BSN 246 Final Exam Case Study
Mood Disorder: Lucas Callahan
I. Patient Profile
Name: Lucas Callahan
Age: (Not specified — adult male)
Setting: Digital Clinical Experience Simulation
Reason for Assessment: Comprehensive evaluation related to a mood disorder presentation.
Lucas Callahan is an adult male who presents for a clinical evaluation related to ongoing psychological
and physical concerns. The student nurse performed a full subjective and objective assessment as part
of the BSN 246 final evaluation. The assessment aimed to identify potential abnormalities, assess for
safety, evaluate mental status, and determine nursing priorities for a patient with a suspected or
diagnosed mood disorder.
II. Digital Clinical Experience Summary
Digital Clinical Experience Score: 100%
Student Performance Index: 109..5
Proficiency Level: Proficient
Students rated “Proficient” demonstrate strong entry-level nursing assessment competencies. Lucas’s
assessment was completed using evidence-based clinical reasoning skills across subjective data
collection, objective evaluation, empathy, patient communication, and care planning.
III. Time Allocation
Total time in assignment: 128 minutes
Time interacting with patient: 123 minutes
Post-exam activities: 5 minutes
IV. Objective Data Summary
Objective Data Collection Score: 27. (98.82%)
, General Findings
The patient appeared generally well, with no acute distress.
Visible areas showed normal skin coloration and minimal abnormalities.
One noted finding was scratching marks on the back, which may indicate anxiety, agitation, or
dermatologic irritation.
Vital Signs
Parameter Finding Interpretation
Temperature Normothermic Normal
Blood Pressure Normotensive Normal
Could indicate anxiety, stress, dehydration, or mood-related autonomic
Heart Rate Tachycardic
activation
Respiratory
Normal Normal
Rate
O₂ Saturation Normal Adequate oxygenation
Clinical interpretation:
The patient’s tachycardia may correlate with psychological distress commonly seen in mood disorders—
especially anxiety, agitation, or affective dysregulation.
V. Physical Examination Findings
Leg and Skin Assessment
No visible abnormal findings.
Symmetric bilaterally.
No edema, masses, discoloration, atrophy, or hypertrophy.
Nose Assessment
Normal pink mucosa.
No discharge.
No structural abnormalities such as polyps or septal deviation.
Mood Disorder: Lucas Callahan
I. Patient Profile
Name: Lucas Callahan
Age: (Not specified — adult male)
Setting: Digital Clinical Experience Simulation
Reason for Assessment: Comprehensive evaluation related to a mood disorder presentation.
Lucas Callahan is an adult male who presents for a clinical evaluation related to ongoing psychological
and physical concerns. The student nurse performed a full subjective and objective assessment as part
of the BSN 246 final evaluation. The assessment aimed to identify potential abnormalities, assess for
safety, evaluate mental status, and determine nursing priorities for a patient with a suspected or
diagnosed mood disorder.
II. Digital Clinical Experience Summary
Digital Clinical Experience Score: 100%
Student Performance Index: 109..5
Proficiency Level: Proficient
Students rated “Proficient” demonstrate strong entry-level nursing assessment competencies. Lucas’s
assessment was completed using evidence-based clinical reasoning skills across subjective data
collection, objective evaluation, empathy, patient communication, and care planning.
III. Time Allocation
Total time in assignment: 128 minutes
Time interacting with patient: 123 minutes
Post-exam activities: 5 minutes
IV. Objective Data Summary
Objective Data Collection Score: 27. (98.82%)
, General Findings
The patient appeared generally well, with no acute distress.
Visible areas showed normal skin coloration and minimal abnormalities.
One noted finding was scratching marks on the back, which may indicate anxiety, agitation, or
dermatologic irritation.
Vital Signs
Parameter Finding Interpretation
Temperature Normothermic Normal
Blood Pressure Normotensive Normal
Could indicate anxiety, stress, dehydration, or mood-related autonomic
Heart Rate Tachycardic
activation
Respiratory
Normal Normal
Rate
O₂ Saturation Normal Adequate oxygenation
Clinical interpretation:
The patient’s tachycardia may correlate with psychological distress commonly seen in mood disorders—
especially anxiety, agitation, or affective dysregulation.
V. Physical Examination Findings
Leg and Skin Assessment
No visible abnormal findings.
Symmetric bilaterally.
No edema, masses, discoloration, atrophy, or hypertrophy.
Nose Assessment
Normal pink mucosa.
No discharge.
No structural abnormalities such as polyps or septal deviation.
