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Week 6: Area of Interest Power Point Presentation

Question 1

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The process for affecting positive change to improve practice outcomes can start with either the identification of an area of interest or the identification of a potential or existing practice problem. Selecting an area of interest helps to define a direction for further inquiry. The purpose of this assessment is for students to identify and discuss an area of interest specific to advanced practice nursing. Students will identify a common practice problem related to the selected area of interest and provide a recommendation to affect positive change. Students will build on this project in later courses. 

Note: The purpose of the MSN project is to translate evidence currently found in the literature into practice within the chosen specialty track. Due to the research complexity, time involvement, and implications regarding human subjects, drug studies are not acceptable areas of interest for an MSN project. 

Activity Learning Outcomes 

Through this assignment, the student will demonstrate the ability to: 

1.Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (CO1)  
2.Analyze essential skills needed to lead within the context of complex systems. (CO3) 
3.Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (CO4) 

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Requirements: 

Criteria for Content 

For this presentation, select an area of nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic and to find research support for the practice change you are recommending.  You may use a topic from the list at the link below or may investigate a topic of your choice as long as it pertains to NP practice. If you are unsure of your topic, please reach out to your instructor.  Be sure to provide speaker’s notes for all slides except the title and reference slides.  

List of Possible Topics (Links to an external site.)

Creating a Professional Presentation (Links to an external site.)

Create an 8-12 slide PowerPoint Presentation that includes the following: 

1.Introduction: slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered. 
2.Evidence-based projects: slide should explain the general importance of master’s-prepared nurses engaging in evidence-based projects related to nursing practice and profession. Provide speaker’s notes with additional detail and support from at least one outside scholarly source (not the textbook or course lesson). 
3.Conceptual Model: slide should provide an illustration of a conceptual model that could be used to develop an evidence-based project. Possible models include The John’s Hopkins or Advancing Research and Clinical Practice through Close Collaboration (ARCC) Models or you may select another model you find in the literature. In the speaker’s notes, explain how the model would be applied to the development of an evidence-based project. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
4.Area of Interest: identify an area of interest related to NP practice in which a practice change may be needed. Slide should identify the area of interest and what is currently known on the topic. Speaker’s notes more fully explain what is currently known and should provide rationale for why the area of interest is important to NP practice. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
5.Issue/concern and recommendation for change: slide should identify a specific concern related to your general area of interest and your recommendation for a practice change. Speaker’s notes should more fully explain the recommended change and rationale for the change. Recommendation should be supported by at least one outside scholarly source (not the textbook or course lesson). 
6.Factors Influencing Change: slide should identify at least 2 internal and external factors that could impact your ability to implement your recommended change. Speaker’s notes should more fully explain how the factors you’ve identified would support or impede the implementation of your recommendations. Factors may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas. 
7.NONPF Competencies: slide identifies at least two NONPF Competencies that are relevant to an evidence-based project related to your area of interest. Speaker’s notes should explain how the competencies relate to your area of interest. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
8.Conclusion: slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.  

Preparing the presentation 

Submission Requirements 

1.Application: Use Microsoft Power Point™ to create the PowerPoint presentation.  
2.Length: The PowerPoint presentation must be 8-12 total slides (excluding title and reference slides).   
3.Speaker notes are used and include in-text citations when applicable. 
4.A minimum of four (4) scholarly literature references must be used. 
5.Submission: Submit your file: Last name First initial_Wk6Assessment_Area of Interest. 

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Question 2

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Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.
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You will need to post your reflection here before you are able to see other students’ posts.

 As you contemplate your future NP practice, how do you view your role in the implementation of EBP?
 What thoughts do you have about how you will engage in scholarship in your NP role?
 What are some barriers you see to implementing evidence-based practice?

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Don’t Dismiss the Humanities

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Top of Form

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Analyze the different aspects of Nicholas Kristof’s “Don’t Dismiss the Humanities”.

Things you can talk about: the purpose/thesis statement, the structure of the argument, Kristof’s credibility (ethos), his use of other appeals (logos, pathos), use of evidence, tone, the audience.

Remember to label your post.

https://www.nytimes.com/2014/08/14/opinion/nicholas-kristof-dont-dismiss-the-humanities.html?hp&action=click&pgtype=Homepage&module=c-column-top-span-region&region=c-column-top-span-region&WT.nav=c-column-top-span-region&_r=0Bottom of Form

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Developing a good thesis statement link

https://mlpp.pressbooks.pub/writingsuccess/chapter/9-1-developing-a-strong-clear-thesis-statement/

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Writing Strong Introductions

https://courses.lumenlearning.com/englishcomp2kscopexmaster/chapter/introductions/

Rogerian Arguments Approach

https://courses.lumenlearning.com/englishcomp2kscopexmaster/chapter/rogerian-argument/

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Assignment 3: Translate the Evidence into Practice (25 points)

The next steps in the evidence-based practice (EBP) process includes implementing and translating the intervention chosen in the PICOT question (Week 1) into the clinical setting. Pilot projects are often used before implementing a change into an entire organization. Discuss the following questions related to implementing the chosen PICOT intervention as if a pilot test project were being facilitated by the masters prepared nurse:

PICOT Question:

In older people with Alzheimer’s disease (AD), how efficient are mental stimulation and memory training compared to Aducanumab in managing agitation and restlessness throughout 10 years after initial diagnosis?

