Role of Nurse Navigators 

Role of Nurse Navigators

Introduction 

In the ever-evolving landscape of healthcare, the need for specialized professionals to guide patients through the complex maze of medical decisions and treatments is more pronounced than ever. Nurse navigators play a crucial role in bridging the gap between patients and the intricate healthcare system. This paper explores the history, evolution, and the indispensable role nurse navigators play in influencing the approach to care, along with the challenges they face and the potential future advancements in their field. 

History and Evolution of Nurse Navigators 

The concept of nurse navigation can be traced back to the 1980s, a period when healthcare professionals began recognizing the need for a more patient-centric approach in navigating the complexities of the healthcare system. Initially, nurse navigators emerged in response to the unique challenges faced by cancer patients, aiming to guide them through the intricate web of diagnosis, treatment, and survivorship. 

During its beginning stages, the role of nurse navigators was primarily focused on cancer care. Recognizing the emotional and logistical hurdles that cancer patients often encountered, healthcare systems began deploying nurse navigators to provide personalized support. This marked the beginning of a paradigm shift towards patient empowerment and holistic care. 

As the healthcare landscape continued to evolve, so did the role of nurse navigators. The 1990s saw an expansion beyond oncology, with nurse navigators starting to address the needs of patients in various medical specialties. The recognition of the benefits of navigation in improving patient outcomes and satisfaction led to a gradual integration of nurse navigators into diverse healthcare settings. 

The early 2000s witnessed a significant shift towards a patient-centered care model, with nurse navigators at the forefront. Their role expanded beyond the confines of specific diseases to encompass a broader spectrum of healthcare. The increasing complexity of medical treatments and the growing emphasis on shared decision-making reinforced the importance of nurse navigators in guiding patients through the maze of healthcare options. 

The evolution of nurse navigators is closely intertwined with the changing dynamics of the healthcare delivery system. As medical knowledge advanced, and treatment modalities became more sophisticated, patients found themselves facing an array of choices and decisions. Nurse navigators emerged as crucial allies, possessing both medical knowledge and empathetic communication skills to assist individuals in making informed choices about their health. 

The history and evolution of nurse navigators underscore a transformative journey from specialized roles in cancer care to becoming essential figures in various healthcare specialties. This evolution reflects a broader shift towards patient-centered care, emphasizing the need for personalized support and guidance in navigating the complexities of the modern healthcare landscape. 

Role of Nurse Navigators 

How a Nurse Navigator Influences the Approach to Care   

The pivotal role of nurse navigators in shaping the approach to care is evident in various facets of healthcare delivery. Firstly, through effective communication, nurse navigators bridge the gap between patients and healthcare providers. They translate complex medical information into understandable language, fostering clear understanding and informed decision-making. 

Moreover, nurse navigators empower patients by providing them with the knowledge and tools necessary to actively participate in their healthcare journey. This personalized education not only enhances patient satisfaction but also contributes to better health outcomes. The transparent communication facilitated by nurse navigators fosters trust between patients and healthcare professionals, creating a supportive environment for collaborative decision-making. 

The impact of nurse navigators extends beyond communication and education to facilitating seamless coordination of care. They serve as liaisons, ensuring that patients navigate the healthcare system with ease. By scheduling appointments, coordinating tests, and addressing logistical challenges, nurse navigators enhance the overall efficiency of the healthcare process. 

Additionally, nurse navigators play a vital role in promoting preventive care and early intervention. Through education and guidance, they empower patients to prioritize screenings, vaccinations, and lifestyle modifications. This proactive approach not only improves health outcomes but also contributes to the broader goal of preventive healthcare. 

The emotional support provided by nurse navigators is another crucial aspect influencing the approach to care. Facing a diagnosis or navigating a complex treatment plan can be emotionally overwhelming for patients. Nurse navigators offer a compassionate presence, helping individuals cope with the psychological and emotional aspects of their healthcare journey. 

The influence of nurse navigators on the approach to care is multifaceted. Through effective communication, education, coordination, and emotional support, nurse navigators contribute to a patient-centric model that enhances understanding, engagement, and overall satisfaction with healthcare experiences. Their role is pivotal in fostering a collaborative and supportive environment that prioritizes the individual needs and preferences of patients. 

The Role of Nurse Navigators 

Role of Nurse Navigators 

Nurse navigators play a multifaceted role, ensuring comprehensive support throughout a patient’s healthcare journey. Firstly, they serve as educators, ensuring patients grasp their diagnoses and treatment options. This educational role extends to aiding patients in navigating complex health insurance systems and managing financial aspects. 

Secondly, nurse navigators act as advocates within the healthcare system. They help patients overcome barriers to care, such as scheduling appointments and coordinating tests, ensuring a smooth healthcare experience. This advocacy role is particularly crucial for vulnerable populations facing systemic obstacles. 

Additionally, nurse navigators provide crucial emotional support. Facing diagnoses or complex treatment plans can be emotionally overwhelming for patients. Nurse navigators offer a compassionate presence, assisting individuals in coping with the psychological and emotional aspects of their healthcare journey. 

In summary, the multifaceted role of nurse navigators encompasses education, advocacy, and emotional support. Their contribution ensures a holistic and patient-centric approach, enhancing overall healthcare experiences and outcomes. 

Challenges That Nurse Navigators Face 

Despite their invaluable contributions, nurse navigators encounter various challenges that impede the full realization of their potential. One significant challenge is the lack of standardized training and certification. The absence of uniform educational requirements leads to variations in the quality of navigation services, compromising overall effectiveness. 

Moreover, heavy workloads and time constraints are prevalent issues faced by nurse navigators. The demand for their services often surpasses available resources, resulting in burnout and potential gaps in patient care. Adequate staffing and resource allocation are essential to ensure nurse navigators can dedicate sufficient time to each patient, providing personalized attention and support. 

The integration of technology into healthcare poses both opportunities and challenges. While technological advancements can streamline communication and information-sharing, they also necessitate ongoing training and adaptation. Ensuring that nurse navigators are proficient in utilizing digital tools is crucial for maintaining their effectiveness in an increasingly tech-driven healthcare landscape. 

Furthermore, the lack of a standardized approach to nurse navigation presents challenges. Each healthcare institution may have its own protocols, leading to inconsistencies in the delivery of navigation services. A standardized framework would facilitate uniformity in training, certification, and service provision, ensuring a consistently high standard of care across different settings. 

Additionally, the evolving role of nurse navigators requires continuous professional development. Staying abreast of advancements in medical knowledge, treatment modalities, and technological innovations is essential. However, the availability of resources for ongoing education and training may be limited, hindering nurse navigators’ ability to stay updated and provide the best possible care. 

Another challenge is the need for improved interdisciplinary collaboration. While nurse navigators play a crucial role in patient care, effective collaboration with other healthcare professionals, including physicians, social workers, and administrative staff, is essential. Barriers to communication and coordination can hinder the seamless delivery of care, impacting overall patient outcomes. 

Moreover, the emotional toll of the job poses a challenge for nurse navigators. Dealing with patients facing serious illnesses and complex healthcare decisions can be emotionally draining. Providing consistent emotional support while managing their own emotional well-being is a delicate balance that nurse navigators must navigate. 

Addressing these challenges requires a concerted effort from healthcare institutions, policymakers, and the healthcare industry. Recognizing and mitigating these challenges is crucial to ensure that nurse navigators can continue to fulfill their vital role in guiding patients through the complexities of the healthcare system. 

Role of Nurse Navigators 

The Future of Nurse Navigators 

The future of nurse navigators holds promising potential for positive transformation in healthcare delivery. One key aspect is the continued integration of nurse navigators into diverse specialties beyond oncology. Recognizing the benefits of navigation, healthcare systems are expanding the scope of this role to address the complex needs of patients across various medical disciplines. 

Moreover, advancements in technology present opportunities for nurse navigators to enhance their efficiency and impact. The integration of artificial intelligence (AI) and telehealth solutions can streamline communication, automate administrative tasks, and provide additional tools for patient education. This evolution aligns with the broader trend of leveraging technology to improve the overall patient experience and healthcare outcomes. 

In the future, nurse navigators are poised to play an even more significant role in preventive care and health promotion. With a growing emphasis on population health, nurse navigators can proactively engage with communities, educating individuals about the importance of screenings, vaccinations, and healthy lifestyle choices. This proactive approach not only improves health outcomes but also contributes to the broader goal of preventive healthcare. 

Furthermore, the role of nurse navigators is likely to evolve to meet the increasing demands for personalized, patient-centered care. As healthcare systems move towards value-based care models, nurse navigators will play a pivotal role in ensuring that patients receive individualized attention and support tailored to their specific needs and preferences. 

The ongoing efforts to establish standardized education and certification for nurse navigators are gaining momentum. By setting clear guidelines and requirements for training, the healthcare industry can ensure that nurse navigators possess the necessary skills and knowledge to provide high-quality, consistent care across different settings and specialties. 

Interdisciplinary collaboration will continue to be a cornerstone of the future for nurse navigators. Strengthening partnerships between nurse navigators, physicians, social workers, and other healthcare professionals is crucial for optimizing the effectiveness of care delivery. This collaborative model enhances communication, coordination, and the overall quality of care provided to patients. 

In addition to expanding their scope of practice, nurse navigators may also take on leadership roles within healthcare organizations. As advocates for patients, they can contribute valuable insights to organizational decision-making, ensuring that the patient’s perspective remains central to healthcare policies and practices. 

The integration of data analytics into nurse navigation practices is another promising avenue for the future. By harnessing the power of data, nurse navigators can identify trends, assess the effectiveness of interventions, and make informed decisions to continually improve patient outcomes. This data-driven approach aligns with the broader healthcare industry’s focus on evidence-based practices and outcomes measurement. 

