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