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Assignment Criteria:

1.Briefly explain the problem and the PICOT question and the intervention
2.Describe the pilot project for the chosen intervention and include:
a.Explain the who, what, where, when and how of the pilot project
b.Describe a specific model or framework of change that will be used to facilitate the implementation of the intervention.
3.Describe the stakeholders and their roles in the pilot project.
4.Propose two (2) strategies that would promote engagement of the stakeholders in the project.
5.Discuss a specific practice guideline that supports the intervention.
6.Identify major organizational resources needed for the pilot project.
7.Discuss how the outcome of the intervention will be measured.
8.The scholarly paper should be in narrative format, 5 to 6 pages excluding the title and reference page.
9.Include an introductory paragraph, purpose statement, and a conclusion.
10.Include level 1 and 2 headings to organize the paper.
11.Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we, you, me, our may is not used. In addition, describing yourself as the researcher or the author should not be used.
12.Include a minimum of four (4) professional peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical Directory) and be less than five (5) years old.
13.APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).
14.Submit the assignment to Turnitin prior to the final submission, review the Originality Report, and make any needed changes.
15.Submit by the posted due date.

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Assignment 3: Translate the Evidence into Practice (25 points)

Assignment Criteria

10 points

9 points

7 points

0 points

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All topics/criteria addressed and all questions fully answered.

All topics/criteria addressed and most questions fully answered.

All topics/criteria addressed and most questions partially answered.

One or more topics/criteria not addressed or completely answered.

Quality/Accuracy of Information

9 points

8 points

4 points

0 points

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Information clearly relates to the main topic/criteria. It includes several supporting details and/or examples.

Information clearly relates to the main topic/criteria. It provides supporting details and/or examples.

Information clearly relates to the main topic/criteria. A few details and/or examples are given.

Information has little or nothing to do with the main topic/criteria.

Organization

4 points

2 points

.50 points

0 points

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Information is very organized with well-constructed paragraphs and levels of heading.

Information organized with well-constructed paragraphs and levels of heading.

There is an attempt at organization but errors exist. No levels of heading.

The information or overall structure appears disorganized.

Sources

2 points

1 point

0.5 points

0 points

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All references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/ historical source.

The majority of references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe or a classic/historical source.

Some references are from non-peer-reviewed scholarly sources or older than 5-years.

Majority of references are from non-peer-reviewed scholarly sources or older than 5-years.

Earned Points

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Up to 10% of the assigned points (total points of assignment) can be deducted from the earned points for errors in APA style [title page, introduction, purpose statement, level heading, conclusion, references, citations, and format], spelling, and/or grammar.

Final Total

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Week 6: Area of Interest Power Point Presentation

Question 1

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The process for affecting positive change to improve practice outcomes can start with either the identification of an area of interest or the identification of a potential or existing practice problem. Selecting an area of interest helps to define a direction for further inquiry. The purpose of this assessment is for students to identify and discuss an area of interest specific to advanced practice nursing. Students will identify a common practice problem related to the selected area of interest and provide a recommendation to affect positive change. Students will build on this project in later courses. 

Note: The purpose of the MSN project is to translate evidence currently found in the literature into practice within the chosen specialty track. Due to the research complexity, time involvement, and implications regarding human subjects, drug studies are not acceptable areas of interest for an MSN project. 

Activity Learning Outcomes 

Through this assignment, the student will demonstrate the ability to: 

1.Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (CO1)  
2.Analyze essential skills needed to lead within the context of complex systems. (CO3) 
3.Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (CO4) 

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.

.

Requirements: 

Criteria for Content 

For this presentation, select an area of nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic and to find research support for the practice change you are recommending.  You may use a topic from the list at the link below or may investigate a topic of your choice as long as it pertains to NP practice. If you are unsure of your topic, please reach out to your instructor.  Be sure to provide speaker’s notes for all slides except the title and reference slides.  

List of Possible Topics (Links to an external site.)

Creating a Professional Presentation (Links to an external site.)

Create an 8-12 slide PowerPoint Presentation that includes the following: 

