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Shadow Health - Tina Jones, Health History 2023 /469 Questions With Complete Solutions
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Shadow Health - Tina Jones, Health History 2023 /469 Questions With Complete Solutions
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Shadow Health - Tina Jones, Health History 2023 /469Questions With Complete Solutions
Quiz :Student: What is the situation? - √Answer :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.
Quiz :Student: What are my objectives in this assessment? - √Answer :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.
Quiz :Student: How does this assignment prepare me for the real world? -
√Answer :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.
,Quiz :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? - √Answer :Student: So that you understand if there are any
problems related to their chief complaint. Also, to help treat their current
condition.
Quiz :Patient Exam - Vital Signs: - √Answer :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%
Quiz :Patient Exam - Interview: - √Answer :
Quiz :Student: Hello, my name is Catlain, I am your nurse today. -
√Answer :Tina Jones: Hey.
Quiz :Student: Can you confirm your name? - √Answer :Tina Jones: Tina
Jones:.
Quiz :Student: Why did you come in today? - √Answer :Tina Jones: I got this
scrape on my foot a while ago, and it got really infected. It's killing me.
Quiz :Student: What additional symptoms have you experienced? -
√Answer :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.
Quiz :Student: Can you rate your current pain level on a scale of 0 to 10? -
√Answer :Tina Jones: ...Like a 7. It hurts a lot, but whatever pain med the ER
gave me is helping a little bit.
Quiz :Student: Please describe the pain. - √Answer :Tina Jones: It's throbbing
and like, sharp if I try to put weight on it.
Quiz :Student: How did you hurt your foot? - √Answer :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!
Quiz :Student: Has your foot been draining any liquids? - √Answer :Tina Jones:
Yeah, there's definitely pus.
,Quiz :Student: What color was the pus? - √Answer :Tina Jones: It's... white or
maybe off-white.
Quiz :Student: How have you treated the wound? - √Answer :Tina Jones: I've
been taking Advil for my foot for a few days.
Quiz :Student: What did you do to treat your foot after your accident? -
√Answer :Tina Jones: I made sure to clean it and keep it bandaged. And I put
Neosporin on it.
Quiz :Student: How effective was the Neosporin? - √Answer :Tina Jones: Well,
I'm here, so I guess it didn't do its job.
Quiz :Student: Can you walk with your foot being injured? - √Answer :Tina
Jones: No, I can't. I can't put any weight on it without like, shooting pain.
Quiz :Student: What preexisting medical conditions do you have? -
√Answer :Tina Jones: I mean, I have asthma and diabetes, but right I now I just
care about my foot!
Quiz :Student: I understand your foot hurts, but I need to know this
information to make sure I take care of the problem correctly. - √Answer :Tina
Jones: Thanks.
Quiz :Student: When were you diagnosed with diabetes? - √Answer :Tina
Jones: I was diagnosed when I was 24.
Quiz :Student: What do you do to manage your asthma? - √Answer :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.
Quiz :Student: What medications did you take for your diabetes? -
√Answer :Tina Jones: It was metformin.
Quiz :Student: Do you currently take medicine for your diabetes? -
√Answer :Tina Jones: No, I don't take anything for my diabetes anymore.
, Quiz :Student: What made you stop taking medication for your diabetes? -
√Answer :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.
Quiz :Student: Do you monitor your blood glucose? - √Answer :Tina Jones: I
have a monitor at home, but to be honest I don't really use it that often.
Quiz :Student: How frequently do you urinate? - √Answer :Tina Jones: I don't
know. Every hour or two when I'm awake?
Quiz :Student: What is your current diet? - √Answer :Tina Jones: It's pretty
good, I think. I'm not a huge health nut or anything.
Quiz :Student: Have you had any change in appetite? - √Answer :Tina Jones:
Yeah, lately I've definitely been much hungrier than usual.
Quiz :Student: Has your weight changed? - √Answer :Tina Jones: Yeah, I've
lost some weight recently.
Quiz :Student: Do you know why you lost weight? - √Answer :Tina Jones: I
don't know what caused it, I just lost weight.
Quiz :Student: How often do you have asthma exacerbations? - √Answer :Tina
Jones: I haven't had a full attack in years. But my breathing definitely acts
up. . .not always. Max twice a week.
Quiz :Student: What asthma symptoms have you experienced? -
√Answer :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.
Quiz :Student: How many puffs do you take when using your asthma inhaler? -
√Answer :Tina Jones: I usually use two puffs from my inhaler, but sometimes I
need three. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI]
Quiz :Student: What are some things that trigger your asthma? -
√Answer :Tina Jones: Being around cats is the worst, but dust and running up
stairs can make my breathing bad, too.
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