Shadow health - tina JoneS, health hiStory exam QueStionS and
anSwerS Practice QueStionS with SolutionS neweSt 2026/2027 |
already Graded a+
Medications - anSwer-Albuterol MDI, 2 puffs every 4 hours as needed for wheezing
Acetaminophen 325 mg tabs by mouth, 2 tabs every 4 hours as needed for fever greater than 38.6C
/101.5F
Clindamycin 600mg/50ml every 6 hours intravenously
0.9 NaCl intravenously 100 ml/hr continuously x2 Liters
Lortab 5mg 1-2 tabs by mouth as needed for pain
Oxycodone 5mg 1 tab by mouth as needed
Insulin glargine 10 units at bedtime
Health History Tips & Tricks: - anSwer-
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: Getting a complete
health history enables the nurse to make informed judgments about the client including formulating
,nursing diagnoses requiring nursing care, identifying collaborative problems requiring interdisciplinary
care, medical issues requiring immediate referral, and the need for client teaching.
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 Rachel and I am your nurse today. - anSwer-Tina Jones: Hey.
Student: Can you confirm your name? - anSwer-Tina Jones: Tina Jones:.
Student: What brings you 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: Where is your wound located? - anSwer-Tina Jones: It's on the ball of my foot.
Student: Which foot is injured? - anSwer-Tina Jones: My right foot.
Student: I'm sorry to hear that. I'm glad you came in to get your foot evaluated. - anSwer-Tina
Jones: Thanks a lot.
Student: Can you tell me how you scraped your foot? - anSwer-I was changing a light bulb, and I
had to use our little stepstool to reach it. My foot slid off the bottom step and it got all scraped up. I
didn't realize how sharp the edge was!
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.
, Student: Can you describe the pain? - anSwer-Tina Jones: It's throbbing and like, sharp if I try to put
weight on it.
Student: Have you had any other symptoms? - 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: When did you first notice the pus? - anSwer-Tina Jones: I noticed it about 2 days ago.
Student: What color was the pus? - anSwer-Tina Jones: It's... white or maybe off-white.
Student: Did your foot bleed? - anSwer-Tina Jones: It bled a little after I injured it.
Student: How have you been treating your foot? - anSwer-Tina Jones: I made sure to clean it and
keep it bandaged. And I put Neosporin on it.
Student: How have you treated the wound? - anSwer-Tina Jones: I've been taking Advil for my foot
for a few days.
Student: Was the Neosporin effective? - anSwer-Tina Jones: Well, I'm here, so I guess it didn't do its
job.
Student: Can you walk on your injured foot? - anSwer-Tina Jones: No, I can't. I can't put any weight
on it without like, shooting pain.
Student: How effective was your pain medication at home? - anSwer-Tina Jones: Whatever pain
medication the ER gave me is helping. Before I came in, I was just taking Advil. For the past few days,
the Advil wasn't doing much for me -- it would only last a couple of hours.
Student: Have you had any fever at home? - anSwer-Tina Jones: Yeah, I started to have one
yesterday, and then it was a little better this morning. It kinda crept up all day.
anSwerS Practice QueStionS with SolutionS neweSt 2026/2027 |
already Graded a+
Medications - anSwer-Albuterol MDI, 2 puffs every 4 hours as needed for wheezing
Acetaminophen 325 mg tabs by mouth, 2 tabs every 4 hours as needed for fever greater than 38.6C
/101.5F
Clindamycin 600mg/50ml every 6 hours intravenously
0.9 NaCl intravenously 100 ml/hr continuously x2 Liters
Lortab 5mg 1-2 tabs by mouth as needed for pain
Oxycodone 5mg 1 tab by mouth as needed
Insulin glargine 10 units at bedtime
Health History Tips & Tricks: - anSwer-
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: Getting a complete
health history enables the nurse to make informed judgments about the client including formulating
,nursing diagnoses requiring nursing care, identifying collaborative problems requiring interdisciplinary
care, medical issues requiring immediate referral, and the need for client teaching.
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 Rachel and I am your nurse today. - anSwer-Tina Jones: Hey.
Student: Can you confirm your name? - anSwer-Tina Jones: Tina Jones:.
Student: What brings you 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: Where is your wound located? - anSwer-Tina Jones: It's on the ball of my foot.
Student: Which foot is injured? - anSwer-Tina Jones: My right foot.
Student: I'm sorry to hear that. I'm glad you came in to get your foot evaluated. - anSwer-Tina
Jones: Thanks a lot.
Student: Can you tell me how you scraped your foot? - anSwer-I was changing a light bulb, and I
had to use our little stepstool to reach it. My foot slid off the bottom step and it got all scraped up. I
didn't realize how sharp the edge was!
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.
, Student: Can you describe the pain? - anSwer-Tina Jones: It's throbbing and like, sharp if I try to put
weight on it.
Student: Have you had any other symptoms? - 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: When did you first notice the pus? - anSwer-Tina Jones: I noticed it about 2 days ago.
Student: What color was the pus? - anSwer-Tina Jones: It's... white or maybe off-white.
Student: Did your foot bleed? - anSwer-Tina Jones: It bled a little after I injured it.
Student: How have you been treating your foot? - anSwer-Tina Jones: I made sure to clean it and
keep it bandaged. And I put Neosporin on it.
Student: How have you treated the wound? - anSwer-Tina Jones: I've been taking Advil for my foot
for a few days.
Student: Was the Neosporin effective? - anSwer-Tina Jones: Well, I'm here, so I guess it didn't do its
job.
Student: Can you walk on your injured foot? - anSwer-Tina Jones: No, I can't. I can't put any weight
on it without like, shooting pain.
Student: How effective was your pain medication at home? - anSwer-Tina Jones: Whatever pain
medication the ER gave me is helping. Before I came in, I was just taking Advil. For the past few days,
the Advil wasn't doing much for me -- it would only last a couple of hours.
Student: Have you had any fever at home? - anSwer-Tina Jones: Yeah, I started to have one
yesterday, and then it was a little better this morning. It kinda crept up all day.
