Shadow Health - Tina Jones, Health History
Study online at https://quizlet.com/_bv86qf
1. Medications 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
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
2. Health History
Tips & Tricks:
3. 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.
4. Student: What is Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman
the situation? 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.
5. Student: What Diana Shadow: A health history requires you to ask questions related to Ms. Jones'
are my objectives past and present health, from her current foot wound to her pre-existing condi-
in this assess- tions. You will also want to review Ms. Jones' systems, psychosocial history, and
ment? 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
, Shadow Health - Tina Jones, Health History
Study online at https://quizlet.com/_bv86qf
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 need-
ed. 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.
6. Student: What Diana Shadow: You will complete nursing tasks to protect the patients safety,
else will this privacy, and health. You can document your findings, including vital signs, in
exam involve? 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.
7. Student: How will Diana Shadow: In this assignment, you will be evaluated on your Subjective Data
I be evaluated? 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.
8.
, Shadow Health - Tina Jones, Health History
Study online at https://quizlet.com/_bv86qf
Student: How Diana Shadow: In this assessment, you will become familiarized with the structure
does this assign- and content of a health history exam so that with real-life patients, you can: º
ment prepare me ask effective and comprehensive questions º obtain a thorough health history
for the real º evaluate the patient's risk of disease, infection, injury, and complications º
world? 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.
9. Diana Shadow: In Student: Getting a complete health history enables the nurse to make informed
1 or 2 sentences, judgments about the client including formulating nursing diagnoses requiring
answer this ques- nursing care, identifying collaborative problems requiring interdisciplinary care,
tion to help pre- medical issues requiring immediate referral, and the need for client teaching.
pare for the
upcoming exam:
Why is it im-
portant to obtain
a patient's com-
plete health his-
tory?
10. Diana Shadow:
Time to begin.
11. Patient Exam - Vi- Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood glucose: 238, Temper-
tal Signs: ature: 102.4° F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory rate:
18, O2 sat: 98%
12. Patient Exam - In-
terview:
13. Student: Hello, Tina Jones: Hey.
my name is
, Shadow Health - Tina Jones, Health History
Study online at https://quizlet.com/_bv86qf
Rachel and I am
your nurse today.
14. Student: Can you Tina Jones: Tina Jones:.
confirm your
name?
15. Student: What Tina Jones: I got this scrape on my foot a while ago, and it got really infected. It's
brings you in to- killing me.
day?
16. Student: Where Tina Jones: It's on the ball of my foot.
is your wound lo-
cated?
17. Student: Which Tina Jones: My right foot.
foot is injured?
18. Student: I'm sor- Tina Jones: Thanks a lot.
ry to hear that.
I'm glad you
came in to get
your foot evalu-
ated.
19. Student: Can you I was changing a light bulb, and I had to use our little stepstool to reach it. My
tell me how foot slid off the bottom step and it got all scraped up. I didn't realize how sharp
you scraped your the edge was!
foot?
20. Student: Can you Tina Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER gave me is
rate your current helping a little bit.
Study online at https://quizlet.com/_bv86qf
1. Medications 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
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
2. Health History
Tips & Tricks:
3. 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.
4. Student: What is Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman
the situation? 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.
5. Student: What Diana Shadow: A health history requires you to ask questions related to Ms. Jones'
are my objectives past and present health, from her current foot wound to her pre-existing condi-
in this assess- tions. You will also want to review Ms. Jones' systems, psychosocial history, and
ment? 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
, Shadow Health - Tina Jones, Health History
Study online at https://quizlet.com/_bv86qf
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 need-
ed. 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.
6. Student: What Diana Shadow: You will complete nursing tasks to protect the patients safety,
else will this privacy, and health. You can document your findings, including vital signs, in
exam involve? 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.
7. Student: How will Diana Shadow: In this assignment, you will be evaluated on your Subjective Data
I be evaluated? 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.
8.
, Shadow Health - Tina Jones, Health History
Study online at https://quizlet.com/_bv86qf
Student: How Diana Shadow: In this assessment, you will become familiarized with the structure
does this assign- and content of a health history exam so that with real-life patients, you can: º
ment prepare me ask effective and comprehensive questions º obtain a thorough health history
for the real º evaluate the patient's risk of disease, infection, injury, and complications º
world? 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.
9. Diana Shadow: In Student: Getting a complete health history enables the nurse to make informed
1 or 2 sentences, judgments about the client including formulating nursing diagnoses requiring
answer this ques- nursing care, identifying collaborative problems requiring interdisciplinary care,
tion to help pre- medical issues requiring immediate referral, and the need for client teaching.
pare for the
upcoming exam:
Why is it im-
portant to obtain
a patient's com-
plete health his-
tory?
10. Diana Shadow:
Time to begin.
11. Patient Exam - Vi- Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood glucose: 238, Temper-
tal Signs: ature: 102.4° F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory rate:
18, O2 sat: 98%
12. Patient Exam - In-
terview:
13. Student: Hello, Tina Jones: Hey.
my name is
, Shadow Health - Tina Jones, Health History
Study online at https://quizlet.com/_bv86qf
Rachel and I am
your nurse today.
14. Student: Can you Tina Jones: Tina Jones:.
confirm your
name?
15. Student: What Tina Jones: I got this scrape on my foot a while ago, and it got really infected. It's
brings you in to- killing me.
day?
16. Student: Where Tina Jones: It's on the ball of my foot.
is your wound lo-
cated?
17. Student: Which Tina Jones: My right foot.
foot is injured?
18. Student: I'm sor- Tina Jones: Thanks a lot.
ry to hear that.
I'm glad you
came in to get
your foot evalu-
ated.
19. Student: Can you I was changing a light bulb, and I had to use our little stepstool to reach it. My
tell me how foot slid off the bottom step and it got all scraped up. I didn't realize how sharp
you scraped your the edge was!
foot?
20. Student: Can you Tina Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER gave me is
rate your current helping a little bit.
