How many receptors have been found for opioids? What are their names?

Topic: Opioid Receptors – Signaling against pain always with pleasure?
This week you learned about the concept of receptors, GTP-binding  proteins and different signal transduction pathways operating in cells.  As you work on this week’s discussion board assignment, consider the  following.  Chronic pain is one of the most common reasons adults  seek medical care. The condition has been linked to restrictions in  mobility and daily activities, anxiety and depression and often to  dependence on opioids. According to a 2016 CDC analysis of National  Health Interview Survey (NHIS) data, an estimated 20.4% (50.0 million)  of U.S. adults had chronic pain and 8.0% of U.S. adults (19.6 million)  had high-impact chronic pain. Opioid-based medications have been used by  man as an analgesic and euphoric for over 5000 years of which morphine  is the most widely known and used. Morphine and the other opioids  codeine, papaverine and thebaine are extracted from the poppy plant Papaver somniferum.  All four natural opioids bind to different opioid receptors which are  distributed throughout the central nervous system and also within  peripheral tissue of neural and non-neural origin. All opioids (natural  or synthetic) used in clinical practice today to reduce pain exert their  action at the MOP receptor. However, some have additional activities  most namely reduction in conscious level and euphoria, making them drugs  of abuse.
This week I want you to read the following scientific review article  (Pathan H. & Williams J. Basic opioid pharmacology: an update. Br.  J. Pain 6(1): 11-16 (2012) and do some research on NCBI PubMed (https://pubmed.ncbi.nlm.nih.gov/) on this week’s topic and discuss the following aspects with your class mates:

How many receptors have been found for opioids? What are their names?
How do those opioid receptors differ? Which components do they share?
What is known about the intracellular signaling pathways of those opioid receptors?
In which way might increased knowledge about the intracellular  signaling components of the opioid receptor help to develop new  generations of analgesics without addictive properties?

Case study : Susan is a 16-year-old with sudden onset of severe sore throat for the past day. She feels like she had a fever but did not check her temperature (i.e., subjective fever). What is the most likely diagnosis and pathogen causing this disorder? Discuss the mode of transmission and discuss data that supports your decision.

Case 1 
Review the pharyngitis scenarios and determine the most likely cause, including pathogen and mode of transmission. Discuss data that support your decision and treatment strategies. 
Scenario 1:  Susan is a 16-year-old with sudden onset of severe sore throat for the past day. She feels like she had a fever but did not check her temperature (i.e., subjective fever). She states it is very painful to swallow, and she thinks she sees white spots on her throat. She denies cough, rhinorrhea, nausea, otalgia, shortness of breath, or headache. She reports no exposure to sick individuals. 

Medications: none.
Allergies: none.
Social history: nonsmoker and drinks alcohol (two to three beers) one to two times a month.
Physical examination: vital signs – temperature 101.0°F; pulse 100 beats per minute; respirations 18 per minute; blood pressure 110/66 mmHg.
General: ill and tired appearance.
Head, Eyes, Ears, Nose, and Throat: unremarkable except for erythematous oropharynx with small petechiae and white tonsillar exudates.
Neck: anterior cervical lymphadenopathy; two on right, three on left; all small (< 0.5 cm) and tender.
Cardiovascular, Lungs, and Abdomen: unremarkable.

Answer the following questions or provide responses based on this scenario. 

What is the most likely diagnosis and pathogen causing this disorder and mode of transmission?
Discuss data that supports your decision.
What diagnostic test, if any, should be done?
Develop a treatment plan for this patient.

Scenario 2: Mr. Jones is a 54-year-old man with complaints of a scratchy, raw sore throat and painful swallowing, mild productive cough, and runny nose for the past 2 days. He says his sputum is whitish-yellow. His ears feel full, and he feels like he is getting achy. He reports taking throat lozenges and denies nausea, fever, shortness of breath, chest pain, or headache. He states he teaches in a high school and a lot of his students have had colds. 

Medications: none.
Allergies: none.
Social history: nonsmoker and does not drink alcohol.
Physical examination: vital signs – temperature 99.0°F; pulse 84 beats per minute; respirations 18 per minute; blood pressure 120/70 mmHg.
General: cough during exam.
HEENT: unremarkable except for mild erythematous oropharynx with no exudates; nares with mild erythema and scant yellowish discharge.
Neck, CV, Lungs, Abdomen: unremarkable.

