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Competency

Competency

Identify ethical dilemmas encountered in professional nursing practice.

Scenario

You are a member of your organization’s ethics committee. As a nurse  preceptor and member of the ethics committee you have been asked to do a  presentation at the upcoming new nurse’s orientation to educate the new  hires on the considerations, impacts, and strategies related to ethical  dilemmas. You are excited to share your enthusiasm and passion for the  importance of ethics in client care.

Instructions

Select a current ethical dilemma in nursing from your workplace or recent news to use as the basis for your presentation.

Create a PowerPoint® presentation that includes the following:

  • The ethical dilemma
  • The ethical issues related to the dilemma
  • The impact on nursing and patient care
  • Strategies that support person and family centered care

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FNU Physical Assessment in Health Care Quiz 

FNU Physical Assessment in Health Care Quiz 

Question 1

Which of the following is a relatively benign condition that may occur during pregnancy or labor?

a. Macular degeneration

b. Papilledema

c. Subconjunctival hemorrhage

d. Cupping of the optic disc

Question 2

Which maneuver can be done to reduce the systemic absorption of cycloplegic and mydriatic agents when examining a pregnant woman if the examination is mandatory?

a. Have the woman keep her eyes closed for several minutes.

b. Instill half the usual dosage.

c. Keep the patient supine, with her head turned and flexed.

d. Use nasolacrimal occlusion after instillation

Question 3

When there is an imbalance found with the corneal light test, you should then perform the ___________ test.

a. confrontation

b. accommodation

c. cover–uncover

d. visual acuity

Question 4

White specks scattered in a linear pattern around the entire circumference of the iris are called:

a. drusen bodies.
b. cotton wool spots.
c. rust spots.
d. Brushfield spots.

Question 5

Which of the following may be suggestive of Down syndrome?

a. Drusen bodies
b. Papilledema
c. Narrow palpebral fissures
d. Prominent epicanthal folds

Question 6

You are attempting to examine the eyes of a newborn. To facilitate eye opening, you would first:

a. dim the room lights.
b. elicit pain.
c. place him in the supine position.
d. shine the penlight in his or her eyes.

Question 7

When testing corneal sensitivity controlled by cranial nerve V, you should expect the patient to respond by:

a. brisk blinking.
b. copious tearing.
c. pupil dilation.
d. reflex smiling.

Question 8

Xanthelasma may suggest that the patient has an abnormality of:

a. lipid metabolism.
b. cognitive function.
c. renal metabolism.
d. bone marrow function.

Question 9

You observe pupillary response as the patient looks at a distant object and then at an object held 10 cm from the bridge of the nose.You are assessing for:

a. confrontation reaction.
b. accommodation.
c. pupillary light reflex.
d. nystagmus.

Question 10

Which of the following findings, when seen in the infant, is ominous?

a. Difficulty tracking objects with the eyes
b. Appearing to have better peripheral than central vision
c. Blinking when bright light is directed at the face
d. White pupils on photographs

Question 11

When you ask the patient to identify smells, you are assessing cranial nerve __.

Ans: 1

Question 12

Which risk factor is associated with the highest rate of oral cancers?

a. Women

b. Being younger than 55 years

c. excessive caffeine use

d. Fanconi anemia

Question 13

You are interviewing a parent whose child has a fever, is pulling at her right ear, and is irritable. You ask the parent about the child’s appetite and find that the child has a decreased appetite. This additional finding is more suggestive of:

a. acute otitis media.

b. otitis externa.

c. serous otitis media.

d. middle ear effusion.

Question 14

Which of the following signs and symptoms occur with a sensorineural hearing loss? (Select all that apply.)

a. Air conduction shorter than bone conduction

b. Lateralization to the affected ear

c. Loss of high-frequency sounds

d. Speaks more loudly

e. Disorder of the inner ear

f. Air conduction longer than bone conduction

Question 15

Which variation may be an expected finding in the ear examination of a newborn?

a. Diffuse light reflex

b. Purulent material in the ear canal

c. Redness and swelling of the mastoid process

d. Small perforations of the tympanic membrane

Question 16

White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:

a. Fordyce spots.

b. aphthous ulcers.

c. Stensen ducts.

d. leukoedema.

