Two screening scores, reported with their limits, become five concrete next steps for a composite retired surveyor in NU584's Unit 6 summary, from reversible-cause labs to a driving evaluation. Searches like "nu 584 unit 6 assignment example", "nu584 unit 6 sample" and "nu584 unit 6 example" land here.
A Mini-Cog of 2 and a MoCA of 20: A Cognitive Screening Summary for a Retired Surveyor Who Twice Drove Past His Exit
[Student Name]
Purdue University Global
NU584: AGNP II - Primary Care of the Frail Elderly
Unit 6 Cognitive Screening Summary
[Instructor Name]
[Date]
The patient is a composite; scores and dates are bracketed, and no test items are reproduced.
Reason and Conditions
Reason: cognitive assessment at the Annual Wellness Visit, prompted by his wife's report that he twice missed their usual exit on the highway and has become less sure with the household accounts. The Alzheimer's Association recommends that the wellness visit include a structured assessment and an informant's observations (Cordell et al., 2013). Conditions: hearing aids in; glasses on; quiet room; English his first language; [16] years of education; administered by a trained clinician. GDS-15: [2], not suggesting depression.
Results
1. Mini-Cog: [2] of 5. Recalled two of three words; clock drawing abnormal. A score below 3 is a positive screen (Borson et al., 2000).
2. MoCA: [20] of 30. Normal is 26 or higher (Nasreddine et al., 2005). Pattern: delayed recall weakest, [1] of 5; visuospatial and executive items reduced; attention and language mildly reduced; orientation intact. Items are not reproduced here.
3. Function: Functional Activities Questionnaire [9] of 30, from his wife; she has taken over the bills in the past [six] months, and he has trouble keeping track of appointments.
Interpretation
Screening does not diagnose; these scores are consistent with cognitive impairment, and his function will decide between mild cognitive impairment and dementia after a proper evaluation. Depression was screened and is unlikely. Hearing and vision were corrected. His education would, if anything, raise his expected score. A Functional Activities Questionnaire of 9 suggests that his daily function is affected, which leans toward a dementia syndrome, but that is for the diagnostic evaluation to decide.
What Happens Next
1. Reversible causes: vitamin B12, thyroid-stimulating hormone, a metabolic panel, complete blood count; brain imaging with the diagnostic evaluation.
2. Medication review for anticholinergic and sedating drugs.
3. Referral for diagnostic evaluation, to a memory clinic or neurology, with the results sent ahead.
4. Driving. His missed exits are a warning sign, and a practice parameter from the American Academy of Neurology identifies caregiver concern about driving and a low cognitive score as markers of increased risk (Iverson et al., 2010). He and his wife agreed he will not drive on highways until a formal driving assessment through occupational therapy, booked for [date].
5. Advance care planning: offered now, while his capacity to take part is clear. He named his wife as his health care agent and asked to talk further at the next visit.
6. Safety: the clinic's list of services for caregivers given to his wife.
Follow-Up
Visit in [four] weeks, on [date], to review labs, the driving assessment result and the referral date.
How the Results Were Shared
He was told that the tests show his memory and planning are not as strong as they should be, that this does not yet say why, and that some causes are treatable. He asked whether he had Alzheimer disease. The answer was that it is one possibility among several, that the evaluation will help sort them out, and that whatever the cause, he and his wife will have a plan.
References
Borson, S., Scanlan, J., Brush, M., Vitaliano, P., & Dokmak, A. (2000). The Mini-Cog: A cognitive "vital signs" measure for dementia screening in multi-lingual elderly. International Journal of Geriatric Psychiatry, 15(11), 1021-1027. https://doi.org/10.1002/1099-1166(200011)15:11<1021::AID-GPS234>3.0.CO;2-6
Cordell, C. B., Borson, S., Boustani, M., Chodosh, J., Reuben, D., Verghese, J., Thies, W., & Fried, L. B. (2013). Alzheimer's Association recommendations for operationalizing the detection of cognitive impairment during the Medicare Annual Wellness Visit in a primary care setting. Alzheimer's & Dementia, 9(2), 141-150. https://doi.org/10.1016/j.jalz.2012.09.011
Iverson, D. J., Gronseth, G. S., Reger, M. A., Classen, S., Dubinsky, R. M., & Rizzo, M. (2010). Practice parameter update: Evaluation and management of driving risk in dementia. Neurology, 74(16), 1316-1324. https://doi.org/10.1212/WNL.0b013e3181da3b0f
Nasreddine, Z. S., Phillips, N. A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., Cummings, J. L., & Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695-699. https://doi.org/10.1111/j.1532-5415.2005.53221.x
How this NU584 Unit 6 example is structured
The summary moves from conditions to results, then to interpretation and action, and it keeps those four apart. Conditions come first because a score is only interpretable when hearing, vision, language, education and mood are accounted for; a GDS-15 of 2 is reported to show depression was screened. Results are stated as numbers with the cutoff each tool uses, and the summary notes that the MoCA requires trained administration. Interpretation is careful with its verbs: the scores are consistent with cognitive impairment, and function decides between mild cognitive impairment and dementia, which here calls for diagnostic evaluation rather than a label. Consequences are numbered: tests for reversible causes following the AAN's 2018 guideline, a medication review for anticholinergic load, a referral for diagnostic evaluation, a formal driving assessment, and advance care planning offered while his capacity to take part is clear. Follow-up carries a date.
Get an NU584 Unit 6 example written to your instructions
Paste the screening data from your Unit 6 case, whichever tools it uses, with the prompt and rubric. The sample summary reports each result against the right cutoff without reproducing any test item, then lists what the result changes next in numbered steps, each with an owner. Free on first request, returned within 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.
NU584 Unit 6 questions, answered
Can the paper include MoCA or Mini-Cog items?
It should not reproduce them. Both instruments are copyrighted, and the MoCA requires trained administration. A paper can report the total, the domain scores and the pattern, such as weak delayed recall with intact orientation, which is what the interpretation needs. Describing a domain in general terms is fine; printing the items is not.
What score counts as abnormal?
It depends on the tool. The MoCA is scored out of 30 with 26 or above generally considered normal, and many sources add a point for twelve or fewer years of education. The Mini-Cog is scored out of 5, with lower totals prompting further evaluation. State the cutoff you apply and its source, because thresholds vary across populations.
Should the summary recommend medication for memory?
Usually not from a screening result alone. Treatment follows diagnosis, and for mild cognitive impairment the AAN's 2018 guideline notes that clinicians may choose not to offer cholinesterase inhibitors given limited evidence, while recommending regular exercise. A summary that proposes referral and reversible-cause testing first is generally what graders expect.