(SHADOW HEALTH HAIR,SKIN AND
NAILS ASSESSMENT ASSIGNMENT
1. **Q:** How would you describe your overall health?
**A:** Tina reports she is generally healthy but has diabetes.
*Rationale: This establishes a baseline perception of her well-being
and introduces her chronic condition.*
2. **Q:** Have you had any skin issues in the past?
**A:** Reports acne and dry skin. Denies skin cancer, rashes, or
other sores.
*Rationale: Screens for dermatological history that might impact
current assessment.*
3. **Q:** Do you have a history of slow-healing wounds?
**A:** Denies history of slow-healing wounds.
*Rationale: Important indicator of diabetic complications affecting
circulation and healing.*
4. **Q:** When did you first notice problems with acne?
**A:** Reports having acne since middle school.
, *Rationale: Establishes chronicity of the condition.*
5. **Q:** Where is your acne located?
**A:** Reports acne is located on her face and back.
*Rationale: Determines distribution pattern for assessment focus.*
6. **Q:** Has your acne changed recently?
**A:** Reports acne had been dormant but got worse recently.
*Rationale: Identifies triggers or progression requiring intervention.*
7. **Q:** What treatments have you tried for acne?
**A:** Reports last seeing a doctor for acne in high school; was
prescribed tetracycline.
*Rationale: Assesses previous interventions and treatment efficacy.*
8. **Q:** Was the tetracycline effective for your acne?
**A:** Reports antibiotics were ineffective.
*Rationale: Guides current treatment decisions based on past
failures.*
9. **Q:** What do you currently do for your acne?
**A:** Reports only current treatment is washing her face every
night.
*Rationale: Identifies current self-management strategies.*
10. **Q:** Do you have dry skin?
**A:** Reports arms and legs get dry.
*Rationale: Identifies areas requiring moisturization and
assessment.*
, 11. **Q:** What do you use for your dry skin?
**A:** Reports using lotion.
*Rationale: Determines adequacy of self-care measures.*
12. **Q:** Have you had any rashes?
**A:** Denies skin rashes other than current foot wound.
*Rationale: Rules out dermatological conditions requiring
treatment.*
13. **Q:** Have you experienced any itching?
**A:** Reports skin has only itched due to cat exposure.
*Rationale: Identifies allergic triggers versus pathological causes.*
14. **Q:** Have you noticed any changes in your skin color?
**A:** Denies discoloration changes.
*Rationale: Screens for vascular, nutritional, or metabolic issues.*
15. **Q:** Do you have any moles or birthmarks?
**A:** Reports presence of normal moles.
*Rationale: Establishes baseline for skin cancer screening.*
16. **Q:** Have any moles changed in size or color?
**A:** Denies changes to existing moles.
*Rationale: Critical screening for malignant melanoma.*
17. **Q:** Do you have any family history of skin cancer?
**A:** Denies family history of skin cancer.
*Rationale: Identifies genetic risk factors.*
NAILS ASSESSMENT ASSIGNMENT
1. **Q:** How would you describe your overall health?
**A:** Tina reports she is generally healthy but has diabetes.
*Rationale: This establishes a baseline perception of her well-being
and introduces her chronic condition.*
2. **Q:** Have you had any skin issues in the past?
**A:** Reports acne and dry skin. Denies skin cancer, rashes, or
other sores.
*Rationale: Screens for dermatological history that might impact
current assessment.*
3. **Q:** Do you have a history of slow-healing wounds?
**A:** Denies history of slow-healing wounds.
*Rationale: Important indicator of diabetic complications affecting
circulation and healing.*
4. **Q:** When did you first notice problems with acne?
**A:** Reports having acne since middle school.
, *Rationale: Establishes chronicity of the condition.*
5. **Q:** Where is your acne located?
**A:** Reports acne is located on her face and back.
*Rationale: Determines distribution pattern for assessment focus.*
6. **Q:** Has your acne changed recently?
**A:** Reports acne had been dormant but got worse recently.
*Rationale: Identifies triggers or progression requiring intervention.*
7. **Q:** What treatments have you tried for acne?
**A:** Reports last seeing a doctor for acne in high school; was
prescribed tetracycline.
*Rationale: Assesses previous interventions and treatment efficacy.*
8. **Q:** Was the tetracycline effective for your acne?
**A:** Reports antibiotics were ineffective.
*Rationale: Guides current treatment decisions based on past
failures.*
9. **Q:** What do you currently do for your acne?
**A:** Reports only current treatment is washing her face every
night.
*Rationale: Identifies current self-management strategies.*
10. **Q:** Do you have dry skin?
**A:** Reports arms and legs get dry.
*Rationale: Identifies areas requiring moisturization and
assessment.*
, 11. **Q:** What do you use for your dry skin?
**A:** Reports using lotion.
*Rationale: Determines adequacy of self-care measures.*
12. **Q:** Have you had any rashes?
**A:** Denies skin rashes other than current foot wound.
*Rationale: Rules out dermatological conditions requiring
treatment.*
13. **Q:** Have you experienced any itching?
**A:** Reports skin has only itched due to cat exposure.
*Rationale: Identifies allergic triggers versus pathological causes.*
14. **Q:** Have you noticed any changes in your skin color?
**A:** Denies discoloration changes.
*Rationale: Screens for vascular, nutritional, or metabolic issues.*
15. **Q:** Do you have any moles or birthmarks?
**A:** Reports presence of normal moles.
*Rationale: Establishes baseline for skin cancer screening.*
16. **Q:** Have any moles changed in size or color?
**A:** Denies changes to existing moles.
*Rationale: Critical screening for malignant melanoma.*
17. **Q:** Do you have any family history of skin cancer?
**A:** Denies family history of skin cancer.
*Rationale: Identifies genetic risk factors.*
