STUDY NOTES & REFERENCE GUIDE
1
WGU D117 – Advanced Health ··
Assessment for the Advanced Practice
··
Nurse | Complete Video Script & ·
Health Assessment Techniques
···
Checklist-2026
···
HOW TO READ THIS SCRIPT:
··
• SAY = say this out loud to the patient/camera (exact wording).
···
• DO = what you physically do (do not narrate findings unless it is a SAY line).
·
• REMINDER = easy-to-forget grading item — a note to yourself. ···
• CHECKLIST = the exact rubric line items this section covers. ···
• Patient Scenario: 45-year-old with left shoulder pain (dull ache, worse with
·
overhead reaching).
PART 1 — Introduction & Health History
CHECKLIST: Health History (9 pts) — Chief Complaint, HPI/Focused
Orthopedic, Medications, Allergies, Medical Hx, Vaccinations, Family Hx,
Social Hx, Review of Systems
Opening / Identification / Consent
SAY "Hi, my name is [Your Name] and I am a Nurse Practitioner student with
WGU."
SAY "Before we start, do I have your permission to assess and treat you
today?"
SAY "Perfect, thank you. Now can you tell me your first and last name,
please?"
• REMINDER: Verbalize the patient's name — it's a rubric requirement.
SAY "Thank you — may I call you by your first name?"
SAY "And can you tell me today's date?"
SAY "For safety purposes, can you please tell me your date of birth?"
SAY "Thank you. Now, if you're comfortable sharing, what gender do you
identify as?"
SAY "Thank you again. Now please tell me, what brings you in today?"
Chief Complaint & HPI — OLDCARTS (Shoulder Pain)
SAY "Okay, let's talk about that a little more."
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LecClara Stuvia | Page 1 of 11
, STUDY NOTES & REFERENCE GUIDE
2
Category Question Patient Response
Onset When did it start? A few months ago.
Where is it located? Any spread or other Left shoulder, sometimes
Location
areas? radiates down the upper arm.
How long does it last? Does it come and It's consistent, worse with
Duration
go? movement.
Can you describe it? Dull, aching,
Dull ache most of the time,
Characteristics sharp, stabbing, crampy? Changed over
sharp with overhead reaching.
time?
Aggravating Reaching overhead, lifting,
Does anything make it worse?
Factors sleeping on that side.
Relieving Factors Does anything make it better? Rest and ice help a little.
Treatments & Ibuprofen — some days 3 tabs,
Have you tried anything? Did it help?
Response it helps somewhat.
On a scale of 1 to 10, what is the pain
Severity 7 out of 10.
at its worst?
SAY "Okay, I understand you're experiencing [REPEAT OLDCARTS
SUMMARY]. To move toward a diagnosis and treatment plan, I need to
conduct a more thorough health history and physical exam. This will require
some more in-depth questions and a hands-on assessment. Would that be
okay with you?"
Medical / Surgical / Hospitalization / Vaccination History
SAY "Now I'd like to ask a few questions about your medical history."
Category Question Patient Response
Medical Hx (year Any significant past medical Hypertension (2020), high
dx'd) history? What year diagnosed? cholesterol (2018).
2
LecClara Stuvia | Page 2 of 11
1
WGU D117 – Advanced Health ··
Assessment for the Advanced Practice
··
Nurse | Complete Video Script & ·
Health Assessment Techniques
···
Checklist-2026
···
HOW TO READ THIS SCRIPT:
··
• SAY = say this out loud to the patient/camera (exact wording).
···
• DO = what you physically do (do not narrate findings unless it is a SAY line).
·
• REMINDER = easy-to-forget grading item — a note to yourself. ···
• CHECKLIST = the exact rubric line items this section covers. ···
• Patient Scenario: 45-year-old with left shoulder pain (dull ache, worse with
·
overhead reaching).
PART 1 — Introduction & Health History
CHECKLIST: Health History (9 pts) — Chief Complaint, HPI/Focused
Orthopedic, Medications, Allergies, Medical Hx, Vaccinations, Family Hx,
Social Hx, Review of Systems
Opening / Identification / Consent
SAY "Hi, my name is [Your Name] and I am a Nurse Practitioner student with
WGU."
SAY "Before we start, do I have your permission to assess and treat you
today?"
SAY "Perfect, thank you. Now can you tell me your first and last name,
please?"
• REMINDER: Verbalize the patient's name — it's a rubric requirement.
SAY "Thank you — may I call you by your first name?"
SAY "And can you tell me today's date?"
SAY "For safety purposes, can you please tell me your date of birth?"
SAY "Thank you. Now, if you're comfortable sharing, what gender do you
identify as?"
SAY "Thank you again. Now please tell me, what brings you in today?"
Chief Complaint & HPI — OLDCARTS (Shoulder Pain)
SAY "Okay, let's talk about that a little more."
1
LecClara Stuvia | Page 1 of 11
, STUDY NOTES & REFERENCE GUIDE
2
Category Question Patient Response
Onset When did it start? A few months ago.
Where is it located? Any spread or other Left shoulder, sometimes
Location
areas? radiates down the upper arm.
How long does it last? Does it come and It's consistent, worse with
Duration
go? movement.
Can you describe it? Dull, aching,
Dull ache most of the time,
Characteristics sharp, stabbing, crampy? Changed over
sharp with overhead reaching.
time?
Aggravating Reaching overhead, lifting,
Does anything make it worse?
Factors sleeping on that side.
Relieving Factors Does anything make it better? Rest and ice help a little.
Treatments & Ibuprofen — some days 3 tabs,
Have you tried anything? Did it help?
Response it helps somewhat.
On a scale of 1 to 10, what is the pain
Severity 7 out of 10.
at its worst?
SAY "Okay, I understand you're experiencing [REPEAT OLDCARTS
SUMMARY]. To move toward a diagnosis and treatment plan, I need to
conduct a more thorough health history and physical exam. This will require
some more in-depth questions and a hands-on assessment. Would that be
okay with you?"
Medical / Surgical / Hospitalization / Vaccination History
SAY "Now I'd like to ask a few questions about your medical history."
Category Question Patient Response
Medical Hx (year Any significant past medical Hypertension (2020), high
dx'd) history? What year diagnosed? cholesterol (2018).
2
LecClara Stuvia | Page 2 of 11
