QUESTIONS WITH SOLUTIONS GRADED A+
◉ 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.