Answer the following questions or provide responses based on this scenario. 

What is the most likely diagnosis and pathogen causing this disorder and mode of transmission?
Discuss data that support your decision.
What diagnostic test, if any, should be done?
Develop a treatment plan for this patient.
Compare the causes, clinical manifestations, diagnosis, and treatment of pharyngitis in these two cases.

Case 2
Review the pulmonary infection scenarios and discuss whether the diagnosis is infectious rhinitis, influenza, acute bronchitis, acute bronchiolitis, or pneumonia. Discuss the most common pathogen and mode of transmission Discuss data that support your decision and treatment strategies. 
Scenarios 1: Jack is a 21-year-old complaining of a sudden onset of myalgia with his body aching all over and headache for the past day. He feels tired and has the chills, and his temperature was 100°F. He has a mild nonproductive cough. He denies rhinorrhea, sinus pain, nausea, otalgia, or shortness of breath. He reports exposure to sick contacts in his dorm, stating, “Everyone seems to be coughing and catching a cold or the flu.” 

Medications: none.
Allergies: penicillin.
Past medical history: healthy.
Social history: college student, lives in a dormitory. Nonsmoker and drinks alcohol once a week, about two or three beers.
Physical examination: vital signs – temperature 100°F; pulse 98 beats per minute; respiratorations18 per minute; blood pressure 110/70 mmHg; pulse oximeter 98%.
General: ill and tired appearance.
Head, Eyes, Ears, Neck, Throat: unremarkable.
Neck: no lymphadenopathy; negative Kernig sign, negative Brudzinski sign.
Cardiovascular lungs, abdomen: unremarkable.

Answer the following questions or provide responses based on this scenario. 

What is the most likely diagnosis and pathogen causing this disorder?
Discuss the mode of transmission and discuss the data that supports your decision.
What diagnostic test, if any, should be done?
Develop a treatment plan for this patient.

 Scenarios 2: Mr. Menendez is a 65-year-old man presenting with 2–3 days of coughing up thick yellow sputum, shortness of , and fever (he did not check the actual temperature), and chills. He states his chest hurts when he breathes. He denies headache, rhinorrhea, sinus pain, and nausea. He reports no exposure to sick individuals. 

Medications: lisinopril 10 mg a day by mouth.
Allergies: no known drug allergy.
Social history: smokes 1 pack of cigarettes per day (has done so for 30 years); denies alcohol use; works as a landscaper.
Physical examination: vital signs – temperature 101°F; pulse 98 beats per minute; respirations 22 per minute; blood pressure 140/86 mmHg; pulse oximeter 93%.
General: ill and tired appearance, coughing during visit with thick yellow sputum noted.
HEENT: unremarkable.
Neck: small anterior and posterior cervical nodes.
CV: unremarkable.
Lungs: right basilar crackles with dullness to percussion in right lower lobe.
Abdomen: unremarkable.

Answer the following questions or provide responses based on this scenario. 

What is the most likely diagnosis and pathogen causing this disorder?
Discuss the mode of transmission. Discuss the data that support your decision.
What diagnostic test, if any, should be done?
Develop a treatment plan for this patient.

 Case 3
Jamie is a 1-year-old girl who is coughing and has had rhinorrhea with yellowish discharge for the past day. Her father says today he felt like she had a fever and has not been eating or playing; she has been mostly sleeping. Her 5-year-old sibling has had a cold for a week. 

Medications: none.
Allergies: no known drug allergies.
Vaccinations: up to date for age.
Social history: in day care; lives with mother, father, and 5-year-old sibling.
Physical examination: vital signs – temperature 101.5°F; pulse 120 beats per minute; respirations 34 per minute; blood pressure 100/60 mmHg; pulse oximeter 92%.
General: sitting in father’s lap; ill, lethargic appearance, and coughing.
HEENT: nasal flaring, nasal mucus yellowish bilaterally; oropharynx with mild erythema.
Neck: small anterior and posterior cervical nodes.
CV: unremarkable.
Lungs: intercostal retractions, expiratory wheezing.
Abdomen: unremarkable.

