Shadow Health - Tina Jones, Health History Exam: Questions and Answers, Exams of Nursing

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History Exam Question & Answers 2025

Medications - Correct Answers ✅✅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: - Correct Answers ✅✅ Student: Hello! - Correct Answers ✅✅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? - Correct Answers ✅✅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

History Exam Question & Answers 2025

will take Ms. Jones' health history, a key component of her admission process. Student: What are my objectives in this assessment? - Correct Answers ✅✅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? - Correct Answers ✅✅Diana Shadow: You will complete nursing tasks to protect the patients safety,

History Exam Question & Answers 2025

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? - Correct Answers ✅✅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. - Correct Answers ✅✅ Patient Exam - Vital Signs: - Correct Answers ✅✅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: - Correct Answers ✅✅

History Exam Question & Answers 2025

Student: Hello, my name is Rachel and I am your nurse today. - Correct Answers ✅✅Tina Jones: Hey. Student: Can you confirm your name? - Correct Answers ✅✅Tina Jones: Tina Jones:. Student: What brings you in today? - Correct Answers ✅✅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? - Correct Answers ✅✅Tina Jones: It's on the ball of my foot. Student: Which foot is injured? - Correct Answers ✅✅Tina Jones: My right foot. Student: I'm sorry to hear that. I'm glad you came in to get your foot evaluated. - Correct Answers ✅✅Tina Jones: Thanks a lot. Student: Can you tell me how you scraped your foot? - Correct Answers ✅✅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!

History Exam Question & Answers 2025

Student: How have you treated the wound? - Correct Answers ✅✅Tina Jones: I've been taking Advil for my foot for a few days. Student: Was the Neosporin effective? - Correct Answers ✅✅Tina Jones: Well, I'm here, so I guess it didn't do its job. Student: Can you walk on your injured foot? - Correct Answers ✅✅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? - Correct Answers ✅✅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? - Correct Answers ✅✅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? - Correct Answers ✅✅Tina Jones: I mean, I have asthma and diabetes, but right I now I just care about my foot!

History Exam Question & Answers 2025

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. - Correct Answers ✅✅Tina Jones: That's kind of you. Student: When were you diagnosed with diabetes? - Correct Answers ✅✅Tina Jones: I was diagnosed when I was 24. Student: How do you manage your asthma? - Correct Answers ✅✅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? - Correct Answers ✅✅Tina Jones: It was metformin. Student: Do you currently take medicine for your diabetes? - Correct Answers ✅✅Tina Jones: No, I don't take anything for my diabetes anymore. Student: What made you stop taking medication for your diabetes? - Correct Answers ✅✅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.

History Exam Question & Answers 2025

Student: How often do you have asthma exacerbations? - Correct Answers ✅✅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? - Correct Answers ✅✅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: Does anything else worsen your asthma? - Correct Answers ✅✅Tina Jones: Cats are the worst for my asthma--no matter what, if I'm around cats, my breathing gets bad. But sometimes it gets bad from being around dust or having to run upstairs, too. Student: Do you have a rescue inhaler? - Correct Answers ✅✅Tina Jones: Yeah, I use it when my asthma acts up. Student: How many puffs do you take when using your asthma inhaler?

• Correct Answers ✅✅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 allergies do you have? - Correct Answers ✅✅Tina Jones: I'm allergic to cats.

History Exam Question & Answers 2025

Student: How long have you had a cat allergy? - Correct Answers ✅✅Tina Jones: For as long as I've been around. Student: What medication allergies do you have? - Correct Answers ✅✅Tina Jones: I'm allergic to penicillin. Student: How old were you when you had an allergic reaction from penicillin? - Correct Answers ✅✅Tina Jones: I don't remember....I was really young. I must have been sick or something. Student: Do you have any food allergies? - Correct Answers ✅✅Tina Jones: Nope, no food allergies that I know of. Student: Are you allergic to latex? - Correct Answers ✅✅Tina Jones: Nope. Student: Are you allergic to dust, mold, or pollen? - Correct Answers ✅✅Tina Jones: Well... I don't know if it's allergies, but sometimes my asthma acts up around dust. Student: Are you up to date on all immunizations? - Correct Answers ✅✅Tina Jones: I'm pretty sure my shots are current, yeah.

History Exam Question & Answers 2025

Student: Have you had any gastrointestinal problems? - Correct Answers ✅✅Tina Jones: No. I've never really had stomach or bowel problems. Student: Do you have a family history of psychiatric illness? - Correct Answers ✅✅Tina Jones: No. They're crazy, but nobody's diagnosed with anything. Student: Do you have any neck, throat or gland problems? - Correct Answers ✅✅Tina Jones: No, not that I noticed. Student: Any problems with your ears? - Correct Answers ✅✅Tina Jones: No. Student: Any problems with your eyes and vision? - Correct Answers ✅✅Tina Jones: I've actually been noticing problems lately. When I'm reading or studying I'll notice that things start to get kind of blurry. Student: Do you suffer from headaches? - Correct Answers ✅✅Tina Jones: I get headaches sometimes, but that's all. Student: Do you wear glasses? - Correct Answers ✅✅Tina Jones: No.

