Shadow Health - Tina Jones, Health History Test Questions and
Answers Rated A+
Student: What is the situation? - -Diana assessment, you will become familiarized with
Shadow: Your patient is Tina Jones:, a 28-year- the structure and content of a health history exam
old African American woman who has just been so that with real-life patients, you can: º ask
admitted to Shadow General Hospital for a effective and comprehensive questions º obtain a
painful foot wound. Your role in this simulation is thorough health history º evaluate the patient's
that of a healthcare provider who will take Ms. risk of disease, infection, injury, and
Jones' health history, a key component of her complications º educate and empathize º reflect
admission process. on your experience and identify areas to improve
º identify and prioritize nursing diagnoses º and
develop a plan to address nursing diagnoses.
Student: What are my objectives in this
assessment? - -Diana Shadow: A health
history requires you to ask questions related to Diana Shadow: In 1 or 2 sentences, answer this
Ms. Jones' past and present health, from her question to help prepare for the upcoming exam:
current foot wound to her pre-existing conditions. Why is it important to obtain a patient's complete
You will also want to review Ms. Jones' systems, health history? - -Student: So that you
psychosocial history, and family medical history. understand if there are any problems related to
These assessments together will give you a their chief complaint. Also, to help treat their
comprehensive picture of Ms. Jones' overall current condition.
health. If you discover any disease states, ask
about symptoms and the patient's experiences of
them. Your questioning should cover a broad Patient Exam - Vital Signs: - -Height: 170
array of the symptoms' characteristics. cm, Weight: 90 kg, BMI: 31, Random blood
Throughout the conversation, you should glucose: 238, Temperature: 102.4° F, Blood
educate and empathize with Ms. Jones when pressure: 138/90 mmHg, Heart rate: 90,
appropriate to increase her health literacy and Respiratory rate: 18, O2 sat: 98%
sense of well-being. Regardless of whether you
have assessed Ms. Jones previously, ask all
questions that are necessary for obtaining a Patient Exam - Interview: - -
complete health history. While you should
communicate with patients using accessible,
everyday language, it is standard practice to use Student: Hello, my name is Catlain, I am your
professional medical terminology everywhere nurse today. - -Tina Jones: Hey.
else, such as in documenting physical findings
and nursing notes. You may complete the exam
activities in any order and move between them
Student: Can you confirm your name? - -
as needed. After obtaining Ms. Jones' health
Tina Jones: Tina Jones:.
history, you will complete an information
processing activity. You will identify and prioritize
diagnoses, then create a plan to address the
identified diagnoses. Student: Why did you come in today? - -
Tina Jones: I got this scrape on my foot a while
ago, and it got really infected. It's killing me.
Student: How does this assignment prepare me
for the real world? - -Diana Shadow: In this
,Shadow Health - Tina Jones, Health History Test Questions and
Answers Rated A+
Student: What additional symptoms have you Student: How effective was the Neosporin? -
experienced? - -Tina Jones: I mean, it's all -Tina Jones: Well, I'm here, so I guess it
red and swollen, and there's pus, it feels hot, it didn't do its job.
hurts like hell... It's got all that going on.
Student: Can you walk with your foot being
Student: Can you rate your current pain level on injured? - -Tina Jones: No, I can't. I can't
a scale of 0 to 10? - -Tina Jones: ...Like a put any weight on it without like, shooting pain.
7. It hurts a lot, but whatever pain med the ER
gave me is helping a little bit.
Student: What preexisting medical conditions do
you have? - -Tina Jones: I mean, I have
Student: Please describe the pain. - -Tina asthma and diabetes, but right I now I just care
Jones: It's throbbing and like, sharp if I try to put about my foot!
weight on it.
Student: I understand your foot hurts, but I need
Student: How did you hurt your foot? - - to know this information to make sure I take care
Tina Jones: I was changing a light bulb, and I of the problem correctly. - -Tina Jones:
had to use our little stepstool to reach it. My foot Thanks.
slid off the bottom step and it got all scraped up. I
didn't realize how sharp the edge was!
Student: When were you diagnosed with
diabetes? - -Tina Jones: I was diagnosed
Student: Has your foot been draining any when I was 24.
liquids? - -Tina Jones: Yeah, there's
definitely pus.