Telehealth and virtual care are likely to become integral components of nurse navigation in the future. With the increasing acceptance and utilization of telehealth services, nurse navigators can reach patients in remote or underserved areas, providing guidance and support without geographical constraints. This expansion of virtual care capabilities enhances accessibility and equity in healthcare delivery. 

However, as nurse navigators embrace these advancements, the need for ongoing training and professional development becomes paramount. Staying current with evolving technologies, healthcare policies, and medical advancements is essential for nurse navigators to continue delivering high-quality care in an ever-changing landscape. 

The future of nurse navigators holds immense promise for positive change in healthcare. From expanding their role into various specialties to leveraging technology, promoting preventive care, and advocating for standardized education, nurse navigators are positioned to be key contributors to the evolving healthcare landscape. As the healthcare industry continues to prioritize patient-centered and value-based care, the role of nurse navigators will undoubtedly grow in significance, ensuring that individuals receive the personalized support they need to navigate the complexities of modern healthcare. 

Conclusion 

Nurse navigators  play a pivotal role in reshaping healthcare delivery. Expanding beyond oncology, they are becoming crucial in addressing diverse patient needs across specialties. As technology integrates into their practices, artificial intelligence and telehealth solutions will streamline communication, automate tasks, and enhance patient education. 

Moreover, nurse navigators are set to lead in preventive care, engaging communities on screenings, vaccinations, and healthy living. Standardizing education and certification efforts will ensure a consistent quality of care. Collaborative partnerships and potential leadership roles within healthcare organizations further underscore their significance. 

Nurse navigators are integral in leveraging data analytics and embracing telehealth capabilities, ensuring accessibility and equity in healthcare. However, these advancements require an ongoing commitment to training for navigating evolving technologies and healthcare practices. In embracing these multifaceted changes, nurse navigators guide patients through healthcare complexities while actively shaping a patient-centric, technology-enhanced, and preventive-focused future for healthcare delivery. 

References

Duncan, C. R., & Williams, K. (2020). The Role of Nurse Navigators in Patient-Centered Care: A Systematic Review. Journal of Nursing Care Quality, 35(3), 239-246. doi:10.1097/NCQ.0000000000000445
https://journals.lww.com/jncqjournal/Abstract/2020/07000/The_Role_of_Nurse_Navigators_in_Patient_Centered.5.aspx

Miller, A. A., & Cole, T. S. (2022). Navigating the Complexities of Healthcare: The Impact of Nurse Navigators on Patient Outcomes. Nursing Management, 53(5), 36-41. doi:10.1097/01.NUMA.0000830220.87048.a2
https://journals.lww.com/nursingmanagement/Abstract/2022/05000/Navigating_the_complexities_of_healthcare__The.6.aspx

 
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Entrepreneurship and Intrapreneurship in Nursing

Entrepreneurship and Intrapreneurship in Nursing

Introduction 

In the dynamic landscape of modern healthcare, the concepts of entrepreneurship and intrapreneurship have emerged as transformative forces, offering nurses unprecedented opportunities to redefine their roles and impact patient care. Entrepreneurship, characterized by innovation, risk-taking, and the creation of new ventures, is no longer confined to traditional business domains but has found resonance within the nursing profession. Simultaneously, intrapreneurship, the practice of fostering entrepreneurial behaviors within existing organizations, has gained recognition as a powerful catalyst for internal innovation and organizational development in nursing. 

Definition of Entrepreneurship and Intrapreneurship 

Entrepreneurship refers to the process of creating, developing, and managing a new business venture with the goal of achieving profit and growth. Entrepreneurs are individuals who identify opportunities, take calculated risks, and leverage resources to establish and operate a business. In the context of nursing, entrepreneurship involves nurses venturing into independent practices, developing healthcare-related products or services, or founding healthcare startups. 

On the other hand, intrapreneurship refers to the entrepreneurial activities and initiatives undertaken within an existing organization. Intrapreneurs are employees who exhibit entrepreneurial behaviors, such as creativity, innovation, and risk-taking, within the framework of their current employment. In nursing, intrapreneurship may manifest as nurses initiating projects, suggesting process improvements, or leading innovations within the healthcare institutions where they are employed. 

Entrepreneurship and Intrapreneurship in Nursing

History of Entrepreneurship and Intrapreneurship in Nursing 

 The history of entrepreneurship and intrapreneurship in nursing is characterized by a gradual evolution, mirroring the changing landscape of healthcare. Traditionally, nursing has been viewed primarily as a service-oriented profession within the confines of established healthcare institutions. However, over the past few decades, nurses have increasingly ventured into entrepreneurial and intrapreneurial activities. 

Historically, entrepreneurial endeavors in nursing often involved nurses establishing private practices or providing specialized services, such as home healthcare. The late 20th century witnessed a surge in nurse entrepreneurs establishing clinics, consulting firms, and educational services. Intrapreneurship in nursing, on the other hand, gained traction as healthcare organizations recognized the value of internal innovation and began fostering a culture that encouraged nurses to contribute to organizational development. 

Evolution of Entrepreneurship and Intrapreneurship in Nursing: 

Historically viewed as caretakers within the structured confines of healthcare institutions, nurses have undergone a profound transformation, embracing entrepreneurial and intrapreneurial roles to shape the trajectory of their practice. 

In the early stages of nursing, entrepreneurial endeavors were often subtle and individualistic. Visionary nurses, recognizing unaddressed gaps in patient care, ventured into private practices, pioneering a movement that extended the boundaries of traditional nursing roles. This evolution continued with nurses establishing clinics, providing specialized services, and contributing to the diversification of healthcare offerings. The late 20th century witnessed a surge in entrepreneurial activities as nurses, armed with a broader scope of practice and a deepened knowledge base, explored avenues such as consulting, education, and the development of healthcare technologies. 

Concurrently, the emergence of intrapreneurship within nursing represents a paradigm shift in the profession’s internal dynamics. As healthcare institutions recognized the pivotal role of nurses in the holistic functioning of the system, the concept of intrapreneurship gained prominence. Intrapreneurial nurses became catalysts for change within their organizations, initiating projects, advocating for streamlined processes, and spearheading innovations to enhance patient care. This shift marked a departure from the traditional hierarchical structures, empowering nurses to actively contribute to the ongoing improvement of healthcare delivery. 

The Importance of Nurses Understanding Healthcare Economics: 

In the world of healthcare, nurses are vital players, and their role involves more than just taking care of patients. It extends to understanding healthcare economics, which is crucial for managing resources wisely and providing high-quality care. 

Knowing healthcare economics gives nurses a full picture of how money works in healthcare. In today’s challenging healthcare environment, nurses need to navigate these financial complexities. This knowledge helps them contribute to cost-effective care, smart use of resources, and the development of sustainable healthcare practices. 

Nurses can influence how money is spent in healthcare by making informed decisions. Understanding healthcare economics allows them to identify and use cost-effective approaches, ensuring that resources are used well for better patient outcomes. Essentially, nurses become champions for healthcare practices that are both effective and efficient. 

The connection between nurses understanding healthcare economics and its impact on spending is strong. Nurses, often directly involved in patient care, have the power to influence spending through smart choices and evidence-based practices. When they contribute to healthcare management and policy teams, they provide valuable insights that shape policies aligning with financial realities. 

Nurses who grasp healthcare economics also play a crucial role in advocating for smart resource use. They support practices that are not only good for patients but also help control costs. This dual focus on effective care and wise spending makes nurses key players in building a healthcare system that’s both sustainable and fair. 

In essence, the importance of nurses understanding healthcare economics goes beyond just knowing about money. It gives them the tools to drive change, influence spending wisely, and advocate for a healthcare system that provides great care while being mindful of finances. As healthcare economics continues to shape the industry, nurses with this knowledge become essential contributors to creating a healthcare system that balances quality care with financial sustainability. 

The Impact of Nurses’ Understanding of Healthcare Economics on Spending: 

The connection between nurses’ knowledge of healthcare economics and its influence on healthcare spending is pivotal in shaping the financial landscape of healthcare. Nurses, often on the frontline of patient care, possess a unique vantage point that, when coupled with a sound understanding of healthcare economics, can significantly impact spending patterns. 

Firstly, when nurses comprehend healthcare economics, they become adept at making informed decisions regarding resource allocation. This skill is particularly crucial as nurses are frequently involved in choosing and implementing various interventions in patient care. By aligning their choices with cost-effective strategies, nurses contribute directly to optimizing spending, ensuring that resources are utilized efficiently without compromising the quality of care. 

Furthermore, nurses act as advocates for fiscal responsibility within healthcare institutions. Armed with knowledge about the economic implications of different healthcare practices, nurses can champion evidence-based approaches that not only enhance patient outcomes but also contribute to cost containment efforts. This advocacy for efficient and effective healthcare practices directly influences how funds are allocated, fostering a balance between financial prudence and quality care. 

Nurses who understand healthcare economics also play a critical role in interdisciplinary teams focused on healthcare management. Their insights, grounded in both clinical experience and economic understanding, contribute to shaping policies that align with financial realities. By participating actively in these discussions, nurses become instrumental in developing strategies that promote economically sustainable healthcare practices without compromising patient welfare. 

Moreover, the impact extends to patient education and engagement. Nurses, equipped with knowledge about the economic aspects of healthcare, can educate patients on cost-effective self-management strategies and help them navigate the complexities of healthcare financing. This not only empowers patients to make informed choices but also contributes to overall healthcare spending efficiency. 

In essence, the impact of nurses’ understanding of healthcare economics on spending is far-reaching. It goes beyond the confines of direct patient care to influence organizational policies, interdisciplinary collaborations, and patient education. As healthcare economics continues to shape spending patterns, nurses stand as key influencers, ensuring that the delicate balance between financial responsibility and optimal patient care is maintained. 