Question 17

You are performing Weber and Rinne hearing tests. For the Weber test, the sound lateralized to the unaffected ear; for the Rinne test, air conduction–to–bone conduction ratio is less than 2:1. You interpret these findings as suggestive of:

a. a defect in the inner ear.

b. a defect in the middle ear.

c. otitis externa.

d. impacted cerumen.

Question 18

You are performing hearing screening tests. Who would be expected to find difficulty in hearing the highest frequencies?

a. 7

b. 12

c. 20

d. 40

e. 65

Question 19

Which abnormality is common during pregnancy?

a. Eruption of additional molars

b. Hypertrophy of the gums

c. Otitis externa

d. Otitis media

Question 20

You are using a pneumatic attachment on the otoscope while assessing tympanic membrane movement. You gently squeeze the bulb but see no movement of the membrane. Your next action should be to:

a. remove all cerumen from the canal.

b. make sure the speculum is sealed form outside air.

c. squeeze the bulb with more force.

d. insert the speculum to depth of 2 cm.

Question 21

Which of the following is an expected change in the assessment of the thyroid during pregnancy?

a. Palpation of the gland becomes difficult.

b. A bruit is auscultated.

c. Inspection reveals a goiter.

d. The gland is tender on palpation

Question 22

Which type of headache usually occurs at night, is precipitated by alcohol consumption, and occurs more often in men than in women?

a. Classic migraine
b. Temporal arteritis
c. Cluster
d. Hypertensive

Question 23

Which of the following is true regarding caput succedaneum?

a. It is a subperiosteal collection of blood.

b. It is firm and its edges are well defined.

c. It develops several days after delivery.

d. It is seen over the presenting part of thehead

Question 24

You are palpating a patient’s thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left.These data would indicate:

a. a congenital anomaly.

b. a normal thyroid gland.

c. a multinodular goiter.

d. thyroiditis.

Question 25

Which of the following findings would be consistent with fetal alcohol syndrome (FAS)?

a. Corneal clouding

b. Eye slanting

c. Mild ptosis

d. Symmetric, bulging fontanels

Question 26

Which of the following is a chronic autoimmune disorder?

a. tenosynovitis

b. fibromyalgia

c. rhabdomyolysis

d. myasthenia gravis

Question 27

Which cranial nerves innervate the face?

a. II and V

b. III and VI

c. V and VII

d. VIII and IX

Question 28

You are examining Ms. L, age 78 years. You find a sunken appearance of her eyes, cheeks, and temporal areas. Her skin is dry, and her nose appears sharp. This description of Ms. L’s facies is associated with:

a. cutis laxa syndrome.

b. Hurler syndrome.

c. old age.

d. terminal illness.

Question 29

Which of the following is true regarding a cephalohematoma?

a. It is bound by suture lines.

b. The affected part feels soft.

c. It is obvious at birth.

d. The margins are poorly defined

Question 30

Which is the best way to position a patient’s neck for palpation of the thyroid?

a. Flexed away from the side being examined
b. Flexed directly forward
c. Flexed toward the side being examined
d. Hyperextended directly

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Leadership Action Plan

Leadership Action Plan

PowerPoint Slideshow Guidelines

Updated 1/20

Purpose

The purpose of this PowerPoint presentation is to present the best plan of action, as a leader, assigned to make a change to a problem or issue in your place of work. If you are not presently working, use information from your prelicensure experience or previous healthcare experience. You will be using the Joint Commission National Patient Safety Goals to align with the problem or issue that you see in your workplace or most recent place of employment. You will prepare a PowerPoint presentation and share how you will meet one of the goals in your place of work that will solve the problem or issue you have selected.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

CO8: Apply concepts of quality and safety using structure, process and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Due Dates

This assignment is to be submitted by Saturday, 11:59 p.m. MT, end of Week 6.

