Md. 1 Assignment 8081

Create a 10 slide PowerPoint presentation that adheres to the following: • In a minimum of 8 slides (2 slides per theorist), provide an overview of each theorist—Piaget, Vygotsky, Skinner, and Chomsky—that includes: o key language acquisition and developmental principles; and o major contributions to the field of language acquisition and development. • At least 2 additional slides that explain: o why the information shared by these theorists is vital to early childhood educators; and o how early childhood educators can use this information in their practice. Cite at least three references in APA format to substantiate your thinking. PowerPoint in APA STYLE ... continue reading.

WK10 ASSIGN NURS 6630

Assignment: Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction Impulsivity, compulsivity, and addiction are challenging disorders for patients across the life span. Impulsivity is the inclination to act upon sudden urges or desires without considering potential consequences; patients often describe impulsivity as living in the present moment without regard to the future (MentalHelp.net, n.d.). Thus, these disorders often manifest as negative behaviors, resulting in adverse outcomes for patients. For example, compulsivity represents a behavior that an individual feels driven to perform to relieve anxiety (MentalHelp.net, n.d.). The presence of these behaviors often results in addiction, which represents the process of the transition from impulsive to compulsive behavior. In your role as the psychiatric nurse practitioner (PNP), you have the opportunity to help patients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction. Reference: MentalHelp.net. (n.d.). Impaired decision-making, impulsivity, and compulsivity: Addictions’ effect on the cerebral cortex. https://www.mentalhelp.net/addiction/impulsivity-and-compulsivity-addictions-effect-on-the-cerebral-cortex/ To prepare for this Assignment: Review this week’s Learning Resources, including the Medication Resources indicated for this week. Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring therapy for impulsivity, compulsivity, and addiction. The Assignment: 5 pages Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. Introduction to the case (1 page) Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Decision #1 (1 page) Which decision did you select? Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #2 (1 page) Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #3 (1 page) Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Conclusion (1 page) Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature. Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature. Reminder : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting. Week 10: Therapy for Patients With Impulsive/Substance Use Disorders (SUD) Impulsivity and compulsivity have a wide range of clinical presentations and often overlap with many other psychiatric disorders. Some individuals act without forethought and have difficulty saying “no” to certain things, such as using illicit drugs or spending money, whereas other individuals engage in compulsive behaviors with undesirable consequences. In some cases, these impulsive and compulsive behaviors also fuel issues with addiction. To effectively assess and treat patients, you must understand how these disorders differ as well as how their symptoms impact patients and their families. This week, as you examine therapies for individuals with impulsivity, compulsivity, and addiction, you explore the assessment and treatment of patients with these disorders. You also consider ethical and legal implications of these therapies. Learning Objectives Students will: Assess patient factors and history to develop personalized therapy plans for patients with impulsivity, compulsivity, and addiction Analyze factors that influence pharmacokinetic and pharmacodynamic processes in patients requiring therapy for impulsivity, compulsivity, and addiction Synthesize knowledge of providing care to patients presenting for impulsivity, compulsivity, and addiction Analyze ethical and legal implications related to prescribing therapy for patients with impulsivity, compulsivity, and addiction Learning Resources Required Readings (click to expand/reduce) Kelly, J. E., & Renner, J. A. (2016). Alcohol-Related disorders. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 163–182). Elsevier. Renner, J. A., & Ward, N. (2016). Drug addiction. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 163–182). Elsevier. Substance Abuse and Mental Health Services Administration. (1999). Treatment of adolescents with substance use disorders: Treatment improvement protocol series, no. 32. http://www.ncbi.nlm.nih.gov/books/NBK64350/ Chapter 1, “Substance Use Among Adolescents” Chapter 2, “Tailoring Treatment to the Adolescent’s Problem” Chapter 7, “Youths with Distinctive Treatment Needs” University of Michigan Health System. (2016). Childhood trauma linked to worse impulse control. Journal of Psychosocial Nursing & Mental Health Services, 54(4), 15. Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014). Pharmacological treatments in pathological gambling. British Journal of Clinical Pharmacology, 77(2), 375–381. https://doi.org/10.1111/j.1365-2125.2012.04457.x Hulvershorn, L. A., Schroeder, K. M., Wink, L. K., Erickson, C. A., & McDougle, C. J. (2015). Psychopharmacologic treatment of children prenatally exposed to drugs of abuse. Human Psychopharmacology, 30(3), 164–172. https://doi.org/10.1002/hup.2467 Loreck, D., Brandt, N. J., & DiPaula, B. (2016). Managing opioid abuse in older adults: Clinical considerations and challenges. Journal of Gerontological Nursing, 42(4), 10–15. https://doi.org/10.3928/00989134-20160314-04 Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature. Journal of Dual Diagnosis, 8(1), 74–84. https://doi.org/10.1080/15504263.2012.648439 Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C., Zunta-Soares, G. B., Hatch, J. P., Olvera, R., Swann, A. C., & Soares, J. C. (2014). Impulsivity in children and adolescents with mood disorders and unaffected offspring of bipolar parents. Comprehensive Psychiatry, 55(6), 1337–1341. https://doi.org/10.1016/j.comppsych.2014.04.018 