| Course | NUR-3280 Health Assessment and Health Promotion |
|---|---|
| Module | Module 6 |
| Paper type | Health promotion plan |
| Length | About 1,048 words, 6 pages |
| Format | APA 7 student paper |
| School | Thomas Edison State University |
| Program | Accelerated B.S.N. Program |
| Updated | October 2026 |
Free sample paper for NUR 3280 Module 6
Quit Before the Season Starts: A Health Promotion Plan for One Waterman, Built With the Client and Defended With Evidence
Student Name
Accelerated B.S.N. Program, Thomas Edison State University
NUR-3280: Health Assessment and Health Promotion
Mentor Name
Month Day, Year
Quit Before the Season Starts: A Health Promotion Plan for One Waterman, Built With the Client and Defended With Evidence
This final paper completes a course-long assessment of one volunteer client, a forty-nine-year-old oyster harvester. Assessment found a pack-a-day smoking habit of twenty-two years, a positive alcohol screen, repeated blood pressures around 144 over 92, reduced hearing on screening, sun-damage skin lesions and no preventive care in four years. The previous module used Pender's Health Promotion Model to explain the client's long absence from preventive care. This paper sets out a health promotion plan built with the client in a single off-season visit: how priorities were chosen, three objectives with dates and measures, the interventions for each and the evidence behind them, and how the plan will be evaluated.
Choosing Priorities With the Client
A plan that lists every problem found in assessment is a plan nobody follows. I used a motivational interviewing approach, which Miller and Rollnick (2023) present as a partnership in conversation, in which the nurse listens for and builds on the reasons the client already has, rather than handing over reasons of the nurse's own. I asked the client which of the findings mattered most to them and what they might be willing to try. The client chose smoking first, saying a crewmate who quit had more wind on the boat, then the blood pressure because of the father's heart attack, and then the skin, because the original question about the face had not gone away. Hearing protection and alcohol were discussed, and the client agreed to revisit them at the follow-up visit.
Pender et al. (2015) describe commitment to a plan of action as the step that links intention to behavior, and they emphasize that plans are more likely to succeed when the person sets specific actions and times. Letting the client rank the priorities was not a courtesy; it was the most important intervention in the plan, because a goal the client chose carries perceived benefit that a goal assigned by a nurse does not.
The conversation took about twenty minutes and used open questions, reflections and summaries rather than advice. When the client said quitting had failed twice, I reflected that two attempts showed they cared about quitting, and asked what had helped for the days it worked. The answer, staying busy on the boat and avoiding the dock bench where the crew smoked, became part of the quit plan. A nurse who had started by listing the dangers of smoking would never have heard it.
Objective One: Stop Smoking Before the Season
Objective: the client will set a quit date of February 1, before the boats return to the water in March, and will report no cigarettes in the seven days before the four-week follow-up call, confirmed by self-report. Interventions: the client will see the primary care provider in January to discuss medication, enroll in the state's free telephone quitline, and remove cigarettes from the truck and boat bag on the quit date. The evidence supports combining behavioral support with medication. The federal preventive services task force tells clinicians to advise every adult who smokes to quit and to offer both counseling and approved cessation drugs (US Preventive Services Task Force, 2021). A Cochrane review found high-certainty evidence that varenicline more than doubled quit rates compared with placebo, while noting a modest increase in reported serious adverse events (Livingstone-Banks et al., 2023). As a nursing student I cannot recommend a specific drug, but I can make sure the client arrives at the provider's office knowing that effective medicine exists and asking about it.
Objective Two: Confirm and Lower Blood Pressure
Objective: by March 1, the client will complete one week of home blood pressure readings with a validated upper-arm monitor, twice each morning and evening, and bring the log to the primary care visit; by June, the client will report two lifestyle changes from an agreed list. Interventions: I showed the client how to measure correctly at home, seated with the back supported and the arm at heart level, and gave a printed log. The lifestyle options were chosen by the client from a short list: cutting the dock fast food to twice a week, replacing one weekend evening of drinking with an alternative, and walking during the off-season. Quitting smoking will also lower cardiovascular risk. Home readings are important because the national guideline calls for confirming office readings outside the clinic before diagnosis, and the provider will decide on treatment.
Objective Three: Protect the Skin and Act on the Lesions
Objective: by April 15, the client will have attended a dermatology appointment for evaluation of the lesions documented in the skin assessment, and from the first day of the season will wear a wide-brimmed hat and a long-sleeved sun shirt on the boat on at least four days a week, by self-report at the summer follow-up. Interventions: I helped the client ask the primary care office for a referral during the January visit and discussed sun protection that fits the work, since sunscreen washes off in spray and a cap leaves the ears exposed. The partner offered to buy the shirts as a birthday present, an interpersonal influence of exactly the kind Pender's model identifies as powerful. I also reviewed wound care for hand cuts and the signs that need same-day care, since cuts exposed to bay water can become seriously infected.
The partner's involvement also matters for blood pressure and smoking. A household that eats together and spends evenings together shapes both, so the June visit will include the partner if the client agrees.