1.Introduction: slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered. 
2.Evidence-based projects: slide should explain the general importance of master’s-prepared nurses engaging in evidence-based projects related to nursing practice and profession. Provide speaker’s notes with additional detail and support from at least one outside scholarly source (not the textbook or course lesson). 
3.Conceptual Model: slide should provide an illustration of a conceptual model that could be used to develop an evidence-based project. Possible models include The John’s Hopkins or Advancing Research and Clinical Practice through Close Collaboration (ARCC) Models or you may select another model you find in the literature. In the speaker’s notes, explain how the model would be applied to the development of an evidence-based project. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
4.Area of Interest: identify an area of interest related to NP practice in which a practice change may be needed. Slide should identify the area of interest and what is currently known on the topic. Speaker’s notes more fully explain what is currently known and should provide rationale for why the area of interest is important to NP practice. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
5.Issue/concern and recommendation for change: slide should identify a specific concern related to your general area of interest and your recommendation for a practice change. Speaker’s notes should more fully explain the recommended change and rationale for the change. Recommendation should be supported by at least one outside scholarly source (not the textbook or course lesson). 
6.Factors Influencing Change: slide should identify at least 2 internal and external factors that could impact your ability to implement your recommended change. Speaker’s notes should more fully explain how the factors you’ve identified would support or impede the implementation of your recommendations. Factors may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas. 
7.NONPF Competencies: slide identifies at least two NONPF Competencies that are relevant to an evidence-based project related to your area of interest. Speaker’s notes should explain how the competencies relate to your area of interest. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
8.Conclusion: slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.  

Preparing the presentation 

Submission Requirements 

1.Application: Use Microsoft Power Point™ to create the PowerPoint presentation.  
2.Length: The PowerPoint presentation must be 8-12 total slides (excluding title and reference slides).   
3.Speaker notes are used and include in-text citations when applicable. 
4.A minimum of four (4) scholarly literature references must be used. 
5.Submission: Submit your file: Last name First initial_Wk6Assessment_Area of Interest. 

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Question 2

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Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.
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You will need to post your reflection here before you are able to see other students’ posts.

 As you contemplate your future NP practice, how do you view your role in the implementation of EBP?
 What thoughts do you have about how you will engage in scholarship in your NP role?
 What are some barriers you see to implementing evidence-based practice?

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PowerPoint Presentation: Changing a Promotion System

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NO Title Page, just a reference page

“Applications: Changing a Promotion System” (pp. 555-556).  Support the analysis and recommendations

Analysis:  

 What is the likely cause(s) of Bioglass’ problems?  
 Assess Bioglass’ performance appraisal process based on the questions in Exhibit 10.4.

References: 3 academic sources.

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Accurately identify the cause(s) of Bioglass’ problems.  Assess Bioglass’ performance appraisal process based on the questions in Exhibit 10.5. Fully supports analysis with evidence.  

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Write a formal essay answer consisting of three to five paragraphs for each question (introduction, body, conclusion).  The document should be grammatically sound and free of spelling errors.  Please provide answers that are detailed and complete and that are free of technical jargon, so that a novice can understand. 

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Question 1: Describe the place of SMS (Safety Management System) within safety theory

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Question 2: Describe the importance of data sharing for aviation safety

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Question 3: Compare the methods and strategies for quality assurance and safety assurance

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 Week 4 – Consolidate Activity 1 (Mandatory) – Reflection on breaking bad news 
  In your nursing practice placement as a student nurse
 
  Write a 500 word reflection for your campus press on breaking bad news, where you have been on placement and helped or been present when breaking bad news to a patient or their family – use a commonly used reflective model. Please upload this to campus press when completed.
 

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Please copy the below into the URL bar: 

 171122-Communication-skills-1-benefits-of-effective-communication-for-patients.pdf

 171220-Communication-skills-2-overcoming-barriers-to-effective-communication.pdf

 180117-Communication-skills-3-Non-verbal-communication.pdf

 140218-Communication-4-the-influence-of-appearance-and-environment.pdf

 180314-Communication-5-Effective-listening-and-observation-skills.pdf

 180425-Communication-6-difficult-and-challenging-conversations.pdf

2. Post any questions you have on the lecture material on the Module Discussion Forum.

3. Take a read through the presentations in apply and ensure you feel confident to discuss within lectures

4. Watch the videos below in preperation for the ‘apply’ session

Breaking Bad news

Motivational Interviewing

The importance of Body Language

Benefits of Effective Communication

What happens when communication goes wrong in healthcare

Appearance, Environment and the messages they passively send

Learning outcomes

By the end of this week you should be able to:

To develop effective communication in knowledge, skills and judgement

To understand the importance, barriers and processes behind breaking bad news

To define the four principles of motivational interviewing

To demonstrate the ability to use non-verbal communication techniques to benefit others and to interpret others range of non-verbal signals

To understand the larger impact if communication goes wrong resulting in confusion, friction, frustration and a difficult environment

To understand how unintended messages are transmitted by personal appearance and the work environment

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Remote Clinical

NURS 6973 Activity #1 (Group)

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Overview

This day focuses on care for an acutely ill patient in an emergency setting

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The objectives for the activities are:

 Provide safe nursing care to an adult patient in an emergency setting
 Evaluate objective and subjective assessment data
 Correlate laboratory values with potential patient problems
 Identify anticipated medical interventions
 Create a nursing plan of care based upon anticipated medical care

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Patient Case Study

Answer the questions below according to the clinical case study

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Synchronous Debriefing – Attend your clinical group’s Teams debriefing session

DML will occur at the end of your clinical day, together with your instructor and peers. Your instructor will provide you details regarding the time of the meeting.

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During the meeting, you should be prepared to discuss the assignment you completed during your clinical day.

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What to turn in?

