Elderly STD Awareness: Nursing Perspectives

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Elderly STD Awareness: Nursing Perspectives

(Elderly STD Awareness: Nursing Perspectives)

 Answer Base In This Answer In APA Format .Write At Least 250 Words , Please Answer The Comments By Number And List Your Answers 

1-Many nurses would probably be surprised at the rates of STD in the elderly population. Sometimes the infection is newly acquired or it could be residual from a prior infection (such as Herpes outbreaks). Ageist attitudes can cause people to think elders are not sexually active, resulting in a failure to recognize their symptoms of STD or give proper patient education.

 

2-A clinician’s knowledge of an elderly patient’s everyday concerns, social circumstances, mental function, emotional state, and sense of well-being helps orient and guide the interview. Asking patients to describe a typical day elicits information about their quality of life and mental and physical function (Brink, 2014). This approach is especially useful during the first meeting. Patients should be given time to speak about things of personal importance. Clinicians should also ask whether patients have specific concerns, such as fear of falling. The resulting rapport can help the clinician communicate better with patients and their family members (Brink, 2014). A mental status examination may be necessary early in the interview to determine the patient’s reliability; this examination should be conducted tactfully so that the patient does not become embarrassed, offended, or defensive (Brink, 2014). Routine screening for physical and psychologic disorders should be done annually, beginning at age 70.

 

3-Disorders that are common among the elderly are frequently missed, or the diagnosis is delayed. Clinicians should use the history, physical examination, and simple laboratory tests to actively screen elderly patients for disorders that occur only or commonly in the elderly; when diagnosed early, these disorders can often be more easily treated (Brink, 2014). Early diagnosis frequently depends on the clinician’s familiarity with the patient’s behavior and history, including mental status. Commonly, the first signs of a physical disorder are mental or emotional. If clinicians are unaware of this possibility and attribute these signs to dementia, diagnosis and treatment can be delayed (Brink, 2014).

 

4-I found myself doing the same thing working on the oncology unit. I would float to the floor as an agency nurse and would automatically get depressed in the report. Hearing all of those sad stories of the young patients and their prognosis. Just to see these young people dying with babies at home, it did something to me. I told my staffing agency to please remove it from my profile. I didn’t care if I was to go hungry, I couldn’t do it. I still cry when I hear a grieving child crying at their mother bedside. It does something to me.

5-my family had a similar situation to yours. I think it happens to many people. No matter how much they would love to just drop everything and fulfill the wishes of their dying loved one, it’s just not possible. There are still the children to take care of and job obligations. Knowing this helps us to encourage our patient’s family that there are many other ways they can continue to show their love to a dying relative.

 

6-Thank you for sharing your personal experience with your Grandpa. I can imagine how difficult it must have been for you and your family. I can understand how your mom would have been far too stressed with her grieving process of her partner and then to prepare to go through it all again too soon would have been hard.  I think as families, we do the best we can and hope for the best. As nurses, we have to understand that some families just can’t drop their lives to be at the bedside. It’s not that they don’t care or love the person, it’s just life.

 
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Digestive Disorders

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Discussion: Digestive Disorders (2 pages)

(Digestive Disorders)

Digestive disorders encompass a range of conditions affecting the gastrointestinal tract, such as irritable bowel syndrome, acid reflux, and celiac disease. Symptoms vary from abdominal pain to diarrhea or constipation. Causes can include diet, stress, genetics, or infections. Treatment often involves dietary adjustments, medication, and lifestyle changes.

Many patient symptoms can be tied to multiple disorders, which may lead to misdiagnoses. For instance, consider two digestive disorders of the gastrointestinal tract—inflammatory bowel disease and irritable bowel syndrome. These two disorders are commonly confused because they present similar symptoms. As an advanced practice nurse, you must know the differences to properly diagnose and treat the disorders. How does the pathophysiology of inflammatory bowel disease compare to the pathophysiology of irritable bowel syndrome? How do treatments for the two disorders compare?

To Prepare

· Review Chapter 36 in the Huether and McCance text and Chapter 13 in the McPhee and Hammer text.

