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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

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

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

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
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
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
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

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
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
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
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

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
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
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

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
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

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
Get description from the link only.
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