Medication Resources (click to expand/reduce) IBM Corporation. (2020). IBM Micromedex. https://www.micromedexsolutions.com/micromedex2/librarian/deeplinkaccess?source=deepLink&institution=SZMC%5ESZMC%5ET43537 Note: To access the following medications, use the IBM Micromedex resource. Type the name of each medication in the keyword search bar. Be sure to read all sections on the left navigation bar related to each medication’s result page, as this information will be helpful for your review in preparation for your Assignments. naltrexone (revia/vivitrol) naloxone acamprosate disulfiram Required Media (click to expand/reduce) Case Study: A Puerto Rican Woman with Comorbid Addiction  Note: This case study will serve as the foundation for this week’s Assignment. Optional Resources (click to expand/reduce) Lupi, M., Martinotti, G., Acciavatti, T., Pettorruso, M., Brunetti, M., Santacroce, R., Cinose, E., Di Iorio, G., Di Nicola, M., & Di Giannantonio, M. (2014). Pharmacological treatments in gambling disorder: A qualitative review. Biomed Research International, 2014. https://doi.org/10.1155/2014/537306 Comorbid Addiction (ETOH and Gambling) 53-year-old Puerto Rican Female BACKGROUND Mrs. Maria Perez is a 53 year old Puerto Rican female who presents today due to a rather “embarrassing problem.” SUBJECTIVE Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past 2 years, she has been having more and more difficulty maintaining her sobriety since the opening of the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during its grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past 2 years and she is concerned about the negative effects of the cigarette smoking on her health. She states that she attempts to abstain from drinking but she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much,” but she enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much. She currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight. Mrs. Perez is quite concerned today because she borrowed over $50,000 from her retirement account to pay off her gambling debts, and her husband does not know. MENTAL STATUS EXAM The client is a 53 year old Puerto Rican female who is alert and oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. When you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation and self-reported mood. She denies visual or auditory hallucinations, and no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact; however, impulse control is impaired. She is currently denying suicidal or homicidal ideation. Diagnosis: Gambling disorder, alcohol use disorder Decision Point One Select what you should do: Vivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeksAntabuse (disulfiram) 250 mg orally dailyCampral (acamprosate) 666 mg orally three times/day Comorbid Addiction (ETOH and Gambling) 53-year-old Puerto Rican Female Decision Point One Vivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeks RESULTS OF DECISION POINT ONE Client returns to clinic in four weeks Mrs. Perez says she feels “wonderful” as she has not “touched a drop” of alcohol since receiving the injection Client reports that she has not been going to the casino, as frequently, but when she does go she “drops a bundle” (meaning, spends a lot of money gambling) Client She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also has her concerned Decision Point Two Add on Valium (diazepam) 5 mg orally TID/PRN/anxiety RESULTS OF DECISION POINT TWO Client returns to clinic in four weeks Mrs. Perez reports that when she first received the Valium, it helped her tremendously. She states “I was like a new person. This is a miracle drug!” However, she reports that she has trouble “waiting” between drug administration times and sometimes takes her Valium early She is asking today for an increase the Valium dose or frequency Decision Point Three Continue current dose of Vivitrol, increase Valium to 10 mg orally TID/PRN/anxiety. Refer to counseling for her ongoing gambling issue Guidance to Student Anxiety is a common side effect of Vivitrol. Mrs. Perez reports that she is doing well with this medication, and like other side effects, the anxiety associated with this medication may be transient. The psychiatric mental health nurse practitioner should never initiate benzodiazepines in a client who already has issues with alcohol, or other substance dependencies. Additionally, benzodiazepines are not to be used long-term. Problems associated with long-term benzodiazepine use include the need to increase the dose in order to achieve the same therapeutic effect. This is what we are seeing in Mrs. Perez’s case. The most appropriate course of action in this case would be to continue the current dose of Vivitrol, while decreasing the Valium with the goal of discontinuation of the drug within the next two weeks. At that point, you would need to evaluate whether or not the side effect of anxiety associated with Vivitrol persists. Increasing the dose of Valium would not be appropriate, neither would maintaining her on the current dose of Valium. Additionally, the client should be referred for counseling to help with her gambling addiction, as there are no FDA approved medications gambling disorder. Medication should never be added treat side effect of another medication, unless that side effect is known to be transient (for instance, benzodiazepines are sometimes prescribed to overcome the initial problem of “activation” associated with initiation of SSRI, or SNRI therapy). However, in a client with multiple addictive disorders, benzodiazepines should never be used (unless they are only being used for a limited duration of therapy such as acute alcohol detoxification to prevent seizures). Additionally, it should be noted that Mrs. Perez continues to engage in problematic gambling, at considerable personal financial cost. Mrs. Perez needs to be referred to a counselor who specializes in the treatment of gambling disorder, and should also be encouraged to establish herself with a local chapter of gamblers anonymous. You need to discuss smoking cessation options with Mrs. Perez in order to address the totality of addictions, and to enhance her overall health. ... continue reading.