Entrepreneurship and Intrapreneurship in Nursing

Importance of Entrepreneurship in Nursing 

The importance of entrepreneurship in nursing extends beyond the creation of independent practices. Entrepreneurial nurses bring innovation to patient care, develop novel solutions to healthcare challenges, and contribute to the overall advancement of the profession. Entrepreneurship in nursing may involve creating patient-centered technologies, founding healthcare startups that address unmet needs, or introducing new care delivery models that enhance efficiency and effectiveness. 

Entrepreneurial nurses also play a crucial role in diversifying the healthcare landscape. By establishing independent practices or innovative service offerings, nurses contribute to the resilience and adaptability of the healthcare system. Furthermore, entrepreneurship in nursing can lead to the creation of employment opportunities for fellow nurses, fostering a culture of self-reliance within the profession. 

Importance of Intrapreneurship in Nursing 

Entrepreneurship and Intrapreneurship in Nursing

Intrapreneurship in nursing is equally vital, as it allows nurses to harness their creativity and innovative spirit within the framework of existing healthcare organizations. Intrapreneurial nurses initiate projects, drive process improvements, and introduce novel solutions to address organizational challenges. This intrapreneurial mindset contributes to the continuous improvement of healthcare delivery within institutional settings. 

Nurse intrapreneurs are well-positioned to identify inefficiencies, streamline workflows, and enhance patient outcomes through internal innovation. They play a critical role in fostering a culture of continuous improvement and adaptability within healthcare organizations. Intrapreneurship also empowers nurses to advocate for changes in policies, procedures, and technologies that can positively impact patient care and organizational effectiveness. 

Limitations to Intrapreneurship and Entrepreneurship in Nursing 

While the potential benefits of entrepreneurship and intrapreneurship in nursing are significant, several challenges and limitations hinder their widespread adoption. One major obstacle is the conservative nature of the healthcare industry, which traditionally values stability and adherence to established practices. The risk-averse culture within healthcare institutions may discourage nurses from pursuing entrepreneurial or intrapreneurial ventures. 

Financial constraints and regulatory barriers also pose significant challenges for nurse entrepreneurs. Starting an independent practice or launching a healthcare startup often requires substantial financial investment, and navigating the complex regulatory landscape can be daunting. Additionally, nurses may lack the business acumen and entrepreneurial education necessary to successfully establish and manage their ventures. 

In the realm of intrapreneurship, organizational hierarchies and resistance to change can impede nurses’ efforts to implement innovative ideas within healthcare institutions. Bureaucratic structures, coupled with a reluctance to deviate from established norms, may stifle the intrapreneurial spirit among nurses. 

Addressing these limitations requires a concerted effort from healthcare institutions, educational programs, and policymakers to create an environment that encourages and supports nurse entrepreneurship and intrapreneurship. Providing nurses with the necessary education, mentorship, and resources can help overcome these challenges and unlock the full potential of entrepreneurial and intrapreneurial contributions to nursing practice. 

Conclusion 

In the dynamic realm of nursing, the narratives of entrepreneurship, intrapreneurship, and the comprehension of healthcare economics converge, presenting a profession at the forefront of transformative change. Reflecting on the historical trajectory of entrepreneurship and intrapreneurship in nursing underscores a shift from conventional care paradigms to novel ventures, signifying a departure from traditional norms. 

The crucial role of understanding healthcare economics surfaces as an integral component of this journey, where fiscal responsibility, resource optimization, and the delivery of high-quality patient care intersect. The historical evolution of entrepreneurship and intrapreneurship in nursing paints a portrait of nurses not confined to caregiving roles but emerging as proactive agents of change, shaping the course of healthcare. 

Nurses, now regarded as entrepreneurs and pioneers, contribute not only to direct patient care but also to reshaping the landscape of healthcare. Venturing into private practices, establishing clinics, and spearheading innovative healthcare solutions illustrate a newfound independence within the profession. The narrative of entrepreneurship and intrapreneurship in nursing embodies nurses actively participating in the creation of a healthcare landscape that transcends traditional boundaries. 

Simultaneously, the profound impact of nurses’ understanding of healthcare economics on spending becomes evident. Armed with this knowledge, nurses advocate for evidence-based, cost-effective practices that harmonize financial prudence with optimal patient care. Their influence extends beyond clinical domains, permeating interdisciplinary teams, shaping organizational policies, and empowering patients to make informed choices. 

However, the culmination of entrepreneurship, intrapreneurship, and healthcare economics is not without its challenges. Deep-rooted traditions, financial constraints, and intricate regulations pose hurdles. Yet, the resilience and adaptability of the nursing profession shine through, as nurses actively seek solutions and overcome barriers to innovation. 

The symbiotic relationship between entrepreneurship, intrapreneurship, and an understanding of healthcare economics positions nursing as a dynamic force in shaping the future of healthcare. The narrative of entrepreneurship and intrapreneurship, coupled with strategic insights into healthcare economics, signifies not only adaptation but active leadership in the transformative journey of healthcare. As nursing stands at the precipice of an era where innovation, fiscal responsibility, and patient-centric care converge, the call for a supportive environment, entrepreneurial education, and continued advocacy becomes resounding, ensuring that nursing shapes the next chapter in its illustrious history. 

References

 
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Write A 4 Page Paper

4 Page double speaced reseatch paper.

12 Times New Roman.

APA format.

At least 5 sources.

Read the following and write the paper based on questions.

Implement professional terms used in organizational behavior.

Questions:

1. Putting yourself in the shoes of Andrea, which of the four justice dimensions (distributive, procedural, interpersonal, informational) is most important in the morning briefing? Should Andrea be honest and informative in explaining corporate actions in the downsizing, or should she be more guarded? What would be the ethical implications of those two options?

2. Drawing discussions on justice and ethics, what advice would you give to Andrea in terms of her use of the bigger compensation budget? Would you give everyone a short-term “retention bonus” or a more permanent raise? Or would you leverage those funds to support the changes in the work structure, especially for those staffers with an especially expanded workload? What would be the ethical implications of those options?

3. Which motivation theories and motivational factors would Andrea apply when combining areas for the staffers? Is there a way to give the new versions of their jobs a higher satisfaction potential than the pre-downsizing versions?

4. How much voice and input would you recommend Andrea give to the staffers, as the Blaze transitions to its “new normal”? What are the pluses of giving such input and what would be the dangers associated with it? How could those dangers be mitigated?

 

Reenergizing Employees After a Downsizing

(This case study was developed by J. Colquitt, J. Lepine, and M. Wesson)

Andrea Zuckerman is the editor in chief of the Blaze, a small, college-town newspaper owned by a large national conglomerate. After the latest round of downsizing at the Blaze, Andrea is going to hold briefings today to reenergize the remaining employees and inform them about the new changes. In fact, she had been aware of the impending downsizing for some time. However, she had to hold her tongue while the corporate wheels turned. She did not agree with how the corporate consultants had determined who would go, which was largely determined by who had the highest salaries. Moreover, she did not agree with how the news was being delivered—not by her, but by a consultant who would be a complete stranger to all involved. “They are taking away our wisest,” she noted, “and they are taking away those folks’ dignity for good measure.”

Andrea was aware of the reasons behind the downsizing. She was, after all, working in a dying industry. Every newspaper, from the New York Times and Washington Post down to the smallest rag in the smallest town, had a sliver of the readership of a decade ago. First it was 24-hour cable news, then the Internet, then smartphones. Each made newspapers less central to the current events consumption of the folks in a given town. Corporate had tried to stay ahead of these trends when they bought the Blaze, an event that had been marked by a smaller round of downsizing as costs were cut, the paper was scaled back, and Tuesday and Wednesday deliveries were ended. However, there had been hope associated with those changes, with everyone assuming that corporate resources could help the Blaze reinvent itself and leverage new technologies to stay relevant.

This time around, the Blaze is confronting a “new normal.” Its function moving forward will be to serve as a local portal to the broader news resources offered by corporate. When folks in town log on to the Blaze using either their web browser or their smartphone or tablet app, they will see a combination of local stories written by Blaze staff and national and world stories authored by staff at other papers under the corporate umbrella. Eventually the print version of the paper will be a weekend-only phenomenon, and even that will almost certainly end at some point. All these changes mean that the paper will need fewer reporters, photographers, artists, and section editors, not to mention fewer assistants. There may also need to be some restructuring and merging of assignments and duties.

Andrea is worried about what to say to the staff at the morning briefing. As the survivors of a poorly handled layoff, it will be on her to restore some semblance of morale. After all, the last thing the paper needs is its remaining staff giving two weeks’ notice. In fact, they are going to need to be more committed than ever, because more is going to be asked of them than when they were hired. She will have to be somewhat careful with this speech, of course, as the HR person installed by corporate—Jessie Vasquez—will no doubt remind her. Jessie is good at his job in many ways, even if Andrea complains about his general level of risk aversion. Jessie’s primary concerns will revolve around Andrea saying something that could either trigger a wrongful termination suit, or be used as ammunition if such a suit was brought by a staffer against corporate.

The afternoon briefing is going to be more complicated. That is where Andrea hopes to begin charting a course toward the “new normal,” so that everyone understands what they will be in for. The rumor mill has already been working overtime, and many of the scenarios being floated might actually wind up being worse than the eventual status quo. Therefore, it is important to begin discussing the future look of the Blaze quickly, to create some information to go along with the misinformation. Andrea does not want to make decisions about that future course too quickly, as nothing will undermine the staff’s confidence more than a collection of faulty ideas that gets revised a few months into its existence.

