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humanistic and existential personality theories worksheet

September 15, 2021/0 Comments/in Uncategorized /by charmcharm

humanistic and existential personality theories worksheet

Title

ABC/123 Version X

1
   

PSY/405 Version 5

2

University of Phoenix Material

Humanistic and Existential Personality Theories Worksheet

Fill-in the Blank

1. Abraham Maslow proposed the _________________ theory of personality.

2. According to Maslow, self-fulfillment and realization of one’s full potential are examples of ________________ needs.

3. Maslow’s hierarchy of needs proposes that ____________ needs must be satisfied before ____________ needs will become motivators for behavior.

4. The belief that matter evolves from simpler to more complex forms is ____________________.

5. The ___________, according to Rogers, is one’s view of self as one wishes to be.

6. Carl Rogers believed that conditions of worth, incongruence, defensiveness, and disorganization are all considered ___________________________.

7. Rogers believed that __________________________, _______________________, and _________________ are necessary elements of psychotherapy.

8. _______________ is the structure that gives meaning to experience and allows people to make decisions about the future.

9. May proposed that ___________________ is the freedom of action, whereas __________________ is the freedom of being.

10. The basic concepts of existential theory are _______________ and ___________________.

Matching

Match the following theoretical components with their correct theorist or theorists.

Theoretical component Theorist
1. Unconditional positive regard A. Abraham Maslow
2. Eros B. Carl Rogers
3. Love and belongingness needs C. Rollo May
4. The self-concept  
5. Guilt  
6. Levels of awareness  
7. Self-actualization  
8. Neurotic anxiety  

Short-Answer

1. According to Maslow, what are the characteristics of self-actualizing people? Why are these characteristics important?

The characteristics of self-actualizing people according to Maslow these people have realistic perceptions of themselves, others and the world around them. Accepting themselves and other for who they are. They are concern with solving problems outside of thenselves, including helping others and finding solutions to problems in the external world. These people are often motivated by a sense of personal responsibility and ethics. They are very spontaneous in their internal thoughts and outwards behavior. According to Maslow these charateristics are very important to have fulfillment of personal needs in terms of life’s meanings.

2. What are the strengths of the humanistic theories in regard to their explanation of personality?

One of the greatest strengths of humanistic theory is that it stresses personal choice and responsibility. It also justifies people idea of what being human means because it values personal ideals and fulfillment. Also it provides researchers with a flexible outline for observing the behavior of humans considering a person in the contex of environment also with personal perceptions and feelings.

3. What are the limitations of the humanistic theories in regard to their explanation of personality?

One major limitation of humanistic theory is that its concepts are too vague. Critics argue that subjective ideas such as authentic and real experirnces are difficult to objectify, an experience that is real for one individual may not be the same for someone else. This is the reason why the critics believe that conclusions drawn from subjective experiences are almost impossible to verify.

4. What are the strengths and limitations of May’s existential theory in regard to their explanation of personality?

One Strength of existential theraphy is the ability to enable patients to look at the degree to which their behavior is influenced by their families, culture, and social environment. It the individual personal needs can’t be meet or their goals can not be attained they may experience frustration, anxiety, or depression. One of the limitations of existential therapy in thearea of multicultural populationa is that they are excessively individualistic and ignores the social factors that causes human problems.

Copyright © XXXX by University of Phoenix. All rights reserved.

Copyright © 2016, 2013 by University of Phoenix. All rights reserved.

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what are four important tactical tasks for a negotiator in a distributive situation to consider?

September 15, 2021/0 Comments/in Uncategorized /by charmcharm

what are four important tactical tasks for a negotiator in a distributive situation to consider?

main post 300 words

reply post 200 words min

with 2 APA references

classmate post :

Distributive bargaining or negotiation strategy is employed in many scenarios where only one party can gain an advantage over the other as the resources are fixed and if one gains an upper hand the other automatically loses. In such a scenario, it becomes imperative for the negotiator to use a very sound negotiating strategy employing various types of strategic tactics to gain an advantage over the other party (Shonk, 2019). Some of the most important tactical tasks which negotiators have to consider and employ for gaining maximum value are:

Assessing the opposition party’s resistance point and also their BATNA if possible:

By assessing the market environment or by taking expert opinions, reviewing documentations and other literature regarding the deal, we can try to estimate what the other party’s resistance point is likely to be and find out what their best alternatives are if the negotiation falters. This helps in strategizing while negotiating with the other party (Lewicki, Saunders, & Barry, 2015).

Managing the opposition party’s evaluation of our BATNA, resistance point and overall strategy:

If we take careful steps so as to not reveal much information about our negotiating strategy, it would provide an advantage to us. By only providing relevant information and that too whenever it is absolutely necessary, we can try to conceal our resistance points and our targets (Lewicki, Saunders, & Barry, 2015).

Manage the opposition party’s own perception about their resistance points and negotiation strategy to suit our needs:

To increase the zone of possible agreement, it is crucial to increase their resistance points and also try to change their perceptions regarding the costs of termination. This will help in increasing the zone in which we can negotiate and try to gain maximum returns (Lewicki, Saunders, & Barry, 2015).

Manipulating the costs of scheduling and terminating the negotiations:

By controlling the scheduling of negotiations, like increasing the time between meetings or decreasing, we can gain an advantage by playing to our strengths and not allowing the other party any undue advantage. Another tactical task is that of trying to increase the costs of terminating the negotiation by other party with the help of outsiders or through any disruptive action (Lewicki, Saunders, & Barry, 2015).

References:

– Lewicki, R. J., Saunders, D. M., & Barry, B. (2015). Negotiation: readings, exercises and cases. New York, NY: McGraw-Hill Education.

– Shonk, K. (2019). What is Distributive Negotiation? Program on Negotiation. Harvard Law School. USA. Accessed from https://www.pon.harvard.edu/uncategorized/what-is-distributive-negotiation/

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Who Invented Homework

September 15, 2021/0 Comments/in Uncategorized /by charmcharm

Who Invented Homework

Homework has been around since before the medieval era. That said, it is often believed that homework was not formally assigned until the late 19th century to early 20th century.

Many believe that the first formal assignment of homework took place in 1905 by a University of Missouri professor named Walter Blivens. His assignment called for his students to calculate the length of time it would take a chicken to walk from New York to Missouri.

In 1907 an Acton Academy teacher named Louis Pope Grignon assigned students to do a similar task that Blivens did. Grignon assigned students to calculate how long it would take a chicken to swim from San Francisco, California to Honolulu, Hawai’i.

In the 1920s many teachers were using notations in their students’ notebooks to assign homework. These notations did not include actual work but only a question mark, had a student reached that day’s lesson objective he would have known what was expected of him without a formal notation.

Teachers did not formally assign homework until the late 19th century. However, students did not learn English or maths formally until around the 12th century. So it is likely that homework was done outside of the home; most people had to work on farms in order to earn enough money for food and shelter.

Today school districts like Acton Academy, which started in 1982, use techniques like self-assessments, mentorships and parental involvement to ensure successful experiences for students.

Homework holds a very important role in a student’s education as it allows them to review information learned at school. Homework also helps teachers assess their student’s progress with the curriculum. It is important to understand that homework goals do not need to extend beyond reviewing information learned at school.

So who invented homework? Like many historical events, it is difficult to say exactly who or what institution is responsible for the formal assignment of homework. It’s likely that homework was initially assigned informally before schools had curriculum and courses designed with assignments in mind.

Homework has been around since at least 1905 and likely much longer than that, but it wasn’t until at least the early 20th century that homework was formally assigned to students. Homework does not need to be excessive or complicated. Homework should be used as a tool for learning and not just busy work.

 

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Shadow health neurological assessment

September 15, 2021/0 Comments/in Uncategorized /by charmcharm

Shadow health neurological assessment

Neurological Results | Turned In Advanced Physical Assessment – March 2020, advanced_physical_assessment__td8__031720__sect1

Return to Assignment (/assignments/313478/)

Documentation / Electronic Health Record

Document: Provider Notes

Student Documentation Model Documentation

Subjective

Ms Jones who is african american pleasant female who presents to the clinic with c/o headache and neck stiffness She was in a slow moving car accident last week, and her symptoms just started two days ago. She was wearing her seat belt. She has a dull headache at the crown of her head and the back is at the back of her neck. She was no loss of consciousness. She takes tylenol which helps, with the pain 3/10. She feels her neck swollen, but has been resolving recently. Moving her neck hurts. ROS: She denies any fatigue, wt loss, fever or chills. Head: NO trauma, or LOC or dizziness,. Eyes: she wears reading glasses, and gets blurry when she reads to much. Ears: no hearing loss or ringing of her ears, no vertigo or earache. Denies any neck stiffnes. Musculoskeletal: denies problems with her ROM Denies any neurological disease or problems. No family hx of neurological disease or problems. Medical hx: Diabetes: no meds Asthma: Medications: Albuterol, proventil, tylenol and advil Allergy med: PCN: hives, and rash

HPI: Ms. Jones presents to the clinic complaining of a headache neck stiffness that started 2 days after she was in a minor fender bender. One week ago she states that she was a restrained passenger in an accident in a parking lot and estimates the spee be approximately 5-10 mph. She and the driver did not seek emergent care and felt fine after the accident. Two days later, however, she developed a bilateral temporal dull ache accompan by neck ache. She states that she feels as though her neck may slightly swollen as well. She did not lose consciousness in the accident and denies changes in level of consciousness since tha time. She states that she gets a headache every day that lasts approximately 1-2 hours. She occasionally takes 650 mg of over counter Tylenol with relief of the pain. She denies known associa symptoms. Review of Systems: General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. • Head: Denies history trauma before this incident. Denies current headache. • Eyes: Sh does not wear corrective lenses, but notes that her vision has be worsening over the past few years, but no acute changes. She complains of blurry vision after reading for extended periods. De increased tearing or itching. • Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. • Nose/Sinuses: Denies rhinorrhea Denies stuffiness, sneezing, itching, previous allergy, epistaxis, o sinus pressure. • Musculoskeletal: Denies muscle weakness, pai difficulties with range of motion, joint instability, or swelling. • Neurologic: Denies loss of sensation, numbness, tingling, tremor weakness, paralysis, fainting, blackouts, or seizures. Denies bow or bladder dysfunction. Denies changes in concentration, sleep, coordination, appetite.

