Community Health Nursing

Course Details

Course Number: 4153  Section Number: 01

Fall 2013

Location: Bridwell Hall

Classroom Number: 108

Course Attachments

Textbooks

MSU Faculty Member
Dr. Betty Carlson Bowles PhD, MSN, RNC, IBCLC   
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Course Objectives
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Midwestern State University - Wilson School of Nursing
NURS 4152/4153 Community Health Nursing Care
Teaching Team:
Dr. Betty Bowles, BH 323, email betty.bowles@mwsu.edu or 940-397-4048
Professor Carol Collins, BH 326, email carol.collins@mwsu.edu or 940-397-4060
Cell: 940-704-7672
Adjunct Clinical Instructor:
Beth Arnold, barnold@vernoncollege.edu or 940-781-3653
Course Description
The focus is on application of holistic nursing principles in the community. Application of nursing process within the community will be explored. Utilization of epidemiological data, health promotion, disease prevention, health planning/teaching, and issues of diversity will be emphasized at the local, state, national, and global levels.
Prerequisites Student will be eligible to be a graduating senior by either being enrolled in NURS 4013 and/or NURS 4613 or will have completed those courses.
Co requisite NURS 4152 (Clinical Component of the course).
Credit Hours
Five credit hours to include three (3) lecture hours and eight (8) clinical hours per week. Additional clinical hours will be scheduled to meet the needs of the Program Development portion of the course. Clinical hours will total ninety (90) hours for the semester. Weekly times will change throughout the clinical assignments to meet the needs of the agencies and schools assigned. The health fair is a required component of this course and will be held on November 26.
Coded AACN Essentials and Coded DECS of Graduates of Texas Nursing
AACN Essentials: For further information regarding the AACN Essentials identified for each course objective, refer to http://www.aacn.nche.edu/education-resources/baccessentials08.pdf.
DEC Competencies: In the DEC Competencies below, the following designations apply: I: Member of a Profession II. Provider of Patient-Centered Care, III: Coordinator of Care, III: Patient Safety Advocate and IV: Member of the Health Care Team. For further information regarding the competencies identified for each course objective, refer to http://www.bon.texas.gov/about/pdfs/delc-2010.pdf.
Upon completion of the course, the student should be able to:
Objective
AACN Essentials
DEC Competencies
1.
Discuss the development of community health practice and community health nursing from a theoretical and historical perspective.
I,VII
IB.IC,IIB,IIE
2.
Discuss the concept
of wellness in communities and quality of care.
IV,V,VI,VII
1A,ID,IID,IIE,IVA,IVD
3.
Apply the concepts of health promotion and disease prevention to individuals
IV,VII,VIII,IX
IID,IIE,IIG,IIIA,IIIC
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and families in the global community
4.
Synthesize knowledge
to develop sustainable
wellness programs.
V,VI
IIE,IIF,IIG,IVA,IVD,IVE
5.
Examine the impact of cultural diversity on health promotion and disease prevention within the global community.
VII,
IB,IC,IIE,IIG
6.
Analyze the impact of vulnerable populations on health promotion and disease prevention within the global community.
VIII
IIG,IIIA
7.
Based on research findings analyze community needs and global health to identify interventions for wellness programs.
II,III
IIA,IIB,IIF,IIG,IIH,IVB,IVC,IVD
8.
Identify community resources for health promotion and disease prevention based on current research.
III,V
IIA,IIB,IIG,IIH,IVB,IVC,IVD
9.
Discuss and analyze the role of programs such as coordinated school health in the wellness of a
community.
VII
IIE,IIIE
10.
Demonstrate a nursing role in identifying and
coordinating community
health resources to meet
the needs of individuals and families within the community.
I,II,V,VI,IX
IB,IC,IIB,IIC,IIIB,IIIC,IIID,IVA,IVD,IVE
11.
Describe the nurse’s role in community preparedness, global health and bioterrorism.
II,
IC,IIB
12.
Demonstrate understanding of epidemiological principles in health promotion and disease prevention.
II,VII
IC,ID,IIB,IIE,IIG,IIIB,IIIC,IIID
Required Textbooks/Supplies:
Maurer & Smith. (2012). Community/Public Health Nursing Practice: Health for Families and Populations 5th Ed. ISBN: 9781455707621
American Psychological Association. Publication manual of the American Psychological Association (6th ed.). Washington DC
Midwestern State University BSN Handbook.
Student Responsibilities:
Students are responsible for all policies found in the BSN Handbook. Non-compliance with BSN requirements may lead to clinical and course failure. Students and faculty are expected to read and use the information presented in “Netiquette” and the course “Code of Conduct”.
Non-compliance in the expectations of these documents will incur a reduction in your grade.
1. Behaviors that detract from the learning process or disruptive behavior will NOT be tolerated. Professional behavior is expected in class as well as clinical. There will be no eating in class. Students are expected to come into class prepared and ready to begin the class promptly at 1:00pm. Students will sit in self-selected seats assigned to a seating chart. Late students may enter, however no attendance points will be
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given. In addition, students entering or leaving the classroom during class time will sit in the back row until a break. Students should use the time prior to class and at break to their advantage rather than disrupting class. If there is an emergency that requires you to leave during class, please sit in the back of the room until the next break.
