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NR 443 Week 1 DQ 1 Healthy People 2020
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Healthy People 2020
The federal government developed Healthy People as a set of
national health objectives that are periodically evaluated to measure
progress in the nation’s health goals and healthcare services. HP
2020 has a renewed focus on identifying, measuring, tracking, and
reducing health disparities through a determinants-of-health
approach.
This week, please briefly discuss a Healthy People 2020 objective
under the topic area of your choice. Go to www.healthypeople.gov
and select any one of the objectives under the topic area of your
interest. Using the local, national, or international news, describe
actions you, as a community health nurse, could take in formulating
policy changes to help promote the objective you have selected. Cite
references to support your views.
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NR 443 Week 1 DQ 2 Determinants of Health

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Determinants of Health
Healthy People 2020 identified four Foundation Health Measures
(FHM) that reflect the major health concerns in the United States.
The third FHM isDeterminants of Health. The description of
Determinants of Health is:
“A range of personal, social, economic, and environmental factors
that influence health status are known as determinants of health.
Determinants of health include such things as biology, genetics,
individual behavior, access to health services, and the environment
in which people are born, live, learn, play, work, and age” (U.S.
Department of Health and Human Services, n.d., About
Determinants of Health section, para. 1).
Go to the “Learn More About Determinants of Health”
(http://www.healthypeople.gov/2020/about/DOHAbout.aspx ) and
choose one of the five Determinants of Health that you feel is most
important for community health. In your posting, share the
determinant of health and the rationale for your choice. Remember
to cite any references used for developing your rationale.
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NR 443 Week 2 DQ 1 Census Data and Epidemiological
Data

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Census Data and Epidemiological Data
Go online to the U.S. Census Bureau atwww.census.gov. Obtain
information about the demographic characteristics of the
population for your county of residence. Once you are on the
website, choose the link to “QuickFacts”, and from there you can
choose state, county, and city data. You may have to look at county
data if your city is not listed. There is also a tab where you can see
U.S. comparable data, too.
Include information about age, income, housing, and education.
Post a brief summary of the key demographic characteristics of the
population in your county (do not copy and paste directly from the
website) and apply these data to your community by answering the
following questions:
How do the data from your county compare to the sets of data from
the other counties posted by other students in your discussion
group?
Based on the demographic data, what health needs might you
anticipate for the population in your county?
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NR 443 Week 2 DQ 2 Communicable Diseases
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Communicable Diseases
Review the levels of prevention of communicable diseases discussed
in Chapter 25 (Nies& McEwen, 2011). Choose a communicable
disease objective listed within theHealthy People 2020 topic area (p.
492). Discuss a role (function) that you, as a CHN, could play in
implementing the objective. What community health nursing
intervention would you implement? Describe at least two levels of
prevention you could address and how you can address them.
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NR 443 Week 2 Milestone 1 Community Windshield
Survey
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Directions: Please refer to the Milestone 1: Community Windshield
Survey Guidelines and grading rubric found in Doc Sharing for
specific instructions in order to complete the information below.
This assignment is worth 150 points.
Type your name above and your answers below directly on this
form. Click Save as and save the file with the assignment name and
your last name (e.g., “NR443 Windshield Survey Form_Smith”).
When you are finished, submit the form to the Week 2 Caring for
Populations: Windshield Survey Dropbox by the deadline indicated
in your guidelines.
Criteria
Community introduction:
Identify the community you will be using for this assignment. It
should be the area where you live or the area surrounding your
work setting.
Windshield survey
vitality
Indicators of social and economic conditions
Health resources
Environmental conditions related to health
Social functioning
Attitude toward healthcare

