Case 1: Introduction and Instructions

Care of an Older Adult with Impaired Perfusion in a Community Setting

Scenario Introduction: 

The goal of this virtual case-based scenario is to promote participants’ clinical reasoning and decision-making when providing community-based care for an older adult living with heart disease, atrial fibrillation, and hypertension. Participants will assess a client, identify priority problems, formulate and implement a nursing plan, and evaluate the plan. The virtual scenario provides entry-level BSN students with an experience of working with a client in an acute medical setting.


  • Chronic Disease Management
  • Clinical Judgement
  • Cognition
  • Communication
  • Perfusion
  • Pharmacology

Context: Community Setting, Healthy Heart Day Program

Level of Participant: Entry-level (year 1 or 2)

Completion Time: Varied up to 3 hours

  • Pre-Learning: Varied depending on the knowledge students have prior to engaging in the scenario. Completing all activities in their entirety may take up to 2 hours.
  • Scenario: Allow for about 30 minutes to complete the activity.
  • Reflection: Allow for about 30 minutes to complete the activity.

Learning Objectives

By the end of this scenario, participants will be able to do the following in a virtual case-based scenario:

  1. Perform prioritized focused assessments for a client with heart disease, atrial fibrillation, and hypertension, in a community-based setting, to inform a plan of care that follows BCCNM practice standards.
  2. Interpret assessment findings related to the concept of perfusion for a client with heart disease and atrial fibrillation to enhance medication safety.
  3. Communicate effectively with an older adult experiencing anxiety in a community-based setting to enhance a therapeutic relationship.


  • Complete each section in the order it is presented.
  • After completing the pre-brief and pre-learning, you will find a short scenario to work through with decision-making questions. You can go through the scenario as many times as you would like.
  • After you complete the scenario, work through the post-scenario activities.
  • Your role is to assume all aspects of a practicing nurse’s professional behavior as if caring for a client in the clinical setting. However, work within your scope of practice as a student nurse.
  • Several aspects of the scenario may be limited in realism and when a gap occurs between simulated reality and actual reality, act according to the goals of the learning session.
  • These scenarios follow what is known as the Basic Assumption of simulation meaning that it is believed that you are intelligent, capable, and want to do your best to improve your skills. © Copyright 2004-2020 Center for Medical Simulation, Boston, Massachusetts, USA. All Rights Reserved – Used with permission.


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Nursing Virtual Case Studies Copyright © by Adrianna D'Ilio, RN, MSN and Amanda Egert, RN, MSN is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

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