WGU D348 UMM2 Task 2: Midterm
Objective Structured Clinical Experience
(OSCE)
Psychiatric Mental Health Nurse Practitioner Clinical
Internship I
Taylor Winston – Initial Psychiatric Evaluation, Diagnostic Reasoning,
Treatment Plan & Reflection
October 2026 Rubric-Aligned
Clinical Scenario Parameters
Taylor Winston is used here as a 42-year-old adult male presenting with a severe depressive
clinical picture characterized by approximately three weeks of progressive social withdrawal,
reduced interest in previously enjoyed activities, decreased appetite, diminished self-care,
occupational impairment, low motivation, psychomotor slowing, and clinically significant safety
concerns. He is divorced, currently living with his mother, and works in construction. Available
scenario information indicates normal basic laboratory findings, negative toxicology findings,
and a normal electrocardiogram.
For completeness and internal consistency, fields that were not contained in the available Taylor
scenario are set as follows for this document: no known chronic medical illnesses, no prior
surgery, no previous psychiatric hospitalization, no prior psychiatric diagnosis, no routine
prescription medication before admission, no known drug or food allergies, no history of manic
or hypomanic episodes, no history of psychosis, no active substance-use disorder, and no known
family psychiatric disorder. These parameters should not be represented as findings from an
actual D348 live encounter unless the standardized patient confirms them.
A. VIDEO RECORDING AND
PROFESSIONALISM
The D348 OSCE should begin in a quiet, private clinical environment. The PMHNP student
should be professionally dressed, positioned so that both participants can be clearly seen and
heard, and should maintain professional verbal and nonverbal behavior throughout the encounter.
Current D348 requirements specifically evaluate privacy, attire, rapport, transition into the
mental-status examination, permission to conduct that examination, and teach-back of the
,treatment plan. Both the student and patient must be audible on the Panopto recording.
EliteAcademia
A professional opening appropriate for this scenario would be:
“Hello, Mr. Winston. My name is [student name], and I am the psychiatric mental health nurse
practitioner student meeting with you today. Before we begin, I want you to know that my goal
is to understand what you have been experiencing and work with you on a plan that addresses
your concerns. Is it okay if we begin?”
After completing the history and before the formal MSE transition:
“Thank you for discussing that with me. I would now like to complete a mental-status
assessment so I can better understand how you are doing today. Is that okay with you?”
At the conclusion:
“I want to make sure I explained the plan clearly. Could you tell me, in your own words, what
you understand our next steps to be?”
These statements directly address the rapport, permission, transition and plan-understanding
portions of Section A. EliteAcademia
B. PANOPTO RECORDING
The live encounter must be recorded and submitted through the designated D348 Panopto
location:
Psychiatric Mental Health Nurse Practitioner Clinical Internship I – UMM2 | D348
The Panopto URL is submitted through the Links option, while the remaining written
documentation is uploaded through Attachments. The publicly indexed task states that if either
participant cannot be heard, the submission will not be evaluated and the OSCE must be
repeated. EliteAcademia
C. PMHNP INITIAL PSYCHIATRIC
EVALUATION
C1. Patient Information
, Name: Taylor Winston
Age: 42 years
Sex: Male
Relationship status: Divorced
Living arrangement: Lives with mother
Occupation: Construction worker
Setting: Inpatient psychiatric evaluation
Source of information: Patient with collateral information from mother
Reliability: Patient is cooperative but slowed and withdrawn; collateral information supports the
history.
C2. Chief Complaint
“I have been feeling very down and I have stopped caring about things I normally do.”
The chief complaint should remain consistent with what the standardized patient actually states
during the live encounter. D348 evaluators specifically expect documentation to align with the
patient's account. EliteAcademia
C3. History of Present Illness – OLDCARTS
Taylor Winston is a 42-year-old man presenting after approximately three weeks of
progressively worsening depressive symptoms associated with major deterioration in
occupational, social, and self-care functioning.
Onset: Symptoms became clinically significant approximately three weeks before the
evaluation.
Location: Symptoms primarily affect mood, motivation, cognition, behavior, social functioning,
occupational functioning, appetite, sleep and self-care.
Duration: Symptoms are present most days and have persisted throughout the three-week
period.
Character: Taylor describes persistent depressed mood, markedly reduced interest in activities,
social withdrawal, low energy, reduced appetite, impaired motivation, difficulty maintaining
personal care, decreased concentration, and diminished occupational functioning. His
presentation is additionally complicated by clinically significant safety concerns requiring acute
psychiatric assessment.
Aggravating factors: Psychosocial stressors include his divorce approximately one year ago,
social isolation and increasing difficulty functioning at work.
