Tommy Acher Ihuman

Question description

I started it but it need work the started SOAP is under wk 7 dq1 other documents uploaded contain infomation on the study.

General Guidelines for Comprehensive Case Study – Week 7 Assignment 1

  1. Your case study should not be just a SOAP note of a patient encounter—it should be a comprehensive evaluation of an iHuman patient case. 
  2. You will complete a Comprehensive SOAP note on the approved Pediatric SOAP Note template based on the findings of the iHuman case – then major research and discussion of the disease process are presented.
    1. This case study should be a summative evaluation supported by a minimum of 5 evidence-based articles.
  3. Evaluation of the case study should be no more than 3-4 substantive paragraphs. A minimum of five evidence-based sources (in addition to your text) should be used for your case study.
  4. Course texts will not count as a scholarly source; if using data from websites you must go back to the literature source for the information-no secondary sources are allowed, ie, Medscape, UptoDate, etc.
  5. This week, complete the iHuman case titled “Tommy Acker, Child Abuse”. Click here for information on how to access and navigate iHuman.
  6. Please submit your Comprehensive SOAP Note and Growth Chart in the W7 Assignment 1 Dropbox by Wednesday, October 18, 2017.
    1. Name your SOAP note document SU_NSG6435_W7_A1_lastname_firstinitial.doc
Assignment 1 Grading Criteria Maximum Points
Provided a thorough discussion of the approach to the case and patient care. 10
Comprehensive SOAP note submitted with all required elements. 30
Used at least five current articles to support the approach. 5
Used correct spelling, grammar, and professional vocabulary and cited all sources using APA style. 5

Models of Leadership

Question description

As a nurse leader, it is important to understand a variety of leadership models and styles. This will help you adapt to different settings and apply strategies to support and inspire others. It may also be necessary to apply models in different professional settings to satisfy certification requirements.

This assignment is composed of two parts, a graphic organizer and a written paper.

Part I: Graphic Organizer

Research five leadership models and styles. One model must be transformational leadership.

Design a graphic organizer to compare servant leadership with the other models. Consider how these models or styles bring about organizational, team, or individual change or growth. How do leaders implement each of the models and how do they fit with your personal beliefs?

Part II: Personal Model of Leadership Paper

Write a 1,000-1,250 word paper about your personal model of leadership, including the following:

  1. How may your personal model of leadership be applied in your professional setting?
  2. How does your personal model of leadership compare to the models you researched for the graphic organizer?
  3. Does your personal model follow the lines of servant leadership or transformational leadership?

Submit the graphic organizer and paper to your instructor.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are required to submit this assignment to Turnitin.

I will need intext citations, with easily accessible references please

Science Answer Questions

Question description

Please answer the fallowing questions with references.

Question 1

A woman is interested in starting Depo-Provera injections for contraception. What would be the most likely side effect that she should be educated about?

Question 1 options:

Irregular bleeding


Breast tenderness


Question 2

Lenore, fifty-five years old, comes in for evaluation of a breast mass. Which of the following assessment findings is/are associated with carcinoma of the breast? Select all that apply.

Question 2 options:

Scaly lesions similar to eczema on one areola and nipple

Peau d’orange dimpling of skin over one breast

Unilateral retraction and deviation of nipple

Discrete, smooth, and mobile lesion

Question 3

There are several phases to the menstrual cycle. What phase begins with ovulation and ends with menstruation?

Question 3 options:

Ovulatory phase

Follicular phase

Proliferative phase

Luteal phase

Question 4

Tanisha is a twenty-two-year-old woman who presents with extreme irritability and mood swings, bloating, constipation, fluid retention, and headache. She tearfully tells you, “This happens every month in my cycle. I get like a crazy woman, lashing out at everyone. I’m afraid I’ll lose my job if I can’t stop this. Sometimes, it’s so bad. I just want to quit living. I need help!” Tanisha’s symptoms are typical of what disorder?

Question 4 options:


Premenstrual syndrome (PMS)

Bipolar disorder

Premenstrual dysphoric disorder (PMDD)

Question 5

Sylvia is a forty-four-year-old woman with abnormal uterine bleeding (AUB) and is unable to use combined hormonal oral contraceptives. Which of the following medications can be used for management of AUB?

