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Evaluate the merits of Piaget’s stage theory for explaining cognitive development. Discuss evidence that supports his theory as well as evidence that calls it into question. Discuss your personal opinions about stage theories in general. Who are some of the major detractors and how would you address them? .

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Evaluate the Health History and Medical Information for Mrs. J., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD. Subjective Data Is very anxious and asks whether she is going to die. Denies pain but says she feels like she cannot get enough air. Says her heart feels like it is "running away." Reports that she is exhausted and cannot eat or drink by herself. Objective Data Height 175 cm; Weight 95.5kg. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin. Intervention The following medications administered through drug therapy control her symptoms: IV furosemide (Lasix) Enalapril (Vasotec) Metoprolol (Lopressor) IV morphine sulphate (Morphine) Inhaled short-acting bronchodilator (ProAir HFA) Inhaled corticosteroid (Flovent HFA) Oxygen delivered at 2L/ NC Critical Thinking Essay In 750-1,000 words, critically evaluate Mrs. J.'s situation. Include the following: Describe the clinical manifestations present in Mrs. J. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend. Provide a health promotion .

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Evaluate the current state of the health care system in Sacramento. Read local newspaper articles, watch videos, and explore government and health care sites for information about challenges to the city’s health care needs (shortages, financial difficulties, privacy issues, etc.). Propose a new or improved health care service that you would introduce into the community. Explain why the service is needed and how it would improve the community. Design a new health care facility that would offer a new or an improved service to the community. Present a floor plan of the facility that includes the surface area, purpose for, and description of each space. Write a 700 - to 1,050–word report about the state of health care in your selected city, your proposal for a new or improved service, and the floor plan of a facility to implement that service. .

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Evaluate the advantages and disadvantages of the various decision-making tools listed (e.g., regular payback, discounted payback, net present value (NPV), internal rate of return (IRR), and modified internal rate of return). Describe a project scenario in which you would recommend one method, or a combination of methods, as being more effective than others. Draw from your professional experience and/or additional research, and provide a rationale for your recommendation. .

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Evaluate some technologies that can help with continuous monitoring. One example of many is Cyberscope, an automated reporting tool for security reporting that receives recurring data feeds to assess the security posture of IT systems. Discuss the pros and cons of using continuous monitoring tools and make other suggestions to improve continuous monitoring. In the second week, discuss the major challenges in continuous monitoring of information systems security. *will send 2 classmates after completion of discussion so you can respond! .

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Evaluate progress on certification plans Report your progress on the Certification Plan completed in Week 1 and submitted in Week 4. What have you done to prepare for your certification? Have you completed the scheduled tasks assigned on your timeline? If not, what are your plans to stay on schedule? Rubric: Quality of Work Submitted: The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.-- Quality of Work Submitted: The purpose of the paper is clear.-- Written Expression and Formatting Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused--neither long and rambling nor short and lacking substance.-- .

Evaluate progress on certification plansReport your prog.docx

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Evaluate how you have achieved course competencies and your plans to develop further in these areas. The course competencies for this course are as follows: Explore the historical evolution of the advance practice nurse. Differentiate the roles and scope of practice for nurses working in advanced clinical, education, administration, informatics, research, and health policy arenas. Analyze attributes of the practice arena such as access and availability, degree of consumer choice, competition, and financing that impact advanced practice nurses and their ability to effectively collaborate with other health professionals. Integrate evidence from research and theory into discussions of practice competencies, health promotion and disease prevention strategies, quality improvement, and safety standards. Identify collaborative, organizational, communication, and leadership skills in working with other professionals in healthcare facilities and/or academic institutions. Synthesize knowledge from values theory, ethics, and legal/regulatory statutes in the development of a personal philosophy for a career as an advanced practice nurse. .

