Exam (elaborations)
SHADOW HEALTH.
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Exam of 58 pages for the course Shadow Health - Tina Jones, Health History at Shadow Health - Tina Jones, Health History (SHADOW HEALTH.)
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SHADOW HEALTH - TINA JONES,HEALTH HISTORY QUESTION
WITH COMPLETE ANSWERS
Health aHistory aTips a& aTricks: a- a✔✔
Student: aHello! a- a✔✔Diana aShadow: aHi. aI'm aPreceptor aDiana. aI awill aexplain athe adetails aof athis
aassignment aand ayour aobjectives, ajust aas aa apreceptor awould ain areal alife. aPay aclose aattention ato
athis ainformation aas ait awill ahelp aguide ayour aexam. aAt athe aend aof athis aprebrief, ayou awill aanswer
aa ashort aquestion aabout athe aupcoming aassignment. aDuring athe asimulation, ayou amay areturn ato
athese ainstructions aat aany atime aby ascrolling ato athe atop aof ayour atranscript.
Student: aWhat ais athe asituation? a- a✔✔Diana aShadow: aYour apatient ais aTina aJones:, aa a28-year-old
aAfrican aAmerican awoman awho ahas ajust abeen aadmitted ato aShadow aGeneral aHospital afor aa
apainful afoot awound. aYour arole ain athis asimulation ais athat aof aa ahealthcare aprovider awho awill atake
aMs. aJones' ahealth ahistory, aa akey acomponent aof aher aadmission aprocess.
Student: aWhat aare amy aobjectives ain athis aassessment? a- a✔✔Diana aShadow: aA ahealth ahistory
arequires ayou ato aask aquestions arelated ato aMs. aJones' apast aand apresent ahealth, afrom aher acurrent
afoot awound ato aher apre-existing aconditions. aYou awill aalso awant ato areview aMs. aJones' asystems,
apsychosocial ahistory, aand afamily amedical ahistory. aThese aassessments atogether awill agive ayou aa
acomprehensive apicture aof aMs. aJones' aoverall ahealth. aIf ayou adiscover aany adisease astates, aask
aabout asymptoms aand athe apatient's aexperiences aof athem. aYour aquestioning ashould acover aa abroad
aarray aof athe asymptoms' acharacteristics. aThroughout athe aconversation, ayou ashould aeducate aand
aempathize awith aMs. aJones awhen aappropriate ato aincrease aher ahealth aliteracy aand asense aof awell-
being. aRegardless aof awhether ayou ahave aassessed aMs. aJones apreviously, aask aall aquestions athat aare
anecessary afor aobtaining aa acomplete ahealth ahistory. aWhile ayou ashould acommunicate awith
apatients ausing aaccessible, aeveryday alanguage, ait ais astandard apractice ato ause aprofessional amedical
aterminology aeverywhere aelse, asuch aas ain adocumenting aphysical afindings aand anursing anotes. aYou
amay acomplete athe aexam aactivities ain aany aorder aand amove abetween athem aas aneeded. aAfter
aobtaining aMs. aJones' ahealth ahistory, ayou awill acomplete aan ainformation aprocessing aactivity. aYou
awill aidentify aand aprioritize adiagnoses, athen acreate aa aplan ato aaddress athe aidentified adiagnoses.
,Student: aWhat aelse awill athis aexam ainvolve? a- a✔✔Diana aShadow: aYou awill acomplete anursing atasks
ato aprotect athe apatients asafety, aprivacy, aand ahealth. aYou acan adocument ayour afindings, aincluding
avital asigns, ain athe aElectronic aHealth aRecord. aThis arecord aprovides anecessary ainformation afor
ahealthcare aprofessionals awho awill acontinue apatient acare. aBesides aSubjective aData aCollection, aand
aEducation aand aEmpathy, athere aare aactivities awithin athe asimulation athat aprovide avaluable apractice
afor atheir areal-world acounterparts, abut athey aare anot aautomatically agraded aby athe asimulation.
Student: aHow awill aI abe aevaluated? a- a✔✔Diana aShadow: aIn athis aassignment, ayou awill abe
aevaluated aon ayour aSubjective aData aCollection, aas awell aas ayour aEducation aand aEmpathy. aYour
asuccess ain aEducation aand aEmpathy ais abased aon awhether ayou apromptly arespond aafter aidentifying
aa amoment aworthy aof atherapeutic acommunication. aThe aevaluation aof ayour ainterview ais
adependent aon ahow ayou aword ayour aquestions atherapeutically aand aprecisely aand aexplore aall
arelevant atopics awith acomprehensive abreadth aand adepth. aYou awill aalso abe aevaluated aon ayour
aability ato acollect adata aand aform anursing adiagnoses ain athe ainformation aprocessing aactivity. aThis
aassignment atakes aon aaverage abetween a90 aand a110 aminutes. aThis aexam amay atake alonger athan
ain areal alife, abecause ain athis asafe asimulation, astudents aof aall aexperience alevels acan atake atime ato
ahone aand areview atheir askills. aYou acan apause aand aresume athe aassignment aat aany atime; ayour
awork ais aalways asaved aautomatically.
Student: aHow adoes athis aassignment aprepare ame afor athe areal aworld? a- a✔✔Diana aShadow: aIn athis
aassessment, ayou awill abecome afamiliarized awith athe astructure aand acontent aof aa ahealth ahistory
aexam aso athat awith areal-life apatients, ayou acan: aº aask aeffective aand acomprehensive aquestions aº
aobtain aa athorough ahealth ahistory aº aevaluate athe apatient's arisk aof adisease, ainfection, ainjury, aand
acomplications aº aeducate aand aempathize aº areflect aon ayour aexperience aand aidentify aareas ato
aimprove aº aidentify aand aprioritize anursing adiagnoses aº aand adevelop aa aplan ato aaddress anursing
adiagnoses.
