NURS-6003 discussion wk8

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Strategies for Academic PortfoliosIn the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products.Similarly, nurse-scholars can build a personal brand to add visibility and credibility to their work. You can begin building your brand by developing and maintaining an academic portfolio. Such an activity can help share the results of your efforts and contribute to your success. This Module’s Discussion asks you to consider and share strategies for building your portfolio.To Prepare:Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.Review one or more samples from your own research of resources focused on portfolio development.By Day 3 of Week 8Post an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.

 
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Assessing and Treating Patients With Psychosis and Schizophrenia6630

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The Assignment: 5 pagesExamineÿCase Study: Pakistani Woman With Delusional Thought Processes (https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_06/index.html).ÿYou will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient?s pharmacokinetic and pharmacodynamic processes.At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.Introduction to the case (1 page)Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.Decision #1 (1 page)Which decision did you select?Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Decision #2 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Decision #3 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Conclusion (1 page)Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.ReferencesFreudenreich, O., Goff, D. C., & Henderson, D. C. (2016). Antipsychotic drugs. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeuticsÿ(pp. 72?85). Elsevier.American Psychiatric Association. (2019). Practice guideline for the treatment of patients with schizophrenia. https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/Clinical%20Practice%20Guidelines/APA-Draft-Schizophrenia-Treatment-Guideline.pdfClozapine REMS. (2015). Clozapine REMS: The single shared system for clozapine. https://www.clozapinerems.com/CpmgClozapineUI/rems/pdf/resources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdfFunk, M. C., Beach, S. R., Bostwick, J. R., Celano, C. M., Hasnain, M., Pandurangi, A., Khandai, A., Taylor, A., Levenson, J. L., Riba, M., & Kovacs, R. J. (2018). Resource document on QTc prolongation and psychotropic medications. American Psychiatric Association. https://www.psychiatry.org/File%20Library/Psychiatrists/Directories/Library-and-Archive/resource_documents/Resource-Document-2018-QTc-Prolongation-and-Psychotropic-Med.pdfKay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261?276.ÿhttps://doi.org/10.1093/schbul/13.2.261Levenson, J. C., Kay, D. B., & Buysse, D. J. (2015). The pathophysiology of insomnia. Chest, 147(4), 1179?1192. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388122/