Foundation of Leadership 1b – The Future of work

Read the Harvard Business Review article posted in the Module 1 activities 1. What are ways leaders can best manage through continuous change? 2. What are ways to support employees in an environment of continuous change? ... continue reading.

reaction 4 Must have an abstractmust be two pages long no plagiarism  The topic is  Defending Against Catastrophic Terrorism Instructions: For e

reaction 4 Must have an abstract must be two pages long  no plagiarism   The topic is  Defending Against Catastrophic Terrorism  Instructions: For each of the papers, students should  clearly identify their topics and present their personal viewpoints or perspectives; however, students must  also present a factual basis for those viewpoints (as opposed to an opinion paper). All references  supporting the factual basis must be properly cited to the original sources in accordance with APA  guidelines. All papers must be the work of the individual student. An Abstract is required for all papers.   The completed reaction paper should be typed in a double-spaced format with the correct APA citations,  formatting, and references. The scholarly paper assignment is to be no longer than two, typed, double-spaced pages in summary format and it is expected that each student will devote a great deal of initiative  toward producing a quality, scholarly product worthy of the high academic standards established at Saint  Leo University.  The paper will be evaluated based on the following criteria (see the rubric on the next page for the scoring  breakdown): a. Thoroughness: How extensively does the paper develop the issue? Does the student show depth  and understanding of the subject, or is the analysis superficial? Does the paper clearly identify its  focus and logically analyze and discuss the topic? b. Scholarly quality: Does the assignment meet acceptable college level standards with respect to  form and substance? Are the ideas presented in a clear, concise manner? Are there numerous  typographical, spelling, or grammatical errors? (Each such error deducts points off the grade).  Do not quote or cut and paste information to develop or write your paper. Use your own words  and summarize. ... continue reading.