Directions

  1. Develop a PowerPoint slideshow consisting of 8-15 slides. Include the following. Title slide, written speaker notes, and Reference slide. Do not use Voice Over recordings. All information needs to be written in slides and speaker notes. No information in comment section will be graded.
  2. You are required to complete the assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.pptx” format. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
  3. As the leader, you have identified a problem or issue related to one of the National Patient Safety Goals 2019 created by the Joint Commission that will lead to quality improvement. You will find the National Patient Safety Goals using this link: https://www.jointcommission.org/assets/1/6/2019_HAP_NPSGs_final2.pdf.  (Links to an external site.)Assess the problem or issue. State the problem/issue and identify three rationales (reasons) that the problem exists. References are used. Scholarly articles must be published within the last 5 years, peer-reviewed, from the Chamberlain library only and must provide the permalink
  4. Review the information provided in our library on how to search for journal articles (Links to an external site.).
  5. Review the information provided in the library on how to locate and copy a journal permalink (Links to an external site.). (Links to an external site.)
  6. Assess the problem or issue. State the problem/issue and identify three rationales (reasons) that the problem exists. References are used.
  7. Determine the people who are involved in the issue and explain three reasons as to how their role will contribute to the problem or issue solution.
  8. Identify three solutions and discuss the purpose, cost and desired outcome.
  9. Pick one solution to share with the director and discuss why this solution was chosen over the others. Use a scholarly reference.
  10. Make an action plan to share the solution with the director and staff.
  11. Summarize issue, plan and desired outcome and purpose for quality improvement on slide.
  12. Reflect on your learning and value of doing the assignment.
  13. Include written speaker notes for all slides except title slide and reference slide.
  14. Submit your PowerPoint slideshow by 11:59 p.m. MT, Saturday, end of Week 6.

Best Practices in Preparing PowerPoint Presentations

The following are best practices in preparing this presentation.

  • Watch tutorial below.
  • Be creative.
  • Incorporate graphics, clip art, or photographs to increase interest.
  • Make easy to read with short bullet points and large font.
  • Review directions thoroughly.
  • Proofread prior to final submission.
  • Spell check for spelling and grammar errors prior to final submission.
  • Abide by the Chamberlain academic integrity policy.

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growth condition for the bacteria

Answer critical Thinking question #2 for chapter 6 on page 180. Answers should be submitted in word document with any associated references used

1 E.Coli was incubated with aeration in a nutrient medium containing two carbon sources, and the following growth curve was made from this culture

A) Explain what happened at the time marked x

B) Which substrate provided “better” growth condition for the bacteria? How can you tell?

2  Assume that after washing your hands you leave ten bacterial cells on a new bar of soap. You then decided to do a plate count of a soap after it was left in soap dish for 24 hours. You dilute one gram of the soap 1:106 and plate it on heterotrophic plate count agar. After 24 hours of incubation, there are 168 colonies. How many bacterial were on the soap? How did they get there?

3) Heat lamps are commonly used to maintain food at about 50 degree C for as long as 12 hours in cafeteria serving lines . The following experiment was conducted to determine whether this practice poses a potential health hazard.

Beef cubes were surface-inoculated with 500,000 bacterial cells and incubated at 43-53degree C to establish temperature limits for bacterial growth. The following results were obtained from heterotrophic plate counts performed on beef cubes at 6 and 12 hours after incubation.

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Mission, Vision, and Personal Goals

Discussion: Mission, Vision, and Personal Goals

Are you familiar with Walden University’s vision and mission? Were they a factor in selecting this University? How do they relate to your professional and academic goals? Does it matter if there is a tight or loose relationship or one at all? This week’s Discussion asks you to think about how the Walden mission and vision and the School of Nursing (SON) mission and vision apply to your professional and academic goals. Is there a match? How does Walden’s mission and vision relate to your becoming a scholar-practitioner committed to social change?

To prepare:

Review the Walden and SON mission and vision statements, Walden’s goals and University Outcomes, and the MSN Program Learning Outcomes presented in this week’s Learning Resources.

Reflect on your professional and academic goals as they relate to your program/specialization.

Consider how the information in the documents, identified above, fit with your own goals and to your becoming a scholar-practitioner.

Think about how you will incorporate your commitment to social change into your professional and academic goals, particularly as it relates to the area(s) of interest represented by your program/specialization.

Post a description of one or more significant ways in which Walden’s and the School of Nursing’s perspectives (i.e., vision, mission, social change message, and outcomes) relate to your professional and academic goals and to your becoming a scholar-practitioner. Include how you plan to incorporate social change into your professional and academic goals.

Support your Discussion assignment with specific resources used in its preparation using APA formatting. You are asked to provide a reference for all resources, including those in the Learning Resources for this course.

IMPORTANT: THE DISCUSSION QUESTION HAS TO BE FREE OF PLAGIARISM

NOTE: READ AND USE THE DOCUMENTS ATTACHED BELLOW TO COMPLETE THE ASSIGNMENT CORRECTLY.  USE THE APA Basics Checklist: Citations, Reference List, and Style AS A GUIDE.

