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SHADOW HEALTH - TINA JONES,
HEALTH HISTORY EXAM WITH
100% CORRECT ANSWER S
Question : Albuterol MDI
CORRECT ANSWER : 2 puffs every 4 hours as needed
for wheezing
Question : Acetaminophen 325 mg tabs by mouth
CORRECT ANSWER : 2 tabs every 4 hours as needed
for fever greater than 38.6C /101.5F
Question : Clindamycin
CORRECT ANSWER : 600mg/50ml every 6 hours
intravenously
Question : 0.9 NaCl intravenously
CORRECT ANSWER: 100 ml/hr continuously x2 Liters
Question : Lortab 5mg
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CORRECT ANSWER : 1-2 tabs by mouth as needed for
pain
Question : Oxycodone 5mg
CORRECT ANSWER : 1 tab by mouth as needed
Question : Insulin glargine
CORRECT ANSWER : 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.
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Question : What is the situation?
CORRECT ANSWER : 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.
Question : What are my objectives in this assessment?
CORRECT ANSWER : 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
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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.
Question : What else will this exam involve?
CORRECT ANSWER : 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