· Identify the pathophysiological mechanisms of inflammatory bowel disease and irritable bowel syndrome. Think about similarities and differences between the disorders.

· Consider common treatments for inflammatory bowel disease and irritable bowel syndrome. Reflect on whether treatments for one disorder would work for the other disorder.

· Select one of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factor you selected might impact the pathophysiology of and treatments for each disorder.

write

· An explanation of the pathophysiological mechanisms of inflammatory bowel disorder and irritable bowel syndrome, including similarities and differences. (I am looking for an explanation at the cellular or molecular level (whenever possible).

· Then describe common treatments, addressing whether treatments for one disorder would work for the other disorder.

· Finally, explain how the patient factor you selected might impact the pathophysiology of and treatments for each disorder.

 
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Review for Public Health Problem

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Plan of Action—A Literature Review for A Public Health Problem

(Review for Public Health Problem)

Review current literature on the public health problem, focusing on epidemiology, risk factors, interventions, and outcomes. Summarize key findings, identify gaps in knowledge, and suggest future research directions. Analyze methodologies and critique study designs. Synthesize evidence to inform evidence-based interventions and policy recommendations for addressing the issue effectively.

(Review for Public Health Problem)

The literature review process can be an inexact science and tedious process because of the extensive scope of public health material, studies, and research. To add to this challenge, there are inconsistencies in the search process which demands a systematic approach to reviewing available literature in order to apply evidence-based decision making. Nonetheless, the literature review remains a key process in EBPH.

Going back to Week 3 Project in which you identified five peer-reviewed articles, use the other two articles that you did not use for your assignment. Now, do the following:

  • Utilize these two articles to “Analyze, Summarize, and Apply the Literature Review” process.
  • Summarize each article ensuring that you focus on the relevance of the article to your public health topic. Each summary must clearly demonstrate the connection or importance of the article being reviewed. For example, one article may be providing background information to your public health problem while another article may be presenting policy approach to your public health problem while yet another article may be reviewing a successful intervention or approach to address your public health problem.

In completing this assignment, please utilize all the information (readings, websites, search engines) covered in this module.

Utilize assigned and suggested weekly readings, the South University online library, the Internet readings, and references to search, evaluate, and retrieve relevant EBPH literature to support your responses.

Submission Details:

  • Write a 5-7 page, double-spaced paper in Word format. Apply APA standards to citation of sources. Use the following file naming convention: LastnameFirstInitial_W4_Project.doc.
 
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Reflection: Ethical Comportment

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Reflection: Ethical Comportment

(Reflection: Ethical Comportment)

Question description

Grading Criteria for Reflection Assignments

Reflection: Ethical Comportment

Purpose:

Each student will prepare a portfolio as a requirement for graduation. The portfolio is used to assess student achievement of Eight End-of-Program Outcomes. End-of-Program Outcome #7 challenges us to incorporate professional values in formulation of ethical comportment and personal accountability for nursing practice. In other words, what are the essential lessons you have learned about being a good nurse?

Webster’s Dictionary Definition or Comportment (n.): Manner of acting or controlling yourself, dignified manner of conduct.

For this assignment, select one of the following topics and write about your formative learning experience with the everyday ethical comportment of nurses.

1. Meeting the patient as a person: share a story of meeting a patient as a person and not as a diagnosis and how you connected with the patients’ vulnerabilities.

2. Preserving the dignity and personhood of patients: share a story of witnessing the assaults on the dignity of a patient inflicted by health care routines, treatments, and objectification. Describe how you have preserved that dignity and personhood.

3. How to respond to substandard practice: share a story of an encounter with substandard practice encountered in practice and your response or desired response given the challenge to behave professionally.

4. Patient advocacy: share a story of how you have provided patient advocacy. A story of giving voice to a patient, empowering a patient, clarifying confusion about treatment, making sure there are no dangerous drug interactions, allergies, or contraindications, or any other ways of advocacy.

5. Engaged in doing “good” in nursing practice: share a story of how you planned to improve your nursing practice for the second day you cared for the same resident (based on the care provided or not provided on the first day).

