,
,Patient Information
Name: Linda Carter
Age: 56 years old
Gender: Female
Setting: Outpatient Primary Care Clinic
Chief Complaint: “I was told my blood pressure is high, and I need
to get it checked.”
Course: NRNP 6512 – Advanced Health Assessment
Week: #7, 2025
Instructor: Dr. Michael Brown, DNP, FNP-BC
Institution: Walden University
History of Present Illness (HPI)Linda Carter, a 56-year-old African
American female, presents to the outpatient primary care clinic
, following a blood pressure (BP) reading of 150/92 mmHg detected at a
community health fair one week ago. She was advised to seek follow-
up but received no further details about the measurement or
immediate recommendations. Linda reports no current symptoms such
as headaches, dizziness, chest pain, shortness of breath, vision changes,
or swelling in her extremities. However, she describes occasional mild
frontal headaches (rated 3/10 in severity) and fatigue over the past
month, which she attributes to stress from her demanding job as a high
school teacher. These symptoms are intermittent, last 1–2 hours, and
resolve spontaneously or with rest. She denies palpitations, syncope, or
exertional symptoms such as dyspnea or chest discomfort.Linda has no
prior diagnosis of hypertension and has not had a primary care visit in
over two years, primarily due to her busy schedule. She reports her
mother and older sister have hypertension, and her mother suffered a
myocardial infarction at age 65. Linda is not taking any prescription
medications for BP or other conditions but occasionally uses ibuprofen
for knee pain. She expresses concern about her BP, stating, “I don’t
,Patient Information
Name: Linda Carter
Age: 56 years old
Gender: Female
Setting: Outpatient Primary Care Clinic
Chief Complaint: “I was told my blood pressure is high, and I need
to get it checked.”
Course: NRNP 6512 – Advanced Health Assessment
Week: #7, 2025
Instructor: Dr. Michael Brown, DNP, FNP-BC
Institution: Walden University
History of Present Illness (HPI)Linda Carter, a 56-year-old African
American female, presents to the outpatient primary care clinic
, following a blood pressure (BP) reading of 150/92 mmHg detected at a
community health fair one week ago. She was advised to seek follow-
up but received no further details about the measurement or
immediate recommendations. Linda reports no current symptoms such
as headaches, dizziness, chest pain, shortness of breath, vision changes,
or swelling in her extremities. However, she describes occasional mild
frontal headaches (rated 3/10 in severity) and fatigue over the past
month, which she attributes to stress from her demanding job as a high
school teacher. These symptoms are intermittent, last 1–2 hours, and
resolve spontaneously or with rest. She denies palpitations, syncope, or
exertional symptoms such as dyspnea or chest discomfort.Linda has no
prior diagnosis of hypertension and has not had a primary care visit in
over two years, primarily due to her busy schedule. She reports her
mother and older sister have hypertension, and her mother suffered a
myocardial infarction at age 65. Linda is not taking any prescription
medications for BP or other conditions but occasionally uses ibuprofen
for knee pain. She expresses concern about her BP, stating, “I don’t
