NUR 676 is SNHU’s Primary Care for Mental Health course. It centers on managing mental health in primary care: screening for depression and anxiety, confirming diagnoses and screening for bipolar disorder before antidepressants, choosing medications and psychotherapy with evidence, measurement-based follow-up, managing alcohol use with brief intervention and medication, treating insomnia with cognitive behavioral therapy, assessing suicide risk and planning safety, evaluating adult ADHD and delivering collaborative care. Every module below opens a full sample paper or takes a free request for one; searches like "nur 676 module 3", "NUR676 sample paper" and "NUR 676 milestone example" land on this page.
What NUR 676 is really about
NUR 676 covers mental health in primary care for SNHU MSN family nurse practitioner students. Its rubrics look for SOAP notes and case analyses that use validated tools with scores, meet diagnostic criteria explicitly, screen for bipolar disorder and substance use before prescribing, justify treatment with trial evidence, set measurable follow-up and address safety in every mental health visit.
Samples on this shelf follow composite patients at a community clinic with an embedded behavioral health care manager: a 34-year-old with new depression, a 28-year-old with constant worry, a 52-year-old whose drinking surfaced on a screen, a 67-year-old who cannot sleep, a patient whose depression has not lifted after two medications, a 19-year-old with passive suicidal thoughts, a 30-year-old asking about ADHD and a 58-year-old with depression and uncontrolled diabetes. The patients are composites; the tools, trials and guidelines are real.
What NUR 676’s modules ask for
Across ten modules, NUR 676 typically asks for discussions of integrated care, SOAP notes on depression, alcohol use, treatment resistance and ADHD, milestone cases on anxiety and suicide risk, a case study on insomnia and a final integrated care plan, closing with a reflection on mental health in primary care.
Where students lose points in NUR 676
The most common NUR 676 deduction is starting an antidepressant without screening for bipolar disorder or asking about suicidal thoughts and substance use. The second is diagnosing from a screening score alone, without confirming criteria in an interview. Graders also mark down notes that give no plan for measuring response or that prescribe sedatives for insomnia in older adults. The fix is to screen, confirm, rule out mimics and bipolarity, choose evidence-based treatment, measure response and address safety every time.
The NUR 676 drawers
NUR 676 Module 1 Discussion example
An FNP student's Discussion post about a patient who screened positive for depression and then waited four months for a psychiatry appointment. It uses the USPSTF recommendation to screen adults only where systems for diagnosis, treatment and follow-up exist, Unutzer and colleagues' IMPACT trial of collaborative care and Archer and colleagues' Cochrane review to argue that primary care should treat common mental health conditions with a team, not simply refer them away. Full sample paper, read it free.
NUR 676 Module 2 SOAP Note example
A SOAP note for a composite 34-year-old man with six weeks of low mood, poor sleep and loss of interest. It scores the PHQ-9 as Kroenke and colleagues validated it, confirms diagnostic criteria in the interview, screens for bipolar disorder with the Mood Disorder Questionnaire developed by Hirschfeld and colleagues, asks directly about suicidal thoughts and substance use and chooses escitalopram using Cipriani and colleagues' network meta-analysis, with psychotherapy and a measured follow-up plan. Full sample paper, read it free.
NUR 676 Module 3 Milestone One example
A Milestone One case for a composite 28-year-old accountant who has worried about everything for a year and now has headaches, poor sleep and tight shoulders. It applies the USPSTF recommendation to screen adults under 65 for anxiety, scores the GAD-7 that Spitzer and colleagues developed, confirms criteria and rules out thyroid disease, stimulants and panic disorder, then chooses cognitive behavioral therapy with an SSRI informed by Slee and colleagues' network meta-analysis, avoiding benzodiazepines. Full sample paper, read it free.
NUR 676 Module 4 SOAP Note example
A SOAP note for a composite 52-year-old whose AUDIT-C score came back high at a blood pressure visit. It explains the brief screen Bush and colleagues validated, applies the USPSTF recommendation for screening and brief counseling, confirms moderate alcohol use disorder, assesses withdrawal risk and liver tests and starts naltrexone based on Jonas and colleagues' meta-analysis of outpatient medications, with a brief intervention, counseling referral and follow-up. Full sample paper, read it free.
