TINA JONES COMPREHENSIVE SHADOW
HEALTH PATIENT DOCUMENTATION
ELECTRONIC RECORD PRACTICE SOLUTION
REVIEW 2026
◉ Student: Hello! Answer: 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? Answer: 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? Answer: 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 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? Answer: 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? Answer: 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?
Answer: 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? Answer: Student: So 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. Answer:
, ◉ Patient Exam - Vital Signs: Answer: 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: Answer:
◉ Student: Hello, my name is Catlain, I am your nurse today. Answer:
Tina Jones: Hey.
◉ Student: Can you confirm your name? Answer: Tina Jones: Tina
Jones:.
◉ Student: Why did you come in today? Answer: 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? Answer:
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?
Answer: Tina Jones: ...Like a 7. It hurts a lot, but whatever pain med the
ER gave me is helping a little bit.
HEALTH PATIENT DOCUMENTATION
ELECTRONIC RECORD PRACTICE SOLUTION
REVIEW 2026
◉ Student: Hello! Answer: 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? Answer: 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? Answer: 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 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? Answer: 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? Answer: 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?
Answer: 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? Answer: Student: So 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. Answer:
, ◉ Patient Exam - Vital Signs: Answer: 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: Answer:
◉ Student: Hello, my name is Catlain, I am your nurse today. Answer:
Tina Jones: Hey.
◉ Student: Can you confirm your name? Answer: Tina Jones: Tina
Jones:.
◉ Student: Why did you come in today? Answer: 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? Answer:
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?
Answer: Tina Jones: ...Like a 7. It hurts a lot, but whatever pain med the
ER gave me is helping a little bit.
