Online engagement and social presence are critical to the learning process in online nursing courses. This assignment was used for accelerated second-degree BSN and associate-to-MSN students in online health assessment courses to meet the course objective related to demonstrating cultural/spiritual sensitivity and competence. To demonstrate the objective online, video interviews were used in a discussion thread format. Grouped in sets of 2, each student had a chance to asynchronously ask questions and answer them in the roles of the nurse and patient. Students were provided with validated assessment tools and could choose which tool to use in their assessment. Some tools provided included the FICA (Faith and belief, Importance, Community, Address in care); HOPE (Hope sources, Organized religion, Personal spirituality/practices, Effects on medical care/end-of-life issues); and the Open Invite Mnemonic. Students then recorded their questions to their partner as if they were interviewing a patient and submitted it via the group discussion thread. Students provided an American Psychological Association (APA) citation for the tool used and also gave feedback to their partner about their interview skills. Evaluation of the assignment was done with an original rubric for the following criteria: APA style, patient response, all required postings present, nurse assessment, and professionalism, which included appearance. The assignment helped students apply content in an active-learning format, enhancing their test scores and patient interactions. Students improved awareness of their body language and tone when asking sensitive questions, and the activity provided practice before patient interaction.