“Excel Worksheet”

It is important to be able to create various spreadsheets within Excel. For this assignment, you will create six sheets within Excel. The six sheets are to be created with the following instructions and the “Excel Worksheet Template”: Sheet 1 Open the Excel Worksheet found with these instructions in “Excel Assignment” in Topic 3. Type your first and last name in cell A1. Type “UNV-504” in cell A2. Type “Topic 3 Excel Assignment” in cell A3. Double click Sheet 1 in the bottom left corner and rename Sheet 1 as “Title Sheet.” Sheet 2 (Review “Excel 2010 Tutorial for Beginners #3 – Calculation Basics & Formulas” and “Excel 2010: Basic Functions”) Open Sheet 2 by clicking the Sheet 2 tab at the bottom of the Excel Workbook. In cell D1, type “Total Unit Sales.” Using the basic calculation functionality of Excel, find the total unit sales (Price per Unit times the Units Sold) for each product. Do not use a separate calculator to find the results. Include the result in column D. Type “Average” in cell A12. In cell B12, insert a function to find the average price per unit. In cell C12, insert a function to find the average number of units sold. Change the price per unit of weed spray to $26.06. Change the plastic buckets units sold to 359. Type Total Sales in cell F4. Insert a function in cell G4 for the sum of all Total Unit Sales. Rename Sheet 2 “Garden Store.” Sheet 3 (Review “Excel 2010 Tutorial for Beginners #11 – Charts Pt.2 Pie Chart”) Create a pie chart using the data in columns D and E. Add data labels so that each slice of the pie shows the corresponding percentage and instrument family. Rename Sheet 3 “Symphony.” Sheet 4 (Review “Creating a Line Graph in Microsoft Excel”) Create a line graph for Northeast Sales and Southeast Sales using the data provided. Create a second line graph for Northwest Sales and Southwest Sales using the data provided. Rename Sheet 4 “Division Sales.” Sheet 5 (Review “Create an X Y Scatter Chart”) Create a scatterplot using the data provided. Label the X-Axis “Attendance” and the Y-Axis “Soft Drink Sold.” Label Sheet 5 “Drinks.” Sheet 6 (Review “Adding or Renaming a Worksheet in Excel 2010”) Create a new tab. In cell A1, type the most challenging part of this assignment. In cell A2, write something new that you learned. Label Sheet 6 “Last.” Save the Excel Worksheet and submit in LoudCloud. ... continue reading.

Discussion Board – 300 Words – 1 APA Scholarly Reference

Written communication comes in many forms. In a digital workplace, the use of written communication is essential. When the received relies only on the written word, there is an increased opportunity for miscommunication. Please share an example of current event that involved written communication that you have created or seen that did not meet the intended purpose. Please share how you would have modified this communication to demonstrate effective leadership. ... continue reading.

