Colorectal, breast, cervical and lung screening, each checked against its dated USPSTF statement for age band, interval and grade, form the table at the center of NU432's Unit 6 brief. Searches like "nu 432 unit 6 assignment example", "nu432 unit 6 sample" and "nu432 unit 6 example" land here.
Checking a Draft Standing-Order Screening Protocol Against Four USPSTF Statements: Two Rows Corrected
[Student Name]
Purdue University Global
NU432: Primary Care in the Ambulatory Setting
Unit 6 Assignment
[Instructor Name]
[Date]
Composite clinic and draft protocol written as a model document. Recommendations should be rechecked against current editions before signing.
Purpose and Verdict
This brief reviews the draft standing-order protocol for cancer screening in average-risk adults before the medical director signs it. Two of four rows are out of date: colorectal screening still starts at 50 and mammography at 50; both now start earlier.
Table
Colorectal cancer. Population: average-risk adults. Age band: 45 to 75. The grade is A from age 50 and B for the five years before it. Tests and intervals: fecal immunochemical test yearly; stool DNA-FIT every one to three years; colonoscopy every ten years; CT colonography or flexible sigmoidoscopy every five years. Statement: 2021 (US Preventive Services Task Force, 2021a). Verdict: draft corrected from 50 to 45.
Breast cancer. Population: average-risk women. Age band: 40 to 74. Test and interval: mammography every two years. Grade: B. Statement: 2024 (US Preventive Services Task Force, 2024). Verdict: draft corrected from 50 to 40.
Cervical cancer. Population: average-risk women. Ages 21 to 29: cytology every three years. Ages 30 to 65: cytology every three years, high-risk HPV testing every five years, or both together every five years. Grade: A. Statement: 2018 (US Preventive Services Task Force, 2018). Verdict: draft correct.
Lung cancer. Eligibility, all three together: age 50 to 80, at least a 20 pack-year history, and currently smoking or quit within the past 15 years. Test: low-dose CT once a year, after a shared decision-making visit. Grade: B. Statement: 2021 (US Preventive Services Task Force, 2021b). Verdict: draft correct.
Where Other Bodies Differ
The American Cancer Society's 2015 guideline for average-risk women recommended yearly mammography from 45 to 54 and every one to two years after, with the option to start at 40 (Oeffinger et al., 2015). The protocol follows the USPSTF, and the brief notes the difference so that staff can answer patients who ask why advice varies. Adults 76 to 85 are not screened for colorectal cancer under standing orders; the 2021 statement makes screening in that group an individual decision, so those patients are routed to a clinician for the conversation.
Exclusions
Anyone above average risk, including a personal or strong family history of the cancer in question, a known genetic mutation, prior chest radiation, or symptoms, is routed to a clinician rather than screened under standing orders.
Signature
Reviewed by: [RN name], [date], against the four statements cited above. Approved by: [signature], Medical Director. Date: [date].
References
Oeffinger, K. C., Fontham, E. T. H., Etzioni, R., Herzig, A., Michaelson, J. S., Shih, Y.-C. T., Walter, L. C., Church, T. R., Flowers, C. R., LaMonte, S. J., Wolf, A. M. D., DeSantis, C., Lortet-Tieulent, J., Andrews, K., Manassaram-Baptiste, D., Saslow, D., Smith, R. A., Brawley, O. W., & Wender, R. (2015). Breast cancer screening for women at average risk: 2015 guideline update from the American Cancer Society. JAMA, 314(15), 1599-1614. https://doi.org/10.1001/jama.2015.12783
US Preventive Services Task Force. (2018). Screening for cervical cancer: US Preventive Services Task Force recommendation statement. JAMA, 320(7), 674-686. https://doi.org/10.1001/jama.2018.10897
US Preventive Services Task Force. (2021a). Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. JAMA, 325(19), 1965-1977. https://doi.org/10.1001/jama.2021.6238
US Preventive Services Task Force. (2021b). Screening for lung cancer: US Preventive Services Task Force recommendation statement. JAMA, 325(10), 962-970. https://doi.org/10.1001/jama.2021.1117
US Preventive Services Task Force. (2024). Screening for breast cancer: US Preventive Services Task Force recommendation statement. JAMA, 331(22), 1918-1930. https://doi.org/10.1001/jama.2024.5534
How this NU432 Unit 6 example is structured
Verdict first, detail after. Two of four rows are out of date, and the opening paragraph says so by name, so the medical director reading on a phone gets the finding in three lines. Evidence sits in the table, one cancer per row, with the recommending body and year beside every figure. Test options for colorectal screening are listed with their own intervals, yearly FIT, stool DNA every one to three years, colonoscopy every ten, because a single 'every ten years' would mislead. Lung eligibility is written as the three criteria together: age 50 to 80, a 20 pack-year history, and current smoking or quitting within fifteen years. A paragraph on where other bodies differ, the American Cancer Society on breast screening among them, keeps the protocol honest about contested ground. The exclusions paragraph routes anyone above average risk to a clinician.
Get an NU432 Unit 6 example written to your instructions
Some Unit 6 prompts give one patient, others a clinic protocol or a population; either way, paste the scenario and rubric and state whether USPSTF is the required source. Every interval, age band and grade in the returned brief is dated to its statement, with any disagreement between bodies named; it arrives in 24-48h. The first request is free. 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 6 questions, answered
Can RNs order screening tests under standing orders?
In many states and practices, yes, within a protocol a physician or other authorized prescriber has signed, and standing orders are widely used for immunizations and some screening. The brief describes the mechanism without claiming it applies everywhere. A paper should follow the rules of your state or the setting the scenario names, and say which it is.
Why does the year of a USPSTF statement matter so much?
Because recommendations change and old versions stay online. Breast screening moved from age 50 to 40 in 2024, and colorectal screening from 50 to 45 in 2021. A schedule citing the earlier statements is simply wrong for current practice, and graders look for the year to confirm the source is current. Check the Task Force site itself before citing.
Should a screening brief cover high-risk patients too?
Usually it names them and routes them elsewhere. USPSTF recommendations generally address average-risk, asymptomatic adults, so a family history, a known genetic syndrome or symptoms move a patient outside the schedule. The sample lists those exclusions and sends each to a clinician. If your prompt includes a high-risk patient, the brief should say which guidance applies instead.