Your Results Lab Pass (/assignment_attempts/6635634/lab_pass.pd

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Education & Empathy

Documentation

Document: Provider Notes

 

https://aspen.shadowhealth.com/assignments/313478/
https://aspen.shadowhealth.com/assignment_attempts/6635634/lab_pass.pdf

 

Student Documentation Model Documentation

Objective

Oriented to person, place and time. Judgement and knowledge intact: Memory intact. no slurred speech Head: symmetrical no lesions, no trauma Weber test intact, rinne test intact, facial sensation intact, gag reflex intact Eyes: Blurry vision with prolong reading: Right eye vision 20/40: retina: with glacoma cupping. Left eye vision 20/20: retina: sharp edges Pupils: PERRL present Point to point intact for finger to nose, heel to shin. Sensation present in extremites except monofilament decreased sensation on foot. Present sensation at heels of both foot. DTR: 2+ for all reflexes Gait: wnl Graphesthesia: able to identify Sterognosis: able to identify

General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no acute distress, but appears uncomfortab while sitting in exam chair. She is alert and oriented. She maintai eye contact throughout interview and examination. • Head: Head is normocephalic and atraumatic • Eyes: Bilateral eyes with equal hair distribution. • Neurologic: Sense of smell intact and symmetric. Left eye visio 20/20. Right eye vision: 20/40. Left fundoscopic exam reveals sh disc margins, no hemorrhages. Right fundoscopic exam reveals retinopathic changes. Pupils equal, round, and reactive to light bilaterally. Extraocular movements intact bilaterally. Normal convergence. Facial sensation intact; facial features and symmet Rinne and Weber tests normal bilaterally. Gag reflex intact. Ability shrug shoulders symmetric; 5 strength against resistance. Neck full range of motion against resistance; 5 strength against resista Tongue symmetric with no abnormal findings. Bilateral upper and lower extremity DTRs equal and 2+ bilaterally. Point-to-point movements smooth and accurate for finger-to-nose and heel-to- shin. Rapid alternating movements of the upper extremities intac bilaterally. Gait steady with continuous, symmetric steps. Sensat intact to bilateral upper and lower extremities; sense of extremity position intact. Stereognosis and graphesthesia intact bilaterally.

Assessment

Headache and Neck pain due to s/p slow moving MVA Acute post-traumatic headache following low-speed MVA where Jones was a restrained passenger

Plan

Try Motrin 800mg po every 8 hours prn for headache Offer ice or heat to see if it helps with pain Educate on Warning signs: report any increase headache or worsening headaches, LOC, dizzinees or vomiting Education on exercises for ROM of neck Report to ER if headache is severe, LOC, nausea and vomiting, dizziness. Advise to have someone with her to watch her for the next 2 days if worsening symtoms. Telephone appt in 2 days to follow up with symptoms. Consider neuro consult if symptoms don’t resolve CAT scan if sx worsens or no improvement

Encourage Ms. Jones to continue to monitor symptoms and repo any increase in frequency or severity of her headaches. • Initiate treatment with ibuprofen 800 mg by mouth every 8 hours as nee with food for the next 5 days. • Ms. Jones can also use adjunct therapy of topical heat or ice per comfort TID-QID. • Educate on stretches for upper back and neck. • Educate on when to seek emergent care including the worst headache of her life, acute changes in vision, hearing, or consciousness, episodes of nause vomiting associated with headache, or numbness, tingling, or paralysis of new onset. • Ask Ms. Jones to call the office in two d to discuss symptoms. If no decrease in symptoms, order a computerized tomography scan or magnetic resonance imaging

Comments

If your instructor provides individual feedback on this assignment, it will appear here.

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What other factors should Marvin and his team consider?

September 15, 2021/0 Comments/in Uncategorized /by charmcharm

What other factors should Marvin and his team consider?

 

Marvin along with his team can examine the following factors before proceeding to bid or not bid.

1.     If Marvin’s company would voluntarily decide not to bid, then it has to think that any other company can bid for the project and potentially benefit from bidding. The primary reason is Marvin’s company is not the only company which has to publish its detail cost analysis of the project to the client, but also all companies have to present this cost analysis.

2.     Marvin’s company can research whether there is a way to get more profit margin by following the client cost model because it is a long-term contract for ten or more years.

3.     Marvin has to think whether company loses its brand value if it doesn’t participate in the bid because, in the consulting industry, the companies must be active in getting projects else the reputation diminishes among clients.

4.     Marvin and his team must consider whether their company is suitable for contracts of the type cost reimbursable because in this contract type the client pays for each work package, so the profit is less compared to fixed price projects.

 

Should they bid on the job?

There are a lot of crucial factors that help the company if they can get this contract. The most important to consider is this is the most significant contract compared to all other agreements that Marvin’ company ever received in its history. For 10-year or longer, the company will generate continuous revenue that helps the growth of the company. As it is a contract with a major client, Marvin’s company’s reputation will increase in consulting industry, and this, in turn, attracts more clients. The performance of the company will increase by improving their evaluation of contracts using a bottom-up approach. Marvin’s company can also try to address its concern to release complete cost breakdown information by using its association with the client, and they can explain in detail by showing the examples of previous project budgets associated with them. Finally, it is helpful for Marvin’s company by considering all these factors, so they have to bid for the job.

 

Marvin’s company should also consider a lot of interesting facts regarding the new contract opportunity. The customer’s ability to treat Marvin’s business as a strategic partner rather than an offer. Establishing a workable standard to win a larger contract and, ultimately, better overall earnings and profits due to a larger business base. On the other hand, Marvin’s team can also ask relevant questions about the prospects of his company. Will the company survive the impact of publishing sensitive information later? Can the company manage without the project? Will the project be a development path for the company in the long term? The answers to these questions could also be crucial for Marvin to make the right decision. If issues become a concern, it is desirable that the company explore this new horizon and learn ways to manage the impacts of sharing key information.

 

There is a legitimate purpose behind the additional necessities on the DP. Basic information has been requested in the RFP cuts on all organizations offering so, they all offer risks and rewards. What’s more, since the offer will be considered non-receptive without them, it’s excessively prescribed that Marvin’s organization offers for the task.

 

Before choosing to bid deliberately recognize all the potential hazards that might emerge on the job. Monitors tender records, plans and determinations for the task and relies on verifiable information from comparable companies whose hazards you have come to recognize. Basic hazards include fragmented development files, obscure site conditions, fast schedules, and welfare issues.

 

References

[1] Bob, L. (2015). 7 Question to Answer When Making Bid/ No Bid  Decisions. Washington Technology.

 

[2] Cagno, E., Caron, F., and Perego, A. (2001). Multi-criteria evaluation of the likelihood of winning in the focused bidding process. Global Journal of Project Management, 19(6), 313-324.

 

[3] Jones, K. (2017). Key Factors to Consider in Bid/No-Bid Decision Making. Construct Connect. Retrieved from  https://www.constructconnect.com/blog/operating-insights/key-factors-consider-bidno-bid-decision-making/

 

[4] Kerzner, H. (2013). Project management: – a systems approach to planning, scheduling, and controlling. John Wiley & Sons.

 

NOTE: All initial postings must have at least one citation or reference and it must be in APA format. please make sure they’re in APA format. Need to be atleast 150 word.

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creating a company culture for security design document

September 15, 2021/0 Comments/in Uncategorized /by charmcharm

Creating a company culture for security – design document

Scenario:

Overview: Now that you’re super knowledgeable about security, let’s put your newfound know-how to the test. You may find yourself in a tech role someday, where you need to design and influence a culture of security within an organization. This project is your opportunity to practice these important skillsets.

Assignment: In this project, you’ll create a security infrastructure design document for a fictional organization. The security services and tools you describe in the document must be able to meet the needs of the organization. Your work will be evaluated according to how well you met the organization’s requirements.

About the organization: This fictional organization has a small, but growing, employee base, with 50 employees in one small office. The company is an online retailer of the world’s finest artisanal, hand-crafted widgets. They’ve hired you on as a security consultant to help bring their operations into better shape.

Organization requirements: As the security consultant, the company needs you to add security measures to the following systems:

· An external website permitting users to browse and purchase widgets

· An internal intranet website for employees to use

· Secure remote access for engineering employees

· Reasonable, basic firewall rules

· Wireless coverage in the office

· Reasonably secure configurations for laptops

Since this is a retail company that will be handling customer payment data, the organization would like to be extra cautious about privacy. They don’t want customer information falling into the hands of an attacker due to malware infections or lost devices.

Engineers will require access to internal websites, along with remote, command line access to their workstations.

Grading: This is a required assignment for the module.

What you’ll do: You’ll create a security infrastructure design document for a fictional organization. Your plan needs to meet the organization’s requirements and the following elements should be incorporated into your plan:

· Authentication system

· External website security

· Internal website security

· Remote access solution

· Firewall and basic rules recommendations

· Wireless security

· VLAN configuration recommendations

· Laptop security configuration

· Application policy recommendations

· Security and privacy policy recommendations

· Intrusion detection or prevention for systems containing customer data

 

Introduction

This document describes how the functional and nonfunctional requirements recorded in the Requirements Document and the preliminary user-oriented functional design based on the design specifications.

Furthermore, it describes the design goals in accordance with the requirements, by providing a high-level overview of the system architecture, and describes the data design associated with the system, as well as the human-machine scenarios in terms of interaction and operation. The high-level system design is further decomposed into low-level detailed design specifications including hardware, software, data storage and retrieval mechanisms and external interfaces.

Purpose of the Security Infrastructure Design Document

The Security Infrastructure Design Document helps to document and track the necessary information required to effectively define architecture and system design in order to give the guidance on the security architecture of the IT environment that is going to be established.

2. General Overview and Design Approach

2.1 General Overview

The client requires an IT infrastructure to perform their business activities that involve e-commerce applications and internal VPN access for their customers as well as employees with a high priority on the security and privacy of customer information and of the client’s as well

2.2 Assumptions/Constraints/Risks

Assumptions

It has been assumed that the employees are increased by 5% every year thereby reflecting the usage of the network bandwidth and increase of the devices that are connected to the enterprise network infrastructure.

Constraints

The following are the key considerations associated with the security of the infrastructure:

· Authentication system

· External website security

· Internal website security

· Remote access solution

· Firewall and basic rules recommendations

· Wireless security

· VLAN configuration recommendations

· Laptop security configuration

· Application policy recommendations

· Security and privacy policy recommendations

· Intrusion detection or prevention for systems containing customer data

Risks

Since the infrastructure is meant to carry out the e-commerce related transactions that may involve third party merchant authorizations and financial related issues, a strict security mechanism needs to be enforced so as to ensure that there is no such issue related in customers transactions as it may affect the reputation of the organization.

Additionally, there should be a backup mechanism to take the data backups at regular intervals to deal with any unwanted situations like system failures, attacks by intruders etc.,

2.3 Alignment with Federal Enterprise Architecture

The proposed architecture strictly complies with federal Enterprise architecture, All the protocols being used, and the hardware interfaces used compiles with the industry standards as specified so as to ensure compatibility of the networks as well as the security in compliance with CMS Enterprise Architecture (EA)

3. Design considerations

3.1 Goals:

The following are the desirable outcomes of the security infrastructure proposed to be implemented in the organization:

· An external website permitting users to browse and purchase widgets securely.

· An internal intranet website like that of a VPN for employees to use

· Secure remote access for engineering employees

· Reasonable, basic firewall rules

· Wireless coverage in the office

· Reasonably secure configurations for laptops

· Privacy of the user data

3.2 Architectural Strategies

For external website to perform purchase activity by customers:

In order to provide a secure e-commerce transaction, the following are the primary which security goals include:

· Protecting confidentiality of the data

· Making sure that unauthorized persons or systems cannot access the information of users;

· Making sure that the information accessed is genuine;

· Making the data accessible and usable;

· Logging the transactions for further reference and support activity

· Verifying the authenticity of a person to perform a transaction.