See your clinical instructor for submission requirements for this week.

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Case Study

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Scenario

A 34year old female comes into the ER stating she has been having abdominal pain, nausea, and vomiting for several days.  Pain is 10/10. 

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Patient Information

PMH: Diabetes Mellitus, Chronic pain, GERD, Hypertension, Bipolar disorder

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Current Medications: OxyContin, Prozac, Ranitidine, Synthroid, Zyprexa, Regular Insulin, Lantus, Lipitor, Lisinopril, and Multivitamin

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Allergies: Benadryl, Imitrex, Augmentin, Phenergan, Lyrica, Reglan, Morphine, Compazine, Baclofen, Fentanyl, Gapapentin, Codeine Tramadol, Droperidol, Demerol, Protonix, Amoxicillin, Penicillin, Paramethasone, Clonidine, Tromethone

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Assessment Data

Neurologic
Alert, awake, and oriented X3
HEENT
Dry mucus membranes
Cardiac
Regular rate and rhythm
Sinus tachycardia
Peripheral pulses strong and present
Respiratory
Tachypneic
Lungs clear bilateral
Abdominal
Soft and non-tender
Bowel sounds normal
Skin/soft tissue
Diaphoretic
Psychosocial
Tearful
Anxious

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Vitals

Time

Temp

Pulse

Resp

BP

SPO2

Pain

1500

97.3

120

28

173/93

100% RA

10/10 “All over”

1530

.

116

26

168/92

100% RA

9/10 “Chest”

1700

.

108

18

156/88

100% RA

9/10

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Labs

CBC

Result

Reference Range

WBC

15.3 H

4-11

RBC

3.56 L

4.5-5.9

Hgb

11.1 L

13.0-17.0

Hct

37.3 L

39.0-51.0

Platelets

257

150-450

Neutrophils (segs)

81.7 H

33-69%

Lymphocytes

10.6 L

20-55%

Monocytes

6.0

3-8%

Eosinophils

0.5 L

1-3%

Basophils

1.2

1%

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Metabolic

Result

Reference Range

Sodium

120 L

135-145

Potassium

6.9 H

3.5-5.0

Chloride

95 L

98-107

CO2

14.5 L

21-32

Glucose

1174 H

65-99

BUN

40 H

10-20

Creatinine

2.86 H

0.5-1.4

GFR

19

>60

Calcium

8.2 L

8.4-10.2

Lipase

11 L

22-51

Total Protein

5.6 L

6.2-8.0

Albumin

2.1 L

3.2-5.5

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Arterial Blood Gases + Beta Hydroxybutyrate (BHB)

Result

Reference Range

pH

7.12 L

7.35-7.45

paCO2

26 L

35-45

paO2

95

75-100

HCO3

15 L

22-26

spO2

97

94-100%

BHB

1.2 H

0.0-0.5 mmol/L

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Questions

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1)What four medical diagnoses do you anticipate based upon the data?

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2)What type of acid base balance would you classify the patient to have and why?

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3)Why was the patient hypertensive, tachypneic, and tachycardiac?

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4)Why was her glucose elevated? (give a pathophysiologic explanation)

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5)Why were the WBC and neutrophils elevated?

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6)Why was her carbon dioxide low?

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7)Why were the sodium and chloride levels low?

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8)Why was the potassium elevated?

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9)Why were the BUN and creatinine elevated?

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10)What is the BHB and what does it indicate?

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11)What interventions would you expect the ER provider to order?

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Deeper Understanding (type your answer in 250 words long)

Objective

 Describe significant details of different research methodologies.

Instructions

respond to the following question:

 How can learning about the past enable you to develop a deeper understanding of the world we know today?

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Unit III Course Project

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Part 3: Communication Plan

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For the “Warehouse Shopping Center” project, create a simple communication management plan. Your plan should follow the guidance in Figures 3.1 and 3.3 in the textbook (see page 2 below).

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Consider the following questions:

 What will I need to communicate (project progress, other)?
 To whom will I need to communicate (stakeholders, contacts)?
 When will I need to communicate (timing, frequency)?
 Where will I communicate (location of the sender, receivers)?
 How will I communicate (media)?
 Why am I communicating (analyze all reports both planned and ad hoc to ensure rationale for communication effort is sound)?
 How do my planned communications close any gaps between project objectives and stakeholder expectations? How would such gaps be evaluated and fed back into the project communications cycle?

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Finally, in addition to writing out your strategies and responses to the questions, summarize the who, what, when, where, how, and why into a quick reference table. For example, consider the building the library scenario in the earlier unit. The “who” would be the stakeholders such as members of the community, future patrons of the library to name just a couple. The “what” would include information regarding the progress of the construction, key milestones, and perhaps some announcements regarding the planned scope of the completed library (such as types of media available for checkout, services to be offered, etc.). Such a table is often used as a succinct at-a-glance form of the communications plan.

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As a guide to depth, your Communication Management Plan should be a minimum of two pages in length. You may either create your table in Word and include it at the end of the document, or submit it as a separate Excel file.

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Adhere to APA 7 Style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed.