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Evaluate how information privacy and security relates to the Internet, which is the major information conduit for businesses and individuals. Write a paragraph of at least 200 words addressing the following: Explain how your expectations for Internet privacy differ for the following situations: Accessing the web at home, at work, and in a public setting, such as a library computer lab or Wi–Fi zone. What is the basis for your expectations? Is it legal to use your neighbors’ wireless Internet signal? Is it ethical? Explain your reasoning. .

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Evaluate assessment of suicide in forensic settings and/or criminal justice institutions by addressing the following: Who would serve on the task force? Who would be involved in suicide prevention or identification if you were able to intervene at the institution? What would the interventions look like? What would be some of the policies and procedures that you might implement to ensure that best practices are met? Provide specific examples based on your current or future forensic role. Include an analysis of your own prejudices and biases regarding inmate suicides (e.g., consider a child murderer). .

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Evaluate different approaches to ethical decision making. Then, choose one of them to apply to an ethical issue you have identified. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Evaluate the parameters for ethical decision making in 21st century multicultural business environments. Evaluate the parameters of various ethical decision-making approaches. Competency 3: Evaluate organizational policy within the framework of ethical standards. Analyze an ethical dilemma using an ethical decision-making approach. Assess the validity of a resolution suggested by a selected ethical decision-making approach. Competency 4: Communicate effectively. Communicate the analysis of ethical decision making clearly and effectively. .

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Evaluate and grade websites in terms of their compliance with PL pri.docx

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Evaluate at least (2) factors that make financial statement analysis essential to management, investors, and creditors. Provide a rationale for your response. Imagine you are considering investing in a corporation. Examine the key information you would look for in a company’s financial statements and explain why this information would be important to you. Suggest at least two (2) financial statement analysis tools you would use to evaluate this company’s financial statements. Provide a rationale for your suggestions. .

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Evaluability assessment, sometimes referred to as exploratory evaluation, is often conducted as a preliminary activity prior to conducting a formal evaluation. It is commonly used as a planning tool and is a quick and cost effective method to determine whether programs identified as candidates for evaluation have the objectives, activities, and resources that will facilitate a formal evaluation. It is not a substitute for a program evaluation that can determine whether the program is likely to be effective in its current form or whether changes and adjustments may need to be made. (Leviton, Khan, Rog, Dawkins & Cotton, 2010). For example, the recidivism rate, the extent to which a criminal relapses back into criminal behavior, is a major measure of the effectiveness of criminal justice programs. The Second Chance Act of 2008 is a federal program designed to reduce recidivism in local communities. Grant funds from the Department of Justice were distributed to state, local governments, and nonprofits to develop appropriate programs. To prepare for this Assignment, review this week’s Learning Resources and consider the evaluability of a funding effort. Access the Second Chance Act website and examine the success stories, focusing on the Roca, Inc. case. Assignment: submit a 3-page paper which assesses the evaluability of this program, using the criteria in the readings for this week and indicates whether you anticipate that a formative, process, needs assessment, or summative evaluation will be most appropriate. Explain your reasoning. Must be apa turn it in required grammar check required ! .

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Evaluate a major financial decision you have made recently or ar.docx

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Evaluate 1.1 Short Paper: Competitive Corporations Visti the following sites: Coca-Cola Nestlé The companies highlighted in this section are two of the most recognizable global brands. To remain competitive, they must be able to compete on a global scale. Explore both sites. What is Coca-Cola's mission? How dedicated are they to competing globally? What are they doing to make it a reality? Where in Europe, Africa, and Asia does Nestlé have operations? How many factories do they have in Spain and Thailand? Why does Nestlé have multiple facilities in a single country? How well have these two companies performed financially? Does this relate to their global approach to business? .