Homework Question

For this assignment, develop four questions that could be asked of Alice Jones, senior Netflix executive, during an upcoming negotiation session. This information should be helpful in crafting an integrative bargaining proposal, i.e., a win-win situation that increases the likelihood of reaching a mutually beneficial outcome. In other words, it meets, as best as possible, the extrinsic and intrinsic interests of both parties. Specifically, you should keep these criteria in mind: Create questions that will obtain information about Alice Jones’ interests in the bargaining session. They should cover all four categories: open, closed, alternative, and leading, as defined below. Possible questions could explore Alice Jones’ short- and long-term career plans, personal interests, and any personal challenges she may be facing. In other words, you are trying to determine Alice Jones’ zone of potential agreement (ZOPA) and her best alternative to a negotiated agreement (BATNA). Open-Ended or Socratic Questions—Begin with who, what, when, where, how, and why. Example: “Why aren’t you taking some time off?” Closed Questions—Can be answered with “yes” or “no.” Example: “Are you ready to begin?” Alternative Questions—Offer the listener a choice with a few options. Example: “Do you want to start the meeting at 3:00 or 4:00?” Leading Questions—Are aimed at soliciting a particular point of view. Example: “The new vacation policy is very fair, don’t you think?” Make sure the parameters of your questions are within acceptable legal limits, e.g., avoiding topics such as age, marital status, any disabilities, religion, race, pregnancy-related questions. For legal advice, click on this Investopedia link: 8 Things Employers Aren’t Allowed To Ask You. Click WCM 510 8 Things Employers Aren’t Allowed To Ask You (CC) for a captioned video. Compare and contrast the value of each type of question and whether it will advance an integrative bargaining position. Refer to the following link for an excellent guide on integrative bargaining and crafting questions that identify interests of the other party: Integrative or Interest-Based Bargaining. Explain the possible impact of each question, including whether it would improve the likelihood of success during the discussion(s) and how it would be perceived. In other words, how will the questions be perceived? Will they seem manipulative? Fair? Biased? ... continue reading.

Hepatocellular Carcinoma Define the disease, Demographics of the Disease Cause of the disease, Signs & Symptoms of the disease (If apply, include stages,

Hepatocellular Carcinoma Define the disease, Demographics of the Disease Cause of the disease, Signs & Symptoms of the disease (If apply, include stages, levels, or types of the disease), Laboratory findings (include, all blood test names, genetic test, urine test, i.e.) Must include all normal versus abnormal levels that will confirm the disease, Images of the Disease (X-ray, MRI, Ct Scans, PET scans); all images bust be cited in APA format and referred in the reference page of the report and PowerPoint. Treatment for the disease (this includes name of the medications, dosage, side effects, alternative medications, Diet for the patient, Prognosis of the disease, Photos of the disease throughout the PowerPoint presentation. All students must apply APA and writing style format. References must be within the last 5 years and no less than 10 references. All references must be accountable in the in-text citations throughout the document and PowerPoint. In addition, all PowerPoint slides must have citations at the bottom of each slide; Research Paper And Powerpoint ... continue reading.

Leadership Assignment- Scholarly Peer-Reviewed Article.

Leadership Assignment- scholarly peer-reviewed article. (1). Find a scholarly peer-reviewed article on Leadership Effectiveness.  Summarize the article and describe what being an effective leader means to you. At least two (2) paragraphs or one full page. (2). Find a scholarly peer-reviewed article on your selected leadership style or theory.  Summarize the article and describe what that style or theory means to you. For example (Transformational or Goal oriented) etc. At least two (2) paragraphs or one full page (3). Find a scholarly peer-reviewed article to help support your argument on the differences between being a leader and being a manager. At least two (2) paragraphs or one full page Be sure to cite your reference following APA guidelines. ... continue reading.

Proposal week 9 Your analysis must be in your own words, and not a compilation of quotes from other sources. You should review the readings of this module

Proposal week 9 Your analysis must be in your own words, and not a compilation of quotes from other sources. You should review the readings of this module before you complete this assignment.  Then, start your  by identifying your work and providing a brief summary in your own words. If you choses a longer work, you are certainly able to narrow it down by selecting a specific excerpt of the work. For example, reviewing the entire works of Chaucer would not be realistic for this course! This should only be one or two paragraphs. End your introduction by identifying what concepts you will examine in this work.  You should choose just one or two concepts. These concepts can include any of the topics we discussed in the course: Theme, symbolism, literary elements, dialog, social criticism, historical context, etc.  Next, you will complete your analysis of the concepts you identified at the end of the introduction. Each concept should be discussed using paragraphs, separating each concept into its own paragraph. This should be in your own words! A good analysis uses specific examples from the text. For example, if you are discussing Shakespeare’s use of metaphor in one of his sonnets, give an example of it. The analysis should be at least 4-5 paragraphs, covering 1-2 pages.  End your by discussing what you learned through your analysis.  CITE and REFERENCE ... continue reading.

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