Question 5 options:

Ethinyl estradiol


Musculoskeletal relaxants

Conjugated estrogen


Your fifteen-year-old patient has been diagnosed with secondary amenorrhea. The urine human chorionic gonadotropin (HCG) is negative and Prolactin levels are within normal limits. The physical examination reveals growth of breast tissue and Tanner stage III. Which of the following medication regimes would be most appropriate?

Question 6 options:

Oral estrogen 1.25 mg daily for three weeks

Oral progestin 5 mg every other day for three cycles

Medrol 16 mg dose pack

Medroxyprogesterone acetate 5 to 10 mg daily for first 12 to 14 days of each cycle


A female patient has been diagnosed with polycystic ovary syndrome (PCOS) and weighs 250 pounds. In addition to obesity, PCOS is associated with which of the following clinical manifestations? Select all that apply.

Question 7 options:

Unexplained weight loss

Dry, flaking skin

Menstrual irregularity


Question 8

The nurse practitioner is counseling an eleven-year-old girl, Kayleigh, and her mother about the human papillomavirus vaccine (HPV), Gardasil. Kayleigh is Tanner stage IV at this visit. In counseling this family, the nurse practitioner tells them that the HPV vaccine ______.

Question 8 options:

is a series of three doses over a six month period

will protect Kayleigh from all strains of HPV

can cause seizures in some children

is not indicated in her age group as she is not yet sexually active

Question 9

The nurse practitioner understands that women with polycystic ovarian syndrome have an increased risk for:

Question 9 options:

is a series of three doses over a six month period

Adrenal tumors

Endometrial cancer


Question 10

The nurse practitioner is instructing a patient on the proper use of the diaphragm, a barrier contraceptive method. Which of the following would the nurse practitioner include in the instructions?

Question 10 options:

The diaphragm should be removed within one hour after intercourse.

The diaphragm may be inserted up to twenty-four hours prior to intercourse

The diaphragm may be inserted up to twenty-four hours prior to intercourse

Douching is safe immediately upon removal of the diaphragm.

Question 11

Abnormal uterine bleeding (AUB) has multiple causes. When a woman presents and reports menstrual irregularity with amenorrhea, which is the most common cause of amenorrhea?

Question 11 options:

Ectopic pregnancy




Question 12 Polycystic ovaries predispose women to a higher incidence of:

Question 12 options:

Adrenal tumors

Ovarian cancer

Endometrial cancer


Question 13

A well-woman visit for an adolescent should include which of the following? Select all that apply.

Question 13 options:

A general health history and physical examination, including a breast examination, pelvic with Pap smear, counseling, and assessment of risk factors

A general health history focusing on reproductive and sexual health concerns (menses, gynecologic, and pregnancy related) and psychosocial (family related, peer related, emotional, and physical as well as related to abuse, drug use, and alcohol use) concerns

Screening tests and immunizations as indicated by the health history

External-only inspection of the genitalia

Question 14

A 42 year old female presents to your office with complaint of a palpable breast mass that she noticed while performing her breast self-examination. After taking her history, you perform a clinical breast examination which reveals a solitary, 3 cm, mobile, non-painful, rubbery mass. On the basis of her clinical breast examination, what is most likely her diagnosis?

Question 14 options:

Fibrocystic breast changes


Intraductal papilloma

Invasive breast cancer

Question 15

Which of the following contraceptives would not be a reasonable method for a 40 year old patient that smokes 1 pack of cigarettes per day and has a history of hypertension?

Question 15 options:

Contraceptive patch


Mirena IUD


Block Diagram health and medicine homework help

Question description

Lab Activity: Block Diagram

When a patient arrives at the ED of the Medical Center of DeVry, demographic and insurance information is obtained. The ED registration clerk checks the facility master patient index and either updates information if the patient has previously been treated at the facility or enters the information if this is the patient’s first visit.

The triage nurse takes a medical history and performs an initial clinical evaluation. This information is entered into a computerized ED encounter form and an automated triage system categories the patient. The triage systems assign an available ED bed in the bed assignment system. The patient is put on the schedule to be seen by an ED physician. The ED scheduling system tracks a patient in the ED and captures information on diagnosis, treatments, provider interaction, and amount of time a patient spends in the ED. An ED physician sees the patient by schedule order. The physician performs an examination, orders tests, writes prescriptions, makes a diagnosis and makes a decision about patient disposition. The ED physician enters medical history, examination information, diagnosis, and patient disposition into the computerized patient EHR system. The ED physician enters medication and test orders in the order-entry system and orders are automatically routed to the clinical laboratory, radiology and pharmacy information systems.