Student: What do you do to manage your
asthma? - -Tina Jones: I try to avoid things
Student: What color was the pus? - -Tina that give me breathing problems, but when my
Jones: It's... white or maybe off-white. asthma starts to act up, I just use my inhaler.
Student: How have you treated the wound? - Student: What medications did you take for your
-Tina Jones: I've been taking Advil for my diabetes? - -Tina Jones: It was metformin.
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
,Shadow Health - Tina Jones, Health History Test Questions and
Answers Rated A+
just got sick of feeling sick and gassy all the time, experienced? - -Tina Jones: My chest and
and it was overwhelming, remembering to take throat get tight, and I start to wheeze. It feels like
pills and check my sugar. I feel a lot better now I can't take in air, like I can't get enough air into
that I'm just eating healthier than I did when I my lungs.
was taking the pills.
Student: How many puffs do you take when using
Student: Do you monitor your blood glucose? - your asthma inhaler? - -Tina Jones: I
-Tina Jones: I have a monitor at home, but usually use two puffs from my inhaler, but
to be honest I don't really use it that often. sometimes I need three. [Nurse confirmed with
Pharmacy: albuterol 90mcg/spray MDI]
Student: How frequently do you urinate? - -
Tina Jones: I don't know. Every hour or two when Student: What are some things that trigger your
I'm awake? asthma? - -Tina Jones: Being around cats
is the worst, but dust and running up stairs can
make my breathing bad, too.
Student: What is your current diet? - -Tina
Jones: It's pretty good, I think. I'm not a huge
health nut or anything. Student: What allergies do you have? - -
Tina Jones: I'm allergic to cats.
Student: Have you had any change in appetite? -
-Tina Jones: Yeah, lately I've definitely Student: When did you realize you were allergic
been much hungrier than usual. to cats? - -Tina Jones: For as long as I've
been around.
Student: Has your weight changed? - -Tina
Jones: Yeah, I've lost some weight recently. Student: How effective was your pain medication
at home? - -Tina Jones: Whatever pain
medication the ER gave me is helping. Before I
Student: Do you know why you lost weight? - came in, I was just taking Advil. For the past few
-Tina Jones: I don't know what caused it, I days, the Advil wasn't doing much for me -- it
just lost weight. would only last a couple of hours.
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
, Shadow Health - Tina Jones, Health History Test Questions and
Answers Rated A+
head? - -Tina Jones: I don't think I have
Student: Are you allergic to dust, mold, or pollen? any problems. I get headaches sometimes, but
- -Tina Jones: Well. . . I don't know if it's that's all.
allergies, but sometimes my asthma acts up
around dust.
Student: Any problems with your ears? - -
Tina Jones: No.
Student: What immunizations have you
received? - -Tina Jones: I got a tetanus
booster for work about a year ago. For the other Student: Any problems with your eyes and
kinds, I got all the required ones when I was a vision? - -Tina Jones: I've actually been
kid, and for college...I'm sure I have a record noticing problems lately. When I'm reading or
somewhere at home. studying I'll notice that things start to get kind of
blurry.
Student: Have you received a flu vaccine? -
-Tina Jones: No. Student: Any problems with your nose? - -
Tina Jones: My nose is fine right now.
Sometimes it runs, but not very often.
Student: Have you had any prior
hospitalizations? - -Tina Jones: Well,
before this I went a bunch of times when I was Student: Do you have problems with your mouth?
little, for asthma attacks. This is the first time I've - -Tina Jones: No.
been in the hospital since I was probably sixteen,
though.
Student: Do you have a history of cardiovascular
problems? - -Tina Jones: My heart's fine,
Student: Have you had any gastrointestinal thank God!
problems? - -Tina Jones: No. I've never
really had stomach or bowel problems.
Student: Any problems with your heart? - -
Tina Jones: No, my heart's always been fine.
Student: Do you have a family history of
psychiatric illness? - -Tina Jones: No.
They're crazy, but nobody's diagnosed with Student: Have you had any problems with your
anything. breasts? - -Tina Jones: I haven't noticed
any pain there.
Student: Do you have any neck, throat or gland
problems? - -Tina Jones: No, not that I Student: Have you had any reproductive
noticed. problems? - -Tina Jones: I don't think I
have problems in that area. I just get really bad
periods, that's all.
