History /Review Questions & Certified
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Health History Tips and Tricks Tj health interview
1. 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.
2. Student: What are my objectives in Diana Shadow: A health history
requires you to ask questions
this assessment? 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.
3. Student: How does this assignment Diana Shadow: In this assessment,
you will become familiarized with the
prepare me for the real world? 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.
,4. Diana Shadow: In 1 or 2 Student: So that you understand if
there are any problems related to
sentences, answer this question to their chief complaint. Also, to help
treat their current condition.
help prepare for the upcoming
exam: Why is it important to obtain
a patient's complete health history?
5. 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%
6. Patient Exam - Interview: Student: Hello, my name is Catlain, I
am your nurse today.
7. Tina Jones: Hey. Student: Can you confirm your
name?
8. Tina Jones: Tina Jones:. Student: Why did you come in
today?
9. Tina Jones: I got this scrape on my Student: What additional symptoms
have you experienced?
foot a while ago, and it got really
infected. It's killing me.
10. Tina Jones: I mean, it's all red and Student: Can you rate your current
pain level on a scale of 0 to 10?
swollen, and there's pus, it feels
hot, it hurts like hell... It's got all that
going on.
11. Tina Jones: ...Like a 7. It hurts a Student: Please describe the pain.
lot, but whatever pain med the ER
gave me is helping a little bit.
, 12. Tina Jones: It's throbbing and like, Student: How did you hurt your foot?
sharp if I try to put weight on it.
13. Tina Jones: I was changing a light Student: Has your foot been
draining any liquids?
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 didn't realize how
sharp the edge was!
14. Tina Jones: Yeah, there's definitely Student: What color was the pus?
pus.
15. Tina Jones: It's... white or maybe Student: How have you treated the
wound?
off-white.
16. Tina Jones: I've been taking Advil Student: What did you do to treat
your foot after your accident?
for my foot for a few days.
17. Tina Jones: I made sure to clean it Student: How effective was the
Neosporin?
and keep it bandaged. And I put
Neosporin on it.
18. Tina Jones: Well, I'm here, so I Student: Can you walk with your foot
being injured?
guess it didn't do its job.
19. Tina Jones: No, I can't. I can't put Student: What preexisting medical
conditions do you have?
any weight on it without like,
shooting pain.
20. Tina Jones: I mean, I have asthma Student: I understand your foot
hurts, but I need to know this