| Course | NRNP 6559 Advanced Primary Care of Women and Diverse Populations |
|---|---|
| Week | Week 5 |
| Paper type | STI and partner care note |
| Length | About 790 words, 5 pages |
| Format | APA 7 student paper |
| School | Walden University |
| Program | Master of Science in Nursing (MSN) |
| Updated | October 2026 |
Free sample paper for NRNP 6559 Week 5
STI and Partner Care Note: A Positive Chlamydia Screen at 24, and a Route for Each of Two Partners
Student Name
College of Nursing, Walden University
NRNP 6559: Advanced Primary Care of Women and Diverse Populations
Instructor Name
Month Day, Year
STI and Partner Care Note: A Positive Chlamydia Screen at 24, and a Route for Each of Two Partners
The Result, Disclosed Plainly
Composite case. A 24-year-old woman, a dental hygiene student, returned for results of routine screening done at her annual visit last week. She was told directly, in private: her urine test was positive for chlamydia and negative for gonorrhea. Her first response: "Is this from him? Does that mean he cheated?" She was told that chlamydia often causes no symptoms for months, so the test cannot say when or from whom she acquired it, and that it is common and curable. She said she felt embarrassed and then asked what she needed to do. Her reaction is recorded as she expressed it, without judgment.
Pelvic Inflammatory Disease Set Aside
Symptom review: she denies pain low in the abdomen or pelvis, fevers, pain with intercourse, no bleeding between periods or after sex, no abnormal discharge, no dysuria. Her current partner has no symptoms that she knows of. Last menstrual period 12 days ago, normal. Urine pregnancy test today: negative, documented before choosing a regimen because pregnancy changes the recommended drug.
Focused pelvic exam, chaperone present: cervix without friability or mucopurulent discharge; no cervical motion tenderness, no uterine tenderness, and no adnexal tenderness. With no pain and none of these findings, pelvic inflammatory disease is not supported, and uncomplicated cervical chlamydial infection is the diagnosis.
Regimen by Recommendation
Doxycycline is the choice: a 7-day course at 100 mg per dose, one dose each morning and evening. For chlamydial infection in nonpregnant adolescents and adults, the CDC's 2021 treatment guidelines list this as the recommended regimen and moved it ahead of single-dose azithromycin (Workowski et al., 2021). She was told to take it with a full glass of water and food, to stay upright for 30 minutes after each dose, and to use sun protection. No sex until 7 days after she finishes treatment and until her partners have been treated, because reinfection from an untreated partner is common. A test of cure is not needed after doxycycline for uncomplicated infection in a nonpregnant patient, which is why the plan below books a retest at 3 months, aimed at reinfection, rather than a test in 3 weeks aimed at treatment failure.
Two Partners, Two Routes
She has had two male partners in the past 60 days, the window within which partners should be evaluated and treated.
Partner 1, current boyfriend of 5 weeks. Route: expedited partner therapy, meaning a prescription for him given to her so he can be treated without his own visit. It is permitted in this state for chlamydia. In a randomized trial of women and heterosexual men with gonorrhea or chlamydial infection, expedited partner treatment reduced persistent or recurrent infection in the index patient from 13% to 10% compared with standard referral (Golden et al., 2005). She agreed to take him the medication and the written information sheet, which advises him to seek testing and tells him the warning signs that need a visit.
Partner 2, former partner, contact ended 7 weeks ago. Route: health department partner services. She will not contact him herself, for reasons she did not want to explain and was not pressed to. With her permission, his first name and phone number were given to the county disease intervention specialist, who will notify him confidentially without naming her. She was told that this is how the service works for everyone.
What she will say to her boyfriend was rehearsed briefly at her request. She chose to tell him that her routine screening found chlamydia, that it often has no symptoms, that neither of them can know when it started, and that the medicine she is bringing him is the same one she is taking. She was offered a follow-up call if the conversation goes badly and she wants help thinking about next steps, including her own safety.
One Visit, Done Fully
HIV and syphilis testing: offered and accepted, drawn today. Hepatitis C: one-time screening offered because she has never had it; accepted.
HPV vaccination: record shows one dose at age 13 and none since. Because she started before her 15th birthday, one more dose completes her series, and ACIP extends catch-up doses to every person up to age 26 (Meites et al., 2019). Given today.
Contraception: currently condoms, inconsistently. She is interested in the ring; eligibility reviewed, no contraindications; prescription given, starting with her next period, with condoms for infection prevention.
Retest: a repeat chlamydia test is booked for 3 months from today, because reinfection is common, and she agreed to a text reminder to a number she chose. Earlier return if pelvic pain, fever, or pain with sex develops.