Answer the following questions or provide responses based on this scenario. 

What is the most likely diagnosis and pathogen causing this disorder? Discuss the mode of transmission and discuss data that supports your decision.
What diagnostic test, if any, should be done?
Develop a treatment plan for this patient.
Professional Reflection on the 3 cases. Citations and references.

You are a medical professor in charge of creating college assignments and answers for medical college students. You design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. Answer each question separately. Include and Introduction. Provide an answer to this content

Case 1 
Review the pharyngitis scenarios and determine the most likely cause, including pathogen and mode of transmission. Discuss data that support your decision and treatment strategies. 
Scenario 1:  Susan is a 16-year-old with sudden onset of severe sore throat for the past day. She feels like she had a fever but did not check her temperature (i.e., subjective fever). She states it is very painful to swallow, and she thinks she sees white spots on her throat. She denies cough, rhinorrhea, nausea, otalgia, shortness of breath, or headache. She reports no exposure to sick individuals. 

Medications: none.
Allergies: none.
Social history: nonsmoker and drinks alcohol (two to three beers) one to two times a month.
Physical examination: vital signs – temperature 101.0°F; pulse 100 beats per minute; respirations 18 per minute; blood pressure 110/66 mmHg.
General: ill and tired appearance.
Head, Eyes, Ears, Nose, and Throat: unremarkable except for erythematous oropharynx with small petechiae and white tonsillar exudates.
Neck: anterior cervical lymphadenopathy; two on right, three on left; all small (< 0.5 cm) and tender.
Cardiovascular, Lungs, and Abdomen: unremarkable.

Answer the following questions or provide responses based on this scenario. 

What is the most likely diagnosis and pathogen causing this disorder and mode of transmission?
Discuss data that supports your decision.
What diagnostic test, if any, should be done?
Develop a treatment plan for this patient.

Scenario 2: Mr. Jones is a 54-year-old man with complaints of a scratchy, raw sore throat and painful swallowing, mild productive cough, and runny nose for the past 2 days. He says his sputum is whitish-yellow. His ears feel full, and he feels like he is getting achy. He reports taking throat lozenges and denies nausea, fever, shortness of breath, chest pain, or headache. He states he teaches in a high school and a lot of his students have had colds. 

Medications: none.
Allergies: none.
Social history: nonsmoker and does not drink alcohol.
Physical examination: vital signs – temperature 99.0°F; pulse 84 beats per minute; respirations 18 per minute; blood pressure 120/70 mmHg.
General: cough during exam.
HEENT: unremarkable except for mild erythematous oropharynx with no exudates; nares with mild erythema and scant yellowish discharge.
Neck, CV, Lungs, Abdomen: unremarkable.

Answer the following questions or provide responses based on this scenario. 

What is the most likely diagnosis and pathogen causing this disorder and mode of transmission?
Discuss data that support your decision.
What diagnostic test, if any, should be done?
Develop a treatment plan for this patient.
Compare the causes, clinical manifestations, diagnosis, and treatment of pharyngitis in these two cases.

Case 2
Review the pulmonary infection scenarios and discuss whether the diagnosis is infectious rhinitis, influenza, acute bronchitis, acute bronchiolitis, or pneumonia. Discuss the most common pathogen and mode of transmission Discuss data that support your decision and treatment strategies. 
Scenarios 1: Jack is a 21-year-old complaining of a sudden onset of myalgia with his body aching all over and headache for the past day. He feels tired and has the chills, and his temperature was 100°F. He has a mild nonproductive cough. He denies rhinorrhea, sinus pain, nausea, otalgia, or shortness of breath. He reports exposure to sick contacts in his dorm, stating, “Everyone seems to be coughing and catching a cold or the flu.” 

Medications: none.
Allergies: penicillin.
Past medical history: healthy.
Social history: college student, lives in a dormitory. Nonsmoker and drinks alcohol once a week, about two or three beers.
Physical examination: vital signs – temperature 100°F; pulse 98 beats per minute; respiratorations18 per minute; blood pressure 110/70 mmHg; pulse oximeter 98%.
General: ill and tired appearance.
Head, Eyes, Ears, Neck, Throat: unremarkable.
Neck: no lymphadenopathy; negative Kernig sign, negative Brudzinski sign.
Cardiovascular lungs, abdomen: unremarkable.

