Parent portion, confidential portion, screening scores and a plan that keeps a teenager's disclosure private within stated limits: NU580 Unit 10 covers a composite fourteen-year-old athlete. Searches like "nu 580 unit 10 assignment example", "nu580 unit 10 sample" and "nu580 unit 10 example" land here.
Adolescent Well Visit Note in Two Parts: What Was Covered With His Mother and What a 14-Year-Old Said Alone About Vaping
[Student Name]
Purdue University Global
NU580: FNP II - Primary Care of Children and Adolescents' Health
Unit 10 Adolescent Well Visit Note
[Instructor Name]
[Date]
The adolescent is a composite; scores and measurements are bracketed, and state disclosure rules are bracketed.
Part 1: With His Mother Present
Interval health: a left knee strain last season, resolved. School: eighth grade, B average. Sleep: about seven hours on school nights, with 6 a.m. practices three days a week. Sports participation history: no fainting, chest pain or shortness of breath with exercise; no family history of sudden cardiac death before age 50, cardiomyopathy or long QT. Vaccines: [HPV] dose 1 last year; Tdap and meningococcal ACWY at 11.
Confidentiality Statement
Before his mother stepped out, both were told: part of every teen visit happens one to one; his answers are kept between him and the clinician, with three exceptions, if he might seriously hurt himself, if he might hurt someone else, or if someone is abusing him; and some rules on what teens can consent to and what must be shared vary by state, [the state's provisions].
Part 2: Alone
Following the SSHADESS sequence in Bright Futures, strengths first (Hagan et al., 2017). Strengths: a strong club soccer player; close to his older sister; wants to play in high school. School: likes science; math is harder this year. Home: lives with his mother and sister; parents separated; sees his father on weekends. Activities: soccer, video games, friends. Drugs and substances: vapes nicotine most days, since the fall; started with teammates; uses a disposable device, about [one] a week. No alcohol, no cannabis. Emotions: sometimes stressed about grades; sleeps poorly before games. Sexuality: not sexually active. Safety: wears a seatbelt; no weapons at home; feels safe at home and school.
Screening Results
1. PHQ-A: [6], mild range.
2. CRAFFT 2.1+N: positive for nicotine; negative for alcohol and cannabis. The CRAFFT is a validated screen for substance use in adolescents in primary care (Knight et al., 2002).
3. Suicide risk screen: negative.
Examination
Blood pressure [118/74], normal by the 2017 AAP guideline, which uses the adult cutoffs from age 13 (Flynn et al., 2017). BMI [19.8], [50th] percentile. Sports examination normal, including cardiac auscultation standing and squatting.
Assessment
1. Healthy 14-year-old, cleared for sports.
2. Daily nicotine vaping. At his level of use, dependence is likely developing, and the brain's reward pathways are more sensitive to nicotine during adolescence. The AAP advises clinicians to screen adolescents for e-cigarette use and to offer counseling and cessation support (Jenssen & Walley, 2019).
3. PHQ-A in the mild range, read alongside short sleep and early training; not a diagnosis of depression.
Plan
1. Vaping: brief counseling informed by motivational interviewing. He was asked what he likes about vaping and what he does not. He said it "calms him down before games" and that he has noticed he gets winded sooner. He rated his readiness to cut back at [5] of 10. He agreed to try going without on practice days and to use a text-based quit program for teens. Nicotine replacement was discussed as an option if cravings are strong, with his agreement to involve a parent if he chooses it.
2. Sleep: a target of eight to nine hours; phone out of the bedroom.
3. Mood: PHQ-A repeat at the four-week visit.
4. Vaccines: [HPV] dose 2 today, completing the two-dose series started before age 15.
5. Return in [four] weeks to review vaping and sleep.
What Will Be Shared With His Mother
With his agreement: he is cleared for sports, he received his HPV vaccine, and he will come back in four weeks to talk about sleep and stress. Not shared without his consent: his vaping. He was encouraged to tell her himself and offered help doing so; he said he would think about it.
References
Flynn, J. T., Kaelber, D. C., Baker-Smith, C. M., Blowey, D., Carroll, A. E., Daniels, S. R., de Ferranti, S. D., Dionne, J. M., Falkner, B., Flinn, S. K., Gidding, S. S., Goodwin, C., Leu, M. G., Powers, M. E., Rea, C., Samuels, J., Simasek, M., Thaker, V. V., & Urbina, E. M. (2017). Clinical practice guideline for screening and management of high blood pressure in children and adolescents. Pediatrics, 140(3), e20171904. https://doi.org/10.1542/peds.2017-1904
Hagan, J. F., Shaw, J. S., & Duncan, P. M. (Eds.). (2017). Bright Futures: Guidelines for health supervision of infants, children, and adolescents (4th ed.). American Academy of Pediatrics.
Jenssen, B. P., & Walley, S. C. (2019). E-cigarettes and similar devices. Pediatrics, 143(2), e20183652. https://doi.org/10.1542/peds.2018-3652
Knight, J. R., Sherritt, L., Shrier, L. A., Harris, S. K., & Chang, G. (2002). Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Archives of Pediatrics & Adolescent Medicine, 156(6), 607-614. https://doi.org/10.1001/archpedi.156.6.607
How this NU580 Unit 10 example is structured
The note's central design choice is visible in its headings: information shared by the adolescent alone is documented in a way that respects confidentiality, and the plan states what will and will not be shared with his mother. A short paragraph before the confidential section records how confidentiality was explained, including its limits for risk of serious harm to himself or others and for abuse, and notes that minor consent and disclosure rules vary by state, bracketed as [the state's provisions]. The assessment integrates screening with context: a PHQ-A in the mild range, read alongside short sleep and early training, and nicotine dependence risk rather than a diagnosis. The plan uses brief counseling informed by motivational interviewing, offers cessation support suited to his age, and completes the HPV series started last year. Sources carry dates, including the PHQ-A, CRAFFT and Bright Futures.
Get an NU580 Unit 10 example written to your instructions
Adolescent visits in this unit vary in age, sex and the disclosure at the center: vaping, a low mood, sexual activity or a sports clearance question. Forward the Unit 10 case, its grading criteria and whatever state-specific consent material your section supplies, and a composite note matching that visit follows within 24-48h, the first at no charge. 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.
NU580 Unit 10 questions, answered
Where does confidential information go in the note?
Programs differ, and your site's documentation policy governs real records. In a course assignment, the usual approach is a clearly labeled section for time alone, with the plan stating what will be shared with the parent. The sample records its confidentiality explanation, the limits given, and exactly what the adolescent agreed could be shared.
Which screening tools belong in an adolescent well visit?
Commonly a depression screen such as the PHQ-A from age 12, a substance use screen such as the CRAFFT, and a suicide risk screen, alongside the psychosocial interview. Your course may name others or a different set. Whatever tools appear, give their full names, the score, the cutoff and the source, since graders check all four.
Does the note need to address state law on minor consent?
It should acknowledge that rules vary without pretending to state them for every jurisdiction. The sample brackets the state provisions and says the clinician follows them and the site's policy. Offering legal conclusions is outside a clinical note's purpose, and a grader will usually prefer an accurate acknowledgment to a confident but unsupported claim.