History Exam Question & Answers 2025

Student: Any problems with sinuses or nose? - Correct Answers ✅✅Tina Jones: My nose is fine right now. Sometimes it runs, but not very often. Student: Do you have problems with your mouth? - Correct Answers ✅✅Tina Jones: No. Student: Do you have a history of cardiovascular problems? - Correct Answers ✅✅Tina Jones: My heart's fine, thank God! Student: Have you had any problems with your breasts? - Correct Answers ✅✅Tina Jones: I haven't noticed any pain there. Student: Have you had any reproductive problems? - Correct Answers ✅✅Tina Jones: I don't think I have problems in that area. I just get really bad periods, that's all. Student: Have you had any neurological problems? - Correct Answers ✅✅Tina Jones: No, I haven't. Student: Have you had any musculoskeletal problems? - Correct Answers ✅✅Tina Jones: No.

History Exam Question & Answers 2025

Student: Do you know what caused your dad's accident? - Correct Answers ✅✅Tina Jones: He was driving to work, and it was raining...and his car hydroplaned. And hit a tree. So, it was really sudden. Student: How did you cope with your fathers death? - Correct Answers ✅✅Tina Jones: Well, right after he died, after the funeral and everything, I just tried to get through that. Mom was having such a hard time, crying a lot, everything made her sad, she was kind of depressed. So, I guess at first I just focused on getting things done--groceries, laundry, insurance papers and stuff. Knowing that Mom needed me kind of helped me get through day by day. There was about a month where it was hard for us to get to church. Even getting up and ready for church was too overwhelming. But our church family helped us out and gave us rides to church and brought meals and all that, so they really helped build us back up. Things were only hard like that for a few months. Student: That must have been very tough for you and your family to go through. - Correct Answers ✅✅Tina Jones: Student: Does your paternal grandfather have any health problems? - Correct Answers ✅✅Tina Jones: Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Plus, he had high blood pressure, and...I'm pretty sure he had diabetes. And high cholesterol like everyone else in my family.

History Exam Question & Answers 2025

Student: How is your paternal grandmother's health? - Correct Answers ✅✅Tina Jones: Granny's doing good. She's still living on her own. She's slowing down, but we help her out. She lives down the street from us, and she gets around okay. I think she takes some pills, maybe for blood pressure? She might have high cholesterol too. She seems happy. Student: How is your maternal grandfather's health? - Correct Answers ✅✅Tina Jones: Well, Poppa died about five years ago. Student: How is your maternal grandmother's health? - Correct Answers ✅✅Tina Jones: Nana was 73 when she died of a stroke about five years ago. I think she had high blood pressure and cholesterol, too. Student: Do you have any siblings? - Correct Answers ✅✅Tina Jones: I have two--a brother and my little sister. Student: Does your brother have any medical conditions? - Correct Answers ✅✅Tina Jones: No, I don't think so. He's a healthy guy. Kind of big like me. Student: How is your sister's health? - Correct Answers ✅✅Tina Jones: She's pretty healthy. She has asthma too, but she almost never has attacks.

History Exam Question & Answers 2025

Student: What is your level of education? - Correct Answers ✅✅Tina Jones: Well, I'm finishing up my bachelor's degree right now. Student: What are your stressors? - Correct Answers ✅✅Tina Jones: I feel really stressed out right now! Honestly, I didn't realize that I'd be admitted to the hospital for my foot. I don't want to miss work or school but now it looks like I'll have to. And I want my foot to stop hurting. I know I need sleep, too. Student: Yes, Ms. Jones. We are going to take care of your foot as quickly as possible. - Correct Answers ✅✅Tina Jones: Thanks. Student: Where do you live? - Correct Answers ✅✅Tina Jones: Right now, I'm living at my mom's place, which is out in the suburbs a bit. It's like a half hour from here. Student: What is your belief system? - Correct Answers ✅✅Tina Jones: I'm Baptist. My faith is a big part of my life--when things get hard like they've been this past year, I know I can trust that God's looking out for me. I've been going to the same church since I was a kid, too, so the people at church are practically part of my family.

History Exam Question & Answers 2025

Student: Have you experienced abuse? - Correct Answers ✅✅Tina Jones: I've never had been in any kind of situation like that... It's scary to think about. Student: Have you used illicit drugs? - Correct Answers ✅✅Tina Jones: Well, I used to smoke pot... but I don't do that anymore. Student: What type of drugs did you use? - Correct Answers ✅✅Tina Jones: Um...I've smoked pot before. In high school, and after high school... I definitely don't anymore, though. Student: Have you used drugs other than marijuana? - Correct Answers ✅✅Tina Jones: No. Student: When did you last use drugs? - Correct Answers ✅✅Tina Jones: I haven't smoked pot since I was twenty or twenty-one. Student: Have you ever smoked cigarettes? - Correct Answers ✅✅Tina Jones: No. I think it's gross. Student: Have you been around people that are smoking? - Correct Answers ✅✅Tina Jones: Some of my friend's smoke when we go out drinking. But I don't smoke, and nobody at home smokes.