Answer the following questions or provide responses based on this scenario. 

What is the most likely diagnosis and pathogen causing this disorder?
Discuss the mode of transmission and discuss the data that supports your decision.
What diagnostic test, if any, should be done?
Develop a treatment plan for this patient.

 Scenarios 2: Mr. Menendez is a 65-year-old man presenting with 2–3 days of coughing up thick yellow sputum, shortness of , and fever (he did not check the actual temperature), and chills. He states his chest hurts when he breathes. He denies headache, rhinorrhea, sinus pain, and nausea. He reports no exposure to sick individuals. 

Medications: lisinopril 10 mg a day by mouth.
Allergies: no known drug allergy.
Social history: smokes 1 pack of cigarettes per day (has done so for 30 years); denies alcohol use; works as a landscaper.
Physical examination: vital signs – temperature 101°F; pulse 98 beats per minute; respirations 22 per minute; blood pressure 140/86 mmHg; pulse oximeter 93%.
General: ill and tired appearance, coughing during visit with thick yellow sputum noted.
HEENT: unremarkable.
Neck: small anterior and posterior cervical nodes.
CV: unremarkable.
Lungs: right basilar crackles with dullness to percussion in right lower lobe.
Abdomen: unremarkable.

Answer the following questions or provide responses based on this scenario. 

What is the most likely diagnosis and pathogen causing this disorder?
Discuss the mode of transmission. Discuss the data that support your decision.
What diagnostic test, if any, should be done?
Develop a treatment plan for this patient.

 Case 3
Jamie is a 1-year-old girl who is coughing and has had rhinorrhea with yellowish discharge for the past day. Her father says today he felt like she had a fever and has not been eating or playing; she has been mostly sleeping. Her 5-year-old sibling has had a cold for a week. 

Medications: none.
Allergies: no known drug allergies.
Vaccinations: up to date for age.
Social history: in day care; lives with mother, father, and 5-year-old sibling.
Physical examination: vital signs – temperature 101.5°F; pulse 120 beats per minute; respirations 34 per minute; blood pressure 100/60 mmHg; pulse oximeter 92%.
General: sitting in father’s lap; ill, lethargic appearance, and coughing.
HEENT: nasal flaring, nasal mucus yellowish bilaterally; oropharynx with mild erythema.
Neck: small anterior and posterior cervical nodes.
CV: unremarkable.
Lungs: intercostal retractions, expiratory wheezing.
Abdomen: unremarkable.

Answer the following questions or provide responses based on this scenario. 

What is the most likely diagnosis and pathogen causing this disorder? Discuss the mode of transmission and discuss data that supports your decision.
What diagnostic test, if any, should be done?
Develop a treatment plan for this patient.
Professional Reflection on the 3 cases. Citations and references.

. Do not write who you are in the answer.

Why do demagogues win, why do they come to power as they are doing?

  On January 6, 2021, Americans came perilously close to losing its democracy and the freedoms that have always defined what America is. On that day, a determined band of extremists, including White Nationalists of various stripes, fascistic and violence prone groups like Proud Boys, motivated and incited by the president of the United States (and many members of Congress intent on stealing the election), surged into the Capitol Building, some of them waving a Confederate flag, one wearing a t-shirt with the word Auschwitz displayed, some determined to find Vice-President Mike Pence for the purpose of executing him. There can be no doubt that this was a mob intent on using violence to deny the will of the American people, who had voted to make Joe Biden the next president. There can be no doubt that the main motivation of this mob was not to defend the freedoms of the United States, but rather to abolish them. Not to protect liberty, but to subvert it. Not to protect the Constitution but to revoke it, not to build an inclusive America but to exclude people of color and certain faiths. Not to demand justice, but to violently rebuke it. Not to protect the right to vote, but to repress it. Not to honor the result of the election, called the fairest in US history by many authorities, but to repudiate it. Not to transfer power peacefully, the hallmark of freedom and democracy, but to retain it for a completely corrupt president who had just lost the election—both the popular and the electoral vote.  
Why do demagogues win, why do they come to power as they are doing? Who supports them and why? What role do media play? What role is played by the digital economy that is disrupting everyday life? What about traditional jobs, will they be replaced? We don’t even have the tools to help re-integrate those working in the old economies into the new.  
Must be Chicago manual style
Must use footnotes
5 pages

What does evidence reveal about alarm fatigue and distractions in healthcare when it comes to patient safety?