2. Beepers and cellular phones are to be muted during all class sessions and clinical experiences so that others will not be disturbed. You are only allowed to use cell phones during breaks away from the clinical setting or after the clinical experience is over. We will provide you with a printed copy of the lecture outline.
3. All students are expected to post a “Head Shot” to D2L.
4. All class announcements will be posted on the “News” section of the Course Homepage in D2L.
5. The learner is expected to function as an adult learner in college level study. The learner is to comply with the following assignment guidelines.
6. All assignments will be written in Microsoft word. Assignments that are written in other programs will not be graded unless other arrangements are made with the instructor.
7. All assignments must indicate the student’s name and name of the assignment on each page. Pages are to be numbered.
8. Please communicate through emails that must begin with the student’s last name, and “Community” in the subject line.
9. Students are to read their course email at least twice weekly and to respond to messages within the week.
10. The faculty is expected to respond to the course email within the week it is sent. Faculty is not expected to respond on weekends. Feedback on assignments can be expected within two weeks of the assignment due date.
EVALUATION:
Theory Grade Required to Pass: There will be 3 exams that when averaged together must be a 74% or above to pass this course:
Should the student be absent from an exam or quiz, arrangements must be made according to the procedure found in the B.S.N. Student Handbook. Specifically, he/she must notify the instructor at least two hours prior to the exam. Failure to comply with this policy may result in a "0" for the exam missed. Any make-up exam may be different from the original exam and may include multiple choice, essay, short answer, true/false, and/or matching questions. The exam make-up date for missed exams is December 6, 2013.
Note: All clinical components of the course must be completed with a grade of pass to complete the course. Students must make arrangements with the clinical instructor prior to missing a clinical to obtain alternate clinical assignments to satisfy these requirements.
Learning Experiences
Lecture, group discussion, assigned and independent readings as well as web-based research with resources, community assignments and discussion on D2L provide clinical instruction. Students are expected to be self-directed in the acquisition of basic community health nursing knowledge. Students should arrive to lecture and clinical prepared to participate, having read assignments prior to class. Students are encouraged to ask questions for clarification purposes as appropriate during the didactic and clinical time.
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Exams:
There will be 3 exams this semester. Any exam missed will have to be taken on the make-up date at the end of the semester. Make up exams will not be in the same format as the original exam.
Grading Scale
90 - 100 .................................................................................................................................................... A
80 - 89 ...................................................................................................................................................... B
74 - 79 ...................................................................................................................................................... C
65 - 73 ...................................................................................................................................................... D
64 & Below ............................................................................................................................................. F
Grades will be based on whole number scores. Grades are not rounded.
Course Grading
Exams (3 @ 25% each) ........................................................................................................................... 75%
Program Planning Components ............................................................................................................... 20%
Attendance/Participation ........................................................................................................................... 5%
Total....................................................................................................................................................... 100%
Clinical Components
Health Fair/Program Development: Community Assessment, Planning, Implementation, & Evaluation
Pass
Fail
School Health: Participation and Assignments
Pass
Fail
Clinical Agencies- Vulnerable Populations: Participation and Assignments
Pass
Fail
Other Components: (Behavior Change Project, Service Learning, etc.)
Pass
Fail
The 90 hours of clinical will be broken down into the following:
3 agency clinicals @ 8 hours each ..................................................................................................... 24 hours
1 school health clinical @ 8 hours ....................................................................................................... 8 hours
3 program planning clinicals @ 8 hours each ................................................................................... 24 hours
