Ying (2009) conducted a similar study to that of Smith and Roehrs (2009), in which first year nursing students took part in a case scenario that involved a respiratory patient who was admitted for a pleural effusion. In the scenario, the patient was scheduled to have a thoracentesis but on rounds is noted to be breathless. The student has received report from the prior nurse and is to work through this process from report to interventions and outcomes. Ying believes placing students in scenarios based on real life situations enables them to both perceive the relevance of the clinical setting and to effectively manage it.