DistractorsinourEnvironments-week6-informationsystem.docx

Distractors in our Environments

Discussion

Purpose

This week’s graded discussion topic relates to the following Course Outcome (CO).

Preparing the Discussion

· Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:
· Demonstrate understanding of concepts for the week
· Integrate outside scholarly sources when required
· Engage in meaningful dialogue with classmates and/or instructor
· Express opinions clearly and logically, in a professional manner
· Use the rubric on this page as you compose your answers.
· Best Practices include:
· Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.
· Enter the discussion often during the week to read and learn from posts.
· Select different classmates for your reply each week.

Discussion Question

Distractions are everywhere. They may include cellphones, multiple alarms sounding, overhead paging, monitors beeping, and various interruptions that disrupt your clinical practice.
Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because of a distraction such as alarm fatigue. What does evidence reveal about alarm fatigue and distractions in healthcare when it comes to patient safety?
· EBOOK to use for one citation:
· https://bookshelf.vitalsource.com/reader/books/9781323903148/epubcfi/6/492%5B%3Bvnd.vst.idref%3DP7001015544000000000000000002CB2%5D!/4/2%5BP7001015544000000000000000002CB2%5D/2/2%5BP7001015544000000000000000002CB3%5D/7:6%5B%20In%2Cter%5D
· email:
[email protected]

· Pwd: Leroyismyhero1#
·

let me know if you cannot have access to the ebook

Determine which one of the following OLMs is suitable for replacing the identified OLMs that hinder organizational learning as a corrective action to facilitate the transition from individual to organizational learning: Off-line/Internal, Online/Internal, Off-line/External, or Online/External.

 
Overview
Suppose that your organization, or an organization that you are familiar with, is dealing with a major issue in transitioning individual learning (such as sharing knowledge, training programs, working as a team, experiences, procedures, and processes) into organizational learning. The chief executive officer (CEO) has asked you, as the vice president of human resources, to assist with the issue and to help the organization transition its culture to this new way of learning. Before you provide any recommendations to address the issue, you must first research the root of the problem and the resistance to this transition.
Note: You may make all necessary assumptions needed for the completion of this assignment. In your original work, you may use aspects of existing processes from either your current or former place of employment. However, you must remove any and all identifying information that would enable someone to discern the organization(s)that you have used.
Instructions:

Assess the organization’s culture as it relates to shared knowledge, and then specify the significant issue (or issues) that you discovered with the culture.
Determine the disconnect you observed between culture and organizational learning using three?of the five?mystifications. Support your response with at least one?example of each selected mystification within the organization.
Present your opinion on the current Organizational Learning Mechanisms (OLMs) that hinder organizational learning. Support your response with one?example of a training or learning initiative (for example, sharing knowledge, training programs, working as a team, experiences, procedures, processes) and the outcome when it was applied to the organization.
Determine which one of the following OLMs is suitable for replacing the identified OLMs that hinder organizational learning as a corrective action to facilitate the transition from individual to organizational learning: Off-line/Internal, Online/Internal, Off-line/External, or Online/External. Justify your selection.
Evaluate the norms of the organization’s learning culture to determine the source or sources that currently prevent productive learning by applying two of the following norms: inquiry, issue orientation, transparency, integrity, or accountability. Provide at least one example of each of the selected norms’ manifestations within the organization in your evaluation.
Use at least five quality academic references in this assignment. Note: Wikipedia does not qualify as an academic resource.
Complete in three pages.

Explain how risk factors (such as age and personal risk tolerance) impact the allocation of assets included in a retirement plan.

