This paper discusses the results of a case study investigating the acquisition of discipline-specific literacy in nursing, particular, how a student learned to successfully complete Clinical Thinking Worksheets (CTWs), a type of nursing care plan that is reportedly the most challenging written assignment that students encounter in baccalaureate-degree nursing programs. Written feedback provided by the instructor on six CTWs was coded, tabulated, and compared with scores given for each section. In addition, the student’s responses for each section of the CTW were compared and contrasted from the beginning to the end of the semester. Implications for nursing and English for Specific Purposes (ESP) education are presented and discussed.