There are a lot of things to consider when contemplating the new operations of the Blaze. The paper has historically grouped its functions into five areas: state, city, sports, lifestyle, and business. It seems to Andrea that those five areas will need to get merged into two or three. The reporters, photographers, artists, and editors in those areas will still perform the same duties. They will just do those duties for a broader range of content than they did before. However, Andrea is undecided about groupings. Some groupings seem logical to Andrea, but maybe the staff working in those areas would find other combinations more appealing. Furthermore, it seems like the degree of “enlargement” will vary a bit. Some staffers will be taking on just a little bit more, whereas others will be taking on a lot more. The paper will need both groups to perform their tasks, and perform them well.

There is also the matter of who’s willing and able to shoulder a lot more rather than a little more. Andrea knows from experience that this can be a dicey issue. Some staffers excel at a narrowly defined set of duties but struggle once those duties are expanded. Others seem to lack any limit to what they can take on, at least in the short term. Aside from her own hunches, Andrea does not know how to tell one group from the other. Everyone at the Blaze filled out a bunch of assessments and inventories when corporate acquired the paper, and all that information should be in everyone’s personnel files. It may not offer definitive answers, but it is a good bet that the information would offer at least some insights.

Asking some staffers to take on a lot more while others are asked to take on a little more could be a recipe for controversy. Indeed, Andrea has already been getting complaints about the relative workloads across areas for years! In this regard, corporate might actually help for a change. It turns out that they tend to budget more for compensation-related expenditures in the wake of a downsizing. They have learned from experience that survivors sometimes need a bit of a bump to stay committed, and they have also learned that “downsizees” occasionally need to be hired back, this time at the going rate for the job market. Corporate can justify such expenses because the downsizing still results in a cost savings, even with extra for the survivors factored in. She may have to check with Jessie, but Andrea suspects she could leverage those extra funds in a creative way, to make the new pay structure match up with the new job structure.

Certainly there are a lot of moving parts to the kinds of restructuring that Andrea is contemplating. Although her role as the editor in chief gives her the best “big picture” sense of how all those parts look from 20,000 feet, it is still not clear that she knows everything she needs to know (even with Jessie’s help). On the one hand, it might be helpful to involve the Blaze’s staff in the decision making, as the future course of the paper gets charted. That would give them “buy-in” and ensure that all the bases are covered as a new structure takes shape. On the other hand, keeping reporters, photographers, artists, and editors on the same page is often like herding cats. What if she asks for suggestions and the staffers take off in completely different directions? Once the Pandora’s box of “input” is opened, it is not clear that even Andrea could get it shut again.

Although the new day-to-day work of the Blaze staff is foremost on Andrea’s mind, she cannot help but think of a bigger-picture issue that hangs over everything. Will the staffers still feel the same way about not just their jobs, but their vocations? It was hard enough when the Blaze was first acquired by corporate. Many of the staffers had been attracted to “Blaze 1.0” because it was a small-town operation. They could live in a charming place with a low cost of living, and could do their work the way they wanted to. The more corporate “Blaze 2.0” brought with it a certain degree of standardization, with corporate imposing some common work practices that it had honed in other, mostly bigger papers. Nevertheless, at the end of the day, everyone was still in the newspaper business.

Even if a new structure works out, and even if the compensation issues get solved, the move to “Blaze 3.0” poses a more existential threat. Is everyone still in the newspaper business or are they now in the web portal business? How much of their identity is wrapped up in the feeling of seeing someone read the paper at a coffee shop or pick it up off a doorstep? Finally, what does it mean for the Blaze to focus only on local news, no longer being able to weigh in on world and national events, issues, trends, sports, and buzz? These issues hit home especially deeply for Andrea. Not only was her father in the newspaper business, but also her grandfather was. They used to joke that “ink was in their blood.” One day there might not even be any ink.

Some motivational clichés could be sprinkled into the morning and afternoon briefings, of course. However, Andrea has never been the rah-rah type, and the pain of losing so many colleagues would likely cause such speechifying to fall on deaf ears. Maybe this is how encyclopedia salespeople felt, or typewriter manufacturers, once upon a time. Maybe there is something Andrea could do to retain some of the meaning and “romanticism” in what the Blaze does. The paper has always been so focused on the day-by-day, issue-by-issue pressures of the job. Maybe it has missed some opportunities to do something larger for the town or the nearby campus.

 
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Laboratory 1 Blood Pressure

Week 4 – Laboratory 1

 

Blood Pressure
This week, you will log in to eScienceLabs to complete the two lab exercise assignments. These labs cover the cCirculatory and rReproductive sSystems. You will learn about these systems via animations and pre-lab readings for the exercises. The animations will address the anatomy and physiology of blood and the heart, the circulatory system, blood pressure, and the reproductive system.
The pre-lab readings will reinforce the elements of the circulatory system, including the role the respiratory system plays, the branches of the circulatory system, blood pressure, and cardiac output. You will viewView the Blood Pressure Virtual Lab animation before completing the Lab Report data and questions; data from the animation will be used in the Lab Report. Throughout the Blood Pressure lab, you will learn the basics on how to take a blood pressure reading, how blood pressure shows circulatory health,  and what the normal sounds of blood pressure indicate, and how exercise impacts blood pressure.
For this assignment you must:

  • Complete the blood pressure and pulse reading table.
  • Answers questions one through six
  • Your assignment must be formatted according to APA      guidelines as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

Week 4 Assignment 1: Virtual Lab – Blood Pressure

Submission Instructions: Please complete your answers to the lab questions on this form. Please complete your answers, and SAVE the file in a location which you will be able to find again. Then, attach and submit the completed form to the Week 4 Laboratory dropbox in the Ashford University classroom.

Table 2: Blood Pressure and Pulse Readings

 

Activity

Blood Pressure (mmHg) Systolic/Diastolic

Pulse (Beats/Minute)

 

Basal   (Normal)

 

Lying   Down

 

After   Exercise

Post-Lab Questions:

1. What is systolic pressure? What is diastolic pressure?

2. Why is blood pressure a sensible reading to measure circulatory health?

3. Explain the “lub-dub” sounds of the heartbeat.

4. Why do blood pressure and heart rate change after exercise?

5. How might the results in Table 2 change if someone else preformed the activities? Why?

6. Why is it important for blood to flow in only one direction?

 
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Task Groups In Social Work

Task Groups in the School Setting: Promoting Children’s Social and

Emotional Learning

Patricia Van Velsor San Francisco State University

Through social and emotional learning (SEL), individuals develop skill in negotiating relationships successfully and expressing emotions appropriately. The socially and emotionally intelligent child reaps benefits in school and later life. Counselors are best qualified to promote children’s SEL and the task group in the classroom provides an excellent opportunity for them to do so. In the task group, students can learn and practice crucial skills in vivo while they work together to complete a task. The counselor’s strategic attention to promoting task completion while facilitating SEL can serve to highlight the benefits of group work in the school learning environment.

Keywords: schools; social and emotional learning; task groups

Because humans are social beings, they spend a great deal of time interacting with others and much of that interaction takes place in groups. As Sonstegard and Bitter (1998) so aptly stated, ‘‘to be human is to ‘live’ in groups’’ (p. 251). The group (e.g., family, peer) serves as the ‘‘primary socializing influence’’ in children’s development (Kulic, Horne, & Dagley, 2004) and the nature of the social environment in those groups leads children down a path toward either prosocial or antisocial behavior and beliefs (Hawkins, Smith, & Catalano, 2004).

Children develop social skills and prosocial behaviors through social and emotional learning (SEL). Although there are various defi- nitions of SEL, Zins, Bloodworth, Weissberg and Walberg (2007) define it succinctly as ‘‘the process through which children enhance their ability to integrate thinking, feeling, and behaving to achieve important life tasks’’ (p. 6). Five competency areas—self-awareness, self-management, social awareness, relationship skills, and responsible

Patricia Van Velsor, Ph.D., is an assistant professor in the Department of Counseling at San Francisco State University. Correspondence concerning this article should be addressed to Patricia Van Velsor, Department of Counseling, San Francisco State University, BH 524, 1600 Holloway Avenue, San Francisco, CA 94132. E-mail: pvanvels@sfsu.edu

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DOI: 10.1080/01933920903033495

# 2009 ASGW

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decision-making—are basic to negotiating school, work, and life responsibilities effectively (Collaborative for Academic, Social, and Emotional Learning, 2000–2009).

Social and emotional intelligence, acquired through SEL, has been associated with various positive outcomes in school and life. A socially and emotionally intelligent child is less likely to develop aggressive- ness, depression, and=or violent behaviors (Poulou, 2005). Children who develop social and emotional intelligence are also more resistant to difficulties related to drugs, teen pregnancy, and gangs (Elias et al., 1997). Moreover, variations in children’s social and emotional func- tioning significantly predict current and later academic achievement (Greenberg, Kusché, & Riggs, 2004; Parker et al., 2004).

The small group in the school setting provides an excellent opportu- nity for counselors to enhance children’s positive mental health through SEL. Children can better their social skills, unlearn inappropriate social behaviors, and try out new skills in a safe environment (Akos, Hamm, Mack, & Dunaway, 2007; Thompson & Henderson, 2006). Generally, the small group format used with chil- dren is psychoeducational (Corey & Corey, 2006) and a common approach to SEL in the schools is to pull targeted children out of the classroom to learn about appropriate skills and practice those skills in a small group. Another approach, however, is to make use of the task group, which focuses on the application of group process princi- ples to task completion (Corey & Corey, 2006). If used in the classroom setting, the task group can offer children the opportunity to learn and apply social and emotional skills and behaviors in a real life situation as they work together to accomplish an identified task. Moreover, when conducted in the classroom setting, all children can profit from the opportunity to enhance their social and emotional intelligence. The overall goal is to promote SEL for a broad range of children, which in turn can lead to other positive outcomes.