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Euthanasia from Gale Encyclopedia of Nursing and Allied Health Definition Euthanasia is the act of putting a person (or animal) to death painlessly, or allowing a person (or animal) to die by withholding medical treatment in cases of incurable disease. The word “euthanasia” comes from two Greek words that mean “good death.” Euthanasia is sometimes called “mercy killing.” Description Terms and categories It is important to distinguish euthanasia from “assisted suicide,” which is sometimes used loosely as a synonym for euthanasia. Assisted suicide, which is often called “self-deliverance” in Britain, refers to a person's bringing about his or her own death with the help of another person. When the other person is a physician, the act is called “doctor-assisted suicide.” As of 2017, assisted suicide was permitted by law in California, Colorado, Washington, D.C., Montana, Oregon, Vermont, and Washington. Oregon legalized assisted suicide in 1994. The other states that permitted assisted suicide had passed laws between 2008 and 2016. Laws prohibited the practice in 37 states, three states prohibited it by common law, and four states did not specify. Euthanasia strictly speaking means that a physician or other person is the one who performs the last act that causes death; in other words, the physician or other person kills the patient. For example, if a physician injects a patient with a lethal overdose of a pain-killing medication, he or she is performing euthanasia. If the physician leaves the patient with a loaded syringe and the patient injects himself or herself with it, the act is an assisted suicide. Euthanasia of animals is a common practice in veterinary medicine. Euthanasia of humans is illegal throughout the United States, prohibited as a type of homicide. Euthanasia is usually categorized as either active or passive, and as either voluntary or involuntary. The first set of categories refers to the means of ending life, and the second set of categories refers to the agent of the decision. Active euthanasia involves putting a patient to death for merciful reasons. Passive euthanasia involves withholding medical care, or not doing something to prevent death. In voluntary euthanasia, the patient is the one who wishes to die and has usually requested either active or passive euthanasia. In involuntary euthanasia, someone else makes the decision to terminate the patient's life, usually because the patient is in a coma or otherwise unable to make an informed request to die. Another important term to understand is the socalled doctrine of double effect. This is a legal term that has been underscored by the United States Supreme Court in one of its decisions. The doctrine of double effect states that a medical treatment intended to relieve pain that incidentally hastens the patient's death is still appropriate and legally acceptable. In other words, a doctor who gives a dying patient high doses of morphine to prevent pain, knowing that such high.

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Euthanasia is also known as mercy killing. Euthanasia can be described as the act of putting a person to death painlessly. The practice mostly happens when an individual is suffering from a disease that is incurable and so painful, a physical disorder which is damaging, by withholding the treatments and also by removing the artificial measures put in place to support life. The practice has been supported by various groups, while others have firmly stood against the practice. For instance, some religious groups believe that practicing euthanasia would kill the value as well as the respect that society has for human life (Bekos, 2019). There have been controversies on euthanasia between religion and morality. Some people are for the idea that euthanasia is the same as murder and is unacceptable. Other people believe that euthanasia should only be practiced when someone has the capability of making sound decisions. Religious groups and other groups that are against euthanasia believe that embracing the practice would vest a lot of power to the doctors, therefore, affecting the trust of the patients (Mintz, 2019). The team believes that there is appropriate palliative care, thus reducing the need to perform euthanasia. In some cases, the patients may be pressured by the friends, the doctors, or even the family members to request for the practice what might be against the wish. Others argue that embracing the practice would demoralize the teams committed to research and develop new treatments and cures for the diseases. Additionally, euthanasia would reduce the commitment of the nurses and doctors in saving lives. People supporting euthanasia believe that people should be given the right to make decisions on how to die and when to die. They believe that practicing euthanasia will help control the situations of people and allow them to have a dignified death. Additionally, the group argues that the state should not interfere with an individual decision concerning death since it is a separate issue. Euthanasia is also seen as a way of reducing the cost of treatment. The group believes that the cost of treating diseases that have no cure could be saved by the practice, thus diverting the resources to save more people who are suffering from curable diseases. In addition to this, the act would protect the friends and the families the pain of watching their dear ones suffer for a long time (Jones, Gastmans, & MacKellar, 2017). They, therefore, argue that the same ways the community allow animals to be put to death when they are sick as a way of showing kindness the same way human beings should be prevented from suffering. Until today, the ethicality of euthanasia has not come into a clear agreement, although some states have legalized the practice. Ethical Egoist opinion. The issue of euthanasia requires examination of the practice to determine the total benefit of the action. Ethical egoism, may result in an individual decision to die after cons.