Based on the scenario above, create a block diagram that will represent the system input, outputs, components and other applicable relationships.

STEP 1: Create a Block Diagram

  • On the File menu, point to New, point to Block Diagram, and then click Basic Diagram.
  • From Basic Shapes, drag shapes onto the drawing page.
  • Resize and rotate shapes as necessary.
    • If the shape has selection handles, drag one until the shape is the size you want. To resize the shape proportionally, drag a corner handle.
    • If the shape has endpoints, drag an endpoint to the length you want.
    • Select the shape, and then drag the rotation handle.
  • You will use these shapes to create a diagram for the ED system components.


Click a shape to select it and do one of the following:


STEP 2: Create Components and Relationships

  • To create components and relationships, drag appropriate shapes to your diagram to represent components and relationships. You can associate multiple shapes with the same component.
  • To add text to a shape, select the shape and then type.
  • To create inputs, outputs and interfaces, drag appropriate shapes to your components and relationships.

STEP 3: Create system inputs, outputs and interfaces

Science Homework

Question description

Answer the fallowing questions


. The nurse practitioner is prescribing a depot medroxyprogesterone acetate (DMPA) injection for a patient. This medication is given at _______ week intervals.

Question 1 options:


When comparing COCs to the contraceptive patch and vaginal ring, which of the following statements by the nurse practitioner is correct?

Question 2 options:
The ring, patch, and COCs have the same theoretical efficacy.
The vaginal ring offers more opportunity for user error.
The patch has lower failure rates in obese women.
COCs have fewer variety of formulations.0


Although barrier contraception methods are less effective in preventing pregnancy than more modern methods, the nurse practitioner understands that interest in barrier methods is on the rise because they:

Question 3 options:
can help protect against STIs, including HIV
are coitus dependent and require planning
are nonallergenic and male controlled
involve the use of hormones


The nurse practitioner is discussing contraceptive efficacy with a patient. This term refers to:

Question 4 options:
the rate of success in those who are spacing their pregnancies.
the likelihood of pregnancy when a method is used exactly as prescribed.
the number of pregnancies when a method is used improperly or inconsistently.
the likelihood of user failure or typical-use failure rates in different populations.


A patient is being counseled about emergency contraceptive methods. All of the following methods may be used for emergency contraception except:

Question 5 options:
Copper IUD
Ulipristal acetate
Yuzpe regimen
Progestin implant

Chemical energy and lizard push-ups

Question description

Complete and click the link above to submit Lab 5

Rubric for Lab 5 (5 pts)

You should write a full lab report that includes: an “Introduction”, a “Materials and Methods”, “Results”, “Discussion” sections. This lab report should be a minimum of 300 words. Only the submission of a single Word document is required for this lab report. Please ensure that your document is either a .doc OR .docx file to ensure that we can easily access your file from both a PC and Mac computer.

Introduction (1 pt)

•&νβσπ;What is the role of lizard push-ups in sexual reproduction? Why are scientists interested in studying them?

Materials and Methods (1 pt)

•&νβσπ;In paragraph format and in past tense, describe the materials you needed and the methods you used to complete this lab. Similar to past modules, we understand this is an online lab so this section is a little difficult, but remember, someone (who is not in this class) should be able to complete the lab based on what you write here so what should you include?

Results (2 pts)

•&νβσπ;Table of raw data of the number of pushups in the video and the time they took

•&νβσπ;All the steps of the calculation of the number of crickets needed to fuel 30 days of push-up displays, including:

  • How many calories were spent doing push-ups
  • How many calories there are in a cricket
  • Total number of crickets required for 30 days of push-ups.

Discussion (1 pt)

•&νβσπ;Discuss, in detail, some of the possible reproductive costs associated with lizard push-ups.

1 pt will be deducted if lab report does not meet word count requirements and up 1 pt may be deducted based on clarity of writing and grammar mistakes. .5 pt will also be deducted if section headings (Introduction, Materials and Methods, Results and Discussion) are absent.

