Science Medicine Nursing
Shadow Health - Tina Jones, Health History
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my own vital signs 101 exam 1 Ch:7-Beginning the P
10 terms 144 terms 28 terms
s9269674 Preview kolinger05 Preview angelamin
Terms in this set (498)
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
Medications
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
Health History Tips & Tricks:
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
Student: Hello! 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.
Diana Shadow: Your patient is Tina Jones:, a 28-year-old African
American woman who has just been admitted to Shadow
Student: What is the situation? 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.
, 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
Student: What are my objectives when appropriate to increase her health literacy and sense of
in this assessment? 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.
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
Student: What else will this exam
professionals who will continue patient care. Besides Subjective
involve?
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.
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
Student: How will I be
comprehensive breadth and depth. You will also be evaluated on
evaluated?
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.
, 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
Student: How does this comprehensive questions º obtain a thorough health history º
assignment prepare me for the evaluate the patient's risk of disease, infection, injury, and
real world? 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 Student: Getting a complete health history enables the nurse to
sentences, answer this question make informed judgments about the client including formulating
to help prepare for the nursing diagnoses requiring nursing care, identifying
upcoming exam: Why is it collaborative problems requiring interdisciplinary care, medical
important to obtain a patient's issues requiring immediate referral, and the need for client
complete health history? teaching.
Diana Shadow: Time to begin.
Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood glucose:
Patient Exam - Vital Signs: 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 Tina Jones: Hey.
Rachel and I am your nurse
today.
Student: Can you confirm your Tina Jones: Tina Jones:.
name?
Student: What brings you in Tina Jones: I got this scrape on my foot a while ago, and it got
today? really infected. It's killing me.
Student: Where is your wound Tina Jones: It's on the ball of my foot.
located?
Student: Which foot is injured? Tina Jones: My right foot.
Student: I'm sorry to hear that. Tina Jones: Thanks a lot.
I'm glad you came in to get your
foot evaluated.
I was changing a light bulb, and I had to use our little stepstool
Student: Can you tell me how
to reach it. My foot slid off the bottom step and it got all scraped
you scraped your foot?
up. I didn't realize how sharp the edge was!
Student: Can you rate your Tina Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER
current pain level on a scale of 0 gave me is helping a little bit.
to 10?
Student: Can you describe the Tina Jones: It's throbbing and like, sharp if I try to put weight on it.
pain?
Student: Have you had any Tina Jones: I mean, it's all red and swollen, and there's pus, it feels
other symptoms? hot, it hurts like hell... It's got all that going on.
Student: When did you first Tina Jones: I noticed it about 2 days ago.
notice the pus?
Student: What color was the Tina Jones: It's... white or maybe off-white.
pus?
, Student: Did your foot bleed? Tina Jones: It bled a little after I injured it.
Student: How have you been Tina Jones: I made sure to clean it and keep it bandaged. And I
treating your foot? put Neosporin on it.
Student: How have you treated Tina Jones: I've been taking Advil for my foot for a few days.
the wound?
Student: Was the Neosporin Tina Jones: Well, I'm here, so I guess it didn't do its job.
effective?
Student: Can you walk on your Tina Jones: No, I can't. I can't put any weight on it without like,
injured foot? shooting pain.
Tina Jones: Whatever pain medication the ER gave me is helping.
Student: How effective was your Before I came in, I was just taking Advil. For the past few days,
pain medication at home? the Advil wasn't doing much for me -- it would only last a couple
of hours.
Student: Have you had any fever Tina Jones: Yeah, I started to have one yesterday, and then it was
at home? a little better this morning. It kinda crept up all day.
Student: Do you have any Tina Jones: I mean, I have asthma and diabetes, but right I now I
preexisting medical conditions? just care about my foot!
Student: I understand your foot Tina Jones: That's kind of you.
hurts. We have to ask a lot of
questions, but it's to ensure we
treat your injury and anything
else that could contribute to the
problem.
Student: When were you Tina Jones: I was diagnosed when I was 24.
diagnosed with diabetes?
Student: How do you manage Tina Jones: I try to avoid things that give me breathing problems,
your asthma? but when my asthma starts to act up, I just use my inhaler.
Student: What medications did Tina Jones: It was metformin.
you take for your diabetes?
Student: Do you currently take Tina Jones: No, I don't take anything for my diabetes anymore.
medicine for your diabetes?
Tina Jones: I guess I just got sick of feeling sick and gassy all the
Student: What made you stop
time, and it was overwhelming, remembering to take pills and
taking medication for your
check my sugar. I feel a lot better now that I'm just eating
diabetes?
healthier than I did when I was taking the pills.
Student: Do you monitor your Tina Jones: I have a monitor at home, but to be honest I don't
blood glucose? really use it that often.
Student: Do you get thirsty Tina Jones: You know, I did notice lately that I've been really
often? thirsty.
Student: How frequently do you Tina Jones: I don't know. Every hour or two when I'm awake?
urinate?
Student: What is your current Tina Jones: It's pretty good, I think. I'm not a huge health nut or
diet? anything.
Student: Have you had a change Tina Jones: Yeah, lately I've definitely been much hungrier than
in appetite? usual.
Student: Have you had any Tina Jones: Yeah, I've lost some weight recently.
changes in your weight?
