Shadow Health – Tina Jones Health History
Assessment (100% Correct Answers) Digital Clinical
Experience (DCE) Transcript Full Documentation
Updated 2025
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 assessment?
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.
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 me for the real world?
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.
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?
Student: So that you understand if there are any problems related to their chief
complaint. Also, to help treat their current condition.
, 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 nurse today.
Tina Jones: Hey.
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.
Assessment (100% Correct Answers) Digital Clinical
Experience (DCE) Transcript Full Documentation
Updated 2025
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 assessment?
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.
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 me for the real world?
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.
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?
Student: So that you understand if there are any problems related to their chief
complaint. Also, to help treat their current condition.
, 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 nurse today.
Tina Jones: Hey.
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.