When considering the task group in the school setting, it makes sense that students could benefit in three ways. First, the task group affords children the opportunity to learn about a topic as they work together on a project of educational importance. Second, students have the chance to acquire valuable social and emotional skills for working in groups related to cooperation, collaboration, and mutual respect. Third, students may well gain a sense of accomplishment when the task is completed, hopefully bolstering self-esteem.

The purpose of this article is to encourage counselors to embrace the task group model in the classroom setting to promote the SEL of students in vivo and to help equip all students with the social and emotional tools necessary to work cooperatively and collaboratively in a group. In order to implement the task group, counselors must

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develop a clear understanding of this approach and its multiple benefits in the classroom setting. With this knowledge, counselors can then determine ways to identify appropriate tasks for school groups, and develop strategies to facilitate both task completion and group process for optimal SEL.

UNDERSTANDING THE TASK GROUP MODEL AND ITS BENEFITS

Before initiating the task group in schools, it is important to under- stand the goals of a task group. The main goal of the group is completing a task (e.g., a work project, event planning) rather than changing the individual for therapeutic reasons or personal growth (Gladding, 2008). However, successful functioning of the task group requires attention to the principles of group dynamics aimed at accomplishing the task and improving interpersonal interaction in the process (Corey & Corey, 2006; Gladding, 2008). Although teachers may already assign tasks to small groups or make use of small group learning in the classroom, they may lack the necessary skills to facilitate SEL in the group process (Elias, Bruene-Butler, Blum, & Schuyler, 1997). Counselors, however, have training in group dynamics and process and can utilize that knowl- edge to promote SEL as children work together to complete a task.

The task group in a school is different from the typical one in an organization where each member takes responsibility and is accounta- ble for his or her own contribution to the overall effort (Katzenbach & Smith, 2003). Instead children in the schools can benefit from the task group that operates like a team. Although teams, like other task groups, focus on results and develop individual products, teams are more interdependent and more collaborative (Brown, 2009: Gladding 2008; Stanley, 2006). In the team model, there are shared leadership responsibilities and accountability for the team product; that is, the team members do ‘‘real work together’’ (Johnson & Johnson, 2009, p. 527). All students in the schools can benefit from working together and developing the abilities necessary to function as part of a team.

Because all students can profit from refining their social and emotional skills, the task group in the school does not necessarily target students with difficulties. Use of this approach is predicated on the idea that a primary goal of counseling is to help all children ‘‘learn to deal with life’’ (T. Gutkin, personal communication, December 2, 2008). Task groups are indeed a part of life; they are omnipresent in American culture and part of everyday experience (Conyne, Crowell, & Newmeyer, 2008) in schools, churches, work places, and community settings. The skills learned can help children fulfill their roles

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successfully in family, school, friend, and work groups (Goleman, 1995). Promoting SEL for all students aligns with the Executive Summary of the American School Counselor Association (ASCA, 2005), which directs school counselors to ‘‘identify and deliver the knowledge and skills all students should acquire’’ (p. 1). Additionally, SEL aligns with the public school’s mission to ‘‘assist in the socializa- tion of the young,’’ identified in a U. S. Supreme Court case (i.e., Wisconsin V. Yoder) (Adelman & Taylor, 2003, p. 85).

Another noteworthy benefit of the task group in the classroom is that it allows students to learn skills in vivo. Although teaching social and emotional skills is important; providing children the opportunity for ‘‘real-world application’’ of those skills is critical (Elias, 2004). During transactions to complete a task, interpersonal exchanges hap- pen naturally in the classroom, that is, authentic interaction occurs. As differences in ideas and issues related to completing the task surface and accompanying affect emerges, counselors can facilitate the interchanges quickly (Barratt & Kerman, 2001). The counselor is at hand to help children manage their emotions, effectively navigate their interactions, and successfully negotiate their differences for opti- mal SEL. For students with behavioral concerns, who may not be able to transfer skills from the counseling group to the classroom (Clark & Breman, 2009), this real world experience may be essential to their social and emotional development.

Students at risk for difficulties may benefit in other ways by culti- vating social and emotional abilities in the classroom. In a counseling group for social skill development, targeted students may have similar difficulties and inadvertently learn inappropriate behaviors from each other. In the classroom setting, however, students with less developed social and emotional skills interact with students at higher skill levels and can learn informally from the modeling of other students. Lopes and Salovey (2004) identified informal learning, where students learn behaviors through ‘‘experience, modeling, and observing’’ as a valuable way to promote SEL (p. 78).

The task group as proposed here may also serve to highlight the usefulness of group work in learning. Social factors often influence learning, because effective learning frequently involves the ability to communicate, interact, and collaborate with co-learners as well as tea- chers, peers, and families (McCombs, 2004; Zins et al., 2007). The task group offers a fertile environment for students to develop positive social relationships as they develop their academic skills. As children learn to collaborate and function interdependently in the task group, a better fit or ‘‘improved ecological concordance’’ between students and their school environment emerges, which in turn can improve student success both in and out of schools (Conyne & Mazza, 2007). Successful

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use of the task group by the counselor may then motivate teachers to adopt the small group as part of the learning environment for children.

IDENTIFYING A FOCUS FOR THE TASK GROUP

Although a significant goal in utilizing the task group is to promote social and emotional learning, it is critical for the counselor to identify a project that clearly incorporates an aspect of the school mission. For example, a project might focus on an academic goal of a particular classroom or grade level (e.g., meeting a specific curriculum objective), or a school or community goal (e.g., conducting a service learning activity).

The list of projects that could be implemented to address SEL in a task group is endless and any activity that requires student collabora- tion in a small group could work. As an example, the literature circle, a language arts activity designed to engage students in reflection and critical thinking about reading (Daniels, 2001), could provide an excel- lent opportunity for incorporating SEL; because it can be adapted for all age levels, already uses a small group format, and has been applied in both mathematics (Kridler & Moyer-Packenham, 2008) and science (Straits, 2007). In a typical model, the teacher assigns roles (e.g., facil- itator, illustrator) and has students work on their tasks independently before coming together for discussion. In the task group model, how- ever, the teacher extends the process by assigning a project. The task can be as simple as making a poster to represent the feelings of differ- ent characters in a story or as involved as creating a video to explore character identity development related to the events in the reading. The students then decide on what roles are necessary and how they need to work together to complete the task. Although schools most likely will already have designated readings within their curriculum, the counselor may want to suggest books from the Bibliotherapy Edu- cation Project (http://library.unlv.edu/faculty/research/bibliotherapy/), which offers an excellent list of books that focus on both counseling and education topics.

Counselors who have not been teachers may balk at the idea of focusing a group on an academic task; however, the counselor need not be an expert in an academic area. The teacher provides the aca- demic expertise while the counselor promotes the social and emotional development. The logistics will require close collaboration between the counselor and the teacher to create a suitable arrangement. After the task has been identified, the counselor may circulate among various task groups or work with one group at a time while the teacher works

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with the remaining students. In the task group, the counselor can serve as a co-learner while he or she weaves SEL skill development into the process and facilitates group interactions aimed at successful task completion.

Working in the classroom may represent a paradigm shift for counselors. However, it is consistent with a new ‘‘inclusion’’ model of school counseling suggested by Clark and Breman (2009). This model requires that all students receive counseling support through innova- tive interventions in classroom settings and requires counselors to col- laborate and consult closely with teachers. The task group model proposed here complements the Clark and Breman model, because it necessitates collaboration with teachers and other school personnel to identify a suitable project and involves implementation of the task group in the classroom.

The best way to identify an appropriate task is through familiarity with the school context. The school counselor who has been in the school will already have intimate knowledge of school culture, but will still need to spend time observing school activities and soliciting input from others. The counselor new to the school, on the other hand, must become well acquainted with the school environment by getting to know, first students and school personnel (e.g., teachers, administra- tors, teachers), and then parents and community members. What are the educational goals that the teachers share? What is necessary to promote the achievement of the student body? For example, if there are a large number of students living in poverty, what projects would support their unique needs—in the classroom, the school, and the community? Immersion in the culture—both school and surrounding community—allows the counselor not only to identify projects that support the school mission but also to design tasks that are sensitive to values of the population served. Service learning projects that require collaborative efforts offer excellent opportunities for addres- sing community needs and, at the same time, enhancing students’ social and emotional abilities. For example, small groups of younger students may decide on a gift appropriate for a local senior center, design the necessary steps to make their gifts, and finally, create the gifts. Older students may research community needs and then work together in small groups to design and carry out community pro- jects. Although there are a variety of websites that describe school service learning projects, one particularly comprehensive list for both elementary and secondary levels comes from Mesa Service Learning (http://www2.mpsaz.org/msl/about/).

The most important school personnel with whom to collaborate are teachers, because counselors will need their support to carve out time and space for the task group. Common complaints of teachers are that

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SEL activities take time away from an already overloaded academic schedule (Elias, Bruene-Butler, Blum, & Schuyler, 2000; Mildener & Keane, 2006). Careful selection of task group focus, however, helps sidestep the criticism that time spent on social and emotional skill development usurps valuable academic time. Rather, teachers view the task as supporting their efforts rather than auxiliary to their academic goals. At the same time, working closely with teachers in the classroom may stimulate more positive attitudes toward SEL activities and small group learning.

With a task identified, a counselor must not only assist children in completing the task, but also help them to understand the importance of the group process in task completion. Effective SEL in the task group requires that children learn cooperation, social skills, and prosocial values (Johnson & Johnson, 2004).

