Therapy / Assessing and Treating Clients With ADHD Discussion Assignment

Week 9: Therapy for Clients with ADHD

Tyler, a 9-year-old third grader, had always been an energetic child with a short attention span. For years, his mother attributed his behaviors to him being “all boy” and assumed it would improve as he grew older. Instead, daily tasks like chores and homework became increasingly overwhelming for Tyler, resulting in disruptive behaviors at home and school. After being evaluated by his healthcare provider, Tyler was diagnosed with and treated for attention deficit hyperactivity disorder (ADHD).
ADHD is a prevalent disorder for clients across the lifespan, as more than 6 million children (CDC, 2016) and 8 million adults (ADAA, 2016) have been diagnosed with the disorder. Like Tyler, individuals of all ages find that symptoms of ADHD can make life challenging. However, when properly diagnosed and treated, clients often respond well to therapies and have positive health outcomes.
This week, as you study ADHD therapies, you examine the assessment and treatment of clients with ADHD. You also explore ethical and legal implications of these therapies.

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Discussion: Presentations of ADHD

Although ADHD is often associated with children, this disorder is diagnosed in clients across the lifespan. While many individuals are properly diagnosed and treated during childhood, some individuals who have ADHD only present with subsyndromal evidence of the disorder. These individuals are often undiagnosed until they reach adulthood and struggle to cope with competing demands of running a household, caring for children, and maintaining employment. For this Discussion, you consider how you might assess and treat individuals presenting with ADHD.

Learning Objectives

Students will:
  • Assess client factors and history to develop personalized therapy plans for clients with ADHD
  • Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for ADHD
  • Evaluate efficacy of treatment plans
  • Apply knowledge of providing care to adult and geriatric clients presenting for antidepressant therapy

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

Clancy, C.M., Change, S., Slutsky, J., & Fox, S. (2011). Attention deficit hyperactivity disorder: Effectiveness of treatment in at-risk preschoolers; long-term effectiveness in all ages; and variability in prevalence, diagnosis, and treatment. Table B. KQ2: Long-term(>1 year) effectiveness of interventions for ADHD in people 6 years and older.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
 
To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

  • Chapter 12, “Attention Deficit Hyperactivity Disorder and Its Treatment”

Stahl, S. M., & Mignon, L. (2012). Stahl’s illustrated attention deficit hyperactivity disorder.New York, NY: Cambridge University Press.
 
To access the following chapter, click on the Illustrated Guides tab and then the ADHD tab.

  • Chapter 4, “ADHD Treatments”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
 
To access information on the following medications, click on The Prescriber’s Guide, 5th edtab on the Stahl Online website and select the appropriate medication.
 
Review the following medications:
For ADHD

  • armodafinil
  • amphetamine (d)
  • amphetamine (d,l)
  • atomoxetine
  • bupropion
  • chlorpromazine
  • clonidine
  • guanfacine
  • haloperidol
  • lisdexamfetamine
  • methylphenidate (d)
  • methylphenidate (d,l)
  • modafinil
  • reboxetine

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Note: Retrieved from Walden Library databases.

Optional Resources

Hodgkins, P., Shaw, M., McCarthy, S., & Sallee, F. R. (2012). The pharmacology and clinical outcomes of amphetamines to treat ADHD: Does composition matter? CNS Drugs, 26(3), 245–268. doi:10.2165/11599630-000000000-00000

Psychiatric Times. (2016). A 5-question quiz on ADHD. Retrieved from http://www.psychiatrictimes.com/adhd/5-question-quiz-adhd?GUID=AA46068B-C6FF-4020-8933-087041A0B140&rememberme=1&ts=22072016

To prepare for this Discussion:

Note: By Day 1 of this week, your Instructor will have assigned you to one of the following case studies to review for this Discussion. To access the following case studies, click on the Case Studies tab on the Stahl Online website and select the appropriate volume and case number.

