mean, I have asthma and diabetes, but right I now I just care about my foot!
b b b b b b b b b b b b b b b b
Student: I understand your foot hurts, but I need to know this information to make sure I
b b b b b b b b b b b b b b b b
take care of the problem correctly. - answer-Tina Jones: Thanks.
b b b b b b b b b b
Student: When were you diagnosed with diabetes? - answer-Tina Jones: I was
b b b b b b b b b b b
diagnosed when I was 24.
b b b b b
Student: What do you do to manage your asthma? - answer-Tina Jones: I try to avoid
b b b b b b b b b b b b b b b
things that give me breathing problems, but when my asthma starts to act up, I just use
b b b b b b b b b b b b b b b b b
my inhaler.
b b
, Student: What medications did you take for your diabetes? - answer-Tina Jones: It was
b b b b b b b b b b b b b
metformin.
b
Student: Do you currently take medicine for your diabetes? - answer-Tina Jones: No, I
b b b b b b b b b b b b b
don't take anything for my diabetes anymore.
b b b b b b b
Student: What made you stop taking medication for your diabetes? - answer-Tina
b b b b b b b b b b b
Jones: I guess I just got sick of feeling sick and gassy all the time, and it was
b b b b b b b b b b b b b b b b b b
overwhelming, remembering to take pills and check my sugar. I feel a lot better now
b b b b b b b b b b b b b b b
that I'm just eating healthier than I did when I was taking the pills.
b b b b b b b b b b b b b b
Student: Do you monitor your blood glucose? - answer-Tina Jones: I have a monitor at
b b b b b b b b b b b b b b
home, but to be honest I don't really use it that often.
b b b b b b b b b b b b
Student: How frequently do you urinate? - answer-Tina Jones: I don't know. Every hour
b b b b b b b b b b b b b
or two when I'm awake?
b b b b b
Student: What is your current diet? - answer-Tina Jones: It's pretty good, I think. I'm not
b b b b b b b b b b b b b b b
a huge health nut or anything.
b b b b b b
Student: Have you had any change in appetite? - answer-Tina Jones: Yeah, lately I've
b b b b b b b b b b b b b
definitely been much hungrier than usual.
b b b b b b
Student: Has your weight changed? - answer-Tina Jones: Yeah, I've lost some weight
b b b b b b b b b b b b
recently.
b
Student: Do you know why you lost weight? - answer-Tina Jones: I don't know what
b b b b b b b b b b b b b b
caused it, I just lost weight.
b b b b b b
Student: How often do you have asthma exacerbations? - answer-Tina Jones: I haven't
b b b b b b b b b b b b
had a full attack in years. But my breathing definitely acts up. . .not always. Max twice a
b b b b b b b b b b b b b b b b b b
week.
b
Student: What asthma symptoms have you experienced? - answer-Tina Jones: My
b b b b b b b b b b
chest and throat get tight, and I start to wheeze. It feels like I can't take in air, like I can't
b b b b b b b b b b b b b b b b b b b b b
get enough air into my lungs.
b b b b b b
Student: How many puffs do you take when using your asthma inhaler? - answer-Tina
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Jones: I usually use two puffs from my inhaler, but sometimes I need three. [Nurse
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confirmed with Pharmacy: albuterol 90mcg/spray MDI]
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Student: What are some things that trigger your asthma? - answer-Tina Jones: Being
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around cats is the worst, but dust and running up stairs can make my breathing bad,
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too.
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Student: What allergies do you have? - answer-Tina Jones: I'm allergic to cats.
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