6. Being present with patients and families in their suffering: share a story of how you worked to alleviate suffering. Share how a patient’s pain, fears, and concerns moved you to be attuned to the patient and comfort them without being intrusive.

Manuscript Format: All portfolio writing will follow APA format (6th edition)and will have:

• Title page

• 12 point, Times New Roman font, black ink

• One inch margins

• Double-spaced

• Running head with page numbers

• 5-7 pages including title page and reference page

**HIPAA guidelines must be followed in all written documentation.Do not use patient identifiers.

Grading Criteria:

Correct spelling, grammar, and APA Format 10points

Substantive personal narrative of the selected topic 15 points

25 points

 
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Epidemiologic

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Epidemiologic

(Epidemiologic)

Epidemiology is the study of the distribution and determinants of health-related states or events in specified populations and the application of this study to control health problems. It aims to understand the patterns of disease occurrence, risk factors, and the impact of interventions on public health. Epidemiologists use various methods, including surveillance, observational studies, and clinical trials, to gather data and analyze trends in disease spread.

By examining factors such as demographics, behavior, genetics, and environmental exposures, epidemiologists identify patterns of disease occurrence and risk factors within populations. This information is crucial for designing effective public health interventions, such as vaccination campaigns, health education programs, and policy changes.

Epidemiology plays a vital role in disease prevention and control, outbreak investigation, and health policy development. It helps identify populations at risk, assess the effectiveness of interventions, and inform evidence-based decision-making in healthcare and public health. Ultimately, epidemiologic research contributes to improving the health and well-being of communities worldwide by understanding and addressing the factors that influence health outcomes.

 

1- How does the epidemiologic triad apply to health issues we see in the hospital? What are some common diagnoses in the acute care setting? What about in the community setting? How does the epidemiologic triad differ when a nurse is providing care to someone in the community or in his home? Does the nurse have more or less control in either arena?

2- Discuss the data presented regarding obesity in America in the Ethical Connection feature on page 118.  Please review the data and discuss your feelings about the role of community health nurses in community nutrition.

3- What are some of the causes for increases in healthcare costs in recent years, as outlined in the chapter?  Brainstorm some examples that you have actually witnessed in the clinical setting. Can any of these factors be modified? What could nurses do to help cut down on costs related to the different factors?

4- Why are the causes of morbidity and mortality in other countries different than in the United States? In what ways are they the same? Why do those differences exist? What types of services & interventions are needed in less developed countries to help with their health issues?

APA format word document,

Arial 12 font

minimum of 2 references no more than 5 years old are required

A minimum of 500 words without counting the first and reference page

 
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Interprofessional Team Launch Strategies

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Interprofessional Team Launch Strategies

(Interprofessional Team Launch Strategies)

Unit 4 Assignment 1

Assignment Instructions

For this assignment, use the following case study:

You have been charged with facilitating the launch of an interprofessional team that will work together on a number of challenging cases. The team members will come from several different areas within the organization. The team is expected to have its orientation meeting in two weeks and then work together collaboratively for the next 6 months.

Preparation  Use the  Internet to research examples of interprofessional team charters, communication strategies and conflict resolution strategies for teams, and methods and technologies used in team communication.

Directions

Your submitted assignment should contain two distinct sections: Team Charter Recommendations and Communication and Collaboration Strategies. Offer thorough and detailed recommendations and support each of your recommendations using examples, references, and citations from your research.

1.Team Charter Recommendations:

◦Explain methods to establish ground rules and set expectations.

How might differences in personality, expectations, and experience affect team efficiency?

◦Describe conflict resolution strategies for interprofessional teams.

◦Identify effective ways to address issues of team leadership. How will the team decide who will lead them?

What happens if the team leader is ineffective?

2.Communication and Collaboration Strategies:

◦Describe best practices for effective interprofessional collaboration. What types of technology can be used to support collaboration?

◦Explain the benefits and limitations of different communication strategies such as e–mail, text, voice mail, and face–to–face.