Evaluation and Revision
The plan will be evaluated at a four-week telephone call and an in-person visit in June. Each objective has its own measure: seven-day abstinence, a completed home log and the provider visit, and a completed dermatology appointment plus self-reported protection. If the quit attempt fails, the plan is not abandoned; relapse is common, and the next step is to review what triggered it and set a new date, which Miller and Rollnick (2023) frame as part of a normal change process rather than a failure. Hearing protection and alcohol will be added at the June visit if the first three objectives are on track, in keeping with the client's own ranking.
References
Livingstone-Banks, J., Fanshawe, T. R., Thomas, K. H., Theodoulou, A., Hajizadeh, A., Hartman, L., & Lindson, N. (2023). Nicotine receptor partial agonists for smoking cessation. Cochrane Database of Systematic Reviews, 2023(5), Article CD006103. https://doi.org/10.1002/14651858.CD006103.pub8
Miller, W. R., & Rollnick, S. (2023). Motivational interviewing: Helping people change and grow (4th ed.). Guilford Press.
Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2015). Health promotion in nursing practice (7th ed.). Pearson.
US Preventive Services Task Force. (2021). Interventions for tobacco smoking cessation in adults, including pregnant persons: US Preventive Services Task Force recommendation statement. JAMA, 325(3), 265-279. https://doi.org/10.1001/jama.2020.25019
What the NUR 3280 Module 6 instructions ask for
The final module of NUR-3280 usually asks for a health promotion plan for one client. The prompt usually wants priority needs drawn from your assessment, involve the client in setting goals, write measurable objectives, describe nursing interventions with supporting evidence, and explain how the plan will be evaluated. Some sections require a specific theory, often the one used in the previous module, and some ask for a teaching plan within the promotion plan. Read the TESU course site for the format, the number of objectives expected and whether a table is preferred. Keep interventions within the nursing role; medications should be discussed as referrals to a provider.
How this NUR 3280 Module 6 example is built
The plan opens with a summary of assessment findings and links to the theory from the previous module. A section on priorities explains how motivational interviewing let the client choose and rank three goals, and why that choice matters according to the health promotion model. Three objective sections follow the same pattern: a dated, measurable objective, interventions tailored to the client's work and family, and the evidence for the approach, including a federal tobacco recommendation and a Cochrane review. The student role on medications is stated explicitly. The evaluation section gives a measure and a date for each objective, a response to relapse and the order in which deferred goals will be added.
NUR 3280 Module 6 rubric: what earns full marks
Health promotion plans are commonly graded on priority setting with the client, quality of objectives, appropriateness and evidence of interventions, use of theory, the evaluation plan, and writing. Objectives must be specific and measurable with a time frame, and mentors check that each intervention is supported by current evidence and fits the client's circumstances. Involving the client in choosing goals often earns credit in the priority row. The theory row rewards papers that use the model's constructs to design interventions rather than mention the model. Evaluation is judged on whether each objective can actually be measured and whether the plan explains the response when a target is missed. Scope of practice matters too.
Common NUR 3280 Module 6 mistakes, and how to avoid them
Common problems in promotion plans include too many goals, objectives that cannot be measured, and interventions copied from a textbook rather than tailored to the client. Limit the plan to the client's top priorities and write each objective with a date and a measure. Another frequent error is recommending medications directly; as a student, describe referral and education. Plans also fall short when they assume success; say what the next step is after a missed target, because missed targets are normal in behavior change. Use evidence from recommendation statements and systematic reviews where possible. Send your assessment notes and prompt, and the desk will write the plan around your client.
Write yours, or have the desk draft it
This paper is an original model document written by our desk, not a submitted student paper and not an official Thomas Edison State University document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.
More NUR 3280 and Accelerated B.S.N. Program sample papers
- NUR 3280 Module 1: Assessment Technique Paper
- NUR 3280 Module 2: Health History and Interview
- NUR 3280 Module 3: Skin Assessment Write-Up
- NUR 3280 Module 4: Multi-System Assessment
- NUR 3280 Module 5: Health Promotion and Screening
- NUR 4420 Module 2: Community Assessment Paper
- NUR 4500 Module 4: Integrative Synthesis Paper
NUR 3280 Module 6 questions, answered
Where can I find a free NUR 3280 Module 6 sample paper?
This page has the full promotion plan, with references and margin notes. It plans smoking cessation, blood pressure follow-up and skin protection for a waterman; use the same structure for your client's priorities.
How many objectives should a NUR-3280 promotion plan include?
Usually two to four. Choose the priorities the client cares about most and that carry the greatest risk, and write each as a specific, measurable objective with a date. Additional needs can be scheduled for later follow-up.
How do I involve the client in the plan?
Ask which findings matter most to them and what they are willing to try, reflect their reasons back, and let them rank the goals. Motivational interviewing techniques help, and plans built this way are more likely to be followed.
Can a student nurse recommend smoking cessation medication?
No. Explain that effective medications exist, encourage the client to discuss them with a provider, and support behavioral strategies such as quitlines. Cite evidence to show why the referral matters.
What should the evaluation section include?
A measure, a date and a method for each objective, plus what you will do if an objective is not met. Including a follow-up schedule and a plan for relapse shows that you understand behavior change as a process.