Shadow Health - Tina Jones, Health
History
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: 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.
Student: Please describe the pain. - Answer Tina Jones: It's throbbing and like, sharp if I
try to put weight on it.
Student: How did you hurt your foot? - Answer Tina Jones: 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: Has your foot been draining any liquids? - Answer Tina Jones: Yeah, there's
definitely pus.
Student: What color was the pus? - Answer Tina Jones: It's... white or maybe off-white.
Student: How have you treated the wound? - Answer Tina Jones: I've been taking Advil
for my foot for a few days.
Student: What did you do to treat your foot after your accident? - Answer Tina Jones: I
made sure to clean it and keep it bandaged. And I put Neosporin on it.
Student: How effective was the Neosporin? - Answer Tina Jones: Well, I'm here, so I
guess it didn't do its job.
Student: Can you walk with your foot being injured? - Answer Tina Jones: No, I can't. I
can't put any weight on it without like, shooting pain.
Student: What preexisting medical conditions do you have? - Answer Tina Jones: I
mean, I have asthma and diabetes, but right I now I just care about my foot!
Student: I understand your foot hurts, but I need to know this information to make sure I
take care of the problem correctly. - Answer Tina Jones: Thanks.
Student: When were you diagnosed with diabetes? - Answer Tina Jones: I was
diagnosed when I was 24.
Student: What do you do to manage your asthma? - Answer Tina Jones: I try to avoid
things that give me breathing problems, but when my asthma starts to act up, I just use
my inhaler.
Student: What medications did you take for your diabetes? - Answer Tina Jones: It was
metformin.
Student: Do you currently take medicine for your diabetes? - Answer Tina Jones: No, I
don't take anything for my diabetes anymore.
, Student: What made you stop taking medication for your diabetes? - Answer Tina
Jones: I guess I just got sick of feeling sick and gassy all the time, and it was
overwhelming, remembering to take pills and check my sugar. I feel a lot better now that
I'm just eating healthier than I did when I was taking the pills.
Student: Do you monitor your blood glucose? - Answer Tina Jones: I have a monitor at
home, but to be honest I don't really use it that often.
Student: How frequently do you urinate? - Answer Tina Jones: I don't know. Every hour
or two when I'm awake?
Student: What is your current diet? - Answer Tina Jones: It's pretty good, I think. I'm not
a huge health nut or anything.
Student: Have you had any change in appetite? - Answer Tina Jones: Yeah, lately I've
definitely been much hungrier than usual.
Student: Has your weight changed? - Answer Tina Jones: Yeah, I've lost some weight
recently.
Student: Do you know why you lost weight? - Answer Tina Jones: I don't know what
caused it, I just lost weight.
Student: How often do you have asthma exacerbations? - Answer Tina Jones: I haven't
had a full attack in years. But my breathing definitely acts up. . .not always. Max twice a
week.
Student: What asthma symptoms have you experienced? - Answer Tina Jones: My
chest and throat get tight, and I start to wheeze. It feels like I can't take in air, like I can't
get enough air into my lungs.
Student: How many puffs do you take when using your asthma inhaler? - Answer Tina
Jones: I usually use two puffs from my inhaler, but sometimes I need three. [Nurse
confirmed with Pharmacy: albuterol 90mcg/spray MDI]
Student: What are some things that trigger your asthma? - Answer Tina Jones: Being
around cats is the worst, but dust and running up stairs can make my breathing bad,
too.
Student: What allergies do you have? - Answer Tina Jones: I'm allergic to cats.
Student: When did you realize you were allergic to cats? - Answer Tina Jones: For as
long as I've been around.
History
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: 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.
Student: Please describe the pain. - Answer Tina Jones: It's throbbing and like, sharp if I
try to put weight on it.
Student: How did you hurt your foot? - Answer Tina Jones: 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: Has your foot been draining any liquids? - Answer Tina Jones: Yeah, there's
definitely pus.
Student: What color was the pus? - Answer Tina Jones: It's... white or maybe off-white.
Student: How have you treated the wound? - Answer Tina Jones: I've been taking Advil
for my foot for a few days.
Student: What did you do to treat your foot after your accident? - Answer Tina Jones: I
made sure to clean it and keep it bandaged. And I put Neosporin on it.
Student: How effective was the Neosporin? - Answer Tina Jones: Well, I'm here, so I
guess it didn't do its job.
Student: Can you walk with your foot being injured? - Answer Tina Jones: No, I can't. I
can't put any weight on it without like, shooting pain.
Student: What preexisting medical conditions do you have? - Answer Tina Jones: I
mean, I have asthma and diabetes, but right I now I just care about my foot!
Student: I understand your foot hurts, but I need to know this information to make sure I
take care of the problem correctly. - Answer Tina Jones: Thanks.
Student: When were you diagnosed with diabetes? - Answer Tina Jones: I was
diagnosed when I was 24.
Student: What do you do to manage your asthma? - Answer Tina Jones: I try to avoid
things that give me breathing problems, but when my asthma starts to act up, I just use
my inhaler.
Student: What medications did you take for your diabetes? - Answer Tina Jones: It was
metformin.
Student: Do you currently take medicine for your diabetes? - Answer Tina Jones: No, I
don't take anything for my diabetes anymore.
, Student: What made you stop taking medication for your diabetes? - Answer Tina
Jones: I guess I just got sick of feeling sick and gassy all the time, and it was
overwhelming, remembering to take pills and check my sugar. I feel a lot better now that
I'm just eating healthier than I did when I was taking the pills.
Student: Do you monitor your blood glucose? - Answer Tina Jones: I have a monitor at
home, but to be honest I don't really use it that often.
Student: How frequently do you urinate? - Answer Tina Jones: I don't know. Every hour
or two when I'm awake?
Student: What is your current diet? - Answer Tina Jones: It's pretty good, I think. I'm not
a huge health nut or anything.
Student: Have you had any change in appetite? - Answer Tina Jones: Yeah, lately I've
definitely been much hungrier than usual.
Student: Has your weight changed? - Answer Tina Jones: Yeah, I've lost some weight
recently.
Student: Do you know why you lost weight? - Answer Tina Jones: I don't know what
caused it, I just lost weight.
Student: How often do you have asthma exacerbations? - Answer Tina Jones: I haven't
had a full attack in years. But my breathing definitely acts up. . .not always. Max twice a
week.
Student: What asthma symptoms have you experienced? - Answer Tina Jones: My
chest and throat get tight, and I start to wheeze. It feels like I can't take in air, like I can't
get enough air into my lungs.
Student: How many puffs do you take when using your asthma inhaler? - Answer Tina
Jones: I usually use two puffs from my inhaler, but sometimes I need three. [Nurse
confirmed with Pharmacy: albuterol 90mcg/spray MDI]
Student: What are some things that trigger your asthma? - Answer Tina Jones: Being
around cats is the worst, but dust and running up stairs can make my breathing bad,
too.
Student: What allergies do you have? - Answer Tina Jones: I'm allergic to cats.
Student: When did you realize you were allergic to cats? - Answer Tina Jones: For as
long as I've been around.