When is it appropriate to use each type of communication?

This assignment should be 3–5 pages in length, not including the title page and reference page. Be sure to include an introduction that gives an overview of the case study and a conclusion that summarizes your recommendations.

Use at least 3 resources to support your recommendations and follow APA guidelines for style and format. In addition:

•Include a title page and reference page.

•Use Times New Roman font, 12 point.

•Double–space.

 
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Applying Theory To A Case Study

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Applying Theory To A Case Study

(Applying Theory To A Case Study)

Applying Theory to a Case Study

  1. Select one of the two available video clips to the right.
    • The video will begin playing immediately.
    • Pause the video and notice under the Clips heading to the right, either you will see the “Case Study of Carol (30:38) or Case Study of Paul (26:40) depending on which video you have selected.
    • http://search.alexanderstreet.com.libproxy.edmc.edu/view/work/1778723/clip/52209
    • http://search.alexanderstreet.com.libproxy.edmc.edu/view/work/1778713/clip/52211
    • Move the video play head to the timestamp of the video. This will be the number in parentheses.
    • Watch the Case Study
  3. Choose one of the following theories and use your chosen theory and chosen video clip to complete all of the questions in this assignment.
    • Psychoanalytic
    • Adlerian
    • Client-centered
    • Existential
    • Gestalt
    • Reality
  4. Watch the video clip of a supervisor and therapist discussing the case you have selected.  The information from the video will supplement the information in the write-up.
  5. Assess the client being described in the video and that client’s related issues using the questions provided.

Directions:

Using only one case study and one counseling theory throughout your paper, provide a detailed response to each of the following questions.  For example, if you chose Carol and Psychoanalytic Theory, you would answer all of the following questions about Carol using the psychoanalytic theory.

  1. Based upon all that you know about your client, identify and describe what in your opinion is your client’s most significant problem? This may or may not be the stated “Reason for referral” that is written at the start of each profile. Give a detailed rationale for your assessment and provide supporting evidence from the profile and/or counseling session video clip.
  2. Identify at least two secondary problems from the client’s profile or video that should be addressed at some point in the counseling process. Explain your rationale in some detail for choosing each of these with supporting evidence from the written profile and/or the video.
  3. Using your chosen counseling theory, describe what your theory says about the possible cause or origin of the primary problem discussed in question 1 above. Here, you are trying to explain the assumptions your chosen theory makes about problems that might be seen in a counseling situation. For example if you assessed your client’s primary problem as low self-esteem, a psychoanalytic therapist would delve into the unconscious whereas an Adlerian would explore family history and a reality therapist would look at choices the person has previously made. Explain in detail by including concepts and terms from your chosen counseling theory to support your perspective.
  4. Explain at least three counseling techniques or core principles from your chosen counseling theory that could be used to address the primary and secondary problems of your client. Explain how each of these techniques or principles would be applied in the counseling session and the expected outcome of each.
  5. Given what you know about your client’s situation, identify one cultural issue that is significant in the client’s life outside of therapy or could become an issue between the client and therapist in the therapy session. After explaining the issue, explain two ways the therapist could sensitively address this cultural issue with the client in a way that that avoids stereotyping or bias. Remember to integrate your chosen theory into the discussion.
  6. If you were to see this client on an ongoing basis, describe the types of change or outcomes you could realistically expect to see in your client, in light of the primary and secondary problems mentioned earlier using your identified approach in therapy. Be specific and show how the process of therapy with this counseling approach would lead to the outcomes you discuss.

Your paper should be double-spaced and in 12 point, Times New Roman font with normal one-inch margins, written in APA style, and free of typographical and grammatical errors.  It should include a title page with a running head, an abstract and a reference page. The body of the paper should be 6 – 8 pages in length. Submit your response to the M3: Assignment 2 Dropbox by Wednesday, April 12, 2017.

