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Shadow Health - Tina Jones, Health History Questions and answers | Updated 2024/25 RATED A+
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Shadow Health - Tina Jones, Health History Questions and answers | Updated 2024/25 RATED A+
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Shadow Health - Tina Jones, HealthHistory Questions and answers |
Updated 2024/25 RATED A+
Medications - 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: -
Student: Hello! - 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? - 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? - 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? - 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? - 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? - 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? -
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. -
Patient Exam - Vital Signs: - 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: -
,Student: Hello, my name is Rachel and I am your nurse today. - Tina Jones: Hey.
Student: Can you confirm your name? - Tina Jones: Tina Jones:.
Student: What brings you in today? - 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? - Tina Jones: It's on the ball of my foot.
Student: Which foot is injured? - Tina Jones: My right foot.
Student: I'm sorry to hear that. I'm glad you came in to get your foot evaluated. - Tina
Jones: Thanks a lot.
Student: Can you tell me how you scraped your foot? - 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? - 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? - Tina Jones: It's throbbing and like, sharp if I try
to put weight on it.
Student: Have you had any other symptoms? - 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? - Tina Jones: I noticed it about 2 days ago.
Student: What color was the pus? - Tina Jones: It's... white or maybe off-white.
Student: Did your foot bleed? - Tina Jones: It bled a little after I injured it.
Student: How have you been treating your foot? - 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? - Tina Jones: I've been taking Advil for my
foot for a few days.
Student: Was the Neosporin effective? - Tina Jones: Well, I'm here, so I guess it didn't
do its job.
Student: Can you walk on your injured foot? - 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? - 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? - Tina Jones: Yeah, I started to have one
yesterday, and then it was a little better this morning. It kinda crept up all day.
Student: Do you have any preexisting medical conditions? - 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. We have to ask a lot of questions, but it's to
ensure we treat your injury and anything else that could contribute to the problem. -
Tina Jones: That's kind of you.
Student: When were you diagnosed with diabetes? - Tina Jones: I was diagnosed
when I was 24.
Student: How do you manage your asthma? - 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? - Tina Jones: It was
metformin.
Student: Do you currently take medicine for your diabetes? - Tina Jones: No, I don't
take anything for my diabetes anymore.
Student: What made you stop taking medication for your diabetes? - 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? - Tina Jones: I have a monitor at home,
but to be honest I don't really use it that often.
Student: Do you get thirsty often? - Tina Jones: You know, I did notice lately that I've
been really thirsty.
Student: How frequently do you urinate? - Tina Jones: I don't know. Every hour or two
when I'm awake?
Student: What is your current diet? - Tina Jones: It's pretty good, I think. I'm not a huge
health nut or anything.
Student: Have you had a change in appetite? - Tina Jones: Yeah, lately I've definitely
been much hungrier than usual.
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