Lab reports are due by Friday, November 10, 2017 at 11:59pm through the proper submission link in Blackboard. No late lab reports will be accepted for this assignment and no lab reports sent via e-mail will be accepted.

  • Chemical energy and lizard pushups–Calculating the cost (in crickets) of a lizard showing off to defend its territory from other males and to attract females. You will need the “Lizard Push-up” video above for this lab.

    • Assumptions we will make for this lab:
      • There are 121 dietary Calories (kilocalories) in 100 grams of crickets
      • The crickets (that the lizard we see in the video eats) weigh 0.5 grams each
      • It takes 0.1 dietary Calories of energy for the lizard to do one push-ups
      • The lizard in the video spends a total of 30 minutes of each day doing push-ups
      • During his 30 minutes of push-ups, he does them at the same rate that you see in the video
      • The lizard does these displays every day for 30 days during the breeding season
    • The question you need to answer is: How many crickets did the lizard need to eat to fuel his 30 days of push-up displays?
      • To find out how many total push-ups the lizard did during the breeding season, count how many push-ups he did in the video and how long it took him to do them. You now have a push-up count per unit time that you can use to figure out how many push-ups the lizard would do per day and how many he would do in 30 days. (For example, if he did one push-up per minute, then he would be able to do 30 push-ups in 30 minutes. At 30 minutes per day, he would do 900 push-ups in 30 days.)
      • Calculate how many dietary Calories he spent doing all those push-ups. (Continuing our example, 900 push-ups x 0.1 calories = 90 dietary Calories) Note – you can leave your answers in dietary Calories, no need for conversion.
      • Calculate how many dietary Calories there are in a cricket.
      • Calculate how many crickets he would have to have eaten to fuel all those push-ups.
    • Data you need to show in lab report:

      • Your raw data of the number of push-ups in the video and the time they took
      • Show how you calculated your final answer, including all the steps (showing your work is the only way I can give you partial credit if you make a silly math error along the way

Statistics Concepts and Descriptive Measures

Question description

Purpose of Assignment

The purpose of this assignment to orient students to the key concepts in statistics. This assignment will introduce students to the language of statistics. Students will also get a chance to warm-up on evaluating some basic descriptive statistics using Excel® prior to the course start.

Assignment Steps

This assignment has an Excel® dataset spreadsheet attached. You will be required to only do one of the three datasets.

Resource: Microsoft Excel®, Statistics Concepts and Descriptive Measures Data Set

Download the Statistics Concepts and Descriptive Measures Data Set.

Choose one of the following datasets to complete this assignment:

  • Consumer Food ( This is the one I chose)
  • Financial
  • Hospital

Answer each of the following in a total of 90 words:

  • For each column, identify whether the data is qualitative or quantitative.
  • Identify the level of measurement for the data in each column.
  • For each column containing quantitative data:
    • Evaluate the mean and median
    • Interpret the mean and median in plain non-technical terms
    • Use the Excel =AVERAGE function to find the mean
    • Use the Excel =MEDIAN function to find the median
  • For each column containing quantitative data:
    • Evaluate the standard deviation and range
    • Interpret the standard deviation and range in plain non-technical terms
    • Use the Excel =STDEV.S function to find the standard deviation
    • For range (maximum value minus the minimum value), find the maximum value using the Excel =MAX function and find the minimum value using the Excel’s =MIN function

Statistic Analysis

Question description

Your response should be 400-750 words, in APA format, 12pt font, 1″ margins, references page, etc. (abstract not required). Make sure to use a .doc, docx, or rtf file format and attach the file when submitting. Also, these assignments have a minimum of five (5) required sources. While the source report can count as one source, this means you need to find additional sources to add detail and support to your answers. Look for real world examples in the news, peer reviewed journals, etc. For more information about the assignments, refer to the assignment and its grading rubric on Blackboard.


Below is a chi-square and Cramer’s V statistic from Maricopa County’s Sheriff Offices’ Annual Report (2014-2015). The tables tests the relationship between whether a driver had an item seized by that driver’s race. The chi-square is significant, so a relationship exists. What does this tell us about the Maricopa County Sheriff’s Office? How does the Cramer’s V weigh in here? In other words, according to this data, does MCSO discriminate based on race? If so, which races and how much does race account for seizures?