(Applying Theory To A Case Study)

Assignment 2 Grading Criteria and Respective Point Value
Maximum
Points
Describe the client’s most significant problem from the profile/video and provide the rationale.
20
Describe two secondary problems from the client’s profile/video and provide the rationale.
24
Describe the assumptions the selected theory makes about the possible cause or origin of the primary problem.
28
Explain at least three counseling techniques or core principles from the selected theory that could be applied in the counseling session to address the primary and secondary problems of the client and the expected outcome of each.
32
Identify one cultural issue that is significant in the client’s life outside of therapy or could become an issue in counseling. Discuss two ways to sensitively address the issue to avoid stereotyping or bias while integrating the selected theory into the discussion.
28
Describe the types of changes or outcomes that would be realistic to expect in the client over a period of time, in light of the primary and secondary problems mentioned earlier, given the counseling approach selected.
24
Style (4 points):  Tone, Audience, Word Choice
Organization (12 points): Introduction, Transitions, Conclusion
Usage and Mechanics (12 points): Grammar, Spelling, Sentence structure
APA Elements (16 points):Attribution, Paraphrasing, Quotations
44
Total:
200
 
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Life Span Development

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PSYC B321

Life Span Development

(Life Span Development)

Guidelines for Research Paper

Each student is required to complete a research paper. The topic may take a variety of forms. Some possible topics are under the Research Project link on Blackboard.  If you have another idea you would like to pursue, please discuss with me. All topics must be approved by me.

Your research project must be at least 6 pages (excluding the title page and bibliography) and must be in MLA format.

All research projects should be exclusively your work and be completed for the first time for this course. Be sure to give credit to your sources. Quotation marks and citations are required on all information that is not your own. Plagiarism will constitute a 0 for the project.

1. Choose one of the projects below:

n Replicate Piaget’s demonstration of object permanence with a group of children. You must test at least 10 children of different ages. (See Guidelines on Object Permanence)

n Replicate Piaget’s demonstration of conservation with a group of children. You must test at least 10 children of different ages. (See Guidelines on Conservation)

n Study the cognitive deficits of the elderly by:

i. Visiting and volunteering with a local group providing support to Alzheimer’s sufferers or to families of Alzheimer’s sufferers (See Guidelines on Cognitive Deficits- Alzheimers)

ii. Visiting with three professionals, i.e., a geriatric social worker, a neuropsychiatrist, or a representative from a local memory care unit). Ask them to provide interesting firsthand observations and insights. (See Guidelines on Cognitive Deficits-Dementia)

n Interview two adults over the age of 65 about their adolescent period. Reflect on your interviews and summarize the differences between your adolescence and their adolescence. (See Guidelines on Adolescence)

n Collect a life story from two older adults (over the age of 65) whom you know well. Reflect on your interview and summarize the life stories you have collected. (See Guidelines on Recording a Life Story)

n Replicate the 1950’s study of the “Right Time” for life events. Compare your results with the 1950’s results. Reflect on the similarities and differences. You must get at least 20 responses. (See Guidelines on The Right Time)

n Choose a book that reflects experiences of a child, youth or adult who has a social or cognitive problem to overcome OR Choose a book that will give you in depth information about a stage of life you are interested in. (See Book Report Guidelines)

Refer to the specific guidelines on Blackboard (under Research Paper) for all of these projects.

 
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Neurological and Endocrine Medical Assessment

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Neurological and Endocrine Medical Assessment

(Neurological and Endocrine Medical Assessment)

Neurological and endocrine medical assessment involves evaluating the nervous system and hormonal functions to diagnose and manage disorders. It includes neurological exams, hormone level testing, imaging studies, and specialized tests to assess brain, spinal cord, and glandular health. Accurate assessment informs treatment decisions for conditions like diabetes, thyroid disorders, and neurological diseases.

(Neurological and Endocrine Medical Assessment)

Question 1  Amyotrophic lateral sclerosis (ALS) causes degeneration of which part of the spinal cord?

Motor neurons

Cerebrospinal fluid

Interspinous ligament

Meninges

QUESTION 2 Which of the following is described as an enlargement of the thyroid gland?

Tetany

Gigantism

Syncope

Goiter

Question 3  Which of the following results from hypersecretion of thyroid hormones?

