Case 3: Introduction and Instructions

Care of a Young Adult with Diabetes, Altered Mood, and Substance Use in a Community Setting

Scenario Introduction

The goal of this virtual case-based scenario is to promote clinical reasoning and decision-making during an interaction with a young adult diagnosed with traumatic brain injury, Type 2 diabetes, altered mood, and substance use disorder in a community setting. Participants will use a virtual case-based scenario to assess a client, identify priority problems, formulate and implement a nursing plan, and evaluate the plan. The virtual scenario provides intermediate-level BSN students with an experience working with a client in a community setting.


  • Clinical Judgement
  • Cognition
  • Communication
  • Mental Health
  • Metabolic Regulation
  • Pharmacology
  • Safety
  • Stress and Coping

Context: Community Setting – Client’s Home

Level of Participant: Intermediate (Year 2 – 3)

Completion Time: Varied up to 3.5 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 2.5 hours.
  • Scenario: Allow for about 30 minutes to complete the activity.
  • Reflection: Allow for about 30 minutes to complete the activity.
*CONTENT ALERT* This scenario requires decision-making for drug overdose response which may trigger distressing feelings. If needed, you may wish to access supports through sites such as Crises Center BC.

Learning Objectives

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

  1. Identify the signs and symptoms of traumatic brain injury, Type 2 Diabetes, altered mood, and substance misuse, to enhance safe nursing care.
  2. Implement teaching-learning principles when caring for a young adult in a community setting to provide a client-centered and prioritized plan of care.
  3. Identify appropriate nursing actions and clinical judgments related to safe medication administration of naloxone and anti-anxiety medications.
  4. Communicate effectively with a young adult in a community setting to enhance a therapeutic relationship and provide culturally safe care.


  • 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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