Community Assessment/Windshield Survey ...................................................................................... 4 hours
Health Fair @ 8 hours of implementation and evaluation ................................................................... 8 hours
Behavior Change project @ 1 hour a week for 12 weeks and 4 hours of paperwork preparation .... 16 hours
Service Learning Hours ....................................................................................................................... 6 hours
Total................................................................................................................................................... 90 hours
Clinical Competence
Clinical Competence will be evaluated through the student’s journals, establishment and completion of individual clinical objectives, and interaction with clinical instructor and preceptors. Participation in clinical will exemplify professional community nursing. Students must comply with guidelines and contract stipulations at their clinical site. In order to successfully complete the clinical, a clinical evaluation must be completed with the instructor. Talk with your clinical faculty for further information.
All components must be completed with a grade of “pass” to complete the course. A Program Development portfolio will be maintained by each program planning GROUP that reflects required assignments for the Health Fair and is to be brought to each program planning clinical.
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These will be turned in as directed by Dr Bowles. There will also be clinical paperwork for all agencies and school health clinicals. The student submits all clinical assignments via the drop box within 24 hours after the clinical experience.
Program Planning and Community Assessment
An assessment of the community will be completed. Program Planning groups will be assigned and students will work together to complete the assessment. A completed copy of the community assessment/windshield survey is to be brought to the first program planning clinical.
Program Planning Clinical Week 1 - Topic Selection / Assessment of Needs & Resources / Goals & Objectives
Program Planning Clinical Week 2 - Planning and Implementation
Program Planning Clinical Week 3 - Marketing and Evaluation
Health Fair- Windthorst School, November 26, 2013
Behavior Change Project
Each student will identify one behavior to change this semester that is either a health promotion or risk reduction behavior. Instructions can be found on the home page. These topics should be chosen and approved Dr. Bowles. The completed plan and objectives will be due on the first Program Planning clinical day. Progress will be monitored during subsequent Program Planning clinicals. A final self-evaluation of your Behavior Change project will be due on the last class day.
Professional Image:
Students are to present a professional image at all times.
1. Clean and well-maintained professional or athletic shoes. Hair clean, neat and trimmed including facial hair for men. Hair is to be worn in a manner that prevents it from falling forward over the patient. Hair must be self-contained and unadorned. Clips, pins, ties must be the same color as the hair; no large bows permitted. Hair must be natural colors only. NO feathers or adornments allowed in the hair. Jewelry may include a wedding ring, a watch and one pair of earrings that do not dangle and are no larger than a dime. A single neck chain is allowed.
2. An approved MSU BSN name badge is to be worn at all times. No cologne or perfume; makeup in moderation. Nails must be maintained as clean, neat and trimmed short with NO polish. Artificial nails are not permitted by the health care agencies. NO visible tattoos.
3. In addition to the requirements found in the BSN Handbook the students will maintain professional dress when not in the BSN uniform. Professional dress does not constitute jeans or casual clothing. The student will wear slacks that are neat and clean. The shirt or blouse or jacket will cover the student while the student is actively participating in clinical. For example, if there is separation between the shirt and slacks it is not acceptable. Shirt/blouse must not fall forward when bending forward. The image you present reflects the university, your profession and yourself. If you are not in compliance with these guidelines you will receive a clinical failure for the day and will be required to make up that clinical. Please note for all Community Clinical experiences regarding dress code: any reference to Professional dress means khaki slacks or a skirt (not jeans) and a maroon polo shirt with the appropriate name tag.
4. Students should be prompt to clinical. In the event of an emergency that might necessitate your tardiness, you are to contact the clinical instructor and agency. A reassignment of a make-up clinical will be done if deemed more appropriate.
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5. Incidents of disregarding professional ethics or standards of care may also include but are not limited to the following:
a. Nonconforming to the dress code
b. Unprofessional/inappropriate language or gestures
c. Unprofessional/inappropriate behavior
d. Disregarding patient confidentiality
e. Patient negligence including leaving the premises early without permission from the preceptor and/or agency and/or letting the clinical instructor know
f. Omissions and falsification and/or lying on any of your paperwork
g. Studying for exams, HESI, completing other course paperwork, etc. during class and/or clinical.
