Shadow Health - Tina Jones, Health
History {With 474 item}
Health History Tips & Tricks: - response
Student: Hello! - response 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 pre-brief, 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? - response 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? - response 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? - response 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? - response 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? - response 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? - response 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. - response
Patient Exam - Vital Signs: - response 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: - response
Student: Hello, my name is Catlain, I am your nurse today. - response Tina Jones: Hey.
Student: Can you confirm your name? - response Tina Jones: Tina Jones:.
Student: Why did you come in today? - response 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? - response 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? - response 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. - response Tina Jones: It's throbbing and like, sharp if I try to
put weight on it.
Student: How did you hurt your foot? - response 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? - response Tina Jones: Yeah, there's definitely
pus.
Student: What color was the pus? - response Tina Jones: It's... white or maybe off-white.
Student: How have you treated the wound? - response 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? - response Tina Jones: I made
sure to clean it and keep it bandaged. And I put Neosporin on it.
Student: How effective was the Neosporin? - response Tina Jones: Well, I'm here, so I guess it
didn't do its job.
Student: Can you walk with your foot being injured? - response 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? - response 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. - response Tina Jones: Thanks.
Student: When were you diagnosed with diabetes? - response Tina Jones: I was diagnosed when
I was 24.
Student: What do you do to manage your asthma? - response 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? - response Tina Jones: It was
metformin.
Student: Do you currently take medicine for your diabetes? - response Tina Jones: No, I don't
take anything for my diabetes anymore.
Student: What made you stop taking medication for your diabetes? - response 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? - response 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? - response Tina Jones: I don't know. Every hour or two
when I'm awake?
Student: What is your current diet? - response 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? - response Tina Jones: Yeah, lately I've definitely
been much hungrier than usual.
Student: Has your weight changed? - response Tina Jones: Yeah, I've lost some weight recently.
Student: Do you know why you lost weight? - response Tina Jones: I don't know what caused it,
I just lost weight.
Student: How often do you have asthma exacerbations? - response 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? - response 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? - response 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? - response 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? - response Tina Jones: I'm allergic to cats.
Student: When did you realize you were allergic to cats? - response Tina Jones: For as long as
I've been around.
Student: How effective was your pain medication at home? - response 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: What medication allergies do you have? - response Tina Jones: I'm allergic to penicillin.
Student: What food allergies do you have? - response Tina Jones: I don't have any food allergies
that I know of.
History {With 474 item}
Health History Tips & Tricks: - response
Student: Hello! - response 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 pre-brief, 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? - response 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? - response 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? - response 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? - response 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? - response 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? - response 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. - response
Patient Exam - Vital Signs: - response 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: - response
Student: Hello, my name is Catlain, I am your nurse today. - response Tina Jones: Hey.
Student: Can you confirm your name? - response Tina Jones: Tina Jones:.
Student: Why did you come in today? - response 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? - response 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? - response 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. - response Tina Jones: It's throbbing and like, sharp if I try to
put weight on it.
Student: How did you hurt your foot? - response 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? - response Tina Jones: Yeah, there's definitely
pus.
Student: What color was the pus? - response Tina Jones: It's... white or maybe off-white.
Student: How have you treated the wound? - response 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? - response Tina Jones: I made
sure to clean it and keep it bandaged. And I put Neosporin on it.
Student: How effective was the Neosporin? - response Tina Jones: Well, I'm here, so I guess it
didn't do its job.
Student: Can you walk with your foot being injured? - response 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? - response 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. - response Tina Jones: Thanks.
Student: When were you diagnosed with diabetes? - response Tina Jones: I was diagnosed when
I was 24.
Student: What do you do to manage your asthma? - response 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? - response Tina Jones: It was
metformin.
Student: Do you currently take medicine for your diabetes? - response Tina Jones: No, I don't
take anything for my diabetes anymore.
Student: What made you stop taking medication for your diabetes? - response 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? - response 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? - response Tina Jones: I don't know. Every hour or two
when I'm awake?
Student: What is your current diet? - response 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? - response Tina Jones: Yeah, lately I've definitely
been much hungrier than usual.
Student: Has your weight changed? - response Tina Jones: Yeah, I've lost some weight recently.
Student: Do you know why you lost weight? - response Tina Jones: I don't know what caused it,
I just lost weight.
Student: How often do you have asthma exacerbations? - response 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? - response 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? - response 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? - response 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? - response Tina Jones: I'm allergic to cats.
Student: When did you realize you were allergic to cats? - response Tina Jones: For as long as
I've been around.
Student: How effective was your pain medication at home? - response 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: What medication allergies do you have? - response Tina Jones: I'm allergic to penicillin.
Student: What food allergies do you have? - response Tina Jones: I don't have any food allergies
that I know of.