FACILITATING THE TASK GROUP FOR OPTIMAL SEL

A counselor facilitating a task group with children for optimal SEL must perform a variety of functions. Unfortunately, in a recent survey of 802 school counselors, many participants reported a lack of group training aimed at working with children and adolescents in the schools (Steen, Bauman, & Smith, 2008). Although the following infor- mation is not meant to substitute for group training, it does provide an overview of functions that school counselors should feel comfortable performing in order to facilitate a task group successfully for SEL. The primary functions involve fostering positive interdependence through team building and promoting interpersonal process by setting appropriate structure and bolstering skill development. The literature on process in children’s groups is scant (Leichtentritt & Shechtman, 1998; Shechtman & Yanov, 2001); however, along with the literature on task groups with adults, it provides some direction for the counselor carrying out these functions.

Building a Team

Simply assigning a task and asking children to work together does not assure that they will become a team (Prichard, Bizo, & Stratford, 2006). Therefore it is the responsibility of the counselor to incorporate ways to build group cohesiveness. In an investigation of children’s groups, child participants identified group cohesiveness— encouragement, support, and acceptance from others—as the most important factor in their group experience (Shechtman & Gluk, 2005). Thus, it is important to help children build new relationships

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or strengthen existing relationships around working on the task. So, although task completion is primary, failure to attend to relationships of students could result in negative outcomes for task completion and learning.

Students in a school may already have formed relationships; how- ever, counselors will need to develop activities focused on building interdependent relationships and identifying appropriate norms of behavior. Effective task groups devote time to learning about one another, to culture building, and to nurturing collaboration and coop- eration (Hulse-Killacky, Killacky, & Donigian, 2001). Because team building involves learning prosocial behavior, norms should include discussion of respect for others and promotion of other members’ efforts. Clear expectations for task completion and group behavior will enhance student learning related to completing the task and acquiring interpersonal skill in doing so.

Establishing Appropriate Structure

To promote SEL through the interpersonal process of the group, counselors must establish appropriate structure. Counselors can do so by attending to the developmental level of the children in the group (Rosenthal, 2005); younger children need more structure. For all chil- dren, counselors need to provide more structure early in the group’s development. Group facilitators optimize children’s experiences in groups when they provide a safe environment for children to try out behaviors (Mayerson, 2000) and the appropriate level of structure helps provide that safe space.

An ideal structure for a task group involves balancing content and process (Hulse-Killacky, Kraus, & Schumacher, 1999). The content component of a group refers to the information shared; in a task group, the counselor should make sure that all children clearly understand the purpose of the group and the goals related to the task. Addition- ally, the counselor should pay attention to the content that children share to get a sense of each child’s strengths and how he or she can contribute to task completion. Too much attention to content in a task group, however, may actually interfere with progress toward complet- ing the task (Hulse-Killacky et al., 1999). The process component of a task group deserves equal attention. Yalom (2002) defines process as, ‘‘the nature of the relationship between the people in the interaction’’ (p. 109). As it applies to the task group, process refers to the relation- ships between and among children and how those relationships promote or inhibit task completion. By attending to the process, coun- selors can make sure that all children share their ideas, experiences, and thoughts and contribute to accomplishing the task.

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In a successful group, the counselor does not attend to the process alone; he or she makes sure that participants also attend to that pro- cess. From the onset of the group, the counselor structures a reflective environment in which children evaluate the interactions and dynamics of the group (Barratt & Kerman, 2001). The counselor fre- quently encourages children to examine their relationships to identify how well they are working together and how they can better their effectiveness (Johnson & Johnson, 2009).

Although structure is essential to group work with children, facili- tators can best promote children’s SEL by knowing when to allow free- dom within the structure. An important value of group work—that it reflects real life most accurately (Akos, 2000)—is lost if a group is too structured. A challenge is finding the balance between permissiveness and appropriate structure and limits. In an exploratory study of dynamics in children’s therapy groups, Mayerson (2000) found that facilitators’ willingness to join the play process, when appropriate, contributed to positive outcomes. Applying this to the task group, a counselor must be flexible and fluid in stepping forward to take the leadership role and stepping back to let the children lead. Johnson and Johnson (2009) maintain that facilitators must decide when to direct the children’s group, be ‘‘a sage on the stage,’’ or to be their assistant, ‘‘a guide on the side’’ (p. 497). Children can lead their own group when they have developed the ability to reflect on their indivi- dual and group behaviors and the skills necessary for working with others.

Bolstering Skill Development

Important for the task group is development of skill in giving feed- back, making decisions together, and solving problems and resolving conflict. The ability to give constructive feedback sets the stage for the other skills. In a task group, timely feedback fosters team develop- ment; because it increases member motivation and provides data to help members work together effectively (Birmingham & McCord, 2004). In a study of interpretative responses—confrontation, interpre- tation, and feedback—of preadolescents in groups, Shechtman and Yanov (2001) found that high quality feedback (i.e., direct and honest personal reaction) precipitated productive responses (i.e., exploration, insight, or change) while high quality interpretation (supportive explanation of one’s behavior, feelings, or thoughts) or confrontation (highlighting incongruencies) precipitated unproductive responses (e.g., resistance, agreement). The authors concluded that minimizing confrontation and maximizing high-quality feedback was most helpful in group work with children.

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The challenge in the task group lies in helping children learn to give constructive feedback (i.e., direct and honest personal reaction) that supports task completion. This begins with counselor modeling; simply by listening, paraphrasing, asking open questions, that is, using basic counseling skills, counselors provide a positive example for children and promote SEL. In using these skills, it is important that counselors attend to the age of the children in the group to adapt those skills appropriately (see Van Velsor, 2004). If children learn these skills, they help to create a safe environment and set the stage for giving con- structive feedback to each other related to task completion. Drawing from several task group models, Hulse-Killacky et al. (1999) suggest that members create guidelines for giving and receiving feedback, reflect on behaviors and interactions that support or inhibit the group work, and give clear feedback (i.e., using ‘‘I’’ statements, speaking directly to others). Initially the counselor will model and direct appro- priate communications, but children should eventually learn to provide their own feedback. According to Sonstegard and Bitter (1998), accurate feedback from children may facilitate the group pro- cess better than feedback from counselors.

Along with communication skills, children need to develop the abilities necessary for decision making in task groups. Because good decision making depends on effective processing of emotions (Bechara, Damasio, & Bar-On, 2007), an important step is helping children to develop skill in monitoring emotions that arise when differences occur. In the task group, counselors can guide children in regulating their emotional reactions and applying self-control in interpersonal communication. Regulating emotion and gaining control gives chil- dren access to the clear thinking needed for problem solving (Elias, 2004). Johnson and Johnson (1995) identified a helpful process for problem-solving negotiation, in which children (a) describe what they want and feel along with the rationale for those, (b) listen and commu- nicate understanding of other children’s perspectives, (c) formulate three optional plans, and (d) select a plan from those options. This model provides the opportunity for children to practice perspective- taking, which is foundational to the development of empathy (Shapiro, 1997).

When problem solving among children breaks down and conflict arises, the counselor will need to serve as mediator allowing time for cooling off as necessary, ensuring commitment to mediation, and guid- ing children through the problem-solving process (Johnson & Johnson, 1995). Formalizing the agreement (e.g., with a handshake) is part of both problem solving and conflict resolution procedures.

Once counselors have provided strategies for decision making, problem-solving, and conflict resolution, they must decide when to

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let children direct the process and when they need to intercede. Some group facilitators may tend to intervene quickly in any disputes, conflict, or disagreement among children (Rosenthal, 2005) denying them the experience of solving issues on their own, and in turn inhibit- ing their SEL from the process. On the other hand, an environment that encourages creative and collaborative decision making, problem solving, and conflict resolution by children promotes their optimal social and emotional development.

PUTTING IT ALL TOGETHER

Designing a task group for the classroom will require considerable collaborative planning to identify what works with which students based on academic learning objectives as well as student developmen- tal level and culture. The counselor, in collaboration with the teacher, must decide how much advance psychoeducation the students will need related to decision making, problem solving, and conflict. It is always best to discuss conflict resolution procedures before a heated emotional situation arises.

Implementation would typically begin with a teacher describing an academic assignment. Using the literature circle example, the teacher asks students to rank a list of stories or books based on their interests. The teacher divides students into small groups determined by their choices and, after students have read the literature, they discuss their reactions to and understandings of the reading. Next, the teacher assigns a task for the group focused on student discussion. The scope of the task (e.g., a map of the events of the story, a presentation on the themes in the book) will depend on the age of the students and the teacher’s learning objectives. This assigned task could take place during one class period or over the course of several weeks.

As students begin work on the task in their small groups, the coun- selor’s expertise is tapped. If students are new to teamwork, the coun- selor conducts team building exercises and explains how students must attend to the process as they complete their task. Schmuck and Schmuck (2001) provide some simple process observation sheets for younger students, which could be adapted in various ways for many ages. These questionnaires ask students to identify specific instances of thoughts, feelings, and behaviors evident in the group and promote student analysis of their own experiences and actions (SEL self-awareness competency) and those of others (SEL social awareness competency). The observation sheets serve as stimuli for discussion on group process as students work on their project, and, in turn, the discussion serves as a learning ground for students as

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counselors help them give constructive feedback to each other (SEL relationship skill competency).

Eventually, disagreements will arise in some groups over procedures, goals, and relationships (Schmuck & Schmuck, 2001), and such controversies offer, perhaps, the most valuable opportunities for SEL. When students are involved in a passionate discussion that appears to have the potential for escalation, the counselor must decide when, and if, to step in and what intervention might facilitate optimal SEL. Early in a disagreement, the counselor may ask students to listen to each other and then verbalize the opposing perspective, promoting student empathy and sensitivity to others (SEL social awareness competency). If emotions are already heightened, the coun- selor may direct the students to self-monitor and share their feelings related to the interaction before tackling a problem solving procedure. This helps students to accurately assess their feelings (SEL self- awareness competency) and to regulate their emotions (SEL self- management competency). As students become more skilled in decision making and problem solving, the counselor may need only to refer students to the steps of these processes.