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Note: In Unit VIII of this course, you will include a summary of your communication plan as part of a PowerPoint presentation.

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Course textbook:

Singh, H. (2015). Mastering Project Human Resource Management. Pearson FT Press.

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Figure 3.1 Project Communications Management Planning Process Flow

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Figure 3.3 Project Communications Management Planning Process Summary

New post

Remote Clinical

NURS 6973 Activity #1 (Group)

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Overview

This day focuses on care for an acutely ill patient in an emergency setting

.

The objectives for the activities are:

 Provide safe nursing care to an adult patient in an emergency setting
 Evaluate objective and subjective assessment data
 Correlate laboratory values with potential patient problems
 Identify anticipated medical interventions
 Create a nursing plan of care based upon anticipated medical care

.

Patient Case Study

Answer the questions below according to the clinical case study

.

Synchronous Debriefing – Attend your clinical group’s Teams debriefing session

DML will occur at the end of your clinical day, together with your instructor and peers. Your instructor will provide you details regarding the time of the meeting.

.

During the meeting, you should be prepared to discuss the assignment you completed during your clinical day.

.

What to turn in?

See your clinical instructor for submission requirements for this week.

.

Case Study

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Scenario

A 34year old female comes into the ER stating she has been having abdominal pain, nausea, and vomiting for several days.  Pain is 10/10. 

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Patient Information

PMH: Diabetes Mellitus, Chronic pain, GERD, Hypertension, Bipolar disorder

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Current Medications: OxyContin, Prozac, Ranitidine, Synthroid, Zyprexa, Regular Insulin, Lantus, Lipitor, Lisinopril, and Multivitamin

.

Allergies: Benadryl, Imitrex, Augmentin, Phenergan, Lyrica, Reglan, Morphine, Compazine, Baclofen, Fentanyl, Gapapentin, Codeine Tramadol, Droperidol, Demerol, Protonix, Amoxicillin, Penicillin, Paramethasone, Clonidine, Tromethone

.

Assessment Data

Neurologic
Alert, awake, and oriented X3
HEENT
Dry mucus membranes
Cardiac
Regular rate and rhythm
Sinus tachycardia
Peripheral pulses strong and present
Respiratory
Tachypneic
Lungs clear bilateral
Abdominal
Soft and non-tender
Bowel sounds normal
Skin/soft tissue
Diaphoretic
Psychosocial
Tearful
Anxious

.

Vitals

Time

Temp

Pulse

Resp

BP

SPO2

Pain

1500

97.3

120

28

173/93

100% RA

10/10 “All over”

1530

.

116

26

168/92

100% RA

9/10 “Chest”

1700

.

108

18

156/88

100% RA

9/10

.

Labs

CBC

Result

Reference Range

WBC

15.3 H

4-11

RBC

3.56 L

4.5-5.9

Hgb

11.1 L

13.0-17.0

Hct

37.3 L

39.0-51.0

Platelets

257

150-450

Neutrophils (segs)

81.7 H

33-69%

Lymphocytes

10.6 L

20-55%

Monocytes

6.0

3-8%

Eosinophils

0.5 L

1-3%

Basophils

1.2

1%

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Metabolic

Result

Reference Range

Sodium

120 L

135-145

Potassium

6.9 H

3.5-5.0

Chloride

95 L

98-107

CO2

14.5 L

21-32

Glucose

1174 H

65-99

BUN

40 H

10-20

Creatinine

2.86 H

0.5-1.4

GFR

19

>60

Calcium

8.2 L

8.4-10.2

Lipase

11 L

22-51

Total Protein

5.6 L

6.2-8.0

Albumin

2.1 L

3.2-5.5

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Arterial Blood Gases + Beta Hydroxybutyrate (BHB)

Result

Reference Range

pH

7.12 L

7.35-7.45

paCO2

26 L

35-45

paO2

95

75-100

HCO3

15 L

22-26

spO2

97

94-100%

BHB

1.2 H

0.0-0.5 mmol/L

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Questions

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1)What four medical diagnoses do you anticipate based upon the data?

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2)What type of acid base balance would you classify the patient to have and why?

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3)Why was the patient hypertensive, tachypneic, and tachycardiac?

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4)Why was her glucose elevated? (give a pathophysiologic explanation)

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5)Why were the WBC and neutrophils elevated?

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6)Why was her carbon dioxide low?

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7)Why were the sodium and chloride levels low?

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8)Why was the potassium elevated?

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9)Why were the BUN and creatinine elevated?

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10)What is the BHB and what does it indicate?

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11)What interventions would you expect the ER provider to order?

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Deeper Understanding (type your answer in 250 words long)

Objective

 Describe significant details of different research methodologies.

Instructions

respond to the following question:

 How can learning about the past enable you to develop a deeper understanding of the world we know today?

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Unit III Course Project

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Part 3: Communication Plan

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For the “Warehouse Shopping Center” project, create a simple communication management plan. Your plan should follow the guidance in Figures 3.1 and 3.3 in the textbook (see page 2 below).