 
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Patient Outcomes

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PurposeThis week’s graded discussion topic relates to the following Course Outcome (CO).CO 5: Apply improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of healthcare. (PO 8)The AssignmentReview the story at the link below before posting to the discussion:Rau, J. (2015). Half of nation?s hospitals fail again to escape Medicare?s readmission penalties. Kaiser Health News. Retrieved fromhttp://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/ÿ(Links to an external site.)Links to an external site.After you have finished, consider how you would respond to the following situation:Your local hospital has received notice from CMS (Centers for Medicare and Medicaid) regarding their readmission rates.As a BSN prepared nurse, you have been asked to serve as a consultant to suggest a new Quality (Performance) Improvement process for ONE of the areas of deficiency. Write some brief steps (suggestions) for improvement as you contemplate accepting the consulting opportunity.Share practice improvements utilized from your own clinical nursing experiences that have led to enhanced patient outcomes.Patient outcomes are a direct result of quality care. What would be your primer for one area of improvement that data has presented as an opportunity? What national benchmark are you comparing your benchmark to?ExampleI have been asked, as a BSN prepared nurse to evaluate and promote a quality performance improvement plan process for patient readmissions involving those patients with congestive heart failure, CHF (Rau, 2015). The first step is to review the pharmacy medication reconciliation to ensure the medications prescribed reflect the core measures for the type of CHF the patient has. Patients with systolic dysfunction with an ejection fraction less than 40%, require an angiotensin receptor blocker. Other targeted measures require some patients to take a beta blocker (American Heart Association, 2013). The diagnosis of hypertension needs to be addressed. If present, an ACEI or ARB, beta blocker, and hydralize should be on the medication list. In addition to cardiac medications,ÿ an evaluation of diuretics such as Lasix needs to be evaluated with consideration of the dose and if a dose increase is warranted. The second step requires a recent echocardiogram within the last six months to be on the record, if there is not, then one needs to be done during the concurrent hospitalization. During the hospitalization, DVT prophylaxis needs to be given, as many patients with CHF are non-ambulatory (American Heart Association, 2013).The reason for hospital readmission needs to be evaluated, such as an acute on chronic episode of systolic, diastolic or combined systolic and diastolic heart failure needs to be known. Has the patient been compliant with mediation, sodium intake, and daily weight?ÿ Follow-up physician appointments with a reminder and resources available for the patient to get to and from appointments are other considerations. The last item to review is those patients requiring a CPAP at night or oxygen. Does the patient have a working machine and enough oxygen on hand? These are all items that can be tracked in order to prevent readmission in less than 30 days. Upon discharge, information on the heart failure clinic needs to be reviewed with both the patient and family member. The heart failure clinic has additional resources available such as a customized management plan for home, a calendar to record daily weight and symptoms, bathroom scale, sodium tracker, and if needed a pill organizer.Clinical experience that can be drawn from my current nursing role as a clinical documentation specialist, CDS includes the identification of a specific diagnosis. An abundant number of patients are admitted with CHF, but further clarification is required if the physician simply documents the reason for admission is CHF. The acuity comes first. The difference between acute and chronic or acute on chronic is mediation, lab values, and patient presentation. Symptoms such as a BNP over 100, increased shortness of breath, increased edema, lung sounds with crackles, orthopnea and an increase in diuretic dosage especially if the change is from oral to intravenous requires clarification if the patients are having an acute exacerbation. Next includes the identification of the type of heart failure such as systolic or diastolic CHF. Systolic heart failure includes patients with a reduced EF, while diastolic CHF are those with a preserved EF and diastolic dysfunction. There are also patients that have both diastolic dysfunction and a reduced EF. Identification of the type of heart failure is paramount, as treatment and medication choices can differ.ReferencesAmerican Heart Association. (2013). Get with the guidelines heart failure. Retrieved fromhttp://www.heart.org/idc/groups/heart-public/@private/@wcm/@hcm/@gwtg/documents/downloadable/ucm_310967.pdfÿ(Links to an external site.)Links to an external site.Finkelman, A. (2016).ÿLeadership and management for nurses: Core Competencies for quality careÿ(3rd ed.). Boston, MA: Pearson.Licking Memorial Health. (2018). LMH heart failure clinic services. Retrieved fromhttps://www.lmhealth.org/Services-Facilities/Hospital-Services/Heart-Careÿ(Links to an external site.)Links to an external site.Rau, J. (2015).ÿHalf of nation?s hospitals fail again to escape Medicare?s readmission penalties. Kaiser Health News. Retrieved fromhttps://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/ÿ(Links to an external site.)Links to an external site.

 
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Health reform

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Healthcare ReformA description of the priority you selected and the benefits and challenges of further researching this area. Provide an overview of the articles you found (using appropriate APA citations, at least 2) relating to this priority, and highlight any key findings. Explain how continued research in this area could strengthen the ability of nurses to lead in both individual organizations and as advocates of health care reform. Write on: 1.Priority Health Issue Selected 2. Benefits and Challenges of Researching this Area 3. Overview of Outside Articles with Key Findings 3. How Continued Research in this Area could Strength Nurses to Lead. 2-3 pages

 
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Case Study: Implementation of a New Computer System