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European Management Journal Vol. 17, No. 4, pp. 348–355, 1999  1999 Elsevier Science Ltd. All rights reservedPergamon Printed in Great Britain 0263-2373/99 $20.00 1 0.00PII: S0263-2373(99)00015-8 Towards a New Model of Strategy-making as Serious Play JOHAN ROOS, International Institute for Management Development (IMD), Switzerland BART VICTOR, Vanderbilt University, Tennessee A new model of strategy-making as play is presented in response to increasing calls for a deeper theory of strategy-making. First an elabor- ation of the construct of strategic imagination is offered, describing three distinct, but interrelated forms of imagination: descriptive, creative, and challenging. Strategic Imagination is defined as an emergent property of a complex interplay between the three kinds of imagination. Then, extending the work of the planning and design schools, the model describes the complex social dynamic of strategy- making itself. Applying the notion of play from anthropology and cognitive development, the strategy-making process is described as a three-phase play process. The three phases, constructing to stimulate new ideas, story European Management Journal Vol 17 No 4 August 1999348 telling to share meaning, and deep engagement to assimilate new directions, are described. Finally some directions for strategy-making practice improvement are offered.  1999 Elsevier Science Ltd. All rights reserved The Call for More Imaginative Strategies During the 90s many calls for more imaginative strategies have been heard from both academia and con- sultants. For instance, Hamel and Prahalad urged us to ‘… break out of old paradigms…challenge received dogma…(and) have the courage to ask new questions…’ (Hamel and Prahalad, 1996, p. 242). Along the same lines many authors have recently expressed their views of why it is important to ‘rethink the future’ and how to go about this task (Gibson, 1998). The common thread among these authors is that the essential value of a strategy is its originality, and that such originality is des- perately needed to navigate the business landscape of tomorrow. Only original strategies will help companies achieve a strategic pos- ition different from competitors. Without originality a strategy is a commodity and any value would come from implementation.1 Labeling it strategy innovation, Hamel (1998, p. 7) calls for strategy-makers TOWARDS A NEW MODEL OF STRATEGY-MAKING AS SERIOUS PLAY to enhance their capacity to ‘re-conceive the existing industry model in ways that create new value for cus- tomers, wrong-foot competitors, and produce new wealth for all stakeholders.’ At the heart of this issue is the observation that strategy-making, while increasingly sophisticated, efficient and rigorous, is apparently less and less imaginative. Analysis and experience only prepare the strategic mind for its work. Original strategies are neither the mechanically-calculated outcome of an algorithm, nor the .

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European Unity – in the final decade of the 20th century (the 1990s), Europe was united by the European Union in 1993 which had important social, economic, and political implications. The standards for being in the EU were outlined in a 97,000 page document called that acquis communitaire. These are highlighted in the chart below. Overall, the EU has been a great success. SOCIAL *** · The EU resulted in a fear of an influx of immigrants · Quotas placed on immigration · EU brought human rights standards · Turkey brought discussions of what it meant to be “European” and religion · End of border controls · Maastricht Treaty brought standards for worker health and safety, crime prevention, immigration, and asylum · Some countries opt out of aspects of Maastricht because they think it infringes on their culture (ex. Britain and the Euro) · Movement of goods impacted (people and culture) · Initial public rejection of constitution due to lack of involvement in process · Feeling among member populations that they should be involved in process of governing the EU · EU has most comprehensive and generous social welfare system · Stable peace enjoyed; armed conflict unlikely ECONOMIC *** · Commitment to market economy · Incentives for reform for former communist states · “structural adjustment” meant funds transfer from wealthy nations to weaker nations · Made EU the world’s largest trading bloc · EU richest consumer market · Trade supported by lifted barriers and border obstacles · Maastricht introduced common monetary currency – EURO · A Central bank · Britain and Denmark opt out of EURO because they see it as imposing on their important cultural symbols for money · Movement of goods impacted – like people, fish, and culture · Common guidelines for budget deficits, debt, and inflation · Central European Bank (98) prevent governments in trouble from manipulating their own interest rates or currency value · World’s highest per capita income · GDP is 5% higher than it would be otherwise (w/o unity) · Debt crisis in Ireland, Greece, and Portugal in 010 and 011 called EU economics into question; they each required loans to prevent bankruptcy – threatened stability of the currency EURO · Supported globalization and much foreign investment POLITICAL *** · Required commitment to political democracy · Joining would legitimize a regime · Sovereignty remained intact, especially for law enforcement, foreign policy, and defense · 97,000 page acquis communitaire had to be adopted · Movement of goods impacted · EU constitution which sees a EU foreign policy chief elected and an EU president · Complex EU bureaucracy · Lots of debate about how much of Europe’s success is because of unification · Armed conflict between them is virtually inconceivable · Enjoyed a stable peace · EU people sometimes feel alienated from “Eruocrats” … Eurocrats will respond to the people for policy making .