Student: Do you have any problems with your
Answers Rated A+
Student: What is the situation? - -Diana assessment, you will become familiarized with
Shadow: Your patient is Tina Jones:, a 28-year- the structure and content of a health history exam
old African American woman who has just been so that with real-life patients, you can: º ask
admitted to Shadow General Hospital for a effective and comprehensive questions º obtain a
painful foot wound. Your role in this simulation is thorough health history º evaluate the patient's
that of a healthcare provider who will take Ms. risk of disease, infection, injury, and
Jones' health history, a key component of her complications º educate and empathize º reflect
admission process. on your experience and identify areas to improve
º identify and prioritize nursing diagnoses º and
develop a plan to address nursing diagnoses.
Student: What are my objectives in this
assessment? - -Diana Shadow: A health
history requires you to ask questions related to Diana Shadow: In 1 or 2 sentences, answer this
Ms. Jones' past and present health, from her question to help prepare for the upcoming exam:
current foot wound to her pre-existing conditions. Why is it important to obtain a patient's complete
You will also want to review Ms. Jones' systems, health history? - -Student: So that you
psychosocial history, and family medical history. understand if there are any problems related to
These assessments together will give you a their chief complaint. Also, to help treat their
comprehensive picture of Ms. Jones' overall current condition.
health. If you discover any disease states, ask
about symptoms and the patient's experiences of
them. Your questioning should cover a broad Patient Exam - Vital Signs: - -Height: 170
array of the symptoms' characteristics. cm, Weight: 90 kg, BMI: 31, Random blood
Throughout the conversation, you should glucose: 238, Temperature: 102.4° F, Blood
educate and empathize with Ms. Jones when pressure: 138/90 mmHg, Heart rate: 90,
appropriate to increase her health literacy and Respiratory rate: 18, O2 sat: 98%
sense of well-being. Regardless of whether you
have assessed Ms. Jones previously, ask all
questions that are necessary for obtaining a Patient Exam - Interview: - -
complete health history. While you should
communicate with patients using accessible,
everyday language, it is standard practice to use Student: Hello, my name is Catlain, I am your
professional medical terminology everywhere nurse today. - -Tina Jones: Hey.
else, such as in documenting physical findings
and nursing notes. You may complete the exam
activities in any order and move between them
Student: Can you confirm your name? - -
as needed. After obtaining Ms. Jones' health
Tina Jones: Tina Jones:.
history, you will complete an information
processing activity. You will identify and prioritize
diagnoses, then create a plan to address the
identified diagnoses. Student: Why did you come in today? - -
Tina Jones: I got this scrape on my foot a while
ago, and it got really infected. It's killing me.
Student: How does this assignment prepare me
for the real world? - -Diana Shadow: In this
,Shadow Health - Tina Jones, Health History Test Questions and
Answers Rated A+
Student: What additional symptoms have you Student: How effective was the Neosporin? -
experienced? - -Tina Jones: I mean, it's all -Tina Jones: Well, I'm here, so I guess it
red and swollen, and there's pus, it feels hot, it didn't do its job.
hurts like hell... It's got all that going on.
Student: Can you walk with your foot being
Student: Can you rate your current pain level on injured? - -Tina Jones: No, I can't. I can't
a scale of 0 to 10? - -Tina Jones: ...Like a put any weight on it without like, shooting pain.
7. It hurts a lot, but whatever pain med the ER
gave me is helping a little bit.
Student: What preexisting medical conditions do
you have? - -Tina Jones: I mean, I have
Student: Please describe the pain. - -Tina asthma and diabetes, but right I now I just care
Jones: It's throbbing and like, sharp if I try to put about my foot!
weight on it.
Student: I understand your foot hurts, but I need
Student: How did you hurt your foot? - - to know this information to make sure I take care
Tina Jones: I was changing a light bulb, and I of the problem correctly. - -Tina Jones:
had to use our little stepstool to reach it. My foot Thanks.
slid off the bottom step and it got all scraped up. I
didn't realize how sharp the edge was!
Student: When were you diagnosed with
diabetes? - -Tina Jones: I was diagnosed
Student: Has your foot been draining any when I was 24.
liquids? - -Tina Jones: Yeah, there's
definitely pus.