1. For intranet website accessed by employees:

Since the data is accessed by the company employees only it should be only available to company’s level of access making it private from other information being maintained on the infrastructure So,the following are the considerations in this case:

· Making sure that the access is within their intranet by implementing a firewall mechanism

· Specifying the authentication mechanism to access the website by the employees

· Supervising the activities and user management on the website by an administrator

1. Secure remote access for engineering employees

We can perform safe implementation of remote access control objectives based on the following security considerations:

Device type: What device types require remote access?

Role: What remote access is appropriate for that role given the device used?

Location. Is access from a public location, another company site, internal wireless, etc.?

Process and data: What processes and data are accessible given the first three access characteristics?

Authentication method: Does the need for strong authentication increase based on the device used, where it is used, and what it is allowed to access?

1. Basic firewall rules to be implemented:

Block by default – to block all incoming and outgoing connections

Allow specific traffic – only allow specified IP addresses

Allow Inbound-only allowing intranet users

1. Wireless coverage in the office

Can be provided with an 802.11 WLAN adapter/router with PSK(pre-shared key) configuration or a login based limited access to company WIFI by the employees

Security considerations: Should be Password protected and metered

1. V-LAN Configuration:

VLAN network segmentation creates security zones that enables flexible and strong control of what a remote user can access. security zones separating incoming traffic from internal resources. Using dynamic VLAN assignments and access control lists, we can control user access based on the conditions

1. Laptop Security configuration:

One of the most vulnerable parts of the infrastructure is the laptop computers that employees use. These devices can be responsible for bringing in viruses or malware or causing the organization to lose sensitive data. This can be checked using the techniques such as:

· Encrypting the disks on the laptops

· Ensuring Antimalware/Antivirus are up to date in regular intervals

· White listing the devices on the network

· Running a product such as System Center Configuration Manager, LANDesk, Altiris, or some other systems management platform

1. Application policy recommendations

· Integrate secure coding principles in all software components of infrastructure.

· Perform automated application security testing as part of the overall application testing process.

· Development and testing environments should redact all sensitive data or use de-identified data.

· Compliance with industry standard data policies and protocols

1. Security and privacy policy recommendations

Explain How the organization Collects and Use Personal Information

· Cookie Policy – Cookies are used to store user preferences or shopping cart contents. Clearly explain your cookie practice.

· How organization will Share Customer Information – Customers need to know that their data will only be used to complete the transaction and that any further use of that data (including selling or distributing it) requires their consent.

· Contact Information – Make it easy for your customers to contact you or file a complaint.

Display Privacy Policy Make sure new customers or users have easy access to your policy mandatorily

Publish Email Opt-Out Policies – Include opt-out options in your email marketing

Get a Seal of Approval – Third party validation of your online privacy and security policy can enhance your credibility. And trust of security

Intrusion detection or prevention for systems containing customer data

As the demand for E-Commerce grows on the Internet so will the increasing potential for E-Commerce sites to be attacked. Implementing security methodologies pertaining to an E-Commerce environment is not a simple thing. It should consider various threats and anomalies that can cause an attack. This can be achieved though penetration testing and reverse engineering to detect by signature or by an anomaly. This can be achieved by a third-party IDS system readily available in the market

Summary

Thus, we can conclude the report of the security infrastructure of the organization has been assessed and recommendations were made as required for the proposed environment as specified

Key assets being protected:

Customer information, Company related information

Key threats to protect against:

Intrusion to website, Data Loss

Key activities to protect against:

Customer purchase of artifacts, payment transactions, employee data

Relative ranking of fundamental security goals:

This is an important exercise for every organization as part of the risk mitigation planning process. For this project, the ranking came out like this:

Confidentiality: high

Integrity: high

Availability: medium

Auditability: medium

Nonrepudiation: N/A

 

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Tina jones musculoskeletal

September 15, 2021/0 Comments/in Uncategorized /by charmcharm

Assess the Musculoskeletal system of Tina Jones, a Digital Standardized Patient. Interview and examine the patient, and document your findings

Musculoskeletal_325.docx.pdf

 

Musculoskeletal Results | Turned In Patient Assessment and

Experience Overview

Patient: Tina Jones

Digital Clinical Experience Score

 

 

100% This score measures your performance on the Student Performance Index in relation to other  students in comparable academic programs. Your instructor has chosen to scale your Student  Performance Index score so that the average score on the index is a 80.0%. This score may not be  your final grade if your instructor chooses to include additional components, such as documentation  or time spent.

Student Performance Index

50.6  out of

51  Proficiency Level:

Proficient

 Beginning

 Developing

 Proficient

Students rated as “beginning” are starting to develop their nursing competencies and clinical  reasoning skills. In comparable nursing programs, 50% of students perform at the level of a  beginning nurse. Review your results in the tabs on the left side of the page to identify areas for  improvement.  Students rated as “developing” demonstrate increasing clinical reasoning abilities as they apply their  nursing knowledge. In comparable nursing programs, 25% of students perform at the level of a  developing nurse. Review your results in the tabs on the left side of the page to identify areas for  improvement.  Students rated as “proficient” demonstrate entry­level expertise in nursing competencies and clinical  reasoning skills. In comparable nursing programs, the top 25% of students perform at the level of a  proficient nurse.

Subjective Data Collection

23  out of

 

https://app.shadowhealth.com/assignment_attempts/4721684#beginning-content
https://app.shadowhealth.com/assignment_attempts/4721684#proficient-content
https://app.shadowhealth.com/assignment_attempts/4721684#developing-content

 

23

Objective Data Collection

27.6  out of  28

Time

43 minutes total spent in assignment

Interaction with patient

35 minutes

Post-exam activities

8 minutes

Transcript

Started:Mar 29, 2019 | Patient Exam Time:35 min

All Lines (136)Interview Questions (56)Statements (0)Exam Actions (80)

Hello!

Question 03/29/19  2:22 PM  EDT

Hi. I’m Preceptor Diana. I will explain the  details of this assignment and your objectives,  just as a preceptor would in real life. Pay  close attention to this information as it will  help guide your exam.At the end of this  prebrief, you will answer a short question  about the upcoming assignment.During the  simulation, you may return to these  instructions at any time by scrolling to the  top of your transcript.

 

 

What is the situation?

Question 03/29/19  2:22 PM  EDT

It’s 8 a.m. on Tina Jones’ second morning as a patient here at Shadow General Hospital. Ms.  Jones has a physical therapy consultation later today. Your role in this simulation is that of  healthcare provider who will perform a full  musculoskeletal system exam on Ms. Jones so that her therapist can understand Ms.  Jones’ musculoskeletal health and customize  therapy accordingly.

What are my objectives in this assessment?

Question 03/29/19  2:22 PM  EDT

In your interview with Ms. Jones, you will ask  about her musculoskeletal system and  identify any risk factors or complications.If  you discover any disease states, ask about  symptoms and the patient’s experiences of  them. Your questioning should cover a broad  array of the symptoms’ characteristics. You will also inquire into the health history of Ms.  Jones’ family with regards to the  musculoskeletal system so you can  determine her genetic predisposition to any  diseases. Regardless of whether you have  assessed Tina previously, ask all questions  that are medically relevant to her  musculoskeletal system.In addition to  collecting subjective data, you will perform a  physical exam on Ms. Jones’  musculoskeletal system to gather objective  data about the system’s health and physiology.

 

 

While you should communicate with patients using accessible, everyday language, it is  standard practice to use professional  medical terminology everywhere else, such as in documenting physical findings and  nursing notes.You may complete the exam  activities in any order and move between them as needed.

What else will this exam involve?

Question 03/29/19  2:23 PM  EDT

You will complete nursing tasks to protect  the patients safety, privacy, and health.You  can document your findings, including vital signs, in the Electronic Health Record. This  record provides necessary information for  healthcare professionals who will continue  patient care. Activities other than Subjective  and Objective Data Collection, such as  Documentation and Education and Empathy,  provide valuable practice for their real­world  counterparts. However, they are not  automatically graded by the simulation.

How will I be evaluated?

Question 03/29/19  2:24 PM  EDT

 

 

In this assignment, you will be evaluated on  your Subjective and Objective Data  Collection.The evaluation of your interview is  dependent on how you word your questions  therapeutically and precisely and explore  all relevant topics with comprehensive  breadth and depth.The evaluation of your  physical exam is based on how successfully  you report on your physical findings by  selecting among clinical terms in the  Electronic Health Record.This assignment  takes on average between 50 and 60  minutes. You can pause and resume the  assignment at any time; your work is always  saved automatically.

How does this assignment prepare me for the  real world?

Question 03/29/19  2:24 PM  EDT

In this assessment, you will become  familiarized with the structure and content of  musculoskeletal exams so that with real­life  patients, you can: º ask effective and  comprehensive questions º use therapeutic language º evaluate the patient’s risk of  disease, infection, injury, and  complications º and obtain and assess  objective data.

 

 

In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What  precautions should you take with a patient that is a fall risk?

With a patient in a fall risk, you should have  them only get up when there is someone with  them, use bed alarm and have them wear a  fall risk band.

Statement 03/29/19  2:26 PM  EDT

Time to begin.

Good Morning Tina, My name is jenn i will be your  nurse today

Greet 03/29/19  2:28 PM  EDT

 

 

Hey.

Can you tell me your name and date of birth

Question 03/29/19  2:28 PM  EDT

My name’s Tina Jones, and my birthday’s  February 17th.

Vitals measured

Exam  Action 03/29/19  2:29 PM  EDT

ON a 0­10 scale, how would you rate your pain right now tina

Question 03/29/19  2:29 PM  EDT

 

 

I’d give it a 5 or 6 out of 10 right now.

do you have any problems with your joints

Question 03/29/19  2:30 PM  EDT

No, my joints are fine.

do you have any pain in your joints

Question 03/29/19  2:30 PM  EDT

 

 

My joints don’t hurt.

have you noticed any swelling in your joints

Question 03/29/19  2:31 PM  EDT

No, I’ve never had joint problems.

do you have any muscle pain

Question 03/29/19  2:31 PM  EDT

 

 

My muscles don’t hurt.

do you have any muscle weakness

Question 03/29/19  2:31 PM  EDT

No, I wouldn’t say I feel weak.

do you have any bone pain

Question 03/29/19  2:31 PM  EDT

 

 

My bones aren’t hurting me, no.

have you had any recent injury or trauma to  your bones

Question 03/29/19  2:32 PM  EDT

I haven’t had anything really serious before. I  think my foot right now is the worst injury I’ve  had!

are you able o bathe yourself normally (No  matching questions found.)

Question 03/29/19  2:32 PM  EDT

are you able to bathe yourself

Question 03/29/19  2:32 PM  EDT

 

 

I’ve been stuck sitting on my butt for the last  few days with my foot hurting so much. I could  get out of bed, but my walk was basically a  hobble so I stayed at home.

have you needed any help pto shower

Question 03/29/19  2:33 PM  EDT

I don’t need anything right now, thanks.

do you have chronic health issues

Question 03/29/19  2:33 PM  EDT

 

 

I’ve had asthma since I was little, and I have  sugar diabetes, too.

do you have family history of joint disease  (Clarified to Any family member with  degenerative joint disorder?.)