Conclusion:
Provide a summary of your findings and your conclusion. What
problems did you identify?
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NR 443 Week 3 DQ 1 Collaborating With the Community
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Collaborating With the Community
Identify a community or aggregate you are currently involved with
at home (personal life) or at work. Cite some major value, major
strengths, and health needs of your community or aggregate. How
could a nurse work collaboratively with a community to build on
these strengths and facilitate community empowerment? Keep in
mind the different methods of community outreach the nurse could
utilize.
Please note: According to Nies and McEwan (2011), the definition
of an aggregate is a “community composed of people who share
common characteristics” (p.92). Remember, aggregates do not

necessarily know or interact with one another, but share a common
bond such as religious belief, age, life experience, illness, etc.
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NR 443 Week 3 DQ 2 Resources
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Resources
Assurance is one of the three core functions of public health.
Knowing what resources are available is part of this function. Find
a resource in your community that could be used as a referral
source and share information about the services provided. Who is
eligible for the services? What could be done in order to improve the
accessibility, acceptability, affordability, or availability of this
resource in your community? Make sure to address all four of the
A’s in your posting.
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NR 443 Week 4 DQ 1 Concerns for the School Nurse

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Concerns for the School Nurse
As the school nurse role continues to evolve, there are increasingly
more health concerns for the school nurse. Does the locale make a
difference in the problems, or are health problems in children and
adolescents universal? In some inner-city areas, poor nutrition is a
prevalent issue. What do you think are the biggest problems in your
areas?
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NR 443 Week 4 DQ 2 Nurse's Role in Community Health
Settings
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Nurse’s Role in Community Health Settings
When caring for populations in community settings, the nurse has
many different roles, such as advocate, case manager, educator,
researcher, administrator, and so on. Choose one of the community

healthcare settings from your textbook or lessons and discuss how
one of these roles might be carried out by the community health
nurse in the setting you chose.
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NR 443 Week 4 Milestone 2 Assessment and Diagnosis
Purpose
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The purpose of this paper is to provide an opportunity to utilize
community assessment strategies, uncover a community health
problem, and identify the components of the problem related to the
community dynamics.
Course Outcomes
This assignment enables the student to meet the following Course
Outcomes.
CO 1. Evaluate the planning of delivery of care to individuals,
families, aggregates, and communities in a variety of healthcare
settings based on theories and principles of nursing and related
disciplines. (PO 1)

CO2. Integrate clinical judgment in professional decision-making
and implementation of the nursing process through analysis of
community health nursing practice. (PO 4)
CO7. Accept accountability for personal and professional
development as part of the life-long learning process. (PO 5)
This paper is expected to be no more than four pages in length (not
including the title page and reference list). Typical papers are
usually three pages. Below are the requirements for successful
completion of this paper.
Introduction: This should catch the reader’s attention with
interesting facts and supporting sources and include the purpose
statement of the paper. This should be no more than one or two
paragraphs.
Community: Identify the community by name that you will be using
for this paper and provide a brief, general description of the
community. Your community should be the area where you live or
work. This should be one or two paragraphs.
Demographic and epidemiological data: Compile a range of
demographic (population description) and epidemiological (causes
of health problems and death) data for your community by
examining census reports, vital statistic reports, city records,
morbidity and mortality reports, and other agency sources. Using
these data, describe the community and the problem. Compare your
community data to state or national data. This comparison will help

to identify a community health problem specific to your community.
A summary of these data should beno more than one page.
Windshield survey: Provide a brief summary of the findings from
your first assignment. Make sure to discuss elements that link your
observations to your identified problem. This should be no more
than one or two paragraphs.
Problem: Using the assessment data, identify the problem that you
consider to be a priority concern. Provide a rationale for your
choice and relate your choice to one of the Healthy People 2020
specific numbered objectives. Healthy People objectives are located
within a topic area under the Objectives page. Your rationale should
also include why this is specifically a problem in your community.
This should be no more than three paragraphs. Include support of
your rationale with at least two scholarly sources such as
professional journal articles related to your problem.
Summary: The summary paragraph of your paper should include a
statement about the problem, the population at risk for this problem,
and the major direct or indirect factors that contribute to this
problem. This information should be no more than one or two
paragraphs.
Reference page: All references cited within the paper should be
included on a separate References page.
Guidelines
Application: Use Microsoft Word 2010™ to create this assignment.
Use the categories above as APA headings for the sections of your
paper.