Clinical Failure:
Clinical failures are awarded students who fail to meet the objectives of the clinical experience, students who fail to uphold the ANA Practice Standards and the ANA Code of ethics, students who fail to maintain patient safety, and students who fail to complete all of their clinical hours.
Clinical Infractions constituting clinical failure:
STUDENTS ARE NOT TO ADMINISTER MEDICATIONS UNLESS DIRECTLY SUPERVISED BY A FACULTY MEMBER OR PRECEPTOR
Failure of the clinical component of the course occurs when the student receives an unsatisfactory rating in any area of the evaluation tool or does not complete the 90 hours of clinical. Absences will be rescheduled at the discretion of the course coordinator.
Certain behaviors result in an unsatisfactory rating in the professional behavior section of the evaluation rubric. Please understand that these infractions can occur during the same clinical and result in a failure.
Three incidents of infractions to the standard of professional behavior to include but not limited to:
 Arriving to a clinical experience without completing the pre-clinical assignment even if allowed to stay in the clinical
 Not conforming to the dress code even if allowed to stay in the clinical
 Not bringing appropriate supplies to the clinical experience even if allowed to stay in the clinical
 Unprofessional/inappropriate language or gestures
 Unprofessional/inappropriate behavior such as disrespectful behavior, chewing gum, using tobacco products in non-smoking areas, disruptive behavior, or failure to comply with a written or verbal instruction including reminders to update immunizations and other clinical requirements
 Arriving late to any clinical site even if allowed to stay in the clinical
 Non-compliance with the policy to notify the instructor and the agency of a clinical absence prior to the absence or as soon as possible if immediate notification is not possible
 Non-compliance with the policy to receive written prior approval before attending the clinical and/or the policy to notify the clinical instructor of absences prior to attending the clinical or as soon as the student realizes he/she must leave the clinical experience.
 Leaving the premises without permission from the clinical instructor
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 Failure to complete assignments by the due dates
 Failure to return from meals or breaks at the assigned time
 Use of a cell phone for calling, texting, e-mailing or receiving calls, texts or e-mails in the clinical area unless given permission by the clinical instructor
Two incidents of infractions to the standard of professional behavior to include but not limited to:
 Disregarding patient confidentiality without malice or intent to disclose
 Patient negligence that does not result in patient injury
 An error in care that does not harm a patient
 Committing two infractions from the list above as well as one in this list
Infractions to the standard of professional behavior that results in immediate failure of the clinical component of the course to include by not limited to:
 Administering medications without the direct supervision of a faculty member or preceptor
 Failing to check two patient identifiers prior to administering medications.
 The smell of alcohol on the breath
 Testing positive for illicit drugs or alcohol
 An error in care or patient negligence that harms a patient
 Falsification, omissions, and/or lying
 Intentionally revealing confidential information
 Placing self, staff or patient at risk of harm due to abandonment of duties and/or sleeping during clinical experiences
 Cheating, collusion, plagiarism, or stealing. Cheating/collusion/plagiarism – cheating means intentionally using or attempting to use unauthorized materials, information, or study aids in any academic exercise; collusion means the
 unauthorized collaboration with another person in preparing work offered for credit; plagiarism means intentionally representing the words or ideas of another as one’s own in any academic exercise.
 Performing in an unsafe manner.
 Failure to report a patient care error or incident.
 Physical or verbal abuse of patients, patient’s family members, faculty or staff
Course Attendance
Students are expected to attend all classroom experiences that are scheduled. Attendance is expected and roll will be taken during each class. There will also be assignments that will be done in class that students will not receive credit for if absent from class. Students are responsible for notifying their instructor of any absences. Unless it is an emergency, notification must be prior to the scheduled time of the classroom. Excessive unexcused absences from either classroom or clinical experiences will result in removal from the course at the discretion of the faculty.
Clinical Attendance
Students are expected to attend all clinical experiences that are scheduled. Students are responsible for notifying their clinical instructor if they are to be absent from clinicals. Students are also to notify the agency of the absence as well. Unless it is an emergency, notification must be prior to the scheduled clinical experience. All clinical time missed must be completed to pass
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the class. This includes schools, agencies and program planning. Any clinical absences will be made up at the discretion of the faculty member and will be scheduled by the faculty.
Late Work:
Contact the instructor immediately whenever you determine that your work will be late.