Question 03/29/19  2:34 PM  EDT

No, I don’t think so. (Clarified to if I have a  family history of degenerative joint disease.)

do you have any history of arthritis (Clarified to Has anyone in your family had arthritis?.)

Question 03/29/19  2:34 PM  EDT

 

 

No, I don’t know about that. (Clarified to if  anyone in my family has arthritis.)

do you have a history with arthritis

Question 03/29/19  2:35 PM  EDT

No, I don’t have arthritis! I’m a little young for  that. . .

do you have any family history of hip  replacements (Clarified to Does obesity run in  your family?.)

Question 03/29/19  2:35 PM  EDT

 

 

No, I don’t think so. My brother and my dad are kind of big, but I wouldn’t say they were obese  or anything. (Clarified to if obesity runs in my  family.)

Have you been able to function normally  (Clarified to Can you change positions?.)

Question 03/29/19  2:36 PM  EDT

I can sit up and everything, but I’d definitely  need some help to stand up or walk since my  foot is still hurting so bad. (Clarified to if I can  change positions.)

have you been able to do normal activities on  your own (Clarified to Have you been able to  work?.)

Question 03/29/19  2:36 PM  EDT

 

 

I’ve had to miss work for sure­­I’m on my feet  all day for my job, and that obviously wouldn’t  work with my foot the way it is, if I could even  get over there. (Clarified to if I have been able  to work.)

Inspected front of neck

Exam  Action 03/29/19  2:37 PM  EDT

Inspected left side of neck

Exam  Action 03/29/19  2:37 PM  EDT

Inspected back of neck

Exam  Action 03/29/19  2:37 PM  EDT

Inspected right side of neck

Exam  Action 03/29/19  2:37 PM  EDT

Inspected front of neck

Exam  Action 03/29/19  2:37 PM  EDT

 

 

Inspected shoulders from the front

Exam  Action 03/29/19  2:37 PM  EDT

Inspected left shoulder

Exam  Action 03/29/19  2:37 PM  EDT

Inspected upper back

Exam  Action 03/29/19  2:37 PM  EDT

Inspected right shoulder

Exam  Action 03/29/19  2:37 PM  EDT

Inspected shoulders from the front

Exam  Action 03/29/19  2:37 PM  EDT

Inspected left arm

Exam  Action 03/29/19  2:37 PM  EDT

Inspected right arm

Exam  Action 03/29/19  2:37 PM  EDT

 

 

Inspected left elbow

Exam  Action 03/29/19  2:38 PM  EDT

Inspected right elbow

Exam  Action 03/29/19  2:38 PM  EDT

Inspected left wrist

Exam  Action 03/29/19  2:38 PM  EDT

Inspected both wrists

Exam  Action 03/29/19  2:38 PM  EDT

Inspected right wrist

Exam  Action 03/29/19  2:38 PM  EDT

Inspected both hands

Exam  Action 03/29/19  2:38 PM  EDT

Inspected left hand

Exam  Action 03/29/19  2:38 PM  EDT

 

 

Inspected right hand

Exam  Action 03/29/19  2:38 PM  EDT

Inspected front of hips

Exam  Action 03/29/19  2:38 PM  EDT

Inspected left side of hips

Exam  Action 03/29/19  2:38 PM  EDT

Inspected back of hips

Exam  Action 03/29/19  2:38 PM  EDT

Inspected right side of hips

Exam  Action 03/29/19  2:38 PM  EDT

Inspected front of thighs

Exam  Action 03/29/19  2:39 PM  EDT

Inspected left thigh

Exam  Action 03/29/19  2:39 PM  EDT

 

 

Inspected back of thighs

Exam  Action 03/29/19  2:39 PM  EDT

Inspected right thigh

Exam  Action 03/29/19  2:39 PM  EDT

Inspected front of knees

Exam  Action 03/29/19  2:39 PM  EDT

Inspected left knee

Exam  Action 03/29/19  2:39 PM  EDT

Inspected back of knees

Exam  Action 03/29/19  2:39 PM  EDT

Inspected right knee

Exam  Action 03/29/19  2:39 PM  EDT

Inspected front of legs

Exam  Action 03/29/19  2:39 PM  EDT

 

 

Inspected left leg

Exam  Action 03/29/19  2:39 PM  EDT

Inspected back of legs

Exam  Action 03/29/19  2:39 PM  EDT

Inspected right leg

Exam  Action 03/29/19  2:39 PM  EDT

Inspected left ankle

Exam  Action 03/29/19  2:40 PM  EDT

Inspected both ankles

Exam  Action 03/29/19  2:40 PM  EDT

Inspected right ankle

Exam  Action 03/29/19  2:40 PM  EDT

Inspected left foot

Exam  Action 03/29/19  2:40 PM  EDT

 

 

Inspected soles of feet: Right: Laceration and  swelling, expected curvature. Left: No visible  abnormal findings, expected curvature.

Exam  Action 03/29/19  2:40 PM  EDT

Inspected right foot

Exam  Action 03/29/19  2:40 PM  EDT

Tested ROM of neck ­ extension: Expected

Exam  Action 03/29/19  2:41 PM  EDT

Tested ROM of neck ­ flexion: Expected

Exam  Action 03/29/19  2:41 PM  EDT

Tested ROM of neck ­ lateral bending: Expected

Exam  Action 03/29/19  2:41 PM  EDT

Tested ROM of neck ­ rotation: Expected

Exam  Action 03/29/19  2:41 PM  EDT

Tested ROM of shoulders ­ adduction: Expected

Exam  Action 03/29/19  2:41 PM  EDT

 

 

Tested ROM of shoulders ­ extension: Expected

Exam  Action 03/29/19  2:42 PM  EDT

Tested ROM of shoulders ­ flexion: Expected

Exam  Action 03/29/19  2:42 PM  EDT

Tested ROM of elbows ­ flexion and extension:  Expected

Exam  Action 03/29/19  2:42 PM  EDT

Tested ROM of elbows ­ supination and pronation:  Expected

Exam  Action 03/29/19  2:42 PM  EDT

Tested ROM of wrists ­ ulnar and radial deviation:  Expected

Exam  Action 03/29/19  2:43 PM  EDT

Tested ROM of wrists ­ extension: Expected

Exam  Action 03/29/19  2:43 PM  EDT

Tested ROM of wrists ­ flexion: Expected

Exam  Action 03/29/19  2:43 PM  EDT

 

 

Tested spinal ROM ­ extension: Expected

Exam  Action 03/29/19  2:43 PM  EDT

Tested spinal ROM ­ flexion: Expected

Exam  Action 03/29/19  2:43 PM  EDT

Tested spinal ROM ­ lateral bending: Expected

Exam  Action 03/29/19  2:44 PM  EDT

Tested spinal ROM ­ rotation to the left: Expected

Exam  Action 03/29/19  2:44 PM  EDT

Tested spinal ROM ­ rotation to the right: Expected

Exam  Action 03/29/19  2:44 PM  EDT

Tested ROM of hips ­ abduction: Expected

Exam  Action 03/29/19  2:44 PM  EDT

Tested ROM of hips ­ adduction: Expected

Exam  Action 03/29/19  2:45 PM  EDT

 

 

Tested ROM of hips ­ extension: Expected

Exam  Action 03/29/19  2:45 PM  EDT

Tested ROM of hips ­ flexion: Expected

Exam  Action 03/29/19  2:45 PM  EDT

Tested ROM of knees ­ extension: Expected

Exam  Action 03/29/19  2:46 PM  EDT

Tested ROM of knees ­ flexion: Expected

Exam  Action 03/29/19  2:46 PM  EDT

Tested ROM of ankles ­ inversion and eversion:  Expected

Exam  Action 03/29/19  2:46 PM  EDT

Tested ROM of ankles ­ dorsiflexion and plantar  flexion: Right, reduced dorsi­ and plantar flexion;  Left, expected

Exam  Action 03/29/19  2:47 PM  EDT

Tested neck strength ­ head down: 5/5

Exam  Action 03/29/19  2:47 PM  EDT

 

 

Tested neck strength ­ head turned to the left: 5/5

Exam  Action 03/29/19  2:47 PM  EDT

Tested neck strength ­ head tilted to the left: 5/5

Exam  Action 03/29/19  2:48 PM  EDT

Tested neck strength ­ head turned to the right: 5/5

Exam  Action 03/29/19  2:48 PM  EDT

Tested neck strength ­ head tilted to the right: 5/5

Exam  Action 03/29/19  2:48 PM  EDT

Tested right and left shoulder strength: 5/5

Exam  Action 03/29/19  2:48 PM  EDT

Tested elbow strength during extension: 5/5

Exam  Action 03/29/19  2:49 PM  EDT

Tested wrist strength during extension ­ down: 5/5

Exam  Action 03/29/19  2:49 PM  EDT

 

 

Tested right and left hand strength with grip test:  5/5

Exam  Action 03/29/19  2:49 PM  EDT

Tested right and left hip strength: 5/5

Exam  Action 03/29/19  2:50 PM  EDT

Tested right and left knee strength: 5/5

Exam  Action 03/29/19  2:50 PM  EDT

Tested right and left ankle strength: Right 4/5, Left  5/5

Exam  Action 03/29/19  2:50 PM  EDT

Thank you for your time tina

Question 03/29/19  2:51 PM  EDT

Alright, thanks.

 

 

Tina I have a few more question for you  (Clarified to I would like to ask questions about your medical history?.)

Question 03/29/19  3:05 PM  EDT

Ok. What about? (Clarified to you would like to ask about my medical history.)

Do you have any mobility issues

Question 03/29/19  3:05 PM  EDT

I can walk on my foot now, but it still hurts a  lot.

do you have a history of walking problems

Question 03/29/19  3:05 PM  EDT

 

 

I could walk fine before I hurt my foot.

how have you been since being in the hospital  ambulating (No matching questions found.)

Question 03/29/19  3:06 PM  EDT

do you have any pain while walking

Question 03/29/19  3:06 PM  EDT

I can walk on my foot now, but it still hurts a  lot.

how much does it hurt when you walk

Question 03/29/19  3:07 PM  EDT

 

 

It still hurts a lot to put weight on my foot, but I  can do it now without help, at least.

can you stand on your own

Question 03/29/19  3:07 PM  EDT

Last time I tried to stand normally it really hurt  my foot, but at least I was able to stand on it.  I’m hoping it’ll be better soon.

on a scale 0­10 how bad does it hurt when you walk (Clarified to Can you rate the pain when  walking on a scale from 1 to 10?.)

Question 03/29/19  3:07 PM  EDT

 

 

It still hurts a lot to walk on. I’d say at least 7,  maybe 8. (Clarified to how I would rate my  pain when walking.)

Do you have any history of muscle soreness

Question 03/29/19  3:08 PM  EDT

My muscles don’t really get sore ever.

Do you have any ankle issues

Question 03/29/19  3:08 PM  EDT

 

 

My ankles are fine.

IS your work dangerous?

Question 03/29/19  3:08 PM  EDT

I never feel like I’m in danger at work. I’m  mostly just walking around with a clipboard,  anyway.

Have you ever had any difficulty bathing

Question 03/29/19  3:09 PM  EDT

 

 

I was having trouble doing that stuff before, but my foot’s getting better now, so I think I’m fine.