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Consider the following questions:

 What will I need to communicate (project progress, other)?
 To whom will I need to communicate (stakeholders, contacts)?
 When will I need to communicate (timing, frequency)?
 Where will I communicate (location of the sender, receivers)?
 How will I communicate (media)?
 Why am I communicating (analyze all reports both planned and ad hoc to ensure rationale for communication effort is sound)?
 How do my planned communications close any gaps between project objectives and stakeholder expectations? How would such gaps be evaluated and fed back into the project communications cycle?

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Finally, in addition to writing out your strategies and responses to the questions, summarize the who, what, when, where, how, and why into a quick reference table. For example, consider the building the library scenario in the earlier unit. The “who” would be the stakeholders such as members of the community, future patrons of the library to name just a couple. The “what” would include information regarding the progress of the construction, key milestones, and perhaps some announcements regarding the planned scope of the completed library (such as types of media available for checkout, services to be offered, etc.). Such a table is often used as a succinct at-a-glance form of the communications plan.

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As a guide to depth, your Communication Management Plan should be a minimum of two pages in length. You may either create your table in Word and include it at the end of the document, or submit it as a separate Excel file.

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Adhere to APA 7 Style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed.

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Note: In Unit VIII of this course, you will include a summary of your communication plan as part of a PowerPoint presentation.

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Course textbook:

Singh, H. (2015). Mastering Project Human Resource Management. Pearson FT Press.

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Figure 3.1 Project Communications Management Planning Process Flow

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Figure 3.3 Project Communications Management Planning Process Summary

ASSIGNMENT INFORMATION

ASSIGNMENT INFORMATION

1.Due Date
2.Monday, February 21, 2022
3.9:00 AM
4.Points Possible
5.30
6.Activity: Pareto Analysis and Business Process Flow Charting Practice
This activity consists of two problems.
Problem One
Gary Seitz is director of procurement for the Forest Medical Center in Oak Park, Illinois. His medical center recently purchased more than 300 new side tables for the patient rooms from Quick-and-Cheap Furniture. His team, however, is not happy with the paint quality of these tables. They feel the firm providing the tables was rushed to get the order out and did not do a great job.
They have examined each of the 312 tables that they have received so far and found the following defects, listed in alphabetical order:
7.
Instructions
Use Excel to:
Create a Pareto Chart for this situation.
Create and complete a table for this situation using the following headers:
Problem.
Frequency.
Cumulate Frequency.
Percentage.
Cumulate Percentage.
List the most frequently occurring problem first in the table, then the next more frequently occurring problem second in the table, and so forth.
8.In a Word document:
Draw two conclusions about the quality of the patient tables that Quick Furniture has shipped to the Forest Medical Center.
9.Submit both your Word and Excel files.
Problem Two
Ted Short, manager of procurement at the Lake Luna Medical Center (LLMC), is starting a process to examine at the general process that is followed at his center for procurement of medical supplies at his facility. His first step is to develop a flowchart for the current process that employees at his center follow. He has asked you to draw that flowchart for him and make any obvious changes to shorten the process.
Here are the key steps that are followed:
The LLMC employee fills out a paper requisition and sends that to his department head for approval.
The department secretary first examines the requisition to see if all needed information is present. If it is, then she sends to the department head for approval. If not, she returns to the employee for any needed corrections. The employee then returns the requisition to the department secretary for review again.
Requisitions with the correct information are sent to the department head.
The department head reviews the item to determine if the material requested seems appropriate. He may contact his employee to discuss any questions he might have.
If he feels it is inappropriate, then he rejects the request and sends it back to the employee.
If he feels it is appropriate, then he checks the budget to see if there are sufficient monies in the budget to pay for this. If there are not, then he rejects the request and sends it back to the employee. If there are sufficient funds, then he approves them.
If the requisition is approved, then the department secretary sends the requisition to a member of the LLMC Procurement Team.
The LLMC procurement specialist checks to see if the suggested vendor on the requisition is on the approved vendor list (AVL).
If not, he sends the request back to the department secretary and the process starts all over if the LLMC employee wants to continue to pursue it. If the employee does not, then the requisition is terminated.
If the vendor is on the AVL, the LLMC procurement specialist checks to see if a quote is required, either based on the type of equipment and material required or on the amount of the purchase.
If no quote is required, the procurement specialist transmits the PO to the vendor for execution.
If a quote is required, then the specialist contacts the vendor and asks for a quote. If the quote is satisfactory based on past purchases of such items, the specialist approves the quote and places the order.
If the quote is too high, the specialist contacts the LLMC employee and asks for another vendor to check. The procurement specialist then checks the second vendor. Usually, a procurement specialist will have to check only two vendors at most.
If the specialist cannot find a vendor with it suitable price after two tries, then the PO is cancelled.
When the specialist finds a vendor who submits a suitable quote, the transmits the PO to the vendor for execution by US postal service or by telephone.
The procurement specialist then logs the transaction into the financial system.
The procurement specialist then forwards the request to the Accounts Payable Department for payment when the receipt of the materials and equipment ordered, if acknowledged.
10.Instructions
Use Microsoft Word to complete the following:
Develop a flowchart for this process.
Suggest three improvements, based on total quality management, that Ted Short can use to make the current process more efficient.
11.Submit your Word document(s).