Objective Structured Clinical Experience
(OSCE)
Psychiatric Mental Health Nurse Practitioner Clinical
Internship I
Taylor Winston – Initial Psychiatric Evaluation, Diagnostic Reasoning,
Treatment Plan & Reflection
October 2026 Rubric-Aligned
Clinical Scenario Parameters
Taylor Winston is used here as a 42-year-old adult male presenting with a severe depressive
clinical picture characterized by approximately three weeks of progressive social withdrawal,
reduced interest in previously enjoyed activities, decreased appetite, diminished self-care,
occupational impairment, low motivation, psychomotor slowing, and clinically significant safety
concerns. He is divorced, currently living with his mother, and works in construction. Available
scenario information indicates normal basic laboratory findings, negative toxicology findings,
and a normal electrocardiogram.
For completeness and internal consistency, fields that were not contained in the available Taylor
scenario are set as follows for this document: no known chronic medical illnesses, no prior
surgery, no previous psychiatric hospitalization, no prior psychiatric diagnosis, no routine
prescription medication before admission, no known drug or food allergies, no history of manic
or hypomanic episodes, no history of psychosis, no active substance-use disorder, and no known
family psychiatric disorder. These parameters should not be represented as findings from an
actual D348 live encounter unless the standardized patient confirms them.
A. VIDEO RECORDING AND
PROFESSIONALISM
The D348 OSCE should begin in a quiet, private clinical environment. The PMHNP student
should be professionally dressed, positioned so that both participants can be clearly seen and
heard, and should maintain professional verbal and nonverbal behavior throughout the encounter.
Current D348 requirements specifically evaluate privacy, attire, rapport, transition into the
mental-status examination, permission to conduct that examination, and teach-back of the
,treatment plan. Both the student and patient must be audible on the Panopto recording.
EliteAcademia
A professional opening appropriate for this scenario would be:
“Hello, Mr. Winston. My name is [student name], and I am the psychiatric mental health nurse
practitioner student meeting with you today. Before we begin, I want you to know that my goal
is to understand what you have been experiencing and work with you on a plan that addresses
your concerns. Is it okay if we begin?”
After completing the history and before the formal MSE transition:
“Thank you for discussing that with me. I would now like to complete a mental-status
assessment so I can better understand how you are doing today. Is that okay with you?”
At the conclusion:
“I want to make sure I explained the plan clearly. Could you tell me, in your own words, what
you understand our next steps to be?”
These statements directly address the rapport, permission, transition and plan-understanding
portions of Section A. EliteAcademia
B. PANOPTO RECORDING
The live encounter must be recorded and submitted through the designated D348 Panopto
location:
Psychiatric Mental Health Nurse Practitioner Clinical Internship I – UMM2 | D348
The Panopto URL is submitted through the Links option, while the remaining written
documentation is uploaded through Attachments. The publicly indexed task states that if either
participant cannot be heard, the submission will not be evaluated and the OSCE must be
repeated. EliteAcademia
C. PMHNP INITIAL PSYCHIATRIC
EVALUATION
C1. Patient Information
, Name: Taylor Winston
Age: 42 years
Sex: Male
Relationship status: Divorced
Living arrangement: Lives with mother
Occupation: Construction worker
Setting: Inpatient psychiatric evaluation
Source of information: Patient with collateral information from mother
Reliability: Patient is cooperative but slowed and withdrawn; collateral information supports the
history.
C2. Chief Complaint
“I have been feeling very down and I have stopped caring about things I normally do.”
The chief complaint should remain consistent with what the standardized patient actually states
during the live encounter. D348 evaluators specifically expect documentation to align with the
patient's account. EliteAcademia
C3. History of Present Illness – OLDCARTS
Taylor Winston is a 42-year-old man presenting after approximately three weeks of
progressively worsening depressive symptoms associated with major deterioration in
occupational, social, and self-care functioning.
Onset: Symptoms became clinically significant approximately three weeks before the
evaluation.
Location: Symptoms primarily affect mood, motivation, cognition, behavior, social functioning,
occupational functioning, appetite, sleep and self-care.
Duration: Symptoms are present most days and have persisted throughout the three-week
period.
Character: Taylor describes persistent depressed mood, markedly reduced interest in activities,
social withdrawal, low energy, reduced appetite, impaired motivation, difficulty maintaining
personal care, decreased concentration, and diminished occupational functioning. His
presentation is additionally complicated by clinically significant safety concerns requiring acute
psychiatric assessment.
Aggravating factors: Psychosocial stressors include his divorce approximately one year ago,
social isolation and increasing difficulty functioning at work.