Grade adjustments and penalties will be given as warranted. Late assignments will incur a five-point deduction from the grade for each day the assignment is late, including weekend days. Contact the instructor immediately if circumstances exist that will make your work late.
Grade Posting:
Faculty may include comments to your grade when submitted on the assignment drop box. Carefully read the comments for further clarification of the grade and required additions or corrections to the assignment. Contact the instructor if you have questions or concerns.
Failure Policy:
Students must meet all course requirements. A grade of “F” will be assigned if requirements are not met. Students are expected to pass both clinical and theory components of the course. Failure in either clinical performance or theory components will result in failure of the course.
The faculty reserves the right to recommend to the School of Nursing Chair and College of Health and Human Services Dean withdrawal of a student from the nursing program for health, legal, or academic reasons, particularly if client care is jeopardized. In addition, the student must perform within the ANA Standards of Practice and Code of Ethics. See MSU B.S.N. Student Handbook for additional requirements. If student performance falls below acceptable standards of practice, then the student will not successfully complete the clinical component of the course.
Cheating Policy
The B.S.N. Program does not condone cheating in any form and considers it as a serious offense that could result in removal from the program. Dishonesty on examinations, falsifying any paperwork, using other student’s work and plagiarism defines cheating. Plagiarism is further defined as "the act of using source materials of other persons (either published or unpublished) without following the accepted techniques of crediting, or the submission for credit of work not the individual's to whom credit is given.” (MSU Student Handbook, Standards of conduct, Item 10.) Offending material that may constitute plagiarism includes, but is not limited to bibliography cards, formal papers, book reports, written nursing care plans, etc. For further information regarding cheating and any subsequent actions to be taken please refer to the policy statement in the B.S.N. Student Handbook.
Plagiarism Statement
By enrolling in this course, the student expressly grants MSU a “limited right” to all intellectual property created by the student for the purpose of this course. The “limited right” shall include but shall not be limited to the right to reproduce the student’s work product in order to verify originality, and for educational purposes.
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MIDWESTERN STATE UNIVERSITY STUDENT HONOR CREED
“As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else to do so.”
As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.
Thus, we, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.
We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one’s own work, work or ideas which are not entirely one’s own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.
We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.
Written and adopted by the 2002-2003 MSU Student Senate
Academic Support and Advising:
The student is required to review the resources found on the Academic Support home page http://academics.mwsu.edu/supportcenter/. Further information may located by contacting the offices of each department found listed on this page.
The student is required to effectively utilize the resources found at Moffett library on campus. You are expected to tour the library after the course orientation and locate the resource librarian assign to nursing. Distance policies for library usage are to be located by asking at the resource desk. Review the library home page http://library.mwsu.edu/ for further information.
The Americans with Disabilities Act
Midwestern State University does not discriminate on the basis of an individual's disability and complies with Section 504 and the Americans with Disabilities Act in its admission, accessibility, and employment of individuals in programs and activities. MSU provides academic accommodations and auxiliary aids to individuals with disabilities, as defined by law, who are otherwise qualified to meet academic employment requirements. For assistance call (940) 397-4618 or (940) 397-4515.It is the student's responsibility to declare any disabilities. After declaration, preferably at the beginning of each semester, the student needs to contact individual instructors to determine any reasonable accommodations that may be required.
The Community faculty reserves the right to make changes to this syllabus at any time. Please note: This is the official course syllabus for student use this semester; therefore, students enrolled in this course will be held accountable for all of the contents.

Submission Format PolicyNote: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Plagiarism Policy Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception. Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters. We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student. We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed. Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, 397-4140.

Safe Zones Statement The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Writing Proficiency Requirement All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed English 1113 and English 1123 and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at http://academics.mwsu.edu/wpr, or call 397-4131.