Tag: factors

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Major factors that contribute to an employee’s decision to join a union

After reading chapter-11 and chapter-12 from the attached textbook answer the following questions. Answer should be in own words and strictly no plagiarism, no copy and paste from other resources. APA format must and answer in own words as thorough as possible.

  1. Discuss three major factors that contribute to an employee’s decision to join a union. Discuss the five reasons that have contributed to the trend of decline in unionization.
  2. How would a manager use the progressive disciplinary action approach? How would the use of this approach prevent employees from being surprised if they are terminated?

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Genetic and environmental factors would influence the intellectual development of two identical twins

Based on the available data, describe how genetic and environmental factors would influence the intellectual development of two identical twins who were separated at birth and raised in two different families—one in an impoverished environment and one in an enriched environment. Would there be differences? If so, why and to what extent, specifically?


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Influence of Genetic and Environmental Factors on Intellectual Development of Identical Twins

Name of Student

University Affiliation

Course Number

Instructor’s Name

Date

Influence of Genetic and Environmental Factors on Intellectual Development of Identical Twins

           Human physical, emotional, intellectual, and psychological development is influenced by many factors. Some of the most important factors that have been shown to have a significant influence on intellectual development are genetic and environmental factors. Although identical twins have similarities in genetic makeup, differences in environmental experiences have been shown to lead to differences in their intellectual development. 

           Research has shown that an individual intelligence, personality, and temperament are a product of complex interaction of both environmental and genetic factors. Bukatko and Daehler (2012) point out that twins who are born in the same environment share similar genetic makeup, nature, and nurture. However, when such twins are separated and placed in a different environment, their intellectual development is then influenced by the difference in nature and nurture. Such an influence is termed as a nonshared environmental influence (NSE) (Shaffer, 2009). Nonshared environmental influences will have an impact on the intellectual capacity of the two twins. Studies done on the impact of nonshared environmental influence among twins have shown differences in intelligence quotient (IQ) among identical twins. Shaffer (2009) points out that in studies that were done among two twins placed in two different homes indicates that one of the twins had differences in IQ with a correlation of .86. In the case of the two twins born in the same family but raised in a different environment, it is e………………………………………………………………………………………………

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Discuss the factors and approach you will use to develop a professional partnership with your selected site.

 Answer both of the following questions honestly and professionally:

  1. Discuss the factors and approach you will use to develop a professional partnership with your selected site.
  2. What is the importance of collaborating with other healthcare professionals in order to establish trusting relationships to gain commitment for mobilizing health initiatives?

Your initial posting should be 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be a minimum of 200 words in length. 

DQ1 UMBO – 1, 2DQ1 PLG – 6, 7DQ1 CLO – 1, 6

When you are ready for the discussion, do the following:

  1. Click on the discussion link above.
  2. Start your answer by clicking “Start a New Thread” button with the title of your answer and the body of text following the guidance above.
  3. To properly post your answer, please click on the “Post” button.
  4. After posting your contribution, you must read what others have posted, reply to at least two of those posts, and respond (when appropriate) to those you have responded to you.

To reply to a classmate’s post:

  1. Click on the title of another student’s post.
  2. Click “Reply to Thread” and type your response to the student.
  3. Click the “Post” button to post your reply.
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Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones

 Discussion Question:

Margaret Newman stated, the nurse and client become partners in living through the period of disharmony and emerging at a higher level of consciousness, the nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives.  Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. 

Assignment:

Leininger and Watson

Write a 1500-1750 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources and the textbook using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Case study #1 

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

  • Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
  • Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
  • Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
  • Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

  • Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
  • How is love, as defined by Watson, evident in this caring moment?
  • How can the nurse creatively use self to create a healing environment?
  • Discuss the strengths and limits to Watson’s Theory.

Assignment Expectations:

Length: 1500 – 1750 words

Structure: Include a title page and reference page in APA format.  These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

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economic factors that influence the foreign exchange rates

Part 1: Individual Market View Report

Each of you is part of a team and is required to conduct independent research that will feed into your group report. This research consists of outlining and explaining the behaviour of a self-selected pair of exchange rates over the past (i.e., your interpretation of historical data). You must exclusively choose from currencies listed above and make sure each team member is studying a different currency pair. 

THE PAIR I CHOSE IS JPY/USD SO PLEASE USE THIS PAIR

In this task, you are required to do some research in order to form a view regarding current and future market conditions.

  • Do you think that exchange rates will go up or down in the next 3 to 6 months? 
  • Why do you think this? 
  1. For this, you should first identify the economic factors that influence the foreign exchange rates (review the course materials). Then you should collect and use financial news and news regarding national and international events which are likely to have an impact on the market.
  2. For news and market data, you must use Eikon Online, a professional financial data platform used by industry practitioners and experts. You can also use additional sources such as professional magazines, institutional websites and newspapers.
  3. Do not simply quote other people’s opinions. You should present your opinion, and explain in your own words why you hold that opinion in a way that shows that you understand the theory behind the determination of the exchange rates. You can certainly quote evidence that supports your opinion, and this evidence must be correctly referenced (do not submit copies of your collected articles with your report). For your view, you should use at least five references.

