WGU D346 Task 2 – OSCE 3 Clinical Response | 2026
Update with complete solutions.
Patient Identification
Name: Angela Tate
Age: 82
Gender: Female
Accompanied by: Daughter
Reason for Referral: Progressive cognitive and language changes over the past year
Chief Complaint
Progressive forgetfulness, word-finding difficulty, and subtle behavioral changes over
approximately one year.
History of Present Illness
Angela Tate is an 82-year-old female referred by her primary care provider for
psychiatric evaluation due to progressive cognitive changes. Over the past year, the
patient has demonstrated increasing difficulty with short-term memory, including
forgetting recent events and relying on a calendar to manage bills. Her daughter reports
notable changes in language, including word-finding pauses, decreased vocabulary
complexity, and spelling errors—significant given the patient’s prior professional
background as a marketing executive and public speaker.
The patient has also withdrawn from social activities, declining family gatherings she
previously enjoyed. These changes are subtle to casual acquaintances but clearly evident
to close family members. The patient herself minimizes concerns and believes her
daughter is overreacting.
, Symptoms have been gradual in onset and progressive, without acute fluctuations.
There is no reported delirium, hallucinations (other than grief-related experiences
denied), or major mood disturbance reported by the patient.
Past Psychiatric History
Postpartum depression approximately 50 years ago
Successfully treated with psychotherapy for six months
No recurrent depressive episodes since
No history of psychosis, bipolar disorder, or anxiety disorders
Medical History
Osteoporosis
Hysterectomy (40 years ago due to endometriosis)
Medications
Multivitamin
Calcium supplement
Family Psychiatric History
Mother diagnosed with Alzheimer disease; deceased at age 91
Sister (older) diagnosed with Alzheimer disease
Update with complete solutions.
Patient Identification
Name: Angela Tate
Age: 82
Gender: Female
Accompanied by: Daughter
Reason for Referral: Progressive cognitive and language changes over the past year
Chief Complaint
Progressive forgetfulness, word-finding difficulty, and subtle behavioral changes over
approximately one year.
History of Present Illness
Angela Tate is an 82-year-old female referred by her primary care provider for
psychiatric evaluation due to progressive cognitive changes. Over the past year, the
patient has demonstrated increasing difficulty with short-term memory, including
forgetting recent events and relying on a calendar to manage bills. Her daughter reports
notable changes in language, including word-finding pauses, decreased vocabulary
complexity, and spelling errors—significant given the patient’s prior professional
background as a marketing executive and public speaker.
The patient has also withdrawn from social activities, declining family gatherings she
previously enjoyed. These changes are subtle to casual acquaintances but clearly evident
to close family members. The patient herself minimizes concerns and believes her
daughter is overreacting.
, Symptoms have been gradual in onset and progressive, without acute fluctuations.
There is no reported delirium, hallucinations (other than grief-related experiences
denied), or major mood disturbance reported by the patient.
Past Psychiatric History
Postpartum depression approximately 50 years ago
Successfully treated with psychotherapy for six months
No recurrent depressive episodes since
No history of psychosis, bipolar disorder, or anxiety disorders
Medical History
Osteoporosis
Hysterectomy (40 years ago due to endometriosis)
Medications
Multivitamin
Calcium supplement
Family Psychiatric History
Mother diagnosed with Alzheimer disease; deceased at age 91
Sister (older) diagnosed with Alzheimer disease