Length: This paper is expected to be no more than four pages in
length (not including the title page and reference list). Typical
papers are three pages.
Submission: Submit your file via the basket in the Dropbox: Caring
for Populations: Assessment and Diagnosis by 11:59 p.m. MT
Sunday of Week 4.
Technical writing: APA format is required. Review APA tutorials in
Doc Sharing and use the resources of Smarthinking for writing
tutors.
Do not use first person (I, me, my, our) in this paper. Make the
community the subject even in your windshield survey summary.
Save your paper with your last name in the document title (e.g.,
“Smith Assessment and Diagnosis”).
Late submission: See the course policy on late submissions.
Best Practices in Preparing the Paper
The following are best practices in preparing this project.
Complete the demographic, epidemiologic, and windshield survey
prior to choosing a problem to focus on.
Choose a nursing problem specific to your community.
Make sure all elements of the paper are addressed and headings for
each category are included.
Review directions thoroughly.
Cite all sources within the paper as well as on the References page.
Proofread prior to final submission.

Check for spelling and grammar errors prior to final submission.
Use the A column of the rubric below to ensure that you have
included all the needed elements.
Abide by the CCN academic integrity policy.
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NR 443 Week 5 DQ 1 Vulnerable Populations
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Vulnerable Populations
As nurses, we all know what we should do to maintain a healthy
lifestyle, but often knowledge does not translate into actual
behavior. Vulnerable populations may face additional individual
and/or societal barriers to being healthy. What are those barriers?
What can nurses do to overcome some of the barriers that you
identified?
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NR 443 Week 5 DQ 2 Priority Setting When Working
With Vulnerable Populations

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Priority Setting When Working With Vulnerable Populations
This week, we have discussed many different vulnerable
populations. Choose a vulnerable population and discuss what you
think the top three priorities are for a CHN working with them. Cite
at least one scholarly reference that supports your decision.
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NR 443 Week 6 DQ 1 Environmental Pollutants
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Environmental Pollutants
Visit the U.S. Environmental Protection Agency’s Envirofacts
website athttp://www.epa.gov/enviro/ . Enter your city, zip code, or
location. Explore the site to learn more about your environment and
things that might be impacting the health of its citizens. Identify
something new you learned about your environment and how it

could be affecting health by completing this statement, “I didn’t
know ____.” How could you, in the role of a community health
nurse, address these concerns?
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NR 443 Week 6 DQ 2 Disaster Preparedness
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Disaster Preparedness
Visit the websitehttp://www.ready.gov . Review the steps for being
prepared for a disaster. As a community health nurse, what
elements do you think are important to stress to the community?
How is your community preparing for a potential disaster, or how
has it prepared?
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NR 443 Week 6 Milestone 3 Intervention and Evaluation
Purpose

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The purpose of this PowerPoint presentation is to provide an
opportunity to develop a community health nursing intervention and
evaluation tool for your identified community health problem
(described in Milestone 2: Assessment and Diagnosis) and identify
the components of the nursing process as it applies to a community
or population.
Course Outcomes
Scenario
You are a Community/Public Health Nurse (C/PHN) working in
your setting of choice. You have identified a community health
problem and have analyzed the data collected from your windshield
survey and assessment & diagnosis assignments (the first two
milestones). You have decided on one nursing intervention and need
your organization’s approval for funding of this intervention. Your
leadership team has agreed to listen to your proposal.
Directions
Choose a community health nurse setting. Some examples of
settings are school nurse, parish nurse, home health nurse, nurse
working in the health department (be specific to what area in the
health department, e.g., WIC, STD clinic, health promotion,
maternal-child health, etc.)