Problem

Number of Occurrences

Dirt in paint

65

Off-color

17

Orange peel

12

Other

1

Sad looking

43

Scratch

11

Sealer under

8

Thin paint

31

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marketing environment

Question 1 (5 points)

1.Why is it important to examine the marketing environment and organizational resources before proceeding to develop a marketing database? What are some of the examples of organizational resources available as mentioned in the CRISP DM methodology? 

Please use your own words. Do not simply define the stages. 

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Question 3 (5 points)

2.You want to make an entire school database with various tables. Create 3 tables: teachers table, students table, feedback table (feedback is about teachers) that will be part of the database. Complete an example of the conceptual, physical, and logical tables for the database. You can make up the fields as you think appropriate.

You can take a copy your diagrams. Write your thought process behind the tables as well to show your work.

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Question 4 (5 points)

3.Next you want to discuss the importance of the database to your colleagues. Using Codd’s commandments we discussed and other important characteristics of the database, describe at least 3 important things about the need for this database. Explain it in your own words so your colleagues will understand. Don’t just define the commandments.

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Week 6: Area of Interest Power Point Presentation

Question 1

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The process for affecting positive change to improve practice outcomes can start with either the identification of an area of interest or the identification of a potential or existing practice problem. Selecting an area of interest helps to define a direction for further inquiry. The purpose of this assessment is for students to identify and discuss an area of interest specific to advanced practice nursing. Students will identify a common practice problem related to the selected area of interest and provide a recommendation to affect positive change. Students will build on this project in later courses. 

Note: The purpose of the MSN project is to translate evidence currently found in the literature into practice within the chosen specialty track. Due to the research complexity, time involvement, and implications regarding human subjects, drug studies are not acceptable areas of interest for an MSN project. 

Activity Learning Outcomes 

Through this assignment, the student will demonstrate the ability to: 

1.Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (CO1)  
2.Analyze essential skills needed to lead within the context of complex systems. (CO3) 
3.Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (CO4) 

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Requirements: 

Criteria for Content 

For this presentation, select an area of nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic and to find research support for the practice change you are recommending.  You may use a topic from the list at the link below or may investigate a topic of your choice as long as it pertains to NP practice. If you are unsure of your topic, please reach out to your instructor.  Be sure to provide speaker’s notes for all slides except the title and reference slides.  

List of Possible Topics (Links to an external site.)

Creating a Professional Presentation (Links to an external site.)

Create an 8-12 slide PowerPoint Presentation that includes the following: 

1.Introduction: slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered. 
2.Evidence-based projects: slide should explain the general importance of master’s-prepared nurses engaging in evidence-based projects related to nursing practice and profession. Provide speaker’s notes with additional detail and support from at least one outside scholarly source (not the textbook or course lesson). 
3.Conceptual Model: slide should provide an illustration of a conceptual model that could be used to develop an evidence-based project. Possible models include The John’s Hopkins or Advancing Research and Clinical Practice through Close Collaboration (ARCC) Models or you may select another model you find in the literature. In the speaker’s notes, explain how the model would be applied to the development of an evidence-based project. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
4.Area of Interest: identify an area of interest related to NP practice in which a practice change may be needed. Slide should identify the area of interest and what is currently known on the topic. Speaker’s notes more fully explain what is currently known and should provide rationale for why the area of interest is important to NP practice. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
5.Issue/concern and recommendation for change: slide should identify a specific concern related to your general area of interest and your recommendation for a practice change. Speaker’s notes should more fully explain the recommended change and rationale for the change. Recommendation should be supported by at least one outside scholarly source (not the textbook or course lesson). 
6.Factors Influencing Change: slide should identify at least 2 internal and external factors that could impact your ability to implement your recommended change. Speaker’s notes should more fully explain how the factors you’ve identified would support or impede the implementation of your recommendations. Factors may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas. 
7.NONPF Competencies: slide identifies at least two NONPF Competencies that are relevant to an evidence-based project related to your area of interest. Speaker’s notes should explain how the competencies relate to your area of interest. Provide support from at least one outside scholarly source (not the textbook or course lesson). 
8.Conclusion: slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.  

Preparing the presentation 

Submission Requirements 

1.Application: Use Microsoft Power Point™ to create the PowerPoint presentation.  
2.Length: The PowerPoint presentation must be 8-12 total slides (excluding title and reference slides).   
3.Speaker notes are used and include in-text citations when applicable. 
4.A minimum of four (4) scholarly literature references must be used. 
5.Submission: Submit your file: Last name First initial_Wk6Assessment_Area of Interest. 

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Question 2

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Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.
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You will need to post your reflection here before you are able to see other students’ posts.

 As you contemplate your future NP practice, how do you view your role in the implementation of EBP?
 What thoughts do you have about how you will engage in scholarship in your NP role?
 What are some barriers you see to implementing evidence-based practice?