Case 1: Volume 1, Case #13: The 8-year-old girl who was naughty
Case 2: Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like mother, like daughter
Case 3: Volume 2, Case #21: Hindsight is always 20/20, or attention deficit hyperactivity disorder

  • Review this week’s Learning Resources and reflect on the insights they provide.
  • Go to the Stahl Online website and examine the case study you were assigned.
  • Take the pretest for the case study.
  • Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.
  • Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).
  • Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.
  • Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.
  • Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.
  • Review the posttest for the case study.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

By Day 3

Post a response to the following:

  • Provide the case number in the subject line of the Discussion.
  • List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.
  • Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
  • Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
  • List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
  • List two pharmacologic agents and their dosing that would be appropriate for the patient’s ADHD therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
  • If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
  • Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues who were assigned to a different case than you. For example, if you were assigned to Case Study 1, respond to one colleague assigned to Case Study 2 and one colleague assigned to Case Study 3. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.

Submission and Grading Information

Grading Criteria

To access your rubric:
Week 9 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 9 Discussion

Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. They may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric mental health nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for clients across the lifespan. For this Assignment, you consider how you might assess and treat clients presenting with ADHD.

Learning Objectives

Students will:
  • Assess client factors and history to develop personalized therapy plans for clients with ADHD
  • Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for ADHD
  • Evaluate efficacy of treatment plans
  • Evaluate ethical and legal implications related to prescribing therapy for clients with ADHD

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Note: Review all materials from the Discussion.

Conners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998). Revision and restandardization of the Conners’ Teacher Rating Scale (CTRS-R): Factors, structure, reliability, and criterion validity. Journal of Abnormal Child Psychology, 26, 279-291.
Note: Retrieved from Walden Library databases.

Required Media

Laureate Education (2016d). Case study: A young Caucasian girl with ADHD [Interactive media file]. Baltimore, MD: Author
Note: This case study will serve as the foundation for this week’s Assignment.

To prepare for this Assignment:

  • This case study will serve as the foundation for this week’s Assignment.

The Assignment

Examine Case Study: A Young Caucasian Girl With ADHD You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:

  • Decision #1
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 9 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 9 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:
Week 9 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 9 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:
Week 9 Assignment


Making Connections

Now that you have:

  • Assessed clients presenting with ADHD
  • Developed personalized plans of therapy for clients with ADHD
  • Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for ADHD
  • Explored ethical and legal implications of prescribing therapy to clients with ADHD

Next week, you will build on your assessment and treatment skills as you examine clients presenting for therapy for impulsivity, compulsivity, and addiction. Therapy / Assessing and Treating Clients With ADHD Discussion Assignment.

Baby Boomers in Middle Adulthood
The largest segment of the U.S. population, the “baby boomers,” are moving into middle adulthood and, in some cases, even becoming grandparents. The advertising and marketing industries study this age cohort, and it has been increasing in visibility in primetime television, print ads, and in digital advertising, pop-ups, and internet solicitation.
Find at least 4 images or video clips of advertising or other popular media that illustrate this point.  Use a caption for each piece of media to explain the advertisements mirror the specific physical and cognitive changes in development referred to in our readings and resources this week.  Your captions should combine for a total of no fewer than 500 words.
Use at least 2 resources (other than the images or clips) to support the claims you are making.  Cite these using APA formatting.  Your references need to relate to concepts learned about middle adulthood and must be scholarly/academic in nature.  Use of .com websites is not appropriate.

Question Description

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

References:

  • Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

  • Response posts: Minimum 100 words excluding references.

Peer discussion 1

This week’s assignment focuses on gerontological reminiscence. Included in the assigned readings and viewings is the film “Tuesdays with Morrie”. In this discussion post, I will discuss the modalities of reminiscence and life review and the significance of the life story of an elder. I will also discuss what I believe can be improved upon for effective communication, in addition to identifying the impact of culture and family values in care provided for the elderly.

