One nurse visit, one purpose: this NU432 Unit 2 write-up records a PHQ-9 recheck, a documented item 9 of zero and a same-day warm handoff to integrated behavioral health. Searches like "nu 432 unit 2 assignment example", "nu432 unit 2 sample" and "nu432 unit 2 example" land here.
One Aim in Fifteen Minutes: An RN Visit Write-Up Ending in a Warm Handoff to Behavioral Health
[Student Name]
Purdue University Global
NU432: Primary Care in the Ambulatory Setting
Unit 2 Assignment
[Instructor Name]
[Date]
Composite patient and practice written as a model document. No medication decision is made in this visit.
Nurse Visit Note
Reason for visit: follow-up of elevated PHQ-9 score from last week's sick visit.
PHQ-9 repeated in the room: 13. Item 9, thoughts of self-harm, scored zero; asked aloud rather than left to the form, answered "No, nothing like that."
Vital signs: blood pressure 138/88, pulse 80.
Patient's words: "I'm sleeping maybe four hours. I've missed two shifts this month because I couldn't get out of bed."
Action: behavioral health care manager came to the exam room at 10:40; introduced by name; first session booked for Thursday.
Now holding the case: behavioral health care manager, with the primary care clinician.
Why One Aim
A 15-minute slot that tries to cover mood, blood pressure and sleep habits finishes none of them. The one outcome that could not wait was connecting him to the person who will follow his depression, while he was still in the building. The PHQ-9 score of 13 falls in the moderate range (Kroenke et al., 2001), and item 9 was negative, so there was no immediate safety concern to address first.
The Warm Handoff
A warm handoff introduces the patient to the next clinician in person, rather than handing him a referral slip. Patients given only a slip often never make the first appointment; meeting the care manager in the room turned a referral into a relationship before he left.
Collaborative Care Roles
The practice runs the collaborative care model, which improved depression outcomes compared with usual care in a large review of trials (Archer et al., 2012). The care manager tracks his PHQ-9 in a registry and calls between visits. The primary care clinician makes any prescribing decision. A psychiatric consultant reviews the caseload weekly and advises on patients who are not improving.
Loose Ends
Blood pressure 138/88: recheck at his next visit in two weeks; RN to schedule. Owner: RN, by Friday.
Sleep: to be addressed by the care manager on Thursday. Owner: care manager.
Missed shifts: he asked about a work note; routed to the clinician. Owner: clinician, by Wednesday.
Each loose end has a person and a date because the visit's single aim meant deliberately leaving these for later, and anything left without an owner tends to disappear. He was told what would happen next on each one before he left, and he repeated the Thursday appointment time back to the RN.
References
Archer, J., Bower, P., Gilbody, S., Lovell, K., Richards, D., Gask, L., Dickens, C., & Coventry, P. (2012). Collaborative care for depression and anxiety problems. Cochrane Database of Systematic Reviews, 2012(10), CD006525. https://doi.org/10.1002/14651858.CD006525.pub2
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
How this NU432 Unit 2 example is structured
Note first, reasoning second, which mirrors how the visit happened. The nurse visit note is kept to what a colleague reading the chart tomorrow would need: score, safety screen, what was done, who now holds the case. The narrative opens by stating the aim in one sentence and defending the choice, since a 15-minute slot that tries to cover mood, pressure and sleep hygiene finishes none of them. A middle section explains the warm handoff and cites studies associating an in-person introduction with better first-appointment attendance than a referral slip. The next part describes the collaborative care roles as the practice runs them: the care manager tracks PHQ-9 scores in a registry, the primary care clinician prescribes, a psychiatric consultant reviews the caseload weekly. Loose ends fill the last paragraph, each assigned to a person and a date.
Get an NU432 Unit 2 example written to your instructions
Whatever visit the prompt for Unit 2 describes, a depression recheck, a wound check or a blood pressure visit, the model write-up keeps to one aim and shows the handoff or follow-up that closes it. Include the note template your clinic or instructor uses. The first sample is free and arrives in 24-48h. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
NU432 Unit 2 questions, answered
Can an RN visit note include a PHQ-9 interpretation?
It can report the score and its severity band, since the PHQ-9 bands are published with the instrument: 10 to 14 is moderate. Diagnosis and treatment choices stay with the clinician. The sample states the score, notes the change from the prior week and routes it, which is the RN's usual documented role when a practice runs collaborative care.
What if my visit had more than one goal?
Say so, and rank them. The Unit 2 prompt often tests prioritization as much as documentation, so a write-up that names a primary aim and explains what was deferred reads better than one that treats everything equally. Deferred items still need a plan: who follows up, and when. The sample defers a blood pressure reading to a nurse visit two weeks out.
Is a real patient's visit acceptable if names are removed?
Check your program's rules first; many nursing courses prefer composite patients even when details are removed, because small facts such as an employer or a date can identify someone. The sample uses an invented patient with bracketed values. If you base a write-up on clinical experience, change enough detail that no one at the site could recognize the person.