Introduction: Introduce the identified problem, the purpose of the
presentation, and reiterate at least one or two important findings
that demonstrate this problem in your community (average of 1–2
slides)
Proposed Intervention: Propose one community health
nursingintervention that would address one or more of the major
direct or indirect factors that contribute to the problem. Keep in
mind the Public Health Intervention Wheel (Nies& McEwen, p. 14,
figure 1-3) as your framework (average of 3-4 slides). Your
intervention needs to be specific:
o Who is your target population?
o Where is this intervention taking place?
o Will it take place one time or multiple times?
o How will you reach out to your target population?
How will you get your target population involved?
o What is the CH Nurses role in this intervention?
o Will you collaborate with anyone (e.g., physician’s office, church,
local resources, etc.?)
o Is anyone else involved besides yourself (C/PHN)?

If yes, are they paid or volunteers?
o What level(s) of prevention is your intervention addressing
(primary, secondary and/or tertiary prevention)?
Intervention Justification: Justify why the problem and your
nursing interventions should be a priority.
o Based on what you have found in the literature, discuss why these
interventions are expected to be effective. Include summarized
information from at least two professional scholarly sources related
to your interventions (average of 2-3 slides).
Proposed Evaluation: Your presentation must include at least one
proposed quantitative or qualitative evaluation method that you
would use to determine whether your intervention is effective. It
should include the method you would use along with desired
outcomes. Outcome measurement is a crucial piece when
implementing interventions. There is a helpful tool in Doc Sharing
to assist you with understanding qualitative and quantitative
methods of evaluation. (average of 2-3 slides)
o Include discussion about the long-term and short-term impact on
your community if the intervention is successful. Keep in mind your
desired outcomes when analyzing the evaluation.
Summary: The summary should reiterate the main points of the
presentation and conclude with what you are asking to be
accomplished, e.g., “Based on ABC, it is imperative our community
has XYZ. Thank you for your consideration.”

In addition to the slides described above, your presentation should
include a title slide, and reference slide. Remember, you are
presenting to your leadership team, so the slides should include the
most important elements for them to know in short bullet pointed
phrases. You may add additional comments in the notes section to
clarify information for your instructor.
Guidelines
Application: Use Microsoft PowerPoint 2010.
Length: The PowerPoint slide show is expected to be no more than
20 slides in length (not including the title slide and reference list
slide).
Submission: Submit your files via the basket in the Dropbox:
“Caring for Populations: Intervention and Evaluation” by 11:59
p.m. Sunday of Week 6.
Save the assignment with your last name in the file title. Example:
“Smith Intervention and Evaluation”
Late Submission: See the course policy on late submissions.
Tutorial: If needed, Microsoft Office has many templates and
tutorials to help you get started.
Best Practices in Preparing PowerPoint
The following are best practices in preparing this project:
Be creative, but realistic with your intervention and evaluation tool.
Incorporate graphics, clip art or photographs to increase interest.

Slides should be easy to read with short bullet points and large font.
Review directions thoroughly.
Cite all sources within the slide show as well as on the reference
page.
Proofread prior to final submission.
Spell check for spelling and grammar errors prior to final
submission.
Abide by the CCN academic integrity policy.
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NR 443 Week 7 DQ 1 How Do You Define Health
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How Do You Define Health?
Think about how you define health. Do you think your definition is
universal, or is it specific to your culture and/or beliefs? How might
another culture’s definition differ?
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NR 443 Week 7 DQ 2 Affordable Healthcare

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Affordable Healthcare
Please explore the website www.healthcare.gov. Choose the “Get
Answers” tab towards the top of the page. Please review several of
the topics under this tab and share something that you learned
about how the Marketplace works and how this would apply to those
in your community.
The Affordable Care Act is a controversial topic and I’m sure there
are many different viewpoints represented in our class. For this
discussion, let’s focus on understanding the basics of the
Marketplace so that we can provide accurate information for our
patients and communities.
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NR 443 Week 8 DQ
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Get description from the link only.
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