“Tuesday’s with Morrie” involved a heavy amount of reminiscence from Morrie, as he discusses life lessons and how he personally learned them. Morrie makes it a point to tell his friend, Mitch, these life lessons that he learned, in an effort to help Mitch better his own life. By trying to help the younger generation understand that they could potentially die at any time, he urges Mitch to work to lead the life he wants to live, and try to avoid making some of the same mistakes that he did. Morrie feels that reminiscing validates his life, by remembering both the good times and the bad. He reminisces on his regrets of pride, vanity, and hardness of heart, and urges to forgive, so you can die surrounded by love and peace. Throughout the film, we see Morrie continually works to teach Mitch that shouldn’t be afraid to love, and don’t be afraid of giving himself to someone he may lose. Reminiscing about one’s life as an elder, especially those who are battling chronic diseases, can decrease depression (Syed Elias, Neville, Scott, 2015). Morrie is dying from ALS, and talks about how he lost the ability to use his legs first; this is something that haunts him, as he often reminisces about how much he loved to dance. Since many chronic and progressive diseases often come with the inability to do the things they love, it is important to allow the elderly to reminisce as part of a healthy coping process.

When it comes to improving communication strategies with the elderly, I feel that Morrie was trying to tell Mitch that it is important to listen to the lessons he was trying to teach. He strives to make Mitch understand that it is important not to pretend that the elderly don’t have feelings, and tells him that communication should be open and honest. It is silly to pretend that disease and death do not exist. He also discusses with Mitch the importance of touch…when we are infants, we yearn for it, yet we shun it as we age. Sometimes, as the elderly enter their final stages of life, they begin to yearn for touch again, even if it is as simple as holding their hand. This is something that I did when I sat by my grandmother’s hospice bed for a week, almost three years ago today as I write this post. I typed my papers for my very first nursing class of my BSN with one hand, while holding her hand with the other. Even though she wasn’t able to see me, I know on some level, she was comforted by my touch. We can even use music as a way to help communicate, and even help someone reminisce and cope with a disease process (Maruszewski, Bonk, Karcz, Retowski, 2017). Finally, Morrie tells Mitch not to be afraid of silence, as sometimes another’s presence alone is comforting enough. I feel that through active listening, touch, and presence, we can overcome many barriers to those with deficits during their final years.

In the film, Morrie has a funeral while he is still alive, so that he can see all of his family and close friends, and hear all of the nice things they have to say about him. Later on, he tells Mitch about his perfect day, which involves spending the day with those same close friends and family members. His day is nothing extravagant, simply walking in the park after a light lunch and then a big pasta dinner, followed by dancing. It is the simple things that meant the most to him, that he truly cherished, and wanted to do on his one perfect day. In the end of the film, he passes away at home (like he wanted), surrounded by his family and friends. When our loved one is dying, I believe it is imperative that we do the best we can to honor their wishes, and make their last bit of time as comfortable as possible.

In conclusion, I felt this film was a great window into essentially the dying process. Morrie discusses some of the most important moments in his life, while accomplishing his goal of teaching one more class to Mitch. He does all of this while reminiscing on his life, and teaching Mitch that “if you learn how to die, you will learn how to live” (Forte, Heyer, Ogden, Winfrey, 1999).

References

Forte, K. (Producer), Heyer, S. (Producer), Ogden, J. (Producer), Winfrey, O. (Producer), & Jackson, M. (Director). (1999). Tuesday’s with Morrie [Motion picture].United States of America: American Broadcasting Company.

Maruszewski, T., Bonk, E., Karcz, B., & Retowski, S. (2017 November). Elderly peoples preferences regarding reminiscence material. Educational Gerontology, 43(11): 531-539. Retrieved from: https://eds-b-ebscohost-com.proxy.library.ohio.edu…

Syed Elias, S. M., Neville, C., & Scott, T. (2015 September-October). The effectiveness of group reminiscence therapy for loneliness, anxiety, and depression in older adults in long-term care: a systematic review. Geriatric Nursing, 36(5): 372-380. doi: 10.1016/j.gerinurse.2015.05.004

Peer discussion 2

A person’s life story is important because it gives a history of a person’s past, providing insight into that person’s present circumstances. The purpose of this discussion post is to discuss how life review and reminiscence therapy facilitates and highlights an elderly person’s life story, improvements that can be made to effectively communicate with geriatric patients with sensory impairments, and identifying the impacts that cultural and family values have in providing quality care for older patients.

