All Li nes (315) Intervi ew Questi ons (260) Statements (3)Exam Ac tions ( 52)
Hello!
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.
What is the situation?
It's 8 a.m. on Tina Jones' first morning as a
patient here at Shadow General Hospital.
When Ms. Jones was admitted at midnight last
night for a foot wound, she mentioned a history
of headaches and allergies. Your role in this
simulation is that of a healthcare provider who
will perform an examination of Ms. Jones'
HEENT systems: Head, Eyes, Ears, Nose,
and Throat. Examination of all of these systems
is often necessary to examine any one of them,
given their close proximity and physiological
relationships.
What are my objectives in this assessment?
,In your interview with Ms. Jones, you will ask
about the health of her HEENT systems so
that you can identify any issues and document
findings accurately. 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. You will
also inquire into the health history of Ms.
Jones' family with regards to HEENT
systems so you can determine her genetic
predisposition to any diseases. Regardless of
whether you have assessed Tina
previously, ask all questions that are
medically relevant to her HEENT systems. In
addition to collecting subjective data, you
will perform a physical exam on Ms. Jones'
HEENT systems to gather objective data
about the systems' health and physiology.
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.
What else will this exam involve?
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. Activities other than Subjective
and Objective Data Collection, such as
Documentation and Education and Empathy,
provide valuable practice for their real-world
counterparts. However, they are not
automatically graded by the simulation.
,How will I be evaluated?
In this assignment, you will be evaluated on
your Subjective and Objective Data
Collection. 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. The evaluation of your physical
exam is based on how successfully you report
on your physical findings by selecting
among clinical terms in the Electronic
Health Record. This assignment on average
takes between 60 and 75 minutes. You
can pause and resume the assignment at
any time; your work is always saved
automatically.
How does this assignment prepare me for the
real world?
In this assessment, you will become
familiarized with the structure and content of
HEENT exams so that with real-life patients,
you can: º ask effective and comprehensive
questions º use therapeutic
language º evaluate the patient's risk of
disease, infection, injury, and
complications º and obtain and assess
objective data.
, In 1 or 2 sentences, answer this question to
help prepare for the upcoming exam: What
physical exam findings would you look for in a
patient with allergies?
I would look for rhinorrhea, or runny nose, itchy
or watery eyes. I would also examine for nasal
congestion, swollen or bluish looking nasal
mucosa. Also allergic shiners and a nasal
crease andpost-nasal drip, a cough.
Time to begin.
Good Morning Mrs. Jones. I am a nurse
candidate. I will be interviewing and examining
you today.