20 Questions

Shadow Health Questions to Ask

Essential questions to ask during Shadow Health simulations to gather comprehensive patient information, assess health status, and provide effective nursing care.

1

What brings you in today and what are your main concerns?

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Why this works

Establishes the primary reason for the visit and helps identify the patient's chief complaint and immediate health concerns.

2

When did you first notice these symptoms and how have they changed?

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Why this works

Helps establish the timeline of symptoms and provides insight into the progression and severity of the condition.

3

What medications are you currently taking and have you taken any recently?

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Why this works

Identifies current medications and potential drug interactions, allergies, or side effects that could affect treatment.

4

Do you have any allergies to medications, foods, or other substances?

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Why this works

Critical for patient safety and helps prevent allergic reactions during treatment or medication administration.

5

What is your pain level on a scale of 0-10 and how would you describe the pain?

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Why this works

Assesses pain intensity and characteristics to guide pain management and treatment decisions.

6

Have you had any recent illnesses, injuries, or hospitalizations?

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Why this works

Provides context for current symptoms and helps identify potential causes or contributing factors.

7

What is your medical history and do you have any chronic conditions?

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Why this works

Establishes baseline health status and identifies conditions that may affect current symptoms or treatment options.

8

What is your family history of medical conditions or diseases?

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Why this works

Helps identify genetic predispositions and family patterns that may be relevant to current health concerns.

9

What is your current lifestyle including diet, exercise, and sleep habits?

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Why this works

Assesses lifestyle factors that may contribute to health status and provides guidance for health promotion.

10

Do you smoke, drink alcohol, or use any recreational drugs?

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Why this works

Identifies substance use that may affect health status, treatment options, and recovery outcomes.

11

What is your occupation and does it involve any physical or environmental hazards?

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Why this works

Assesses occupational exposures and physical demands that may contribute to current health concerns.

12

Have you traveled recently and if so, where did you go?

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Why this works

Identifies potential exposure to infectious diseases or environmental factors from travel.

13

What is your mental health status and have you experienced any stress or anxiety?

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Why this works

Assesses psychological factors that may affect physical health and overall wellbeing.

14

What is your social support system and who lives with you?

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Why this works

Evaluates support systems that may affect treatment adherence and recovery outcomes.

15

What is your understanding of your current condition and treatment?

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Why this works

Assesses patient knowledge and helps identify areas for education and health promotion.

16

What are your goals for treatment and what outcomes are you hoping for?

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Why this works

Helps align treatment plans with patient expectations and ensures patient-centered care.

17

What barriers do you face in accessing healthcare or following treatment plans?

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Why this works

Identifies obstacles to care that may affect treatment adherence and health outcomes.

18

What questions do you have about your condition or treatment?

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Why this works

Encourages patient engagement and helps address concerns or misconceptions about their health.

19

What is your preferred method of communication and how do you like to receive health information?

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Why this works

Ensures effective communication and helps tailor health education to patient preferences.

20

Is there anything else you'd like to tell me about your health or concerns?

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Why this works

Provides opportunity for patients to share additional information that may be relevant to their care.

Effective Shadow Health Assessments

Expert tips and techniques for getting the most out of these questions.

Comprehensive Patient Assessment

Start with Open-Ended Questions

Begin with broad questions that allow patients to share their concerns in their own words before asking specific questions.

Use Active Listening

Pay attention to verbal and non-verbal cues, and ask follow-up questions to clarify and expand on patient responses.

Document Thoroughly

Record all relevant information accurately and completely to ensure continuity of care and proper documentation.

Key Assessment Areas

Chief complaint and symptoms
Medication history and allergies
Pain assessment and management
Medical and family history
Lifestyle and social factors
Mental health and stress
Patient understanding and goals
Barriers to care
Communication preferences
Additional concerns

Common Mistakes to Avoid

Don't Rush the Assessment

Take time to gather comprehensive information and don't skip important questions that could affect patient care.

Don't Make Assumptions

Ask questions rather than assuming you know the answers, and verify information with the patient.

Don't Ignore Non-Verbal Cues

Pay attention to body language, facial expressions, and other non-verbal communication that may provide important information.

Assessment Frameworks

The Comprehensive Assessor

1
Step 1: Start with: 'What brings you in today?'
2
Step 2: Follow with: 'When did you first notice these symptoms?'
3
Step 3: Deepen with: 'What medications are you currently taking?'

The Pain Assessor

1
Step 1: Begin with: 'What is your pain level on a scale of 0-10?'
2
Step 2: Continue with: 'How would you describe the pain?'
3
Step 3: Explore with: 'What makes the pain better or worse?'

Further Reading

"Health Assessment in Nursing" by Janet Weber
"Nursing Health Assessment" by Patricia M. Dillon
"Shadow Health Digital Clinical Experience" by Shadow Health

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