Driver post-stop perceived race or ethnicity
White Unknown Native American Hispanic Black Asian Total
Driver item seized – No 18747 271 401 5671 1988 569 27647
Driver item seized – Yes 268 2 23 131 47 5 476
Total 19015 273 424 5802 2035 574 28123
Chi-Square 64.29 **
Cramer’s V 0.048 **

+ p < 0.10; * p <0.05; ** p < 0.01

Planet Zindau Geology Homework Help

Question description

For this assignment, you are challenged to answer a series of questions about a fictional planet, Zindau, to demonstrate your understanding of Module Two’s seasonality concepts.

Prompt: Our story begins in the Andromeda Galaxy. You are an inhabitant of a planet called Zindau, which is approximately the size of Earth. It orbits a star that is about the same size as the Sun. Further, the distance between these celestial bodies is approximate to the Earth and Sun. However, there are some differences:

  1. Planet Zindau has an equal distribution of land and water between both hemispheres.
  2. Planet Zindau has an axial tilt of 35 degrees.
  3. Although the perihelion and aphelion occur at about the same time as the solstices (as it does for Earth), the eccentricity of Zindau’s orbit is 10% (ascompared to about 2% for Earth). The alignment of the perihelion and aphelion relative to the year is the same as that for Earth.

Specifically, the following critical elements must be addressed:Answer the following questions in sentence format. Try to answer each question in a sentence or two.

  1. Where will the significant lines of latitude (equator, Tropics, Circles) align on Zindau?
  2. How will the equal distribution of land and water affect seasonal temperatures between the hemispheres relative to the perihelion/solstice andaphelion/solstice?
  3. How does the increased tilt affect critical components of seasonality across the latitudes as compared to Earth?
    1. a) How would the daylight period be affected across the latitudes through the year?
    2. b) How would beam spreading and depletion be affected across the latitudes?
    3. c) How would the solar angle incidence be affected across the latitudes?
  4. Calculate the winter and summer solstice solar angles for a point existing at 45 degrees north latitude. Are there any other aspects of Zindau/Sun relationships that would be affected? If so, what are they and how would they be different from that of Earth?
  5. Describe seasonality through the year for both hemispheres.

Project Scope and Risk Treatment methods

Question description

Project Scope

Part 1:

Work with your supervisor at your Host Company, to identify a project that you can work on, i.e. a defined piece of work that you can plan, investigate, develop and deliver during your time at your internship.

Your project does not have to be big, but it cannot be routine, everyday work, such as working on help desk, assembling PC’s, fixing bugs in programs, and so on. You will use this project to produce an RMP (Risk Management Plan) in weeks 7 and 8 of the course

Now create a Scope Statement for your project, using the template provided and the separate instruction document for completing it. Please take care to enter information in ALL required fields. The information you write in your Scope Statement should be 200 – 300 words:

You should have at least 3 constraints, 3 assumptions and 3 risks. Write at least a paragraph (several sentences) for the Project Description and the Business Benefit.

Part 2:

Upload your completed Scope Statement to the forum for the others to read and comment on.

Compare your Scope Statement with at least 2 other classmates.


Download the RMP (Risk Management Plan) template.

Complete Part 1: Project Context, using the information from your Scope Statement.

Upload the template to the forum.

You do not need to comment on the responses of any of your classmates here.


Risk Treatment Methods

  1. The project team is developing an app for iOs, Android, and Windows phones. The development team lead identifies a risk with the Windows phones. She says that the team has little experience with the Windows mobile operating system; additionally Windows is not capable of performing many of the required functions without using commercial plugins and APIs. As Windows phones occupy just a tiny portion of the world market (0.7%), and are being deprecated by Microsoft, you recommend to the client that “Windows” compatibility be removed from the project. The client agrees. Which risk treatment method is this? Explain your answer.
  2. Which risk treatment method should be used when a section of the project is too difficult for the company to perform? Explain your answer.
  3. You are managing a project which uses subroutines and libraries from a number of different sources. You are concerned that the project might accidentally contravene the law. So you ask the HR department to employ someone with specialist knowledge in the area. Is this an example of “Transference”? Explain your answer.
  4. What is the difference between “Avoidance” and “Acceptance”?