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Assignment OverviewThis assignment is intended to demonstrate your comprehension of the main principles of health informatics, as well as the primary applications of health informatics in healthcare organizations.For this assignment, you will read a case study that presents difficulties associated with implementing a new computer system in a professional setting. Based on the scenario described in the case study and assignment details, you will create a short PowerPoint presentation.Assignment Details:Perform the following tasks:ú Complete the reading assignment and the interactive lesson before attempting this assignment.ú To complete this assignment:o Review the case study and select one of the committee roles.o Download the provided PowerPoint template to create a presentation that includes:? Your selection as a member on the committee? Identification one or more issues, related to your role on the committee? Identification of probable cause(s) of identified issue(s)? Proposed recommendations to resolve the identified issues? Reference slide ? list of academic references, using APA styleo Ensure to support the content of your slides with research from your text or the LRC.? Case StudyRead the following case studyA good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital ?up to speed? within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient?s charts or leave them at the nurses? station. When they were informed that these were not ?legal orders,? they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital?s goals and the need to maintain a good working relationship with these physicians.You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation. The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members:ú Taylor Terrific, RN ? a nurse practitionerú Dr. Dudley Do-Right ? a physician who uses the CPOE system routinely and correctlyú Dr. Frank Burns ? a physician who rarely, if ever, uses the CPOE systemThe director of nursing asks each committee member to create a short PowerPoint presentation for the committee. The presentation would identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on strong rationale and research, to resolve the identified issues prior to the next CPOE implementation. Each committee member will have a unique perspective, based on their position (i.e., nurse, physician).PowerPoint PresentationDirections:1. Review the case study and select one of the committee roles.2. Download the PowerPoint template (Week 2 Assignment Template).ú The link to this template can be found in your Blackboard course in Week 2.3. Select one of the following roles on the committeeú Taylor Terrific, RN ? a nurse practitionerú Dr. Dudley Do-Right ? a physician who uses the CPOE system routinely and correctlyú Dr. Frank Burns ? a physician who rarely, if ever, uses the CPOE system4. Use the PowerPoint template to create slides that:ú Identify one or more issues, related to your role on the committeeú Identifies probable cause(s) of identified issue(s)ú States proposed solutions or processes to address the identified issues? Solutions are supported by specific rational and research.ú Includes a reference slide ? a list of academic references, using APA style5. Ensure to support the content of your slides by the case study, research from your text, or the LRC.

 
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respondo thirteeno

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Respond to the followingWisconsin Association of Nurse Practitioner’s (WANP) is a non-profit organization that provides support for NPs in the state of WI. This organization advocates for the role of the NP increasing awareness and educating stakeholders about the importance the NP holds and shapes how the quality of healthcare is delivered. WANP encourages leadership helping NPs to influence policy decision to improve quality in healthcare practice. WANP is a professional network for WI NPs to join forces with other WI NP’s that share the same passion allowing them to be able to exchange thoughts, questions, or any challenges they may have. The WANP allows the NP to stay up to date on WI NP legislation and any new developments.The APRN Modernization Act is a legislative proposal in the state of WI that would modernize Advanced Practice Registered Nurse (APRN) and bring nursing statues closer in line with the consensus model. This legislation would modernize outdated language to reflect current APRN practice and responsibilities and eliminate unnecessary barriers that have proven to provide no value to the delivery and safety of APRN care and services (WNA, 2021). It would also set a high standard of safety in caring for our patients (WNA, 2021). The APRN Modernization Act Legislative Bills, SB 394, and AB 396, are scheduled for Public Hearing on 7/28/21 and 7/29/21 (WNA, 2021).Twenty-Three states have already recognized the practice and separate licensure of APRNs including full practice authority. In WI access to care continues to be problematic and nurse practitioners are not allowed to practice to the full extent of their education, training, and experience. It is crucial for WI to adopt this legislation that recognizes APRN practice.Respond 2The Florida Association of Nurse Practitioners (FLANP) are a group of Nurse Practitioners and health care advocates who are working towards improving access to health care for the people of Florida (Florida Association of Nurse Practitioners, n.d.). Their vision statement is on advocating for patient centered care and removing barriers affecting NPs in practice so that Floridians have access to quality health care services (Florida Association of Nurse Practitioners, n.d.). One of the issues listed on the FLANP website is the shortage of primary care physicians in the state of Florida and having nurse practitioners in practice can be a solution to this growing problem (Florida Association of Nurse Practitioners, n.d.). The shortage of PCPs in the state of Florida has increased with the aging baby boomer population that has led in a decrease in access to quality healthcare, rising healthcare costs, and a decrease in the quality of life for this age group (Florida Nurse Practitioners: The Fight for Full Practice Authority, 2021). The American Academy of Nurse Practitioners (AANP) is making it a priority to grant access to the rights of our patients to choose Nurse Practitioners as their health care provider and it be covered under their insurance plans (2021 State Policy Priorities, 2021).In the state of Florida if these issues are resolved and NPs are granted full access in a primary care setting this will be beneficial for our patients. The state of Florida has had an influx of families and individuals moving to this state and there are not enough primary care physicians available to treat them. Giving Nurse Practitioner’s full access of being chosen as their healthcare provider and covered under their insurance plans will help out tremendously. If these issues are resolved this will help me and other new NP with job placement and being able to care for our patients as a primary care practitioner. Another issue they are working on is the ability to sign death certificates, Baker Act forms, certify DNR orders, and ability to sign all documents related to patient care (Florida Association of Nurse Practitioners, n.d.). The state of Florida did put into effect the Autonomous Practice Law on 07/01/2020 for APRN’s with application approval.