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Europeans Encountering the Americas Read the letters of Christopher Columbus and Hernán Cortés and respond to them using the readings, the text, the lectures, and most importantly, your critical thinking skills and interpretive abilities. Base your analysis on the themes and concepts from the readings and lectures. Provide evidence for any arguments you make with quotes and paraphrases accompanied by in-text citations and a Works Cited page. Any outside sources must be properly cited. .

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Europe in Asia Gunpowder, expansion and state consolidation in a world of limited good Topics European Overseas Expansion State consolidation The Gunpowder Revolution Mercantilism: The policy of imperial expansion and state consolidation in a world of limited good Southwest Asia European Exploration as Desperation Cut off from access to main trade centers. Even before cut off, access difficult and expensive. Access connected to European state formation/consolidation Henry the Navigator Connecting through N. Africa Finding Prester John Portuguese Exploration European Entry into Indian Ocean and End of Polycentrism Reconquista in Spain (unification of Iberian peninnsula by kicking out Muslims and Jews) State building Gunpowder (shift in military technology) Different attitude to property (concept of private property based on application of labor: labor theory of value) Different attitude toward trade; modeled on practices of Italian city-states in Mediterranean, which extended practice of control over trade in ports (common throughout the world) to shipping lanes. Running a protection racket along shipping routes like modern day pirates) As such, brought different attitude to trade into the largely self-regulating, polycentric system of Indian Ocean basin Armed trade Beginning of end of polycentrism in global economy Europeans arrived and did not find this China as the big player in all of this, the driver of global trade Voyages of Admiral Zheng He, 1405-1433 Specifically charged w/ encouraging trade after collapse of Mongol empire, years of Chinese isolation and earlier policies (and lack of silver) led to collapse of trade and Chinese currency And then, as suddenly as they appeared, the Chinese were gone By beginning of 16th c., everyone wants in on the action The Emergence of the Modern State, c. 1500-1700 as means to achieve this What do we mean by “modern” or “nation” in this context? What factors contributed to consolidation of political authority in centralized states? Gunpowder What policies sustained consolidated states? Revenue, recruits and labor All had to be extracted from a world of limited good What do we mean by “modern” state? Modern: Centrally administered states that can extend their authority throughout territory (more or less) Nation? yes and no although rhetoric was there, much still missing, such as homogenous print culture and internal markets New types of identities Medieval “local” erodes further, even for rural inhabitants Social estate (more caste than class) still important, but “subject” of a particular ruler becoming more prevalent among population But remember… “I’m not dead yet!” Empire as a form of political organization still viable, vibrant and, in many ways, victorious (made it to 20th Century): Russian Empire Ottoman Empire Qing Dynasty 11 Two Tracks for State Development Both claimed to benefit the commonweal/the common good Limitation of monarchy by law and representa.

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