Shadow Health - Tina Jones, Health History
49 studiers today 4.7 (3 reviews)
Save
Students also studied
Flashcard sets Study guides
my own vital signs 101 exam 1 Ch:7-Beginning the P
10 terms 144 terms 28 terms
s9269674 Preview kolinger05 Preview angelamin
Terms in this set (498)
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
Medications
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
Health History Tips & Tricks:
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
Student: Hello! 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.
Diana Shadow: Your patient is Tina Jones:, a 28-year-old African
American woman who has just been admitted to Shadow
Student: What is the situation? 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.
, 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
Student: What are my objectives when appropriate to increase her health literacy and sense of
in this assessment? 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.
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
Student: What else will this exam
professionals who will continue patient care. Besides Subjective
involve?
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.
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
Student: How will I be
comprehensive breadth and depth. You will also be evaluated on
evaluated?
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.
, 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
Student: How does this comprehensive questions º obtain a thorough health history º
assignment prepare me for the evaluate the patient's risk of disease, infection, injury, and
real world? 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 Student: Getting a complete health history enables the nurse to
sentences, answer this question make informed judgments about the client including formulating
to help prepare for the nursing diagnoses requiring nursing care, identifying
upcoming exam: Why is it collaborative problems requiring interdisciplinary care, medical
important to obtain a patient's issues requiring immediate referral, and the need for client
complete health history? teaching.
Diana Shadow: Time to begin.
Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood glucose:
Patient Exam - Vital Signs: 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 Tina Jones: Hey.
Rachel and I am your nurse
today.
Student: Can you confirm your Tina Jones: Tina Jones:.
name?
Student: What brings you in Tina Jones: I got this scrape on my foot a while ago, and it got
today? really infected. It's killing me.
Student: Where is your wound Tina Jones: It's on the ball of my foot.
located?
Student: Which foot is injured? Tina Jones: My right foot.
Student: I'm sorry to hear that. Tina Jones: Thanks a lot.
I'm glad you came in to get your
foot evaluated.
I was changing a light bulb, and I had to use our little stepstool
Student: Can you tell me how
to reach it. My foot slid off the bottom step and it got all scraped
you scraped your foot?
up. I didn't realize how sharp the edge was!
Student: Can you rate your Tina Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER
current pain level on a scale of 0 gave me is helping a little bit.
to 10?
Student: Can you describe the Tina Jones: It's throbbing and like, sharp if I try to put weight on it.
pain?
Student: Have you had any Tina Jones: I mean, it's all red and swollen, and there's pus, it feels
other symptoms? hot, it hurts like hell... It's got all that going on.
Student: When did you first Tina Jones: I noticed it about 2 days ago.
notice the pus?
Student: What color was the Tina Jones: It's... white or maybe off-white.
pus?
, Student: Did your foot bleed? Tina Jones: It bled a little after I injured it.
Student: How have you been Tina Jones: I made sure to clean it and keep it bandaged. And I
treating your foot? put Neosporin on it.
Student: How have you treated Tina Jones: I've been taking Advil for my foot for a few days.
the wound?
Student: Was the Neosporin Tina Jones: Well, I'm here, so I guess it didn't do its job.
effective?
Student: Can you walk on your Tina Jones: No, I can't. I can't put any weight on it without like,
injured foot? shooting pain.
Tina Jones: Whatever pain medication the ER gave me is helping.
Student: How effective was your Before I came in, I was just taking Advil. For the past few days,
pain medication at home? the Advil wasn't doing much for me -- it would only last a couple
of hours.
Student: Have you had any fever Tina Jones: Yeah, I started to have one yesterday, and then it was
at home? a little better this morning. It kinda crept up all day.
Student: Do you have any Tina Jones: I mean, I have asthma and diabetes, but right I now I
preexisting medical conditions? just care about my foot!
Student: I understand your foot Tina Jones: That's kind of you.
hurts. We have to ask a lot of
questions, but it's to ensure we
treat your injury and anything
else that could contribute to the
problem.
Student: When were you Tina Jones: I was diagnosed when I was 24.
diagnosed with diabetes?
Student: How do you manage Tina Jones: I try to avoid things that give me breathing problems,
your asthma? but when my asthma starts to act up, I just use my inhaler.
Student: What medications did Tina Jones: It was metformin.
you take for your diabetes?
Student: Do you currently take Tina Jones: No, I don't take anything for my diabetes anymore.
medicine for your diabetes?
Tina Jones: I guess I just got sick of feeling sick and gassy all the
Student: What made you stop
time, and it was overwhelming, remembering to take pills and
taking medication for your
check my sugar. I feel a lot better now that I'm just eating
diabetes?
healthier than I did when I was taking the pills.
Student: Do you monitor your Tina Jones: I have a monitor at home, but to be honest I don't
blood glucose? really use it that often.
Student: Do you get thirsty Tina Jones: You know, I did notice lately that I've been really
often? thirsty.
Student: How frequently do you Tina Jones: I don't know. Every hour or two when I'm awake?
urinate?
Student: What is your current Tina Jones: It's pretty good, I think. I'm not a huge health nut or
diet? anything.
Student: Have you had a change Tina Jones: Yeah, lately I've definitely been much hungrier than
in appetite? usual.
Student: Have you had any Tina Jones: Yeah, I've lost some weight recently.
changes in your weight?