Do you have any difficulty going from a sitting  position to a standing position (Clarified to Do  you have trouble standing up?.)

Question 03/29/19  3:09 PM  EDT

I was having trouble doing that stuff before, but my foot’s getting better now, so I think I’m fine.  (Clarified to if I have trouble standing up.)

DO you have any joint stiffness

Question 03/29/19  3:09 PM  EDT

 

 

No, I’m not stiff anywhere now.

do you have back pain

Question 03/29/19  3:10 PM  EDT

No, I don’t usually have back pain.

do you have a history of back pain

Question 03/29/19  3:10 PM  EDT

 

 

I don’t usually have any back pain. Sometimes  it aches a little, but nothing bad.

do you have any history of muscle injury

Question 03/29/19  3:10 PM  EDT

No, I don’t think so.

do you have any current muscle injuries  (Clarified to Do you have any muscle  injuries?.)

Question 03/29/19  3:10 PM  EDT

 

 

No, I don’t think so. (Clarified to if I have  muscle injuries.)

do you ave any joint injuries

Question 03/29/19  3:11 PM  EDT

No, not really.

Do you have a history of joint injury

Question 03/29/19  3:11 PM  EDT

 

 

No, not really.

do you have any history of sprains?

Question 03/29/19  3:11 PM  EDT

I can’t remember spraining anything before. . .  maybe in grade school? I did something to one of my fingers playing tether ball, I think. But  nothing since then.

Do you have any history of bone problems?

Question 03/29/19  3:12 PM  EDT

 

 

I don’t know of any bone problems in the  family.

do you have any neck injuries

Question 03/29/19  3:12 PM  EDT

No.

do you have any range of motion issues  (Clarified to Do you have limited movement?.)

Question 03/29/19  3:12 PM  EDT

 

 

Well. . . my foot is maybe feeling a little better,  but I still wouldn’t want to put weight on it or try to walk anywhere just yet. (Clarified to if I have limited range of motion.)

Do you have any decreased range of motion  anywhere in your body (Clarified to Do you  have full range of motion of your legs?.)

Question 03/29/19  3:13 PM  EDT

It hurts to move my foot, but I can do it. And  everything else seems fine. [AUDIO COMING  SOON] (Clarified to if I have full range motion  of my legs.)

have you ever fallen

Question 03/29/19  3:13 PM  EDT

 

 

I didn’t fall onto the ground. . . it was like, my  foot just slipped as I stepped onto the ladder,  but I caught my balance before I could topple  over or anything.

when did you last fall

Question 03/29/19  3:13 PM  EDT

Well, I mean, I sort of fell on the ladder a week ago, but before that I can’t remember the last  time I fell or hurt myself.

do you have a family history of bone cancer

Question 03/29/19  3:14 PM  EDT

 

 

Oh wow ­­ no, not that I know of.

do you have family history of osteoarthritis

Question 03/29/19  3:14 PM  EDT

No one in the family has osteoporosis that I  know of.

thank you for your time tina

Question 03/29/19  3:14 PM  EDT

 

 

Alright, thanks.

Subjective Data Collection: 23 of 23 (100.0%) Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro Tips and  Example Questions.

 Found:

Indicates an item that you found.

 Available:

Indicates an item that is available to be found.

Category

Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this  patient.

Patient Data

 

 

Not Scored

A combination of open and closed questions will yield better patient data. The following details are  facts of the patient’s case.

Relevant Medical History  Finding:

Asked about joint problems

 Finding:

Denies joint pain

(Found)

Pro Tip: Uncovering if Tina has any joint pain is important, as they could be a result of her  recent foot injury and could contribute to impaired mobility.

Example Question:

Do you have joint pain?

 Finding:

Denies joint swelling

(Found)

Pro Tip: Uncovering if Tina has any swollen joints is important, as they could be a result of  her recent foot injury and could contribute to impaired mobility.

Example Question:

Do you have swollen joints?

 Finding:

Asked about mobility

 Finding:

Denies history of walking problems

 

 

(Found)

Pro Tip: Discovering if Tina has a history of walking problems is imperative because it could  show that her mobility issues predate the foot wound.

Example Question:

Have you ever had problems walking?

 Finding:

Reports recent foot wound hindered mobility

(Found)

Pro Tip: People with severe pain might find that they are limited in their movements. Asking  Tina whether the pain makes it hard for her to walk would illustrate whether her pain is  preventing her from some of the activities that comprise her daily life.

Example Question:

Has your wound affected your mobility?

 Finding:

Reports ability to walk on foot has recently improved

(Found)

Pro Tip: Determining if Tina’s mobility has recently improved will provide key information as  to the healing process and what further steps are needed.

Example Question:

Has your mobility changed lately?

 Finding:

Asked pain rating when walking

 Finding:

Reports pain as a 7 or 8/10 when walking

 

 

(Found)

Pro Tip: People with severe pain might find that they are limited in their movements. Having  Tina rank her pain on a scale will help you judge the severity of the wound and help you  determine treatment needs.

Example Question:

How would you rate your pain when walking?

 Finding:

Asked about ability to stand

 Finding:

Denies trouble standing before foot problems

(Available)

Pro Tip: Asking Tina if she has a history of standing problems will reveal the severity of her  injury and whether her standing problem predated her foot injury.

Example Question:

Do you have a history of standing problems?

 Finding:

Reports recent foot wound hindered standing

(Found)

Pro Tip: Asking Tina if she can stand on her foot will reveal the severity of her injury and  whether or not she is able to put weight on her foot.

Example Question:

Has your wound affected your ability to stand?

 Finding:

Reports improved ability to stand on injured foot

 

 

(Found)

Pro Tip: Asking Tina if she can stand on her foot will reveal the severity of her injury and  whether or not she is able to put weight on her foot.

Example Question:

Are you able to stand on your foot?

 Finding:

Asked pain rating when standing

 Finding:

Reports pain as a 7 or 8/10 when bearing weight on foot

(Available)

Pro Tip: Asking Tina about the pain if she’s standing will reveal the severity of her injury and  whether or not standing exacerbates her pain.

Example Question:

How would you rate your pain on a scale of 1 to 10 when you are standing?

 Finding:

Asked about muscle soreness

 Finding:

Denies history of muscle soreness

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina if she has ever had muscle soreness specifies the way her symptoms and pain manifest.

Example Question:

Have you ever had muscle soreness?

 Finding:

 

 

Denies current muscle soreness

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina if she is having muscle  soreness specifies the way her symptoms and pain manifest.

Example Question:

Are you having muscle soreness?

 Finding:

Asked about joints in proximity of injury

 Finding:

Denies current ankle problems

(Found)

Pro Tip: Ankle problems can greatly affect a patient’s mobility. Asking Tina if she has  problems with her ankles can reveal a major health concern.

Example Question:

Are your ankles giving you trouble?

 Finding:

Asked about occupational impact on injury

 Finding:

Denies work being dangerous

(Found)

Pro Tip: Determining if Tina’s workplace is safe will allow you to establish any occupational  dangers that could exacerbate her current health issues or pose further risks.

Example Question:

Is your work dangerous?

 

 

 Finding:

Denies work involving repetitive motion

(Available)

Pro Tip: Establishing if Tina’s job requires repetitive motion, such as picking up boxes, can  help you determine if those motions have had an impact on her health or pose potential risks.

Example Question:

Does your work involve repetitive motion?

 Finding:

Reports foot wound prevented her from working

(Found)

Pro Tip: People with severe pain might find that they are unable to perform all of their daily  activities. Asking Tina whether she has been able to work in spite of the pain would illustrate  whether her pain is preventing her from activities that constitute her daily life.

Example Question:

Did your wound prevent you from working?

 Finding:

Asked about activities of daily living

 Finding:

Denies difficulty transferring from sitting to standing

(Found)

Pro Tip: As a result of Tina’s foot would, there is the risk that certain activities of daily living  have been compromised. It is important to identify any difficulties with transferring so her  quality of life does not suffer.

Example Question:

Are you able to go from sitting to standing?

 

 

 Finding:

Denies difficulty bathing

(Found)

Pro Tip: As a result of Tina’s foot would, there is the risk that certain activities of daily living  have been compromised. It is important to identify any difficulties with bathing so her quality  of life does not suffer.

Example Question:

Can you bathe yourself?

Review of Systems  Finding:

Asked about joint stiffness

 Finding:

Denies joint stiffness

(Available)

Pro Tip: Because Tina’s foot wound has recently impaired mobility, which often leads to joint  stiffness, it is important to ask Tina about her joints to ascertain the impact of her wound and  what treatment she may require.

Example Question:

Do you feel stiff anywhere?

 Finding:

Asked about back pain

 Finding:

Denies history of back pain

(Found)

 

 

Pro Tip: Back pain can be a serious complaint that compromises a patient’s quality of life. It  is important to determine Tina has suffered from back pain so you can most effectively treat  the issue.

Example Question:

Have you had back pain before?

 Finding:

Denies current back pain

(Found)

Pro Tip: Back pain can be a serious complaint that compromises a patient’s quality of life. It  is important to determine if Tina is currently suffering from back pain so you can most  effectively treat the issue.

Example Question:

Are you having back pain?

 Finding:

Asked about muscle injury

 Finding:

Denies history of muscle injury

(Found)

Pro Tip: It is important to establish if Tina has a history of muscle injuries because it may  contribute to her recent mobility issues.

Example Question:

Have you ever had a muscle injury?

 Finding:

Denies current muscle injury

(Found)

 

 

Pro Tip: It is important to establish if Tina has a muscle injury because it might contribute to  her recent mobility issues.

Example Question:

Do you have a muscle injury?

 Finding:

Asked about joint injury

 Finding:

Denies past joint injury

(Found)

Pro Tip: It is important to establish if Tina has a history of joint injuries because it may  contribute to her recent mobility issues.

Example Question:

Have you experienced a joint injury in the past?

 Finding:

Denies current joint injury

(Found)

Pro Tip: It is important to establish if Tina has a joint injury because it might contribute to her  recent mobility issues.

Example Question:

Do you have a joint injury?

 Finding:

Asked history of fracture

 Finding:

Denies history of fractures

 

 

(Found)

Pro Tip: Soliciting your patient’s medical history can help you to understand the nature of a  patient’s chief complaint. Asking Tina whether she’s ever broken a bone might reveal  relevant concerns she’d previously experienced.

Example Question:

Have you ever broken a bone?

 Finding:

Asked history of sprains

 Finding:

Denies history of sprains

(Found)

Pro Tip: Soliciting your patient’s medical history can help you to understand the nature of a  patient’s chief complaint. Asking Tina whether she has a history of getting sprains might  reveal relevant concerns she’d previously experienced.

Example Question:

Do you have a history of getting sprains?

 Finding:

Asked about bone problems

 Finding:

Denies history of bone problems

(Available)

Pro Tip: Soliciting your patient’s medical history can help you to understand the nature of a  patient’s chief complaint. Asking Tina whether she ever had bone problems might reveal  relevant concerns she’d previously experienced.

Example Question:

 

 

Have you ever had bone problems?