NUR 676 Module 5 Case Study example
A Case Study of a composite 67-year-old retired teacher who has slept badly for a year and asks for a sleeping pill like the one her sister takes. It separates insomnia disorder from sleep apnea, depression, medications and restless legs, applies the American College of Physicians guideline that makes cognitive behavioral therapy for insomnia the first treatment, uses Trauer and colleagues' meta-analysis to explain what CBT-I achieves and draws on the 2023 Beers Criteria to explain why hypnotics are a poor choice at her age. Full sample paper, read it free.
NUR 676 Module 6 SOAP Note example
A SOAP note for a composite 45-year-old whose depression has improved only partly after adequate trials of two SSRIs. It checks adherence, dose and duration, re-screens for bipolar disorder, substance use, thyroid disease and sleep apnea, uses the STAR*D results reported by Rush and colleagues to set realistic expectations for further steps and Guo and colleagues' trial of measurement-based care to justify scheduled PHQ-9 tracking, then adds psychotherapy and bupropion with a psychiatric consultation. Full sample paper, read it free.
NUR 676 Module 7 Milestone Two example
Milestone Two: a composite 19-year-old college student endorses the self-harm item on a PHQ-9 at a sports physical. It uses Ahmedani and colleagues' finding that most people who die by suicide saw a clinician in the prior year, applies the Columbia Suicide Severity Rating Scale validated by Posner and colleagues to grade risk and builds a safety plan with follow-up contacts modeled on the intervention Stanley and colleagues tested, along with means restriction and treatment for depression. Full sample paper, read it free.
NUR 676 Module 8 SOAP Note example
A SOAP note for a composite 30-year-old who asks to be tested for ADHD after a coworker's diagnosis. It uses the Adult ADHD Self-Report Scale screener developed by Kessler and colleagues, confirms childhood onset and impairment across settings with collateral history as the World Federation of ADHD consensus statement emphasizes, rules out anxiety, depression, sleep problems and substance use and chooses a stimulant using Cortese and colleagues' network meta-analysis, with safeguards against misuse and a monitoring plan. Full sample paper, read it free.
NUR 676 Module 9 Final Project example
A Final Project building an integrated care plan for a composite 58-year-old with major depression, an A1c of 10.2% and high blood pressure. It explains how depression and diabetes worsen each other, uses the PHQ-9 validated by Kroenke and colleagues for diagnosis and tracking, adopts the treat-to-target nurse care manager model that Katon and colleagues tested in the TEAMcare trial and draws on Unutzer and colleagues' IMPACT trial for the collaborative care structure, with goals, roles, visits and measures for mind and body together. Full sample paper, read it free.
NUR 676 Module 10 Journal example
The course's last Journal, written by an FNP student who once saw mental health as someone else's job, reflects on three lessons: the question about suicide she used to rush past, the three-question alcohol screen that uncovered a hidden disorder and the care manager who made treatment possible, ending with habits she will take into practice. Full sample paper, read it free.
Your classroom shows something else?
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Using a NUR 676 sample the right way
Read a NUR 676 sample for how mental health care is delivered in a primary care visit. Each one screens with validated tools, confirms diagnostic criteria, screens for bipolarity and substance use, chooses treatment with evidence, measures response and addresses safety. For NUR 676, share the case, your template and the rubric, and the first custom sample comes back free in 24-48h.
NUR 676 questions, answered
What does NUR 676 focus on?
Primary care for mental health: screening and diagnosis of depression and anxiety, substance use, insomnia, suicide risk, adult ADHD, treatment selection, measurement-based care and collaborative care models.
Which tools appear most in NUR 676 notes?
The PHQ-9, GAD-7, Mood Disorder Questionnaire, AUDIT-C, Columbia Suicide Severity Rating Scale and the Adult ADHD Self-Report Scale.
What makes a strong NUR 676 SOAP note?
Validated screening scores, diagnostic criteria confirmed in the interview, bipolar and substance use screens, evidence-based treatment, a plan for measuring response and a documented safety assessment.