Student: What do you do to manage your
asthma? - -Tina Jones: I try to avoid things
Student: What color was the pus? - -Tina that give me breathing problems, but when my
Jones: It's... white or maybe off-white. asthma starts to act up, I just use my inhaler.
Student: How have you treated the wound? - Student: What medications did you take for your
-Tina Jones: I've been taking Advil for my diabetes? - -Tina Jones: It was metformin.
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
,Shadow Health - Tina Jones, Health History Test Questions and
Answers Rated A+
just got sick of feeling sick and gassy all the time, experienced? - -Tina Jones: My chest and
and it was overwhelming, remembering to take throat get tight, and I start to wheeze. It feels like
pills and check my sugar. I feel a lot better now I can't take in air, like I can't get enough air into
that I'm just eating healthier than I did when I my lungs.
was taking the pills.
Student: How many puffs do you take when using
Student: Do you monitor your blood glucose? - your asthma inhaler? - -Tina Jones: I
-Tina Jones: I have a monitor at home, but usually use two puffs from my inhaler, but
to be honest I don't really use it that often. sometimes I need three. [Nurse confirmed with
Pharmacy: albuterol 90mcg/spray MDI]
Student: How frequently do you urinate? - -
Tina Jones: I don't know. Every hour or two when Student: What are some things that trigger your
I'm awake? asthma? - -Tina Jones: Being around cats
is the worst, but dust and running up stairs can
make my breathing bad, too.
Student: What is your current diet? - -Tina
Jones: It's pretty good, I think. I'm not a huge
health nut or anything. Student: What allergies do you have? - -
Tina Jones: I'm allergic to cats.
Student: Have you had any change in appetite? -
-Tina Jones: Yeah, lately I've definitely Student: When did you realize you were allergic
been much hungrier than usual. to cats? - -Tina Jones: For as long as I've
been around.
Student: Has your weight changed? - -Tina
Jones: Yeah, I've lost some weight recently. Student: How effective was your pain medication
at home? - -Tina Jones: Whatever pain
medication the ER gave me is helping. Before I
Student: Do you know why you lost weight? - came in, I was just taking Advil. For the past few
-Tina Jones: I don't know what caused it, I days, the Advil wasn't doing much for me -- it
just lost weight. would only last a couple of hours.
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
, Shadow Health - Tina Jones, Health History Test Questions and
Answers Rated A+
head? - -Tina Jones: I don't think I have
Student: Are you allergic to dust, mold, or pollen? any problems. I get headaches sometimes, but
- -Tina Jones: Well. . . I don't know if it's that's all.
allergies, but sometimes my asthma acts up
around dust.
Student: Any problems with your ears? - -
Tina Jones: No.
Student: What immunizations have you
received? - -Tina Jones: I got a tetanus
booster for work about a year ago. For the other Student: Any problems with your eyes and
kinds, I got all the required ones when I was a vision? - -Tina Jones: I've actually been
kid, and for college...I'm sure I have a record noticing problems lately. When I'm reading or
somewhere at home. studying I'll notice that things start to get kind of
blurry.
Student: Have you received a flu vaccine? -
-Tina Jones: No. Student: Any problems with your nose? - -
Tina Jones: My nose is fine right now.
Sometimes it runs, but not very often.
Student: Have you had any prior
hospitalizations? - -Tina Jones: Well,
before this I went a bunch of times when I was Student: Do you have problems with your mouth?
little, for asthma attacks. This is the first time I've - -Tina Jones: No.
been in the hospital since I was probably sixteen,
though.
Student: Do you have a history of cardiovascular
problems? - -Tina Jones: My heart's fine,
Student: Have you had any gastrointestinal thank God!
problems? - -Tina Jones: No. I've never
really had stomach or bowel problems.
Student: Any problems with your heart? - -
Tina Jones: No, my heart's always been fine.
Student: Do you have a family history of
psychiatric illness? - -Tina Jones: No.
They're crazy, but nobody's diagnosed with Student: Have you had any problems with your
anything. breasts? - -Tina Jones: I haven't noticed
any pain there.
Student: Do you have any neck, throat or gland
problems? - -Tina Jones: No, not that I Student: Have you had any reproductive
noticed. problems? - -Tina Jones: I don't think I
have problems in that area. I just get really bad
periods, that's all.
Student: Do you have any problems with your