 
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Module 03 Assignment ? Interventions to Promote an Environment of Safety

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*Use the attached template to complete this assignment.*Use at least two scholarly sources to support your interventions and rationale. Be sure to cite your sources in-text and on a reference page using APA format.*Find 5+ (scroll to the bottom to see the rubric, mastery is MORE than 5) interventions with rationales, they EACH must be cited with literature support*Do NOT copy and paste, turn in Grammarly report. Plagiarism score <15%

 
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Assignment: Pharmacotherapy for Cardiovascular Disorders/Respiratory systems

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…heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…—Murphy et al., 2018Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htmTo PrepareReview the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.Review the case study assigned by your Instructor for this Assignment.Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.case study:CASE STUDY 2: Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease.Drugs currently prescribed include the following:• Warfarin 5 mg po daily MWF and 2.5 mg daily T, TH, Sat, Sun• Aspirin 81 mg po daily• Metformin 1000 mg po bid• Glyburide 10 mg po bid• Atenolol 100 mg po daily• Motrin 200 mg 1–3 tablets every 6 hours as needed for painWrite a 2- to 3-page paper that addresses the following:Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.Rubrics:Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.–Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.–Explain how you might improve the patient’s drug therapy plan, and explain why you would make these recommended improvements.Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuationWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–References:Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.Chapter 34, “Review of Hemodynamics” (pp. 335–340)Chapter 35, “Diuretics” (pp. 341–349)Chapter 36, “Drugs Acting on the Renin-Angiotensin-Aldosterone System” (pp. 351–362)Chapter 37, “Calcium Channel Blockers” (pp. 363–369)Chapter 38, “Vasodilators” (pp. 371–373)Chapter 39, “Drugs for Hypertension” (pp. 375–388)Chapter 40, “Drugs for Heart Failure” (pp. 389–402)Chapter 41, “Antidysrhythmic Drugs” (pp. 403–418)Chapter 42, “Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels” (pp. 419–439)Chapter 43, “Drugs for Angina Pectoris” (pp. 441–450)Chapter 44, “Anticoagulant and Antiplatelet Drugs” (pp. 451–472)

 
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Assignment: Legal and Ethical Issues Related to Psychiatric Emergencies

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In 2?3 pages, address the following:Explain the laws for involuntary psychiatric holds in the state of FLORIDA ÿfor child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.Explain the difference between capacity and competency in mental health contexts.Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.Identify one evidence-based suicide risk assessment that you could use to screen patients.Identify one evidence-based violence risk assessment that you could use to screen patients.Attach copies of or links to the suicide and violence risk assessments you selected.

 
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Carhacking

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https://post.blackboard.com/webapps/blackboard/content/listContent.jsp?course_id=_103892_1&content_id=_6415815_1&mode=reset#The Internet of Things includes connecting modern automobiles to networks. Many manufacturers give car owners an application to control the car from their smartphone. You can start your car to warm it up on a cold winter day or turn on the A/C before you get into it in the middle of summer. Research a new car model, and describe the software features an owner will have that control the car. Would you buy this car knowing that network communications can be easily intercepted? Why or why not?

 
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