Six minutes of scripted dialogue after a positive alcohol screen, in which the NU572 clinician asks permission, gives feedback, weighs readiness and closes on a composite sophomore's own plan. Searches like "nu 572 unit 7 assignment example", "nu572 unit 7 sample" and "nu572 unit 7 example" land here.
Six Minutes After a Sprained Wrist: A Brief Intervention Script for an AUDIT of 17, Each Clinician Turn Labeled
[Student Name]
Purdue University Global
NU572: AGNP I - Primary Care of the Adolescent and Adult
Unit 7 Brief Intervention Script
[Instructor Name]
[Date]
The patient and dialogue are composites written for the exercise; drink counts and scores are bracketed.
Header
Screen: AUDIT total [17]. In the WHO manual's risk zones, 16 to 19 is the zone for simple advice plus brief counseling and continued monitoring; 20 or more calls for referral for diagnostic evaluation and possible treatment (Babor et al., 2001). The USPSTF recommends screening adults for unhealthy alcohol use in primary care and providing brief behavioral counseling to those who screen positive (US Preventive Services Task Force, 2018). Reason for visit: right wrist sprain from a fall at a party [two] nights ago; she remembers little of the evening. Structure: the four steps of the Brief Negotiated Interview, raise the subject, provide feedback, enhance motivation, negotiate and advise (D'Onofrio et al., 2005).
Step 1: Raise the Subject
Clinician: "Could we spend a few minutes on the questionnaire you filled out?" [Asking permission] Patient: "I guess. Is this about the party?" Clinician: "It's about drinking in general. What's a typical weekend like for you?" [Open question] Patient: "Friday and Saturday we go out. I have maybe six or seven drinks. Everyone does." Clinician: "Weekends are when you and your friends drink, and six or seven feels normal in that group." [Reflection]
Step 2: Provide Feedback
Clinician: "Can I share what your answers show?" [Asking permission] Patient: "Okay." Clinician: "Your score was 17. For women, four or more drinks on one occasion counts as binge drinking, and you're having six or seven, two nights a week. At that level, the risk of injuries like your wrist goes up. What do you make of that?" [Feedback against a threshold; open question] Patient: "I didn't know four was the number. I just thought I was careful." Clinician: "It's surprising to hear, because you think of yourself as careful." [Reflection]
Step 3: Enhance Motivation
Clinician: "On a scale from 1 to 10, how ready are you to make any change in your drinking?" [Readiness ruler] Patient: "Maybe a four." Clinician: "Why a four and not a two?" [Open question eliciting change talk] Patient: "Because I don't want to end up in the ER again. And I missed my shift at the café on Sunday. My manager was not happy." Clinician: "So your job and not getting hurt again both matter to you." [Reflection of change talk] Clinician: "It says a lot that you came in and are willing to talk about this." [Affirmation]
Step 4: Negotiate and Advise
Clinician: "What's one change you could see yourself making?" [Open question] Patient: "Stopping at three. And never drinking the night before a shift." Clinician: "You'll stop at three drinks, and none before a shift. Let me write that down." [Reflection; writes the plan verbatim] Clinician: "How confident are you, 1 to 10?" [Confidence ruler] Patient: "A six." Clinician: "What would help move it to a seven?" [Open question] Patient: "If my roommate did it with me." Clinician: "Let's summarize. Drinking six or seven drinks on weekends led to a fall and a missed shift. You want to protect your job and avoid another injury. Your plan is to stop at three, never before a shift, and to ask your roommate to join you. Did I get that right?" [Summary] Patient: "Yeah." Clinician: "Let's check in again in a month." [Follow-up]
Tally
Clinician turns: 16. Permission requests: 2. Open questions and rulers: 6. Reflections: 4. Affirmations: 1. Summaries: 1. Feedback statements: 1. Follow-up: 1. Questions and reflections, ten turns, outnumber informing statements, two turns, by five to one, which is what keeps a brief intervention from turning into a lecture.
Referral Criteria
Would move toward specialty treatment: an AUDIT total of 20 or above, signs of withdrawal, failed attempts to cut down, or alcohol-related harm continuing despite this plan.
Follow-Up
Visit in [one month]: repeat AUDIT-C, review her plan, check the wrist.
References
Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for use in primary care (2nd ed.). World Health Organization.
D'Onofrio, G., Pantalon, M. V., Degutis, L. C., Fiellin, D. A., & O'Connor, P. G. (2005). Development and implementation of an emergency practitioner-performed brief intervention for hazardous and harmful drinkers in the emergency department. Academic Emergency Medicine, 12(3), 249-256. https://doi.org/10.1197/j.aem.2004.10.021
US Preventive Services Task Force. (2018). Screening and behavioral counseling interventions to reduce unhealthy alcohol use in adolescents and adults: US Preventive Services Task Force recommendation statement. JAMA, 320(18), 1899-1909. https://doi.org/10.1001/jama.2018.16789
How this NU572 Unit 7 example is structured
Phases of the Brief Negotiated Interview run in order, and a heading marks each, making the architecture visible. Every clinician line is short, and a closing tally reports the ratio of questions and reflections to statements, since a brief intervention that lectures is not one. The feedback phase sets her numbers against a published threshold rather than an adjective such as excessive. Readiness is handled with the ruler and the follow-up question that draws out her own reasons, asking why she chose four instead of two. Her chosen change is written down verbatim and repeated back. Referral criteria sit in a boxed note: an AUDIT total of 20 or above, withdrawal signs, or failed attempts to cut down would move the plan toward specialty treatment. A follow-up visit in one month closes the script.
Get an NU572 Unit 7 example written to your instructions
Which substance and which screen does your prompt name: AUDIT, CRAFFT or a single-question screen? The brief intervention sample follows that choice and the phase model your course prefers, with the composite patient placed at the age and in the setting your case gives. Expect the first sample free, within 24-48h, written to your instructions and rubric. 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.
NU572 Unit 7 questions, answered
Is SBIRT the same as a brief intervention?
Brief intervention is the middle step of SBIRT, which stands for screening, brief intervention and referral to treatment. The script covers that second step in detail and touches the others: the screening result that prompted it and the criteria that would trigger referral. A sample labeled SBIRT but containing only a screen and a referral would miss the core of the assignment.
Which screening tool suits a nineteen-year-old?
The AUDIT is validated in adults and works at nineteen, and the CRAFFT 2.1 is validated up to age twenty-one, so either can be defended. The choice should match what the prompt asks for and be stated with its score and risk band. A script that switches instruments partway, or omits the score, leaves the feedback phase with nothing to stand on.
How long should the scripted conversation run?
Brief interventions in primary care commonly last five to fifteen minutes, and scripts are often judged on whether their length fits that window. A tally of clinician statements against questions and reflections helps show the balance. Dialogue that would take half an hour to speak aloud usually signals lecturing, whatever the annotations claim.