 Finding:

Denies current bone problems

(Found)

Pro Tip: Soliciting your patient’s medical history can help you to understand the nature of a  patient’s chief complaint. Asking Tina whether she has bone problems might reveal relevant  concerns she’d previously experienced.

Example Question:

Do you have bone problems?

 Finding:

Asked about neck

 Finding:

Denies history of neck problems

(Found)

Pro Tip: A history of neck problems may imply an illness or a problematic behavior in the  patient. Asking Tina whether she has had neck problems in the past could prompt you to  follow up on potential causes.

Example Question:

Have you had neck problems?

 Finding:

Denies current neck problems

(Available)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she  may be experiencing with her injury, like neck pain, details the way her individual symptoms  and pain manifest.

 

 

Example Question:

Do you have neck problems?

 Finding:

Asked about range of motion of body parts

 Finding:

Reports normal range of motion

(Found)

Pro Tip: People with severe pain might find that they are limited in their movements. Asking  Tina whether she is limited in her movements would illustrate whether her pain is preventing  her from some of the activities that comprise her daily life.

Example Question:

Do you have full range of motion?

 Finding:

Asked about muscle problems

 Finding:

Denies muscle weakness

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her injury, like muscle weakness, details the way her individual symptoms  and pain manifest.

Example Question:

Are you experiencing any muscle weakness?

 Finding:

Denies muscle cramping

 

 

(Available)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her injury, like muscle cramping, details the way her individual symptoms  and pain manifest.

Example Question:

Are you experiencing any muscle cramping?

Risk Factors  Finding:

Asked fall history

 Finding:

Reports fall

(Found)

Pro Tip: Changes in bone composition can leave a patient more at risk for falling. Asking  Tina about her history of falling could provide you with information about her bone density.

Example Question:

Have you fallen before?

 Finding:

Reports fall was one week ago

(Found)

Pro Tip: Changes in bone composition can leave a patient more at risk for falling. Asking  Tina about her history of falling could provide you with information about her bone density.

Example Question:

When was the last time you fell?

 Finding:

 

 

Reports belief that she is not particularly prone to falls

(Found)

Pro Tip: Changes in bone composition can leave a patient more at risk for falling. Asking  Tina if she is prone to falling could provide you with information about her bone density.

Example Question:

Are you prone to falling?

Relevant Family History  Finding:

Asked family history of osteoporosis

 Finding:

Denies family history of osteoporosis

(Found)

Pro Tip: Family histories can suggest a genetic predisposition. Asking Tina if anyone in her  family has osteoporosis can indicate a potential predisposition.

Example Question:

Does anyone in your family have osteoporosis?

 Finding:

Asked family history of joint problems

 Finding:

Denies family history of joint problems

(Available)

Pro Tip: Family histories can suggest a genetic predisposition. Asking Tina if anyone in her  family has had joint problems can indicate a potential predisposition.

Example Question:

 

 

Has anyone in your family had joint problems?

 Finding:

Denies family history of arthritis

(Found)

Pro Tip: Family histories can suggest a genetic predisposition. Asking Tina if anyone in her  family has arthritis can indicate a potential predisposition.

Example Question:

Does arthritis run in your family?

 Finding:

Asked family history of bone cancer

 Finding:

Denies family history of bone cancer

(Found)

Pro Tip: Family histories can suggest a genetic predisposition. Asking Tina if anyone in her  family has a history of bone cancer can indicate a potential predisposition.

Example Question:

Has anyone in your family had bone cancer?

Objective Data Collection: 27.6 of 28 (98.57%)

 Correct

 Partially correct

 Incorrect

 Missed

 

 

Inspected neck  1 of 1 point

Inspected shoulders  1 of 1 point

Inspected arms  1 of 1 point

Inspected elbows  1 of 1 point

Inspected wrists  1 of 1 point

Inspected hands and fingers  1 of 1 point

Inspected hips  1 of 1 point

Inspected thighs  1 of 1 point

Inspected knees  1 of 1 point

Inspected lower legs  1 of 1 point

Inspected ankles

 

https://app.shadowhealth.com/assignment_attempts/4721684#43a6496b-eae6-4b40-812d-5152124af26f
https://app.shadowhealth.com/assignment_attempts/4721684#f16eaf41-c61f-463c-8212-ab86664b5d54
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https://app.shadowhealth.com/assignment_attempts/4721684#f2f7ead2-21f7-4533-9574-fab7d9de7660

 

1 of 1 point

Inspected feet  0.6 of 1 point

Tested neck range of motion  1 of 1 point

Tested shoulder range of motion  1 of 1 point

Tested elbow range of motion  1 of 1 point

Tested wrist range of motion  1 of 1 point

Tested spine range of motion  1 of 1 point

Tested hip range of motion  1 of 1 point

Tested knee range of motion  1 of 1 point

Tested ankle range of motion  1 of 1 point

Tested neck strength  1 of 1 point

 

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Tested shoulder strength  1 of 1 point

Tested elbow strength  1 of 1 point

Tested wrist strength  1 of 1 point

Tested hand strength  1 of 1 point

Tested hip strength  1 of 1 point

Tested knee strength  1 of 1 point

Tested ankle strength  1 of 1 point

Documentation / Electronic Health Record

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Hallway Activity Time: 3 min

Ron Registered Nurse

 

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Hey, I heard you just finished Ms. Jones’ musculoskeletal exam. I’m headed to her room now; what do I need to know?

This is you.

Ms. Jones has a healthy muscolskeletal system. The only thing that needs to be  monitored is her right foot where her wound is. She is a fall risk due to this wound.

Arun Physical Therapist

Hi there, I’m Arun, the physical therapist. We’re conducting fall prevention checks on  patients on this floor. Ms. Jones was selected because she will be here for a few days.  What do you think puts her at risk for falling? How do you plan to keep her safe?

This is you.

I thik what puts her at risk for a fall risk is her foot wound and her decreased strength on that leg due to the wound. I plan to keep her safe by making the alarms be on in her  bed, as well as making her a standby assist to ensure that she has someone with her at all times when she ambulates.

 

 

Diana Your Preceptor

Hopefully, you took note that Tina Jones needs assistance walking due to the pain from  her infected foot wound. What goals would you set for Tina Jones’ impaired walking,  and what evidence­based practice would you implement to help her achieve those  objectives? How will you know if your intervention worked?

This is you.

I would make the goal of trying to lessen the infection. I would ensure she is getting  proper wound care and eating healthy to help with her nutritional status to have proper  wound healing.

Lifespan Activity Time: 2 min

A 3-year-old child with Down’s syndrome is in the cardiac ICU of

Shadow General Hospital following open heart surgery. Which of the

 

 

following musculoskeletal physical exam findings would you expect

to find on this child?

Correct:Children with Down’s syndrome often have palmar simian crease, hyperextensible joints,  and short, broad extremities.

 Fixed joints

 Lordosis

 Hyperextensible joints (Correct Response)

 Scoliosis

An 86-year-old woman has been admitted to the Shadow General

surgical floor after a knee replacement. She has a history of

degenerative joint disease (DJD). What physical exam findings would

you expect to find?

Correct:Persons with DJD have limitations in strength and range of motion, joint crepitus, and pain  with activity that is relieved with rest. Humpback, or kyphosis, is commonly due to osteoporosis,  while shuffling gait and postural instability are commonly seen in those with Parkinson’s disease.

 Joint deformity (Correct Response)

 Shuffling gait

 Postural instability

 Humpback

Review Questions Activity Time: 2 min

If Tina had displayed limited abduction of the left shoulder, it would

mean that:

Correct:Abduction is defined as a motion in which a body part is moved away from the body’s  midline.

 

 

 She has limited movement forward

 She has limited movement in a circular motion

 She has limited movement toward her body

 She has limited movement away from her body (Correct Response)

Suppose you noted that Tina’s left knee was swollen. Which of the

following tests should be done?

Correct:The bulge sign is a test for excess fluid accumulation in the knee. It is performed by rubbing the knee capsule in upward strokes to displace fluid and observing for the creation of a bulge when  the fluid returns to its original position.

 Balloon test

 Fluid wave

 Bulge sign (Correct Response)

 Tinel’s sign

Imagine that Tina was unable to move her right ankle. You notice

that her muscles contract as she attempts to dorsiflex her ankle, but

no movement occurs. How would you grade her ankle strength?

Correct:According to the Oxford Scale, a muscle group that has no mobility but displays visible  muscle contraction is graded as a 1/5 strength.

 1/5 (Correct Response)

 2/5

 4/5

 3/5

 

 

When assessing Tina’s uninjured ankle, what range of motion would

you expect of this joint? Student Response:I would expect 5/5 range of motion in her uninjured ankle.  Model Note:Normal range of motion of the ankle joint includes dorsiflexion and plantarflexion,  inversion and eversion, and abduction and adduction.

When assessing Tina’s wrist, what range of motion would you

expect? Student Response:I would expect 5/5 range of motion in her wrist.  Model Note:Normal range of motion of the wrist joint includes flexion and extension, and abduction  and adduction (also known as radial and ulnar movements).

Because of her injury, Tina’s right ankle is inflamed. What are the

characteristics of inflammation? Student Response:Redness, heat, swelling and pain. THese are the four basic characteristics of  inflammation.  Model Note:The classic local signs of inflammation are heat, redness, edema, pain, and loss of  function. Systemic signs of inflammation can include fever, leukocytosis, and increased plasma  protein synthesis such as increased C­reactive protein and erythrocyte sedimentation rate.

Self-Reflection Activity Time: 1 min

After completing this assessment, what goals can you set for

yourself for the next time you complete a similar assessment? Think

about efficiency, organization, time management, and holistic care

of the patient. Student Response: I think I would try to ask the questions as i am doing the physical assessment  that way the time is cut in half and i can coordinate my questions for each system.

 

  • Musculoskeletal Results | Turned In Patient Assessment and
    • Experience Overview
    • Patient: Tina Jones
    • Digital Clinical Experience Score
  • 100%
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    • Proficiency Level:
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    • Transcript
    • Subjective Data Collection: 23 of 23 (100.0%)
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      • Objective Data Collection: 27.6 of 28 (98.57%)
      • Documentation / Electronic Health Record
        • Hallway Activity Time: 3 min
        • Lifespan Activity Time: 2 min
      • A 3-year-old child with Down’s syndrome is in the cardiac ICU of Shadow General Hospital following open heart surgery. Which of the following musculoskeletal physical exam findings would you expect to find on this child?
      • An 86-year-old woman has been admitted to the Shadow General surgical floor after a knee replacement. She has a history of degenerative joint disease (DJD). What physical exam findings would you expect to find?
        • Review Questions Activity Time: 2 min
      • If Tina had displayed limited abduction of the left shoulder, it would mean that:
      • Suppose you noted that Tina’s left knee was swollen. Which of the following tests should be done?
      • Imagine that Tina was unable to move her right ankle. You notice that her muscles contract as she attempts to dorsiflex her ankle, but no movement occurs. How would you grade her ankle strength?
      • When assessing Tina’s uninjured ankle, what range of motion would you expect of this joint?
      • When assessing Tina’s wrist, what range of motion would you expect?
      • Because of her injury, Tina’s right ankle is inflamed. What are the characteristics of inflammation?
        • Self-Reflection Activity Time: 1 min
      • After completing this assessment, what goals can you set for yourself for the next time you complete a similar assessment? Think about efficiency, organization, time management, and holistic care of the patient.