Diana aShadow: aIn a1 aor a2 asentences, aanswer athis aquestion ato ahelp aprepare afor athe aupcoming
aexam: aWhy ais ait aimportant ato aobtain aa apatient's acomplete ahealth ahistory? a- a✔✔Student: aSo
athat ayou aunderstand aif athere aare aany aproblems arelated ato atheir achief acomplaint. aAlso, ato ahelp
atreat atheir acurrent acondition.
Diana aShadow: aTime ato abegin. a- a✔✔
Patient aExam a- aVital aSigns: a- a✔✔Height: a170 acm, aWeight: a90 akg, aBMI: a31, aRandom ablood
aglucose: a238, aTemperature: a102.4° aF, aBlood apressure: a138/90 ammHg, aHeart arate: a90, aRespiratory
arate: a18, aO2 asat: a98%
,Patient aExam a- aInterview: a- a✔✔
Student: aHello, amy aname ais aCatlain, aI aam ayour anurse atoday. a- a✔✔Tina aJones: aHey.
Student: aCan ayou aconfirm ayour aname? a- a✔✔Tina aJones: aTina aJones:.
Student: aWhy adid ayou acome ain atoday? a- a✔✔Tina aJones: aI agot athis ascrape aon amy afoot aa awhile
aago, aand ait agot areally ainfected. aIt's akilling ame.
Student: aWhat aadditional asymptoms ahave ayou aexperienced? a- a✔✔Tina aJones: aI amean, ait's aall ared
aand aswollen, aand athere's apus, ait afeels ahot, ait ahurts alike ahell... aIt's agot aall athat agoing aon.
Student: aCan ayou arate ayour acurrent apain alevel aon aa ascale aof a0 ato a10? a- a✔✔Tina aJones: a...Like
aa a7. aIt ahurts aa alot, abut awhatever apain amed athe aER agave ame ais ahelping aa alittle abit.
Student: aPlease adescribe athe apain. a- a✔✔Tina aJones: aIt's athrobbing aand alike, asharp aif aI atry ato
aput aweight aon ait.
Student: aHow adid ayou ahurt ayour afoot? a- a✔✔Tina aJones: aI awas achanging aa alight abulb, aand aI ahad
ato ause aour alittle astepstool ato areach ait. aMy afoot aslid aoff athe abottom astep aand ait agot aall ascraped
aup. aI adidn't arealize ahow asharp athe aedge awas!
Student: aHas ayour afoot abeen adraining aany aliquids? a- a✔✔Tina aJones: aYeah, athere's adefinitely apus.
Student: aWhat acolor awas athe apus? a- a✔✔Tina aJones: aIt's... awhite aor amaybe aoff-white.
Student: aHow ahave ayou atreated athe awound? a- a✔✔Tina aJones: aI've abeen ataking aAdvil afor amy
afoot afor aa afew adays.
Student: aWhat adid ayou ado ato atreat ayour afoot aafter ayour aaccident? a- a✔✔Tina aJones: aI amade
asure ato aclean ait aand akeep ait abandaged. aAnd aI aput aNeosporin aon ait.
, Student: aHow aeffective awas athe aNeosporin? a- a✔✔Tina aJones: aWell, aI'm ahere, aso aI aguess ait
adidn't ado aits ajob.
Student: aCan ayou awalk awith ayour afoot abeing ainjured? a- a✔✔Tina aJones: aNo, aI acan't. aI acan't aput
aany aweight aon ait awithout alike, ashooting apain.
Student: aWhat apreexisting amedical aconditions ado ayou ahave? a- a✔✔Tina aJones: aI amean, aI ahave
aasthma aand adiabetes, abut aright aI anow aI ajust acare aabout amy afoot!
Student: aI aunderstand ayour afoot ahurts, abut aI aneed ato aknow athis ainformation ato amake asure aI
atake acare aof athe aproblem acorrectly. a- a✔✔Tina aJones: aThanks.
Student: aWhen awere ayou adiagnosed awith adiabetes? a- a✔✔Tina aJones: aI awas adiagnosed awhen aI
awas a24.
Student: aWhat ado ayou ado ato amanage ayour aasthma? a- a✔✔Tina aJones: aI atry ato aavoid athings athat
agive ame abreathing aproblems, abut awhen amy aasthma astarts ato aact aup, aI ajust ause amy ainhaler.
Student: aWhat amedications adid ayou atake afor ayour adiabetes? a- a✔✔Tina aJones: aIt awas ametformin.
Student: aDo ayou acurrently atake amedicine afor ayour adiabetes? a- a✔✔Tina aJones: aNo, aI adon't atake
aanything afor amy adiabetes aanymore.
Student: aWhat amade ayou astop ataking amedication afor ayour adiabetes? a- a✔✔Tina aJones: aI aguess aI
ajust agot asick aof afeeling asick aand agassy aall athe atime, aand ait awas aoverwhelming, aremembering ato
atake apills aand acheck amy asugar. aI afeel aa alot abetter anow athat aI'm ajust aeating ahealthier athan aI adid
awhen aI awas ataking athe apills.
Student: aDo ayou amonitor ayour ablood aglucose? a- a✔✔Tina aJones: aI ahave aa amonitor aat ahome, abut
ato abe ahonest aI adon't areally ause ait athat aoften.
Student: aHow afrequently ado ayou aurinate? a- a✔✔Tina aJones: aI adon't aknow. aEvery ahour aor atwo
awhen aI'm aawake?
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