MY PROGRAM/SPECIAIZATION IS: MASTER IN MENTAL HEALTH NURSE PRACTITIONER

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nursing leadership priorities

ITS IMPORTAT TO MEET THE COMPETENCES. THATS HOW I GET EVALUATED.

Create an 8–10-slide mobilization plan PowerPoint presentation (with detailed speaker’s notes) for a mobilization plan by your health care organization to commit 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a hot zone in Africa.

Nursing leaders must incorporate approaches that are inclusive and respectful of all stakeholders in the health care workforce, patient population, and the larger community that is served by the organization. Communication among members of teams, between departments and service lines, within large networks, with strategic business partners, and with patients, families, or support persons requires awareness of various facets of effective communication and cultural competence.

A mobilization plan for an international medical mission requires careful planning of organizational structure roles, power distribution, and team member empowerment.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • (IMPORTANT) Competency 1: Identify nursing leadership priorities, using a systems perspective.
    • -Apply systems thinking to determine a) the impact of the mobilization effort on hospital staffing and b) the actions needed to assure safe, quality care for the mission patients and personnel.
  • (IMPORTANT) Competency 2: Apply systems theory and systems thinking to facilitate health care delivery and patient outcomes.
    • -Identify the major stakeholders within the health care system that would be affected by the mobilization plan.
  • (IMPORTANT) Competency 3: Analyze the role of multiculturalism and diversity in organizational and systems structure and leadership.
    • -Examine potential multicultural and diversity issues that mission personnel may encounter.
  • (IMPORTANT) Competency 4: Evaluate how power relates to health care organizational structure, behavior, and leadership.
    • -Describe the medical mission team’s organizational structure and assess how this structure empowers team members.
  • (IMPORTANT) Competency 5: Communicate in a manner that is consistent with the expectations of a nursing professional.
    • Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

Assessment Instructions

Preparation

Use the Capella library and the Internet to help you complete this assessment. For help using PowerPoint, refer to the Microsoft Tutorials and other resources located in the Suggested Resources and left navigation menu of the courseroom.

This assessment is based upon the scenario below. The scenario is very limited in detail; where more detail is needed, incorporate any assumptions you make to flesh out the scenario. It is intended to assess your ability to communicate your approach to a challenge by evaluating issues of organization, leadership, safety, quality improvement, multiculturalism and diversity.

Your approach should be very conceptual and high-level.

Scenario
Your health care organization has recently committed 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a “hot zone” in Africa. The director of your organization has asked you, because of your previous medical mission experience, to outline nursing-related plans for preparing for the mobilization and present this information at an upcoming staff meeting.

Deliverable: Mobilization Plan PowerPoint Presentation

Create an 8–10-slide PowerPoint presentation (with detailed speaker’s notes) of your mobilization plan. It should be targeted toward members of the hospital’s administrative staff, nurses, and the physicians who will also participate in this medical mission.

  • Use bullet points and phrases on the slides.
  • The narrative, or explanation for each slide, should be in the speaker’s notes section.

The mobilization plan should address the following:

  • Identify the major stakeholders within the health care system that would be affected by the mobilization plan.
  • Analyze how the mobilization effort will impact staffing patterns and nursing care at the hospital.
  • Describe the medical mission team’s organizational structure of the mission team and how power is distributed.
    • Include one slide of an organizational diagram for the mission.
      • Describe the roles (in the speaker’s notes).
  • Assess how the organizational structure empowers team members.
    • Provide 1–2 examples of how team members will have power.
  • Identify key actions needed to assure quality of care and safety for mission patients and personnel.
  • Evaluate potential power issues that may arise when dealing with a multinational contingent.
    • (Be generic; that is, do not address individual nationalities, races, et cetera.)
    • Consider interactions with health care personnel from other countries.
  • Examine potential multicultural and diversity issues that mission personnel may encounter.
    • Consider that the indigenous population may be hostile to treatment.
    • Outline possible training requirements to improve cultural competencies of the personnel.

Additional Requirements

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Length: Presentation should be 8–10 slides. Include speaker’s notes on each content slide.
  • References: Include a minimum of three peer-reviewed resources on the final slide (in APA format).
  • General formatting: Choose an appropriate theme if using a template.