 ATTACHED IS GRADING RUBRIC!!!!
Overview
Financial management applies to?personal as well as?business?financial?decisions. In this week’s assignment, you will lay the groundwork for creating a personal retirement plan in Week 9.
This week’s analysis requires you to apply what you have learned using the textbook, as well as additional Internet and SU Library research. Also, please refer to the assignments in Weeks 2 and 4, in which you evaluated stocks and bonds as?investment options and applied the concept of present value.
Scenario
For this assignment, you take on the role of a personal retirement planner who is preparing a memo for your client. In the memo, explain to the client the financial and risk considerations that go into planning for retirement.
Instructions

Describe?the?importance of?factors to consider when developing a retirement plan.?These will include age, marital status, number of dependents, health, life expectancy, and other sources of income such as social security and pensions.
Examine the relationship between risk and return and its impact on decisions about saving for retirement. Provide examples of the relationship.
Explain how risk factors (such as age and personal risk tolerance) impact the allocation of assets included in a retirement plan. Support your explanation with examples of how asset allocation changes as the risk factors change.
Analyze how fiscal and monetary policies may impact retirement plans.

Research how changes in fiscal policy and monetary policy can impact retirement savings.
This research should include how changes in policies, including interest rates, tax rates, and policies that impact savings (IRAs, 401k), can impact retirement plans.

Evaluate the implications of the time value of money with respect to saving for retirement. Support the answer with specific examples and explanations.
Use 4-5 sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the?library?or review?library guides.?

This course requires the use of Strayer Writing Standards (SWS). The library is your home for SWS assistance, including citations and formatting. Please refer to the Library site for all support. Check with your professor for any additional instructions.
The specific course learning outcome associated with this assignment is as follows:?

Determine the suitability of an investment strategy that considers external risk factors and a literature review.?
Create investment recommendations based on research that includes the rationale and risk mitigation for the chosen strategies.?

Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.

Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
Select at least one additional country to compare to the U.S. for this Assignment.
Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)
Part 1: Global Health Comparison Matrix
Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
Explain the strengths and weaknesses of each policy.
Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
Explain how the health policy you selected might impact the role of the nurse in each country.
Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change
Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.
In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Explain the Impact of Employee Engagement on Staffing and Employment  

TOPIC: The Impact of Employee Engagement on Staffing and Employment  
General format and sequenceTitle PageAbstractIntroduction (At least 1 page, Level 1 heading)Findings (At least 6 pages, organized under Level 1 and Level 2 headings)The following should be provided in the student’s own original words:a) the theoretical model and/or conceptual model used by the author(s) of the article.b) a description of whether the article is a quantitative study or qualitative article.c) the research methodology used, and a description of the sample size and demographics if the study is quantitative.d) the research findings reported by the author(s) of the article.e) the conclusions of the author(s) of the article.f) multiple in-text citations of the article using the author-date citation method required by the APA format.Conclusions and Recommendations (At least 1 page, Level 1 heading)References
Each of the 12 references must be discussed in the narrative, and correctly cited in the narrative. 
Paraphrase – Do not quoteThe assignment must not be a series of quotations. It is the student’s skills in critical analysis andscholarly discussion that are being evaluated in this assignment; therefore, quotations should bekept to an absolute minimum. Zero quotations are preferred. The ideas, concepts, and findingslocated in the 12 scholarly articles should be paraphrased in the student’s own words, correctlycited. 
HeadingsThe content must be organized under headings in accordance with the APA format. As a generalrule, Level 1 and Level 2 headings will be used in this assignment. 
MechanicsAll pages of all assignments, including the title page and reference list, must be double-spaced and typed in 12-point Times New Roman fonts with one-inch margins on all four sides. MS Word files only. The Literature Review must meet the standards of the current edition of the APA manual for in-text citations, references, headings, grammar, spelling and mechanics.
You may submit your Literature Review: Part 3 – Final Submission Assignment to the draftsubmission link entitled Literature Review: Part 3 – Draft Submission Assignment to checkyour Turnitin results prior to submitting your final copy of the Literature Review: Part 3 –Final Submission Assignment.
Note: Your assignment will be checked for originality via the Turnitin plagiarism tool. The toolis a starting point for instructors to check overall Academic Integrity and higher scores generallyindicate a higher probability of Academic Misconduct. The higher a score, the higher theprobability that there are too many quotations included in the narrative, and/or there are passages that have not been properly cited.
ResourcesThere are several resources provided by the Academic Success Center and Online WritingCenter websites for you to consult. Direct links to these sites are provided on the LiteratureReview: Part 3 – Final Submission Assignment page under the Literature Review Resources.

