SHADOW HEALTH- TINA JONES, HEALTH
HISTORY COMPREHENSIVE ASSESMENT
EXAM
Health History Tips & Tricks: - CORRECT ANSWERS TJ Health Interview
Student: Hello! - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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
1 !@2025SHADOW HEALTH - TINA JONES, HEALTH HISTORY COMPREHENSIVE ASSESMENT!!______________________
,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? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS Student: So
2 !@2025SHADOW HEALTH - TINA JONES, HEALTH HISTORY COMPREHENSIVE ASSESMENT!!______________________
,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. - CORRECT ANSWERS
Patient Exam - Vital Signs: - CORRECT ANSWERS 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: - CORRECT ANSWERS
Student: Hello, my name is Catlain, I am your nurse today. - CORRECT ANSWERS Tina Jones: Hey.
Student: Can you confirm your name? - CORRECT ANSWERS Tina Jones: Tina Jones:.
Student: Why did you come in today? - CORRECT ANSWERS Tina Jones: I got this scrape on my foot a
while ago, and it got really infected. It's killing me.
Student: What additional symptoms have you experienced? - CORRECT ANSWERS Tina Jones: I
mean, it's all red and swollen, and there's pus, it feels hot, it hurts like hell... It's got all that going on.
Student: Can you rate your current pain level on a scale of 0 to 10? - CORRECT ANSWERS Tina Jones:
...Like a 7. It hurts a lot, but whatever pain med the ER gave me is helping a little bit.
Student: Please describe the pain. - CORRECT ANSWERS Tina Jones: It's throbbing and like, sharp if I
try to put weight on it.
3 !@2025SHADOW HEALTH - TINA JONES, HEALTH HISTORY COMPREHENSIVE ASSESMENT!!______________________
, Student: How did you hurt your foot? - CORRECT ANSWERS 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 didn't realize how sharp the edge was!
Student: Has your foot been draining any liquids? - CORRECT ANSWERS Tina Jones: Yeah, there's
definitely pus.
Student: What color was the pus? - CORRECT ANSWERS Tina Jones: It's... white or maybe off-white.
Student: How have you treated the wound? - CORRECT ANSWERS Tina Jones: I've been taking Advil
for my foot for a few days.
Student: What did you do to treat your foot after your accident? - CORRECT ANSWERS Tina Jones: I
made sure to clean it and keep it bandaged. And I put Neosporin on it.
Student: How effective was the Neosporin? - ANSWERS Tina Jones: Well, I'm here, so I guess it didn't
do its job.
Student: Can you walk with your foot being injured? - CORRECT ANSWERS Tina Jones: No, I can't. I
can't put any weight on it without like, shooting pain.
Student: What preexisting medical conditions do you have? - CORRECT ANSWERS Tina Jones: I mean,
I have asthma and diabetes, but right I now I just care about my foot!
Student: I understand your foot hurts, but I need to know this information to make sure I take care of
the problem correctly. - CORRECT ANSWERS Tina Jones: Thanks.
4 !@2025SHADOW HEALTH - TINA JONES, HEALTH HISTORY COMPREHENSIVE ASSESMENT!!______________________
HISTORY COMPREHENSIVE ASSESMENT
EXAM
Health History Tips & Tricks: - CORRECT ANSWERS TJ Health Interview
Student: Hello! - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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
1 !@2025SHADOW HEALTH - TINA JONES, HEALTH HISTORY COMPREHENSIVE ASSESMENT!!______________________
,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? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS Student: So
2 !@2025SHADOW HEALTH - TINA JONES, HEALTH HISTORY COMPREHENSIVE ASSESMENT!!______________________
,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. - CORRECT ANSWERS
Patient Exam - Vital Signs: - CORRECT ANSWERS 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: - CORRECT ANSWERS
Student: Hello, my name is Catlain, I am your nurse today. - CORRECT ANSWERS Tina Jones: Hey.
Student: Can you confirm your name? - CORRECT ANSWERS Tina Jones: Tina Jones:.
Student: Why did you come in today? - CORRECT ANSWERS Tina Jones: I got this scrape on my foot a
while ago, and it got really infected. It's killing me.
Student: What additional symptoms have you experienced? - CORRECT ANSWERS Tina Jones: I
mean, it's all red and swollen, and there's pus, it feels hot, it hurts like hell... It's got all that going on.
Student: Can you rate your current pain level on a scale of 0 to 10? - CORRECT ANSWERS Tina Jones:
...Like a 7. It hurts a lot, but whatever pain med the ER gave me is helping a little bit.
Student: Please describe the pain. - CORRECT ANSWERS Tina Jones: It's throbbing and like, sharp if I
try to put weight on it.
3 !@2025SHADOW HEALTH - TINA JONES, HEALTH HISTORY COMPREHENSIVE ASSESMENT!!______________________
, Student: How did you hurt your foot? - CORRECT ANSWERS 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 didn't realize how sharp the edge was!
Student: Has your foot been draining any liquids? - CORRECT ANSWERS Tina Jones: Yeah, there's
definitely pus.
Student: What color was the pus? - CORRECT ANSWERS Tina Jones: It's... white or maybe off-white.
Student: How have you treated the wound? - CORRECT ANSWERS Tina Jones: I've been taking Advil
for my foot for a few days.
Student: What did you do to treat your foot after your accident? - CORRECT ANSWERS Tina Jones: I
made sure to clean it and keep it bandaged. And I put Neosporin on it.
Student: How effective was the Neosporin? - ANSWERS Tina Jones: Well, I'm here, so I guess it didn't
do its job.
Student: Can you walk with your foot being injured? - CORRECT ANSWERS Tina Jones: No, I can't. I
can't put any weight on it without like, shooting pain.
Student: What preexisting medical conditions do you have? - CORRECT ANSWERS Tina Jones: I mean,
I have asthma and diabetes, but right I now I just care about my foot!
Student: I understand your foot hurts, but I need to know this information to make sure I take care of
the problem correctly. - CORRECT ANSWERS Tina Jones: Thanks.
4 !@2025SHADOW HEALTH - TINA JONES, HEALTH HISTORY COMPREHENSIVE ASSESMENT!!______________________