References
Golden, M. R., Whittington, W. L., Handsfield, H. H., Hughes, J. P., Stamm, W. E., Hogben, M., Clark, A., Malinski, C., Helmers, J. R., Thomas, K. K., & Holmes, K. K. (2005). Effect of expedited treatment of sex partners on recurrent or persistent gonorrhea or chlamydial infection. The New England Journal of Medicine, 352(7), 676-685. https://doi.org/10.1056/NEJMoa041681
Meites, E., Szilagyi, P. G., Chesson, H. W., Unger, E. R., Romero, J. R., & Markowitz, L. E. (2019). Human papillomavirus vaccination for adults: Updated recommendations of the Advisory Committee on Immunization Practices. MMWR. Morbidity and Mortality Weekly Report, 68(32), 698-702. https://doi.org/10.15585/mmwr.mm6832a3
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021). Sexually transmitted infections treatment guidelines, 2021. MMWR Recommendations and Reports, 70(4), 1-187. https://doi.org/10.15585/mmwr.rr7004a1
Reading the NRNP 6559 Week 5 instructions
For Week 5, NRNP 6559 sections commonly give a positive STI result and ask for the visit note that follows. You document how the result was shared, check for complications, pelvic inflammatory disease above all, select treatment from current CDC recommendations, plan care for each partner, and offer related testing. Faculty weight partner management heavily, so a single line advising notification will not do. Cite the CDC STI treatment guideline in APA 7, and note your state's position on expedited partner therapy. Retesting for reinfection belongs in the plan. Counseling on abstaining until treatment is complete should be specific about the number of days. Respectful, nonjudgmental language is part of the grade throughout. Most notes run a few pages and keep each partner's route in its own paragraph.
How this NRNP 6559 Week 5 example is built
The note opens with the result as disclosed and her reaction to it, recorded without judgment. A symptom review follows: no pelvic pain, no fever, no abnormal bleeding, and no symptoms in the partner she is still seeing. A pregnancy test is documented because the result changes the regimen. A focused pelvic exam records no cervical motion, uterine, or adnexal tenderness, which is how pelvic inflammatory disease is set aside. The plan names the regimen the CDC STI Treatment Guidelines prefer, without a dose on this page, then turns to partners: expedited partner therapy for the current partner where state law permits it, and health department partner services for the one she will not contact. HIV and syphilis testing are offered, HPV vaccination is checked, contraception is revisited, and the retest is booked.
NRNP 6559 Week 5 rubric: what earns full marks
Partner management is weighted heavily this week, and a note that treats the patient thoroughly while leaving partners to a line reading advised to notify partners has completed half the task. The example documents a route for each partner and the reason for it. Currency of the treatment source is checked closely, since STI regimens change between guideline editions and an outdated first-line choice is marked wrong regardless of reasoning. Graders look for pregnancy status before the regimen, for pelvic inflammatory disease addressed through exam findings, and for co-testing. The retest is a common omission. In a course centered on context, the adjustment to her work schedule earns credit that a generic plan misses, while judgmental phrasing anywhere in the sexual history costs professionalism points.
NRNP 6559 Week 5 help: mistakes that cost marks
The usual weakness in this note is thorough care for the patient and a single sentence about partners. Plan a route for each partner by name, whether an office visit, a referral or expedited therapy. Another common gap is skipping the examination for pelvic inflammatory disease, which changes the regimen if present. Record the findings that set it aside. Writers also forget to offer HIV and syphilis testing after one positive STI, even though risk overlaps. Offer both and record her answer. Avoid moralizing about her sexual history. State how long to abstain after treatment and when to retest, usually about three months. Keep the regimen consistent with the current CDC edition. Close with how results of the new tests will reach her.
Get a NRNP 6559 Week 5 example written to your instructions
Name the infection your Week 5 case involves and send the case with the rubric. What comes back manages the patient, gives every partner a named route, and cites the current CDC treatment guidance by edition. Free for your first custom sample, delivered in 24-48 hours, with state-specific partner rules left general unless you name the state.
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NRNP 6559 Week 5 questions, answered
What is expedited partner therapy?
The practice of giving a patient medication or a prescription to deliver to a sex partner without that partner being examined first. The CDC supports it for certain infections when a partner is unlikely to seek care, and its legal status varies by state. The example uses it for the partner she still sees, notes that state law governs it, and chooses health department services for the other.
Why test for HIV and syphilis when the result was chlamydia?
Because one sexually transmitted infection signals exposure that may have carried others, and the CDC guidelines recommend offering testing for additional infections in that situation. The example documents the offer and her acceptance. Rubrics for STI weeks commonly check for co-testing, and a note that treats the single positive result without looking further usually gives up thoroughness credit.
Where did the line cook's case come from?
From a teaching brief, not a chart. Her work schedule, her two partners, and her result were invented so that partner management and context would both matter. Anything identifying about a person's sexual health stays out of documents like this. If your case draws on an actual encounter, describe it in general terms, and the sample for your section is built from that description instead of this one.
Where can I find a free NRNP 6559 Week 5 sample paper?
The chlamydia result note appears on this page with the disclosure, the PID check, the CDC regimen, the two partner routes and the retest plan.
How is the result shared in NRNP 6559 Week 5?
In private, with the note recording how the positive chlamydia result was disclosed and her first response.