For elderly people especially struggling with depression and loneliness, reminiscence therapy is a non-pharmacological intervention aimed at increasing a person’s self-esteem by relieving feelings of depression, anxiety, and loneliness (Elias, Neville, & Scott, 2015). Likewise, life review is a form of reminiscence therapy (called spiritual reminiscence therapy) that involves the person finding meaning in their past and future life (Elias et al., 2015). This form of reminiscence therapy focuses on a person’s life, and a person can find meaning and have positive self-esteem as they recount their life story. Furthermore, when this therapy is conducted in a group setting, the elderly patient benefits by establishing social connections, new relationships, and enhanced communication skills, thereby increasing self-esteem and reducing loneliness and depression (Elias et al., 2015).

To improve effective communication strategies for older adults with speech, hearing, vision, language, and cognitive impairments, investing extra time alone into each elderly patient interaction can greatly improve communication. Elderly patients are typically slower to respond, need information repeated, may take longer to process information, and desire to be treated as a valued human, and allowing for extra time can augment these interactions. Also, respectfully addressing the patient by their name, utilizing large-font written instructions, pictures, or diagrams, and providing audio instructions for patients who have difficulty seeing or reading can decrease communication barriers. Additionally, ensuring the patient is wearing their hearing aid and it is on, speaking slowly, and facing the patient directly at eye level can reduce hearing barriers (“Understanding Older Patients,” n.d.). For me, the biggest inference I can gain from the videos and articles of this week’s module is to have patience and empathy for elderly patients while giving them extra time. I think this is the most effective method for improving communication. In my practice, when I have a geriatric patient, I have to remind myself to slow down in my interview process, listen closely to them, and answer their questions slowly while making eye contact. It is my goal to provide respectful and empathetic care.

Finally, family and cultural values impact a person’s principles, life, and preferences, and these factors need to be considered to provide quality, appropriate care. Being aware of a patient’s family and cultural differences can direct the nurse to have cultural humility, which is an open-minded acceptance of differences, and this attitude helps one to provide culturally competent care (Andrews & Boyle, 2016).

In summary, the importance that reminiscence and life review therapy has on geriatric patients’ depression, anxiety, and loneliness have been analyzed related to recounting one’s life story. Effective communication improvements for elderly patients with impairments have also been discussed, as well and how one’s family and cultural values influence their care and preferences.

References

Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia, PA: Wolters Kluwer.

Elias, S. M. S., Neville, C., & Scott, T. (2015). The effectiveness of group reminiscence therapy for loneliness, anxiety and depression in older adults in long-term care: A systematic review. Geriatric Nursing36(5), 372–380. https://doi.org/10.1016/j.gerinurse.2015.05.004

Understanding Older Patients. (n.d.). Retrieved October 16, 2018, from 

 Psychology homework help
400 Words Well-Written (No Introduction)    Due 7/18/2018   
Topic—  Bullying             Topic— Bullying
                          Prior to beginning work on this discussion, read Chapters 1 and 2 of the Hesse-Biber e-book, Mixed Methods Research: Merging Theory with Practice, and the two required articles for this week. Mixed methods is a current popular methodology. While this type of methodology is useful for some studies, because of its dual nature as both quantitative and qualitative, it is not effective or appropriate for all research.
For this discussion, you will consider the use of mixed methods for the topic, (BULLYING), you have chosen for your Research Proposal. In your initial post, apply the scientific method to your research topic by defining your research question and determining the method(s) necessary to answer that question. Compare the characteristics and appropriate uses of the different methods and explain if your research question could best be answered through qualitative or quantitative methods, or a mix of both. Identify the dominant method (quantitative or qualitative) for your proposed study. Explain whether or not a mixed methods approach is the best way to study the topic, demonstrating that the second method is not added as an afterthought or merely to impress journal editors who favor mixed methods. If you have decided not to use mixed methods, explain why the study is best completed with either a quantitative or qualitative focus. Justify your design choice and support your position with scholarly sources. Include a discussion explaining how you would apply ethical principles to your design to address concerns which may impact your research.
 