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Diagnosis: Angina

Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.

E.H. is a 45-year-old African American man who recently moved to the community from another state. He requests renewal of a prescription for a calcium channel blocker, prescribed by a physician in the former state. He is unemployed and lives with a woman, their son, and the woman’s 2 children. His past medical history is remarkable for asthma and six “heart attacks” that he claims occurred because of a 25-year history of drug use (primarily cocaine). He states that he used drugs as recently as 2 weeks ago. He does not have any prior medical records with him. He claims that he has been having occasional periods of chest pain. He is unable to report the duration or pattern of the pain. Before proceeding, explore the following questions: What further information would you need to diagnose angina (substantiate your answer)? What is the connection between cocaine use and angina? Identify at least three tests that you would order to diagnose angina.

Diagnosis: Angina

1. List specific goals of treatment for E.H.

2. What dietary and lifestyle changes should be recommended for this patient?

3. What drug therapy would you prescribe for E.H. and why?

4. How would you monitor for success in E.H.?

5. Describe one or two drug–drug or drug–food interactions for the selected agent.

6. List one or two adverse reactions for the selected agent that would cause you to change therapy.

7. What would be the choice for the second-line therapy?

8. Discuss specific patient education based on the prescribed first-line therapy.

9. What over-the-counter and/or alternative medications would be appropriate for E.H.?

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Future of Nursing

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.
Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum.
Discuss how nurses can assist in effectively managing patient care within an evolving health care system.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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Aquifer Case Study

Apply information from the Aquifer Case Study to answer the following discussion questions:

  • Discuss the Mr. Rodriquez’s history that would be pertinent to his gastrointestinal problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.
  • Describe the physical exam and diagnostic tools to be used for Mr. Rodriguez. Are there any additional you would have liked to be included that were not? 
  • Please list 3 differential diagnoses for Mr. Rodriguez and explain why you chose them.  What was your final diagnosis and how did you make the determination?
  • What plan of care will Mr. Rodriquez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

Do 2 pages

Provide references.

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Assignment Description

You need to submit this week’s assignment through TurnItIn to check for originality of the paper. As a reminder, submit BOTH the paper and TurnItIn originality/similarity report transcript to your instructor. Do not submit a paper and TurnItIn report to your instructor if it is over 20% similarity.

Any assignment/paper with a similarity score of more than 20% WILL NOT be accepted. You MUST re-write the paper and paraphrase it until you get a score of 20% or less. In my experience, majority of assignments score less than 6% and the remaining between 6-10%. You can always submit your work to the library or turnitin draft for checking before submitting for grading. Then you need to upload your turnitin report to the course, no assignment will be graded if this step is not completed.

Assignment Description: You will be required to conduct analysis of a technology/system application and write a formal paper. The analysis need to be of an application technology used in either (a) a clinical setting for managing health data, patient care, etc or (b) educational setting for improvement of teaching and learning of students, patients, etc. The Technology Application Analysis will be an independent activity for each student to be completed using resources available in your agency, IT department, on the internet, sales materials and/or brochures, and publications. The assignment is due by the end of week #6.

The Technology Application Analysis project and formal paper will need to address the following aspects:

• Assess an information system or Technology used in a health care setting or educational setting and provide brief description. (For example meet with members of the information system (IS) department and Nursing Informatics department in a clinical facility, simulation lab, or academic setting). The assessment should include a description of the organization, details about the system used, system users, and an analysis of the information system. o What system is used o Description of the Setting and Who will use the technology or system o Description of the patient/client population to be served o What are the benefits of the system o What are the strengths and weaknesses of the current system o What implementation challenges exists for the system. o What kind of training requirement and how easy its usability-include time required, content outline for training and identification of who should conduct the training. o Who are the individuals involved in the use of this technology/system (nurses, physicians, pharmacists, educators, QA&QC department etc…). o How would you evaluation of the effectiveness of the technology o Possible disruption or impact of implementation on usual work of the patient care setting o How does the application of the technology/system affect quality and safety?

• Synthesize your information with support from literature (at least 5 scholarly references). • Discuss the development aspects related to standardization, uniqueness, and testing measures. • Utilize concepts of information, organizational, and change theories in the strategies to analyze, design, implement, and evaluate the project. • Limit the paper to five-six pages excluding the reference and appendices pages, using APA format. Writing style is at a graduate level.

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