Collect a set of 10 real, quantitative data values. Do this by asking people or observing items. For example, find the heights of 10 adults, find the annual income of 10 adults, measure the lengths of 10 different cars, record the number of children in 10 households, etc. The possibilities are endless! Make sure to completely describe and list the data so your classmates will understand your results and can check your results. Calculate the mean. Show and explain your work. Calculate the median. Show and explain your work.

 COMPLETE DISCUSSION FORUM POST 1 BEFORE POST 2 AND POST 3. See Assignment Summary for due dates. There is a 10 point penalty for submitting Post 1 after the due date.Post 1: Find the following values working each one by hand. Show each step! Use the methods given in the textbook.

Collect a set of 10 real, quantitative data values. Do this by asking people or observing items. For example, find the heights of 10 adults, find the annual income of 10 adults, measure the lengths of 10 different cars, record the number of children in 10 households, etc. The possibilities are endless! Make sure to completely describe and list the data so your classmates will understand your results and can check your results.
Calculate the mean. Show and explain your work.
Calculate the median. Show and explain your work.
Calculate the mode. Show and explain your work.
Calculate the range. Show and explain your work.
Calculate the variance. Show and explain your work.
Calculate the standard deviation. Show and explain your work.

Post 2: Check values using the TI calculator.

Pick a classmate who has not been responded to yet. Check their calculations in post 1 using the TI calculator. Explain how you put the data into your calculator and how to get the answers (TI-83/84, it’s different for TI-Nspire). What buttons do you need to use? What do you need to put into the TI calculator? If any of the answers are not correct, tactfully identify the error and show the work correctly. Check all calculations carefully because if you miss a mistake it will affect your grade.
Calculate Q1, Q2, and Q3. Show or explain your work.
Construct the box-and-whisker plot. There are many ways to accomplish this. You can use Word and its drawing tools. You can even draw this on paper, take a picture, and post the image. I consider the easiest way to be using the website: Imathas Boxplot Grapher (opens new window). It will help you create the box-and-whisker plot, which you can download as an image and post in your thread.

Post 3

Pick a classmate who has not been responded to yet.  Check their calculations for Post 1 and Post 2. If any of the answers are not correct, tactfully identify the error and show the work correctly. Check all calculations carefully because if you miss a mistake it will affect your grade.
Consider your classmate’s Post 1 and Post 2 answers. Which calculation, the mean, median, or mode, do you feel is the best representation of their data? Or, perhaps you feel each calculation represents the data well?? Explain your point of view using statistics to back it up.
Write a sentence that interprets the meaning of the standard deviation your classmate calculated.
Write a sentence that interprets the meaning of Q1, Q2, and Q3

Select an active bill at the state or federal level that impacts the professional practice of nursing. Discuss the major provisions of the bill.

week7reviewofabillinstructions.docx

The final paper where you will examine a
 current bill from a nurse’s perspective. Just as a reminder….
we are in the 117th Congress which started in 2021, so make sure that the bill you are looking at has be introduced AFTER January 2021. 

This assignment is a pending BILL not something that has already been passed to become a LAW

. If the President or the Governor signed it…it is not pending any longer! Let me know if you have any questions. Have a great week!

Select an active bill at the state or federal level that impacts the professional practice of nursing. In a 3-4 page paper (excluding the title and reference pages), summarize the provisions of the bill and clearly explain what the bill will accomplish. The paper should be no more than 4 pages, typed in Times New Roman using 12-point font, and double-spaced with 1″ margins.
Your review of a bill paper should:
· Discuss the major provisions of the bill.
· Demonstrate an in-depth understanding of the legislation by explaining the background and all relevant facts.
· Discuss any relevant history related to the legislation, pertinent votes, and issues that are stalling the legislation, etc.
· Use primary sources for this information.
· Identify key supporters and those who do not support the bill. Explain why some of these individuals support the bill and why some do not.
· Explore the positions of the key stakeholders in the bill, both pros and cons. Do not make assumptions about potential key stakeholders. Examine this area carefully so you are correctly reflecting the stakeholders positions.
· Discuss how the bill would impact a nurse’s ability to provide safe and quality care or to practice to the highest scope of the nursing license.
· Explain specific actions that nurses can take to assist with the passage or defeat of the legislation
· Use Current APA Style, headings and references as appropriate.

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