 

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Danny rivera shadow health

September 15, 2021/0 Comments/in Uncategorized /by charmcharm

Focused Exam: Cough Assignment

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Cough__Shadow_Health_Documentation.pdf

 

11/11/19, 3:44 PMFocused Exam: Cough | Completed | Shadow Health

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Focused Exam: Cough Results | Turned In Advanced Health Assessment – Fall 2019, NGR 6002

Return to Assignment

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Your Results Lab Pass Lab Pass

Document: Vitals Document: Provider Notes

Document: Provider Notes

Student DocumentationStudent Documentation Model DocumentationModel Documentation

Subjective

HPI:Danny reports a cough lasting four to five days. He describe the cough as ” watery and gurgly” He reports being feeling tired because the cough is worse at night and keeps him up. He reports pain in his right ear and mild soreness in his throat. He reports his mother treated his cough symptoms with over the counter cough medicaton that was temporarily effective. He reports frequent cold and runny nose. Patient has had no exposure to sick individuals. Patient denies having allergies

Home medications: Daily vitamin, over the counter antitussive medication

Past medical History: Frequent ear infections as small child. Patient reports last known ear infection was when he was two years old. He reports having pneumonia last that caused him to miss two weeks of school.

Social History: Patient lives in a house with parents and grandparents. Patient reports father smokes cigars in the house. He reports feeling safe in his home. He reports having no barriers to health care .

Review of the Systems Constitutional: Denies fever, denies chillis, denies weigh loss or gain, denies night sweats. Reports feeling “kind of tired”

HEENT: Denies ear popping, Reports history of frequent ear infections. Denies ear surgery or ear tubes. Denies headaches. Denies nosebleeds, Reports runny nose, denies vision problems, Denies dizziness, denies watery eyes, denies eye redness, denies eye pain, denies sinus problems. denies hearing problems. Reports pain in right ear. Reports mild sore thoart.

Respiratory: Reports freqent cough, denies difficulty breathing, denies chest tightness, denies history of inhaler use or breathing

Danny reports a cough lasting four to five days. He describes the cough as “watery and gurgly.” He reports the cough is worse at night and keeps him up. He reports general fatigue due to lack of sleep. He reports pain in his right ear. He is experiencing mild soreness in his throat. He reports his mother treated his cough symptoms with over-the-counter medicine, but it was only temporarily effective. He reports frequent cold and runny nose, and he states that he had frequent ear infections as a child. He reports a history of pneumonia in the past year. He reports normal bowel movements. He denies fever, headache, dizziness, trouble swallowing, nosebleed, phlegm or sputum, chest pain, trouble breathing and abdominal pain. He denies cough aggravation with activity.

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Education & Empathy

Documentation

Self-Reflection

Student Survey

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treatments.

Cardiovascular: Denies chest pain or chest discomfort

Objective

Mr. Rivera is pleasant and cooperative fatgued appearing young boy seated upright on the examination table. He is in no acute distress. He is alert. His speech is clear and coherent. He maintains eye contact throught the interview and examination. He offers information freely and without contradiction.

HEENT: scleara white, conjuctiva moist and pink bilaterally. Rhinorrhea with clear mucus, nasal mucosa is boggy bilaterally. Right tympanic membrane is erythematous with inflammation. Right cervical lymph node is enlarged with noted tenderness. oral mucosa mosit and pink. Tonsils 2+ with erythema and inflammation. Posterior pharynx is erythematous with cobblestoning. Fine bumps noted on tongue.

Vital signs Blood pressure 120/76 O2 saturation: 96% on room air Pulse 100 Respiratory rate: 28 Temperature; 37.2

Cardiovascular: S1, S2, no murmurs, gallops or rubs. Mild tachycardia

Respiratory: Chest is symmetrical with respirations. Increased respiratory rate. Audible coarse crackles in upper airway; bronchovesicular bilaterally, clears with cough. Negative bronchophony. Chest wall resonant to percussion. Expected fremitus, equal bilaterally. Spirometry: FEV1:3.15L, FVC 3.91L( FEV1/FVC: 80.5%)

• General Survey: Fatigued appearing young boy seated on nursing station bench. Appears stable.

• HEENT: Mucus membranes are moist, clear nasal discharge. Redness, cobblestoning in the back of throat. Eyes are dull in appearance, pink conjunctiva. Right Tympanic membrane is red and inflamed. Right cervical lymph node enlarged with reported tenderness.

• Cardiovascular: S1, S2, no murmurs, gallops or rubs.

• Respiratory: Respiratory rate increased, but no acute distress. Able to speak in full sentences. Breath sounds clear to auscultation. Negative bronchophony. Chest wall resonant to percussion. Expected fremitus, equal bilaterally. Spirometry: FEV1: 3.15 L, FVC 3.91L (FEV1/FVC: 80.5%)

Assessment

My differentials include acute viral rhinopharyngitis. strep throat, allergic rhinitis, acute otitis media, allergies and asthma

My differentials include cold, strep throat, rhinitis, allergies and asthma based on abnormal findings affecting the ears, upper respiratory tract and lymphatic region.

Plan

Danny will receive a strep throat culture to rule out strep throat.

10 day dose of antibiotics for treatment of acute otitis media.

Refer for allergy tesing and pulmonary function test.

Encourage Danny to increase intake of water and other fluids and educate on frequent handwashing.

Recommend antitussive treatment at night to help with his sleep.

Danny should be referred for an allergy test to rule out allergies as well as a lung function test to rule out asthma. He should receive a strep culture to rule out strep throat. I recommend antitussive treatment at night to help with his sleep in addition to bed rest.

Comments

Rebecca Hall (14 Oct 2019, 10:17 AM CDT): Great interview, very thorough and flowed well. Documentation-you did a great job on your documentation-only comment I have is to include right and left on the exam-document negative findings for left ear and neck as well as pertinent negatives for all systems examined-I know Shadow does not do this but I want you to. include supporting positive or negatives for your differential diagnoses If you have not done so I highly recommend you view the recording of the soap documentation conference. There is much information on accurate and appropriate soap

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how does the epigram affect this scene?

September 15, 2021/0 Comments/in Uncategorized /by charmcharm

unit_2_lteracy_device_unit_test_nintenth_century_literacy_.docx

Read the statement from a paper on The Importance of Being Earnest .

The Importance of Being Earnest contains the features of a comedy of manners.

Which excerpt from the play best supports the statement?

Merriman. Mr. Ernest Worthing has just driven over from the station.

Algernon. It is much pleasanter being here with you.

Miss Prism. No married man is ever attractive except to his wife.

Chasuble. Mr. Worthing, I offer you my sincere condolence.

 

Read the passage from The Importance of Being Earnest .

Lady Bracknell. . . . [Turns to Jack.] Apprised, sir, of my daughter’s sudden flight by her trusty maid, whose confidence I purchased by means of a small coin, I followed her at once by a luggage train. Her unhappy father is, I am glad to say, under the impression that she is attending a more than usually lengthy lecture by the University Extension Scheme on the Influence of a permanent income on Thought. I do not propose to undeceive him. Indeed I have never undeceived him on any question. I would consider it wrong. But of course, you will clearly understand that all communication between yourself and my daughter must cease immediately from this moment.

How does Wilde poke fun at Victorian society in the passage? Check all that apply.

Lady Bracknell says her maid is trustworthy but has to bribe her to get help.

The names of the college and class seem reasonable to Gwendolen’s father.

Gwendolen’s father appears to be an unhappy man.

Lady Bracknell says it is wrong to be honest with her husband.

Lady Bracknell does not approve of Gwendolen dating Jack.

 

Miss Prism. . . . The good ended happily, and the bad unhappily. That is what Fiction means.

How does the epigram affect this scene?

How does the epigram affect this scene?

It suggests the serious idea that tidy endings are uncommon in real life.

It explains the humorous idea that bad endings are usually happy.

It introduces the pessimistic idea that happy endings only happen in stories.

It reveals the optimistic idea that most endings are a good thing.

 

Read the beginning of The Importance of Being Earnest .

Title: The Importance of Being Earnest by Oscar Wilde

The Persons in the Play John Worthing, J.P. Algernon Moncrieff Rev. Canon Chasuble, D.D. Merriman, Butler Lane, Manservant Lady Bracknell Hon. Gwendolen Fairfax Cecily Cardew Miss Prism, Governess

First Act SCENE Morning-room in Algernon’s flat in Half-Moon Street. The room is luxuriously and artistically furnished. The sound of a piano is heard in the adjoining room.

[Lane is arranging afternoon tea on the table, and after the music has ceased, Algernon enters.]

Algernon. Did you hear what I was playing, Lane?

Lane. I didn’t think it polite to listen, sir.

Which analysis of the beginning of The Importance of Being Earnest is the most accurate?

The setting at the opening of the play makes a comment on the benefits of being married.

The names of the characters in the play help Wilde illustrate the differences between social classes.

The title is helpful in establishing the play as a comedy of manners because it makes use of witty wordplay.

The first line of dialogue in the play helps Wilde emphasize a contrast between city and country life

 

Read the passage from  The Importance of Being Earnest .

Lady Bracknell. . . . I think some preliminary inquiry on my part would not be out of place. Mr. Worthing, is Miss Cardew at all connected with any of the larger railway stations in London? I merely desire information. Until yesterday I had no idea that there were any families or persons whose origin was a Terminus.

Which excerpt from the passage contains a paradox and a pun?

“my part would not be out of place.”

“larger railway stations in London.”

“I merely desire information.”

“whose origin was a Terminus.”

 

What literary device does Oscar Wilde use in the title of his play The Importance of Being Earnest ?

epigram

understatement

pun

paradox

Read the excerpt from H. G. Wells’s The War of the Worlds .

The peculiar V-shaped mouth with its pointed upper lip, the absence of brow ridges, the absence of a chin beneath the wedgelike lower lip, the incessant quivering of this mouth, the Gorgon groups of tentacles, the tumultuous breathing of the lungs in a strange atmosphere, the evident heaviness and painfulness of movement due to the greater gravitational energy of the earth—above all, the extraordinary intensity of the immense eyes—were at once vital, intense, inhuman, crippled and monstrous. There was something fungoid in the oily brown skin, something in the clumsy deliberation of the tedious movements unspeakably nasty.

Which statement best describes how Wells conveys his purpose with this excerpt?

He provides quotes from experts.

He shares data about the creature.

He appeals to the reader’s beliefs.

He uses detailed physical description

Which statement best explains the aesthetic elements of a literary work?

Aesthetic elements establish background.

Aesthetic elements distinguish characters.

Aesthetic elements impart an artistic quality.

Aesthetic elements offer a thematic message.

 

How do authors impart aesthetic elements? Check all that apply.

through their word choice

through persuasive argument

through their tone

through facts and data

through the story’s mood

 

Which excerpt from Act I of The Importance of Being Earnest . is an understatement?

“I am always telling that to your poor uncle, but he never seems to take much notice . . . as far as any improvement in his ailment goes.”

