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Shadow Health Comprehensive Assessment: Patient Encounter & Transcript Guide

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A complete guide to the Shadow Health Digital Clinical Experience (DCE). Learn how to navigate patient encounters like Tina Jones, document comprehensive soap notes, and understand the detailed post-exam transcript to improve your clinical reasoning and nursing assessment skills.

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Shadow Health – Tina Jones Comprehensive
Assessment (Transcript, Subjective, Objective
Data)



A brief statement of the reason the patient is seeking
health care is called the: - .....ANSWER ...✔✔ chief
complaint


Which of the following is an "ABCD" characteristic of
malignant melanoma? - .....ANSWER ...✔✔ Irregular
borders


Which question would be considered a "leading
question"? - .....ANSWER ...✔✔ "You don't get
headaches often, do you?"


A flat, nonpalpable lesion is described as a macule if
the diameter is: - .....ANSWER ...✔✔ less than 1 cm.


When you are questioning a patient regarding alcohol
intake, she tells you that she is "only a social drinker."
Which initial response is appropriate? - .....ANSWER

,2|Page



...✔✔ "What amount and what kind of alcohol do
you drink in a week?"


Mrs. Britton is a 34-year-old patient who presents to the
office with complaints of skin rashes. You have noted a
3-cm, rough, elevated area of psoriasis. This is an
example of a: - .....ANSWER ...✔✔ plaque


Painful vesicles are associated with: - .....ANSWER
...✔✔ herpes zoster


A 29-year-old white woman appears jaundiced. An
etiology of liver disease has been excluded. What
history questions should the nurse ask? - .....ANSWER
...✔✔ Whether she eats a lot of yellow and orange
vegetables.


Mr. D. complains of a headache. During the history, he
mentions his use of alcohol and illicit drugs. This
information would most likely belong in the: -
.....ANSWER ...✔✔ personal and social history.


The thyroid gland is partially obscured by the: -
.....ANSWER ...✔✔ sternocleidomastoid

,3|Page




To perform the Rinne test, place the tuning fork on the: -
.....ANSWER ...✔✔ mastoid bone.


You observe pupillary response as the patient looks at a
distant object and then at an object held 10 cm from the
bridge of the nose. You are assessing for: - .....ANSWER
...✔✔ accommodation.


Normal tympanic membrane color is: - .....ANSWER
...✔✔ pearly gray.


Ask the patient to look directly at the light of the
ophthalmoscope when you are ready to examine the: -
.....ANSWER ...✔✔ macula.


According to the AUDIT scale , a person who receives a
score of 14 is : - .....ANSWER ...✔✔ Is in the high risk
category for alcohol abuse


Bulging of an amber tympanic membrane without
mobility is most often associated with: - .....ANSWER
...✔✔ middle ear effusion.

, 4|Page



You ask your patient to perform the DAST questionnaire,
and note that he scored a "5". You understand this
means: - .....ANSWER ...✔✔ the patient is at high risk
for drug abuse


After you have the patient complete the AUDIT
questionnaire, your tally the score and realize the
patient has scored a "9" . Your next communication with
the patient should be: - .....ANSWER ...✔✔ I see that
you completed the questionnaire, may I discuss the
results with you?


You are conducting a brief negotiated interview with
your young male patient after you have reviewed his
AUDIT questionnaire results. You discuss the safe drinking
limits per day for his gender . You explain to him that
this number is: - .....ANSWER ...✔✔ 4


You are discussing the amount of alcohol in different
drinks with your patient. You explain to your patient
what constitutes a standard drink. You review that 12 oz
of regular beer is equal to: - .....ANSWER ...✔✔ 5 oz.
of table wine


With consolidation in the lung tissue, the breath sounds
are louder and easier to hear, whereas healthy lung

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