E-Book

Hesse-Biber, S. N. (2010). Mixed methods research: Merging theory with practice. New York, NY: Guilford Press.

  • Chapter 1: Introduction to Mixed Methods Research
  • Chapter 2: Formulating Questions, Conducting a Literature Review, Sampling Design, and the Centrality of Ethics in Mixed Methods Research
  • The full-text version of this e-book is available through the ebrary database in the Ashford University Library. The database that houses this resource allows for online reading. Please be aware that checking this item out of the library may prevent other users from accessing it.

Articles

Bryman, A. (2006). Integrating quantitative and qualitative research: How is it done? Qualitative Research, 6(1), 97-113. doi:10.1177/1468794106058877

  • The full-text version of this article can be accessed through the Sage Journals database in the Ashford University Library. The author of this article presents a variety of mixed methods research designs, which are classified according to the answers to five questions.

Fetters, M. D., Curry, L. A., & Creswell, J. W. (2013). Achieving integration in mixed methods designs – principles and practices. Health Services Research, 48(6), 2134-2156. doi:10.1111/1475-6773.12117

  • The full-text version of this article can be accessed through the EBSCOhost database in the Ashford University Library. Integration of qualitative and quantitative methods within a study can occur at one or more of three levels (design, methods, and interpretation/reporting). The authors of this article discuss how integration is achieved in several different mixed methods research designs.

This post should be at least 300 words (not including your source citation)
PAUL:  Is it accurate to say, as some do, that Paul was the “co-founder of Christianity”? How so?
CULTS:  In what ways were the mystery cults unique? Why were they so popular in the ancient world?
KINDNESS:  Kindness, the value of human life, and the hope for a better future are major themes in the sermons of Christ and Buddha. What assumptions might we make about the quality of life in the time in which these sermons were preached?
RITUAL:   Is the observance of ritual in itself inferior to inner purity, or does the performance of rites and rituals have its own value in religious practice? Answer as Jesus might have, as Siddhartha might have, and offer your own views.

LM 11: Experimental research
This week instead of having a lecture, you’re going to learn about experimental research from real examples.

  1. Watch this video on an experiment on bias: https://vimeo.com/456230195/8768440076
  2.  How did researchers design an experiment to test bias? What were the three “phases” of the study?
  3.  What research methods that we’ve talked about in lecture did you notice being modeled in the video?
  4. Choose your own adventure! Pick one of the learning modules (just not the first one) developed by The Institute for Learning & Brain Sciences (I-LABS) at the University of Washington. https://modules.ilabs.uw.edu/learning-modules/ Which module did you choose?
  5. Describe the experiments were cited in the module that you chose. If there were not any experiments, think of a way that a researcher could study this topic with an experiment.

Introduction to Statistics – MATO 205
Quiz 2: Chapter 6
Name ______________________________________________ Date _______________
Fill in the space. (1 points each)
For a continuous probability distribution, the total area under the curve is equal to _____ .
Which of the following is NOT a characteristic of the normal distribution? (bell-shaped, symmetrical, discrete, asymptotic – pick one) _________________.
How many normal distributions are there? (1, 10, 30, infinite – pick one) __________ .
The signed difference between a selected value and the mean divided by the standard deviation is called a ______________.
What is the probability of a z value between -2.03 and 1.76? _____________.
What is the probability of a value between and 0? ______________.
What is the probability of a value between and ? ____________.
Circle the best answer for each of the following: (1 points each)
 
Ella refuses to tell you her weight in her ninth month of pregnancy. However, she does tell you that her weight is above the mean. Which of the following -scores is possible for her weight?
 
