Who Is Tina Jones in Shadow Health?
Tina Jones is a 28-year-old Black woman presenting with a complex medical history that includes Type 2 Diabetes Mellitus (HbA1c poorly controlled), Hypertension, Polycystic Ovarian Syndrome, Asthma and a recurring foot wound. She is a fictional but clinically rich patient designed to test nursing students across multiple assessment domains.
Each module focuses on a different body system or clinical skill, but Tina's comorbidities thread through everything. Her uncontrolled diabetes affects her wound healing in the Health History module, shows up as retinopathic changes in HEENT, and contributes to her cardiovascular risk in the Cardiovascular module. Understanding her full history before starting any module gives you a significant advantage.
Module 1 — Health History (Subjective Data Collection 100/100)
The Health History module is where most students lose unnecessary points. The scoring rubric rewards thoroughness — you need to cover the History of Present Illness using OLDCARTS (Onset, Location, Duration, Character, Aggravating/Alleviating factors, Related symptoms, Treatment, Severity), past medical history, surgical history, medications with doses, allergies with reactions, family history, social history and a complete review of systems.
Common mistakes: Stopping at the chief complaint without probing related symptoms. Forgetting to ask about medication adherence specifically — Tina often reveals she skips insulin doses. Not completing all 12 systems in the review of systems. Missing her social history details — she works as a medical assistant which is clinically relevant.
What a 100% submission looks like: 155+ interview lines, every OLDCARTS element addressed, all medications listed with dose and frequency, family history covering both parents, social history including occupation, smoking, alcohol, diet and exercise, and all 12 review of systems documented.
Module 2 — Cardiovascular (Score 91.5%)
Tina presents with palpitations — episodes of a thumping sensation in her chest occurring approximately once per week. The cardiovascular module tests your ability to conduct a focused cardiac history, document EKG findings, measure the Ankle-Brachial Index (ABI), assess jugular venous pressure, palpate the point of maximal impulse (PMI) and auscultate all cardiac landmark points.
Key findings to document: EKG shows normal sinus rhythm with no ST-segment changes. ABI is 0.97 bilaterally — normal. All peripheral pulses 2+ bilaterally. No murmurs, rubs or gallops on auscultation. JVP within normal limits. PMI palpated at fifth intercostal space, midclavicular line.
Diagnosis: Palpitations related to caffeine intake and anxiety. The treatment plan includes reducing caffeine, stress management, and follow-up in two weeks.
Module 3 — Gastrointestinal (Score 98.1%, Subjective 31/31)
Tina presents with upper abdominal burning pain occurring after meals for one month. This is one of the highest-scoring modules when done correctly because the GI examination follows a logical sequence: inspection, auscultation (before palpation — this order matters and is commonly tested), percussion and palpation.
Physical exam findings: Soft, protuberant abdomen. Normoactive bowel sounds in all four quadrants. No tenderness on light palpation. Liver span within normal limits on percussion. No hepatosplenomegaly.
Diagnosis: GERD without evidence of esophagitis. The 98.1% score is achievable with a complete 31-question subjective section — this requires thorough OLDCARTS for the GI complaint plus dietary history and bowel habit documentation.
Modules 4–8 Summary
HEENT: Tina presents with allergic rhinitis symptoms. Key findings include right eye visual acuity 20/40, retinopathic changes on fundoscopic examination (significant finding from her diabetes), Rinne and Weber tests within normal limits, and acanthosis nigricans on the neck. Document all cranial nerve I and II testing.
Mental Health: PHQ-9 scores 4 (minimal depression), GAD-7 scores 6 (mild anxiety). Conduct the full Mental Status Examination and complete the Columbia Suicide Severity Rating Scale (C-SSRS). Diagnosis: Adjustment disorder with anxiety.
Musculoskeletal: Tina presents with lower back pain after a minor injury. Full bilateral ROM, muscle strength 5/5 all extremities, negative straight leg raise bilaterally. Diagnosis: Musculoligamentous strain.
Neurological: Post-MVA headache and cervical strain. All cranial nerves CN I–XII intact, Romberg negative, gait normal. Document every cranial nerve test individually.
Respiratory: Asthma exacerbation triggered by cat exposure. Expiratory wheeze on auscultation, Albuterol becoming less effective. Diagnosis: Asthma mild persistent, inadequately controlled.
Where to Get Completed Tina Jones Assessments
If you're working night shifts and simply don't have 4–6 hours per module to complete these simulations, NursingProxy sells verified, A-grade completed assessments for every Tina Jones module. Each document includes the full interview transcript, all scored items, physical examination findings, EHR provider notes and the model documentation side-by-side.
You can preview the first pages of any document before purchasing, and download the full PDF instantly after payment. Individual modules start at $12, or get the full bundle for the best value.