“Well, really, Gwendolen, I must say that I think there are lots of other much nicer names.”

“Gwendolen, I must get christened at once—I mean we must get married at once. There is no time to be lost.”

“You know that I love you, and you led me to believe, Miss Fairfax, that you were not absolutely indifferent to me.”

 

Read the excerpt from Act II of  The Importance of Being Earnest .

Cecily. [Rather shy and confidingly.] Dearest Gwendolen, there is no reason why I should make a secret of it to you. Our little county newspaper is sure to chronicle the fact next week. Mr. Ernest Worthing and I are engaged to be married.

Gwendolen. [Quite politely, rising.] My darling Cecily, I think there must be some slight error. Mr. Ernest Worthing is engaged to me. The announcement will appear in the Morning Post on Saturday at the latest.

Part of this excerpt would be considered an understatement because

when Cecily says, “There is no reason why I should make a secret of it to you,” she actually does have a reason to keep it a secret.

when Cecily says, “Mr. Ernest Worthing and I are engaged to be married,” she is actually making a joke.

when Gwendolen says, “I think there must be some slight error,” she is actually referring to the large error of Cecily saying she is engaged to Ernest.

when Gwendolen says, “The announcement will appear in the Morning Post on Saturday,” she is not telling the truth.

 

Read the excerpt from Act I of  The Importance of Being Earnest .

Algernon. Well, we might trot round to the Empire at ten?

Jack. Oh, no! I can’t bear looking at things. It is so silly.

Algernon. Well, what shall we do?

Jack. Nothing!

Algernon. It is awfully hard work doing nothing. However, I don’t mind hard work where there is no definite object of any kind.

What effect does the paradox in this excerpt have on the reader?

It causes the reader to think about the multiple meanings of the word bear in the play.

It causes the reader to think about how doing nothing should be easy, but in fact can be quite hard.

It causes the reader to realize that doing nothing is never hard work and that Algernon is wrong.

It causes the reader to realize that Jack thinks doing something is always better than doing nothing

 

 

 

 

Which excerpt from The War of the Worlds  uses a sensory detail for aesthetic impact?

“Henderson stood up with his spade in his hand.”

“Ogilvy told him all that he had seen.”

“The two men hurried back at once to the common, and found the cylinder still lying in the same position.”

“Air was either entering or escaping at the rim with a thin, sizzling sound.”

 

Read the excerpt from Act II of The Importance of Being Earnest .

Jack. Oh! I don’t see much fun in being christened along with other babies. It would be childish. Would half-past five do?

Chasuble. Admirably! Admirably! [Takes out watch.] And now, dear Mr. Worthing, I will not intrude any longer into a house of sorrow. I would merely beg you not to be too much bowed down by grief. What seem to us bitter trials are often blessings in disguise.

Miss Prism. This seems to me a blessing of an extremely obvious kind.

Which two definitions of the word blessing does the pun in this excerpt rely on?

approval from someone in charge

a religious ceremony called a christening

encouragement from a friend

grace said at a meal

something that brings one happiness

 

Read the excerpt from Act I of The Importance of Being Earnest .

Jack. My dear Algy, you talk exactly as if you were a dentist. It is very vulgar to talk like a dentist when one isn’t a dentist. It produces a false impression.

The main effect of the pun in the excerpt is that it

confuses the reader.

creates a funny moment.

creates a serious moment.

explains something to the reader.

 

Read the passage from The Importance of Being Earnest .

Gwendolen. [To Jack.] Darling!

Algernon. [To Cecily.] Darling! [They fall into each other’s arms.]

[Enter Merriman. When he enters he coughs loudly, seeing the situation.]

Merriman. Ahem! Ahem! Lady Bracknell!

Jack. Good heavens!

[Enter Lady Bracknell. The couples separate in alarm. Exit Merriman.]

Lady Bracknell. Gwendolen! What does this mean?

In contrast to reading the scene, seeing the staged version of the scene would improve its aesthetic impact by allowing the audience to

see a single narrator, thereby adding to the drama.

watch the actors’ reactions, thereby adding to the humor.

witness different characters, thereby adding more tension.

view it being told in the past tense, thereby adding excitement.

 

Read the passage from The Importance of Being Earnest .

Gwendolen. Let us preserve a dignified silence.

Cecily. Certainly. It’s the only thing to do now. [Enter Jack followed by Algernon. They whistle some dreadful popular air from a British Opera.]

Gwendolen. This dignified silence seems to produce an unpleasant effect.

Cecily. A most distasteful one.

Gwendolen. But we will not be the first to speak.

Cecily. Certainly not.

Gwendolen. Mr. Worthing, I have something very particular to ask you. Much depends on your reply.

Wilde uses the exchange between Gwendolen and Cecily to

  • praise the strict social codes of Victorian society.
  • show the superiority of women in Victorian society.
  • mock the formal courtship rules of Victorian society.
  • explain the importance of romance in Victorian society.

 

Read the excerpt from Act III of  The Importance of Being Earnest .

Lady Bracknell. That does not seem to me to be a grave objection. Thirty-five is a very attractive age. London society is full of women of the very highest birth who have, of their own free choice, remained thirty-five for years. Lady Dumbleton is an instance in point. To my own knowledge she has been thirty-five ever since she arrived at the age of forty, which was many years ago now. I see no reason why our dear Cecily should not be even still more attractive at the age you mention than she is at present. There will be a large accumulation of property.

Which Victorian social codes are reflected in this excerpt? Check all that apply.

  • the equality among the different social classes
  • the significance of being polite and mannerly
  • the emphasis on importance of appearances
  • the stress on etiquette in formal courtships
  • the importance of wealth and social ranking

 

Read the excerpt from Act III of  The Importance of Being Earnest .

Lady Bracknell. [With a shiver, crossing to the sofa and sitting down.] I do not know whether there is anything peculiarly exciting in the air of this particular part of Hertfordshire, but the number of engagements that go on seems to me considerably above the proper average that statistics have laid down for our guidance.

What Victorian social code is reflected in Lady Bracknell’s disapproval of the number of engagements?

the belief that romance should play a large role in engagements

the perception that quick engagements go against religious beliefs

the belief that engagements and marriages should follow social rules

the perception that it is important to marry within one’s social class

 

Read the excerpt from Act III of  The Importance of Being Earnest .

Jack. [In a pathetic voice.] Miss Prism, more is restored to you than this hand-bag. I was the baby you placed in it.

Miss Prism. [Amazed.] You?

Jack. [Embracing her.] Yes . . . mother!

Miss Prism. [Recoiling in indignant astonishment.] Mr. Worthing! I am unmarried!

  • What do you learn about Miss Prism from this excerpt?
  • She believes in strict adherence to religion.
  • She believes in the division of social classes.
  • She believes in adherence to societal expectations.
  • She believes in morality over outward appearances

 

Read the passage from  The Importance of Being Earnest .

Algernon. I really don’t see anything romantic in proposing. It is very romantic to be in love. But there is nothing romantic about a definite proposal. Why, one may be accepted. One usually is, I believe. Then the excitement is all over. The very essence of romance is uncertainty. If ever I get married, I’ll certainly try to forget the fact.

In the passage, Wilde uses to achieve an aesthetic impact.

 

Read the passage from  The Importance of Being Earnest .

Jack. . . . Old Mr. Thomas Cardew, who adopted me when I was a little boy, made me in his will guardian to his grand-daughter, Miss Cecily Cardew. Cecily, who addresses me as her uncle from motives of respect that you could not possibly appreciate, lives at my place in the country under the charge of her admirable governess, Miss Prism. Algernon. Where is that place in the country, by the way? Jack. That is nothing to you, dear boy. You are not going to be invited . . .

By refusing to let Algernon meet Cecily, what character trait does Jack display?:

  • protectiveness
  • mischievousness
  • jealousy
  • compassion

 

Read the passage from an essay on The Importance of Being Earnest .

Chasuble. . . . Your brother was, I believe, unmarried, was he not?

Jack. Oh yes.

Miss Prism. [Bitterly.] People who live entirely for pleasure usually are.

How is the passage an example of Wilde achieving his overall purpose in writing the play?

Wilde uses realism to instruct the audience so they approve of the marriage.

Wilde uses sarcasm to shame the audience into embracing the social code.

Wilde uses humor to entertain the audience while he comments on marriage.

Wilde uses criticism to instruct the audience about the importance of morality.

 

Read the passage from  The Importance of Being Earnest .

Cecily. [Coming over very slowly.] But I don’t like German. It isn’t at all a becoming language. I know perfectly well that I look quite plain after my German lesson. Miss Prism. Child, you know how anxious your guardian is that you should improve yourself in every way. He laid particular stress on your German, as he was leaving for town yesterday. Indeed, he always lays stress on your German when he is leaving for town. Cecily. Dear Uncle Jack is so very serious! Sometimes he is so serious that I think he cannot be quite well.

From the passage, the reader can conclude that Cecily:

  • plans on traveling abroad.
  • wishes she were smarter.
  • values looks over knowledge.
  • wants to be more responsible.

 

 

 

 

 

 

 

 

 

https://essaycharm.com/wp-content/uploads/2020/05/logo-Recovered-300x62.png 0 0 charmcharm https://essaycharm.com/wp-content/uploads/2020/05/logo-Recovered-300x62.png charmcharm2021-09-15 07:52:392021-09-15 07:52:39how does the epigram affect this scene?

What is John Steinbeck’s purpose in writing the essay “Symptoms”

September 1, 2021/0 Comments/in Uncategorized /by charmcharm

What is John Steinbeck’s purpose in writing the essay “Symptoms”

The essay, “Symptoms” was written by John Steinbeck in 1943. It is an excerpt from an un-finished book of essays titled “Published Essays.” In this particular essay, Steinbeck discusses the trends he has observed in people throughout his life and how many of them might be classified as symptoms of a deeper problem. This appears to be his purpose for writing the article. Steinbeck does not outright state that there is a specific issue with society but instead gives examples of different social maladies such as greed and hatred which appear to lead to our current condition. He also describes how these issues are spread through education, media, and other forms of communication. The example he uses repeatedly is that information (which itself can be distorted or incorrect) is being passed from generation to generation and the message received in subsequent generations becomes watered down as it spreads.

At times, Steinbeck comes across as a bit condescending or overly critical of people but he does not seem to have any specific group in mind when writing this essay. No examples are given of particular groups with which he might share this opinion. So it seems that his purpose was simply to observe and comment on the trends he has observed throughout his life. He leaves the reader to draw their own conclusions about what can be done to remedy these problems. This appears to be all that Steinbeck intended for readers of “Symptoms” to take away from reading his article. There is no obvious suggestion offered at the end of the article about what should be done or how one might go about doing it. Instead, Steinbeck presents a case for why societal problems exist and why they need to be with us still. He leaves attributing causes and solutions to the reader.

https://essaycharm.com/wp-content/uploads/2020/05/logo-Recovered-300x62.png 0 0 charmcharm https://essaycharm.com/wp-content/uploads/2020/05/logo-Recovered-300x62.png charmcharm2021-09-01 09:28:382021-09-01 09:28:38What is John Steinbeck’s purpose in writing the essay "Symptoms"
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