1.43
Not enough information
 
Candy was surprised when the doctor told her that her baby’s weight was in the 85th percentile. If baby’s weights are normally distributed, which of the following would be a reasonable standard score for her baby’s weight?
85
 
04
 
Not enough information
 
One of the values in a normal distribution is 43 and its z-score is 1.65. If the mean of the distribution is 40, what is the standard deviation?
B. –1.82 C. .55 D. 1.82 E. -.55
Free Response Question: You must show your work to earn full credit.
Find each specified probability.
 

a. (2 points)
 
 
 
 
1. (2 points)
1. (3 points)
 
 
 
 
1. (3 points)

 
 
 
The accounting department at Weston Materials Inc., a natural manufacturer of unattached garages, reports that it takes two construction workers a mean of 32 hours and a standard deviation of 2 hours to erect the Red Barn model. Assume the assembly times follow the normal distribution.
Determine the z values for 29 and 34 hours. (15 points)
 
 
 
 
What percent of the garages take between 29 hours and 34 hours to erect?
 
 
 
 
 
What percent of the garages take between 32 hours and 34 hours to erect?
 
 
 
 
 
What percent of the garages take 28.7 hours or less to erect?
 
 
 
 
Of the garages, 5% take how many hours to erect?
 
 
 
The IRS reports that the mean refund for a particular group of taxpayers was $1,600. The distribution of tax refunds follows a normal distribution with a standard deviation of $850.
(15 points)
What percentage of the refunds are between $1,600 and $2,000?
 
 
 
 
 
 
 
What percentage of the refunds are between $900 and $2,000?
 
 
 
 
 
 
 
What percentage of the refunds are between $1,800 and $2,000?
 
 
 
 
 
 
 
What percentage of the refunds are less than $1,000?
 
 
 
 
 
 
Ninety-five percent of the refunds are less than what amount?

Human Interactions 11-1

Zastrow and Kirst-Ashman (2016) stated, “Clients are affected by and in constant dynamic interactions with other systems, including families, groups, organizations, and communities” (p. 35-36). As a social worker, when you address the needs of an individual client, you also take into account the systems with which the client interacts. Obtaining information about these systems helps you better assess your client’s situation. These systems may provide support to the client, or they may contribute to the client’s presenting problem.
For this Discussion, review “Working With People With Disabilities: The Case of Lester.”Consider the systems with which Lester Johnson, the client, interacts. Think about ways you might apply a systems perspective to his case. Also, consider the significance of the systems perspective for social work in general.

Post a Discussion in which you explain how multiple systems interact to impact individuals. Explain how you, as a social worker, might apply a systems perspective to your work with Lester Johnson. Finally, explain how you might apply a systems perspective to social work practice.
300-400 Words
USE MY REFERENCES AND CASE STUDY PROVIDED 
References:
Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment (10th ed.). Boston, MA:  Cengage Learning.
 
Plummer, S. -B., Makris, S., & Brocksen, S. M. (Eds.). (2014). Social work case studies: Foundation year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

  • “Working With People With Disabilities: The Case of Lester” (pp. 31–33)

I have screenshot pages from the ebook Chapter 1, and Chapter 4 to help complete this assignment. They are all attached in the files below.

Current Events

  • Continue to investigate and examine current events as they relate to health care services and society.   Choose one current event article to share and summarize, post a citation and include a URL or link if possible. Note you’re your summary should include not only the information from the article but also how the article relates to the information in the learning plan, including both terms and concepts.
  • Your current events article should relate to one of the following categories:  
  • The News Hunters will follow the health services news during the learning plan.
  • The Policy and Legislation Analysts will focus on policy and legislation issues.
  • The Culture Watch Club will investigate the social issues relating to health care.