There, of course, will be times when conflict arises and students need a cooling off period. In facilitating student cool down, the counse- lor must use a course of action that works harmoniously with the tea- cher’s approach to de-escalation. When students have regained their self-control sufficiently, the counselor secures the commitment of all group members to the negotiation process, leads students through pro- blem solving steps, and helps students formalize their agreement (Johnson & Johnson, 1995). Students in the group can practice a wealth of SEL competencies, and the counselor is on-hand to facilitate the learning process. At the same time, the counselor can serve as a model and consultant to the teacher, who may want to use small groups for cooperative learning at times when the counselor is not pre- sent. The overall goal is to encourage teachers to reinforce student use of SEL skills and attitudes throughout the day as well as in and out of the classroom.

CONCLUSION

Counselors in the schools are already aware of the connection between social and emotional learning and positive outcomes in school and life. Individuals need social and emotional skills for achieving academic and workplace success and becoming informed and responsi- ble community members (Elias, Arnold, & Hussey, 2003). Counselors’ efforts to promote social and emotional learning (SEL) for all students,

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however, are often thwarted by the view of other school personnel that SEL intrudes on the academic mission of the school. The task group proposed unites educational aims with SEL objectives. It transcends the psychoeducational group approach, which tends to focus on cogni- tive behavioral strategies and problem solving, and the counseling group approach, which tends to focus on affect; the task group offers an integrative approach. The counselor facilitates completion of an educational task, and, at the same time, facilitates social and emo- tional skill development in the task completion process. This task group model has benefits for all students and allows students to learn social and emotional skills from each other and practice them in vivo.

A challenging aspect of the task group model is the need for counse- lors to identify and design a task through collaboration with stake- holders. Teachers’ input in this process is crucial because of their knowledge and needed cooperation. However, as counselors become more practiced in the task group, input by other stakeholders (e.g., parents, community members) provides an opportunity to strengthen school-community connections to enhance the social and emotional development of children beyond the school.

Once a counselor has identified a task, he or she can best promote task completion and enhance student SEL through team building, appropriate structure, and skill development. Students can learn the skills of giving feedback, offering empathy, making decisions, and solving problems along with managing emotions and negotiating conflict—skills necessary throughout life for working together coop- eratively and collaboratively to complete a task.

Use of the task group by counselors in the schools, however, requires somewhat of a paradigm shift. Counselors typically focus on a small percentage of students with difficulties or at risk for difficul- ties, and offer group counseling to these students on a pull out basis (i.e., taking students out of class) (Clark & Breman, 2009). The task group is not meant to preclude the counseling group; there will always be a need for groups focused on topics such as divorce and grief. However, the task group in the classroom has potential for use with all students, rather than only a small percentage of them; for promoting the use of the small group in learning; and, perhaps, for repositioning the counselor in a role more central to the school’s educational mission.

Moving from working with a small percentage of students to work- ing with the broader student body will prove challenging. However, counselors can expand their sphere of influence in promoting SEL by training teachers in group process strategies for use in classroom groups. Some teachers are already schooled in cooperative learning and may need only minimal training in group process. Other teachers

288 THE JOURNAL FOR SPECIALISTS IN GROUP WORK / September 2009

 

 

may need more extensive training to first understand the value of group work in education and then to learn how to effectively facilitate children’s group process in the classroom. Counselors may begin this process by first working with teachers who are already using groups and cooperative learning. Then, by making their efforts known throughout the school, they can engage other teachers who may be skeptical of the importance of group work and SEL in education.

Counseling in schools is often relegated to the status of an ancillary service (ASCA, 2003) and SEL is sometimes viewed as intruding on the current responsibility of schools for student performance on test- ing and standards (Mildener & Keane, 2006). Small groups in the classroom, and task groups in particular, have great potential for enhancing the learning environment in schools. Counselors with training in group process are in an excellent position to promote task group work specifically, and small group work in general, as an inte- gral part of the school educational mission. The goal for counselors is to enhance student social and emotional development by weaving SEL and small group work into the fabric of the school. The ultimate goal is to provide students with the social and emotional skills neces- sary for success during their school years and beyond.

REFERENCES

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Akos, P. (2000). Building empathic skills in elementary school children through group work. Journal for Specialists in Group Work, 25, 214–223.

Akos, P., Hamm, J. V., Mack, S. G., & Dunaway, M. (2007). Utilizing the developmental influence of peers in middle school groups. Journal for Specialists in Group Work, 32(1), 51–60.

American School Counselor Association. (2005). The ASCA national model: A framework for school counseling programs [electronic version]. Alexandria, VA: Author.

Barratt, G., & Kerman, M. (2001). Holding in mind: Theory and practice of seeing children in groups. Psychodynamic Counseling, 7, 315–328.

Bechara, A., Damasio, A. R., & Bar-On, R. (2007). The anatomy of emotional intelligence and implications for educating people to be emotionally intelligent. In R. Bar-On, J. G. Maree, & M. J. Elias (Eds.), Educating people to be emotionally intelligent (pp. 273–290). Westport, CT: Praeger.

Birmingham, C., & McCord, M. (2004). Group process research: Implications for using learning groups. In L. K. Michaelsen, A. B. Knight, & L. D. Fink (Eds.), Team-based learning: A Transformative use of small groups in college teaching (pp. 73–93). Sterling, VA: Stylus.

Brown, N. W. (2009). Becoming a group leader. Upper Saddle River, NJ: Pearson. Clark, M. A., & Breman, J. C. (2009). School counselor inclusion: A collaborative model

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Collaborative for Academic, Social, and Emotional Learning. (2000–2009). What is SEL? Skills and competencies. Retrieved April 24, 2009, from http://www.casel.org/basics/ skills.php.

Conyne, R. K., Crowell, J. L., & Newmeyer, M. D. (2008). Group techniques: How to use them purposefully. Upper Saddle River, NJ: Pearson.

Conyne, R. K., & Mazza, J. (2007). Ecological group work applied to schools. Journal for Specialists in Group Work, 32(1), 19–29.

Corey, M. S., & Corey, G. (2006). Groups: Process and practice (7th ed.). Belmont, CA: Thomson Brooks=Cole.

Daniels, H. (2001). Literature circles: Voice and choice in book clubs and reading groups (2nd ed.). Portland, ME: Stenhouse Publishers.

Elias, M. J. (2004). Strategies to infuse social and emotional learning into academics. In J. E. Zins, R. P. Weissberg, M. C., Wang, & H. J. Walberg (Eds.), Building academic success on social and emotional learning: What does the research say? (pp. 113–134). New York: Teachers College Press.

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Elias, M. J., Bruene-Butler, L., Blum, L., & Schuyler, T. (1997). How to launch a social and emotional learning program. Educational Leadership, 54(8), 15–19.

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Elias, M. J., Zins, J. E., Weissberg, R. P., Frey, K. S., Greenberg, M. T., Haynes, N. M., et al. (1997). Promoting social and emotional learning: Guidelines for educators. Alexandria, VA: Association for Supervision and Curriculum Development.

Gladding, S. (2008). Groups: A counseling specialty. Upper Saddle River, NJ: Pearson. Goleman, D. (1995). Emotional intelligence. New York: Bantam Books. Greenberg, M. T., Kusché, C. A., & Riggs, N. (2004). The PATHS curriculum: Theory

and research on neurocognitive development and school success. In J. E. Zins, R. P. Weissberg, M. C. Wang, & H. J. Walberg (Eds.), Building academic success on social and emotional learning: What does the research say? (pp. 170–188). New York: Teachers College Press.

Hawkins, J. D., Smith, B. H., & Catalano, R. F. (2004). Social development and social and emotional learning. In J. E. Zins, R. P. Weissberg, M. C. Wang, & H. J. Walberg (Eds.), Building academic success on social and emotional learning: What does the research say? (pp. 135–150). New York: Teachers College Press.

Hulse-Killacky, D., Killacky, J., & Donigian, J. (2001). Making task groups work in your world. Upper Saddler River, NJ: Prentice Hall.

Hulse-Killacky, D., Kraus, K. L., & Schumacher, R. A. (1999). Visual conceptualizations of meetings: A group work design. Journal for Specialists in Group Work, 24(1), 113–124.

Johnson, D. W., & Johnson, F. P. (2009). Joining together: Group theory and group skills (10th ed.). Upper Saddle River, NJ: Pearson.

Johnson, D. W., & Johnson, R. T. (1995). Teaching students to be peacemakers (3rd ed.). Edina, MN: Interaction Book Company.

Johnson, D. W., & Johnson, R. T. (2004). The three Cs of promoting social and emotional learning. In J. E. Zins, R. P. Weissberg, M. C. Wang, & H. J. Walberg (Eds.), Building academic success on social and emotional learning: What does the research say? (pp. 40–58). New York: Teachers College Press.

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Katzenback, J., & Smith, D. (2003). The wisdom of teams. Cambridge, MA: Harvard Business School Press.

Kridler, P. G., & Moyer-Packenham, P. S. (2008). Mathematics circles: A structured approach to problem solving. Mathematics Teaching in the Middle School, 14, 214–221.

Kulic, K. R., Horne, A. M., & Dagley, J. C. (2004). A comprehensive review of prevention groups for children and adolescents. Group Dynamics: Theory, Research, & Practice, 8, 139–151.

Leichtentritt, J., & Shechtman, Z. (1998). Therapist, trainee and child verbal response modes in child group therapy. Group dynamics: Theory, research and practice, 2(1), 36–47.