Very important: You should conduct thorough research and discuss your market view prior to developing your trading strategies as a team in the next stage.

Maximum of 700 words in length with a tolerance of + 10% 

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Chest Pain 1. How do you evaluate a patient with a history of chest discomfort and risk factors for heart disease?

Please follow the soap note template provided:
Title page – including the identified case study name and number
 
1. Learning Issues – what do you need more information in order to develop a plan? If so, what information do you need or want? (Can be bullet points)
    1. Example – Chest Pain
        1. How do you evaluate a patient with a history of chest discomfort and risk factors for heart disease?
        2. What are the laboratory findings that are important to look for with someone with chest discomfort?
* How do you manage abnormal lipids?
1. What lifestyle changes are important to recommend to reduce cardiac risk
2. Interpretation of Cues, Patterns, and Information – symptoms analysis and identification of any missing data that would helpful in making a plan for care (Can be bullet points)
    1. Example – Chest pain
        1. Chest discomfort – musculoskeletal vs gastrointestinal vs cardiac vs respiratory?
        2. What labs are missing that would assist in the planning process for this patient?
* Family history that could increase risk of cardiovascular disease
1. Psychosocial issues – caffeine intake, smoking, ETOH use, or working history
2. Differential Diagnoses – include 3 differential diagnoses including ICD-10 codes (Can be bullet points)
    1. Example – Chest pain
        7. Precordial Pain – R07.2
        8. Acute Myocardial Infarction – I21.9
* Gastroesophageal Reflux Disease without esophagitis– K21.9
4. Diagnostic Options – what additional laboratory work, diagnostic testing, or possible referrals may be required? (Can be bullet points)
5. Final Diagnosis – what is the most probable cause of the patient problem?
6. Therapeutic Options – this is related to your final diagnosis (Paragraph Form or Bullet Points)
    1. Pharmacological
    2. Nonpharmacological
    3. Educational
    4. Social Determinants of Health
7. Follow up – when should this patient return to the office? What conditions would need earlier follow up? (Paragraph Form)
8. References page (APA Format)

Case 16

1:30 PM
Jerome Wilson
Age 47 years
Opening Scenario
Jerome Wilson is a 47-year-old man on your schedule for a follow-up visit. He had an annual examination six months ago with elevated lipid levels. At that time, you recommended that he start lipid-lowering medication. Rather than using medication, Mr. Wilson preferred to try to improve his lipids by working on lifestyle changes for six months. He was started on a heart-healthy diet and an exercise and stress management plan. The results of his lipid profile drawn six months ago, as well as other tests ordered, are shown in Table 16-1 and Table 16-2.
Notes of Jerome Wilson’s Visit Six Months Ago
Reason for Visit
Jerome Wilson is a 47-year-old man scheduled for a complete physical examination. It has been three years since his last physical with you.
History of Present Illness
“I am planning to increase my exercise level by joining a local fitness club. I thought it would be a good idea to schedule a physical before doing this. I feel fine and have not had any change in my health.”
Medical History
No hospitalizations or surgery. Seen twice in the past for bursitis of the left shoulder, which required steroid injections. No hypertension, coronary artery disease (CAD), or diabetes mellitus.
Family Medical History
Mother: 71 years old (hypercholesterolemia, surgery at age 65 for vascular occlusion in the leg)
61
Father: 71 years old (Alzheimer’s disease for three years)
Sister: 47 years old (current diagnosis of breast cancer)
Grandparents: All died many years ago; he does not know causes of death
Social History
Lives with wife and three children, ages 3, 8, and 12. Works as a certified public accountant in a large accounting firm. Nonsmoker for 15 years. Four drinks of alcohol per week. Three cups of coffee per day. Golfs two to three times a week in good weather.
Medications
None
Allergies
NKDA
Review of Systems
General: States energy level is good; sleeps well; feels healthy but stressed keeping up with family and work responsibilities
Integumentary: Dry, itchy areas on scalp
HEENT: Denies problems with hearing; recently began to use reading glasses; sees dentist regularly
Respiratory: Denies any chest pain, shortness of breath, cough, or dyspnea on exertion
Gastrointestinal: No heartburn, nausea, abdominal pain; occasional constipation with occasional painful hemorrhoid; no rectal bleeding
Genitourinary: No dysuria, frequency, hesitancy, nocturia
Musculoskeletal: No current joint pain, but occasionally (every few months) notes transient joint pain in knees, wrists, and fingers; uses aspirin or acetaminophen when needed with good relief of symptoms
Neurological: No headaches; denies depression, memory changes
Physical Examination
Vital signs: Temperature 98.0° F; pulse 72 bpm; respirations 16/min; BP 136/74 mm Hg
Height: 5 ft 8 in; weight: 160 lb; BMI: 24
Ge