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17.4 Consider the following financial statements for BestCare HMO, a not-for-profit managed care plan:

a. Perform a Du Pont analysis on BestCare. Assume that the industry
average ratios are as follows:
Total margin 3.8%
Total asset turnover 2.1
Equity multiplier 3.2
Return on equity (ROE) 25.5%
b. Calculate and interpret the following ratios for BestCare:
Industry Average
Return on assets (ROA) 8.0%
Current ratio 1.3
Days cash on hand 41days
Average collection period 7days
Debt ratio 69%
Debt-to-equity ratio 2.2
Times interest earned (TIE) ratio 2.8
Fixed asset turnover ratio 5.2

web development test

Web Development Test This page has a initial time limit of 0:30:00 Would you like to disable all future page timer notifications? Test True or False: HTML and CSS are front end technology. * This question is required. ⚪True ⚪False What is the difference between HTML and CSS? * This question is required. ⚪CSS is a markup language unlike HTML ⚪HTML is a backend technology and CSS is a front end technology ⚪HTML focuses on a web page’s structure and CSS focuses on its presentation ⚪As of HTML5 there is no difference In a proper webpage, which tag holds all of a webpages visible HTML? * This question is required. ⚪html ⚪head ⚪body ⚪link ⚪script ⚪doctype Alphabet for your reference: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z If the code for CAT is ECV what is the code for DOG? * This question is required. ⚪FQI ⚪BIT ⚪FDW ⚪GRJ The sum of two consecutive numbers is 37. What are they? * This question is required. ⚪18, 19 ⚪7, 30 ⚪20, 17 ⚪36, 1 It’s 3 PM. How many degrees are in the angle between the hour and minute hand? * This question is required. ⚪90 ⚪60 ⚪15 ⚪25 ⚪180 What does the following code alert? var person = { name: “Mike”, age: 25, favoriteFood: “pizza” }; alert(“My best friend’s name is” + person.name + “,he’s ” + person.age + ” years old and his favorite food is ” + person.favoriteFood); * This question is required. ⚪My best friend’s name isMike,he’s 25 years old and his favorite food is pizza ⚪My best friend’s name is Mike, he’s 25 years old and his favorite food is pizza. ⚪My best friend’s name isMike ,he’s 25 years old and his favorite food is pizza. ⚪My friend’s best name isMike,he’s 25 years old and his favorite food is pizza. What language(s) MUST be used to display a bare-minimum web page? ⚪HTML, SQL, Node.js ⚪HTML ⚪JavaScript & PHP ⚪SQL What is the best image format for our website if we needed our image to have a transparent background? ⚪JPEG ⚪JPG ⚪GIF ⚪PNG ⚪PSD ⚪TIFF ⚪None of these Which one of these is the most different? ⚪JavaScript ⚪PHP ⚪Ruby ⚪Python ⚪MySQL Which of these statements is true? ⚪Agile is a programming language ⚪SQL is a database language ⚪HTML stands for “Hypertext Markup Link” ⚪Java is short for JavaScript It’s 2 PM. How many degrees are in the angle between the hour and minute hand? ⚪90 ⚪60 ⚪15 ⚪25 ⚪180 The following HTML and CSS is COMPLETELY CORRECT. This code makes up a web page. When the following code renders onto the screen, which paragraph appears bolded? ⚪The Wonder Years is an American television comedy-drama created by Neal Marlens and Carol Black. ⚪It ran on ABC from 1988 until 1993. ⚪The pilot aired on January 31, 1988, following ABC’s coverage of Super Bowl XXII. ⚪All of the above Which operation could we perform in order to find the number of milliseconds in a year? ⚪60 * 60 * 24 * 7 * 365 ⚪1000 * 60 * 60 * 24 * 365 ⚪24 * 60 * 100 * 7 * 52 ⚪1000 * 60 * 24 * 7 * 52 ⚪None of these You are facing North. Turn 90 degrees left. Turn 180 degrees right. Reverse direction. Turn 45 degrees left. Reverse direction. In which direction are you now facing? ⚪North ⚪West ⚪South West ⚪South East ⚪North West ⚪North East Albert thought of a number, added 5, multiplied the result by 2, took away 6 and then divided by 2 to give an answer of 8. ⚪5 ⚪6 ⚪3 ⚪4 If you’re driving one and a half miles per minute, slow down by 15 miles per hour, and then reduce your speed by one third, how fast are you going now? ⚪90 miles per hour ⚪60 miles per hour ⚪50 miles per hour ⚪75 miles per hour ⚪45 miles per hour What is the value of ????? ???? + ???? = 10; ???? + ???? = 6; ???? + ???? = 5; ⚪6 ⚪9 ⚪7 ⚪8 ⚪1 Which CSS attribute would change an element’s font color to blue? ⚪font-color: blue; ⚪background: blue; ⚪color: blue; ⚪background-color: blue; ⚪font: blue; What is the largest number that can be produced by multiplying any three individual numbers from the following list. [-2, 1, 3, -8, 5, 9, -9, 4, 7, -7, 8] ⚪648 ⚪504 ⚪732 ⚪888