Graves disease

Gigantism

Myxedema

Thyrotoxicosis

Question 4 Which of the following is the medical term for fainting?

Syncope

Seizure

Coma

Concussion

Question 5  Which of the following is caused by a Herpes zoster virus of a nerve root?

Subdural hematoma

Spinal bifida

Syncope

Shingles

Question 6        Match each abbreviation on the left with its definition on the right. LP                              A.  multiple sclerosis

MS                            B.  diabetes mellitus

PNS                          C.  prolactin

EEG                          D.  antidiuretic hormone

SCI                            E.  spinal cord injury

FSH                          F.  follicle-stimulating hormone

PRL                          G.  thyroid-stimulating hormone

DM                           H.  peripheral nervous system

ADH                         I.  electroencephalogram

TSH                           J.  lumbar puncture

Question 7        Match each term associated with the nervous and endocrine systems on the left with its corresponding definition on the right.

Anticonvulsant

computed tomograph

cerebrospinal fluids analysis

corticosteroids

blood serum test

hormone replacement therapy

A.  Diagnostic imaging technique that produces a cross-sectional view of the body   B.  Laboratory examination of clear, watery, colorless fluid from within the brain and spinal cord

C.  Medication that reduces excitability of neurons and prevents uncontrolled neuron activity associated with seizures

D.  Hormones secreted by the adrenal cortex that have strong anti-inflammatory action

E.  Used for people with hyposecretion disorders

F.  Measures the level of substances such as hormones in the bloodstream

 
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Defining And Categorizing Various Forms Of Risk

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Defining And Categorizing Various Forms Of Risk

(Defining And Categorizing Various Forms Of Risk)

Instructions

LTD Acceptance is a private property and auto insurance carrier that specializes in sports cars and motorcycles. This organization is owned by LTD Capital, a large equity group with over 15 holdings. LTD Acceptance is the parent company’s single largest holding as it drives 70% of total revenue. Due to the inherent risk involved in that segment of the market, many of LTD Acceptance’s competitors do not offer policies for sports cars or motorcycles. This market segment is underserved which is why the organization has 20,000 active policies for a sports car or a motorcycle.

LTD is headquartered in Houston, TX. LTD does not sell insurance directly to the public. Instead, it uses third-party agents to sell its policies. LTD handles all customer service needs including claims intake, policy services, and general questions. The company operates in four states: California, Texas, Louisiana, and Florida. Currently, LTD does not have an active system in place to ensure that its agents are in fact using LTD guidelines to screen potential policyholders. However, no evidence of negligence has emerged so far as the organization has yet to have a year in which it was not profitable. LTD has also had the good fortune of not suffering losses because of natural disasters or catastrophic events.

In your first days of your new role as the senior risk analyst, you know your first task is to complete a framework for adequately identifying risk exposures. During this process, you realize that many of your counterparts lack the basic understanding of how to identify risks. Your supervisor has come to you and asked for a report outlining the importance of identifying risks to support risk management activities and positively impact the company’s bottom line. If your counterparts do not understand your report, you know that you will have minimal support in your efforts to manage the organization’s risks effectively.

For your report, you have been asked to analyze and address the following:

  • Why is identifying risk exposures significant? What are the ramifications for organizations that fail to properly identify risks they are exposed to?
  • What are the market risks LTD encounters?
  • What business risk does LTD encounter in its day-to-day operations?
  • What compliance and human capital risks might LTD face?
  • How do risk management activities correlate with overall productivity?

The format for your report should be in 2 page business, professional style.

MUST INCLUDE

1.An accurate explanation of why identifying risk exposures is important is included, and two valid ramifications of failing to properly identify risks are cited.

2.two valid market risk exposures for the organization are listed with explanations detailing the source of risk for each.

3.three valid day-to-day business risk exposures are listed with explanations detailing the source of risk for each.

4.one valid potential compliance risk is listed, and at least three valid potential human capital risks are mentioned with explanations detailing the source of risk for each.

5.one specific example is cited to explain how properly managed risk helps firms operate more effectively and efficiently.

 
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