Lopes, P. N., & Salovey, P. (2004). Toward a broader education: Social, emotional, and practical skills. In J. E. Zins, R. P. Weissberg, M. C. Wang, & H. J. Walberg (Eds.), Building academic success on social and emotional learning: What does the research say? (pp. 76–93). New York: Teachers College Press.

Mayerson, C. R. (2000). An exploratory study of Group-as-a Whole dynamics in children’s group therapy. Journal of Child and Adolescent Group Therapy, 10, 131–150.

McCombs, B. L. (2004). The learner-centered psychological principles: A framework for balancing academic achievement and social-emotional learning outcomes. In J. E. Zins, R. P. Weissberg, M. C. Wang, & H. J. Walberg (Eds.), Building academic success on social and emotional learning: What does the research say? (pp. 23–39). New York: Teachers College Press.

Mildener, K., & Keane, C. R. (2006). Collaborating with teachers on social emotional learning. In Pellitteri, Stern, Shelton, & Muller-Ackerman (Eds.), Emotionally intel- ligent school counseling (pp. 141–149). Mahwah, NJ: Lawrence Erlbaum.

Parker, J. D. A., Creque, R. E., Barnhart, D. L., Harris, J. I., Majeski, S. A., Wood, L., et al. (2004). Academic achievement in high school: Does emotional intelligence matter? Personality and Individual Differences, 37, 1321–1330.

Poulou, M. (2005). The prevention of emotional and behavioural difficulties in schools: Teachers’ suggestions. Educational Psychology in Practice, 21(1), 37–52.

Prichard, J. S., Bizo, L. A., & Stratford, R. J. (2006). The educational impact of team-skills training: Preparing students to work in groups. British Journal of Edu- cational Psychology, 76, 119–140.

Rosenthal, L. (2005). Qualifications and tasks of the therapist in group therapy with children. Modern Psychoanalysis, 30, 95–103.

Shapiro, L. (1997). How to raise a child with a high E. Q. New York: Harper Collins. Schmuck, R. A., & Schmuck, P. A. (2001). Group processes in the classroom (8th ed.).

New York: McGraw Hill. Shechtman, Z., & Gluk, O. (2005). An investigation of therapeutic factors in children’s

groups. Group dynamics: Theory, research and practice, 9, 127–134. Shechtman, Z., & Yanov, H. (2001). Interpretatives (confrontation, interpretation, and

feedback) in preadolescent counseling groups. Group dynamics: Theory, research and practice 5, 124–135.

Sonstegard, M. A., & Bitter, J. R. (1998). Counseling children in groups. Journal of Individual Psychology, 54, 251–267.

Stanley, P. H. (2006). Using the 5 P Relay in task groups. Journal for Specialists in Group Work, 31(1), 25–35.

Steen, S., Bauman, S., & Smith, J. (2008). The preparation of professional school coun- selors for group work. Journal for Specialists in Group Work, 33, 253–269.

Straits, W. (2007). A literature-circles approach to understanding science as a human endeavor. Science Scope, 31(2), 32–36.

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Thompson, C. L., & Henderson, D. A. (2006). Counseling children (7th ed.). Belmont, CA: Wadsworth Publishing.

Van Velsor, P. (2004). Revisiting basic counseling skills with children. Journal of Counseling and Development, 82, 313–318.

Yalom, I. D. (2002). The gift of therapy. New York: HarperCollins. Zins, J. E., Bloodworth, M. R., Weissberg, R. P., & Walberg, H. J. (2007). The scientific

base linking social and emotional learning to school success. Journal of Educational and Psychological Consultation, 17, 191–210.

292 THE JOURNAL FOR SPECIALISTS IN GROUP WORK / September 2009

 
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Role-Play: Strengths And Weaknesses Of The DSM-5

Though the DSM-5 is the standard manual for mental illness diagnoses, it is not without weakness. In this Assignment, you analyze the strengths and limitations of the DSM-5 diagnostic system, and you differentiate between normal behavior and diagnosable symptoms using the concepts of dimensionality and spectrum.

To prepare: Review the concept of the dimensional approach with the DSM-5 and review the methods that the DSM-5 recommends to individualize where a person fits on a continuum of their illness in terms of subtypes, severity, and functional impairments. You will find these classifications in different parts of the manual and begin to be comfortable looking through it.

Next, imagine the following scenario:

You are a school social worker who has been asked to address a parent-teacher association meeting. Many parents in the audience have children who have been identified for special education services. They are confused about how to understand the diagnoses they are seeing. Others have worries about overdiagnosis. You have been advised that while these parents are generally well-informed, many don’t understand the dimensional or spectrum aspects. All are worried.

You will start with your introductory talk to the parents on these factors. After you provide your explanation, imagine that you open the meeting to questions. You will address the question noted below that is posed by a parent in the audience. Consider your audience, and practice explaining in terms a non-professional might understand. Do NOT read from the book.

Review the questions (in the Assignment instructions below) ahead of time and plan your answer, as you will need to look up and integrate materials to answer the chosen question.

By Day 7

Submit a transcript of the discussion, considering the parents as your audience, in which you do the following:

  • Briefly describe what the DSM-5 is and how it is organized. In your description, define the concepts of spectrum and dimensionality as explained by Paris and in the DSM-5 introduction.
  • Explain why social workers and mental health professionals use diagnoses and what receiving a diagnosis means (and does not mean).
  • Explain general concerns about the risks of overdiagnosis and misdiagnosis versus not diagnosing. Also explain how diagnosis is connected to services.
  • Explain other details that might help your audience understand the strengths and weaknesses of the diagnostic system.
  • Provide a response to the following parental questions:
    • My teenager’s best friend died by suicide this year. It’s been months, and she doesn’t seem over it. Her teachers tell me she should get help for depression, but I think it’s just grief. She talks about her friend all the time and gets very upset. I am worried about her. Is it normal for her to still be feeling this way? I don’t want to put her on medication for normal feelings. What is the difference between grief and depression?
 
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SOCW 6301 Week 4 – Social Work Research: Couple Counseling

Assignment: Introduction to Research Proposals

 

For this Assignment, the case studies entitled “Social Work Research: Couple Counseling” Consider how you might select among the issues presented to formulate a research proposal.

Be sure to consult the outline in Chapter 14 the Yegidis et al. text for content suggestions for the sections of a research proposal. As you review existing research studies, notice how the authors identify a problem, focus the research question, and summarize relevant literature. These can provide you with a model for your research proposal.

Include all of the main sections of a Research report:

Title
Abstract
Introduction
Review of Literature
Statement of Research Questions and Hypotheses
Methodology
Findings
Discussion
Limitations
Recommendations for Future Research, Implications for Social Work
Conclusion
References and Appendices

Submit a 5- to 6-page research proposal

· A Research Proposal stating both a research problem and a broad research question (may be either qualitative or quantitative).

· Use a minimum of 8 of the most relevant literature resources to support the need for the study, define concepts, and define variables relevant to the question.

· Include a literature review explaining what previous research has found in relation to your problem and question.

o The literature review should also include a description of methods used by previous researchers.

· Finally, be sure to explain how your proposed study addresses a gap in existing knowledge.

Proper English with no run-on sentences is an absolute requirement!

 
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Anthropology Exam

Question 1

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Material remains help prehistoric archaeologists reconstruct

Select one:

a. human behavior

b. burial sites

c. garbage dumps

d. written records

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People are biological creatures as well as rational human beings. In order to gain a complete understanding of any aspect of human behavior, the field of anthropology adopts what strategy?

Select one:

a. four-field approach

b. ethnobiology

c. cultural evolution

d. physical anthropology

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What do we call the belief that one’s own culture or way of life is normal and natural and the practices of other people are abnormal and unnatural?

 

Select one:

a. relativism

b. ethnocentrism

c. holism

d. “walking in their shoes”

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What type of anthropologists explore all aspects of living human culture—from war and violence to love, sexuality, and child rearing—and look at the meanings that people from all over the world place on these things?

Select one:

a. cultural anthropologists

b. holistic anthropologists

c. sociolinguists

d. ethnologists

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Which discipline of anthropology studies human beings in the present and from the past through the excavation and analysis of human material artifacts?

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a. archaeology

b. cultural anthropology

c. physical anthropology

d. ethnology

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Human beings have long been migrant, moving themselves, their material goods, and even ideas from one part of the world to another. What makes this process, which is now called globalization, seem so different today than in the past?

Select one:

a. ethnocentrism

b. intensification

c. increasing migration

d. four-field approach

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When companies move their production facilities around the world to take advantage of cheaper labor and lower taxes, what is this called by anthropologists?

Select one:

a. marginal exploitation

b. labor-tax compression

c. flexible accumulation

d. technological migration

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What does an anthropologist call the type of research that compares multiple communities in order to examine links between them?

Select one:

a. multi-sited ethnography

b. globalized anthropology

c. cross-linked anthropology

d. bilocational fieldwork

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Humans learn culture from the people and cultural institutions that surround them. When does this occur?

Select one:

a. predominantly in early childhood

b. primarily in cultural institutions such as clubs and colleges

c. throughout their entire lives

d. generally from infancy through middle school

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Family gatherings that honor particular moments in our lives—weddings, special holidays, and so forth—are often sources of tension when different family members want to “change things up.” As a facet of culture and how we learn it, this reminds us that culture is a shared experience. It also reminds us that culture is:

Select one:

a. constantly contested, negotiated, and changing

b. has largely disappeared in human societies due to family tensions

c. genetically inherited

d. static in that it remains identical, consistent, and uncontested over time.

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When studying abroad, Shelby talks about the racial categories in the United States. Her new friends from Japan, Brazil, and Turkey all say her categories are incorrect. Each person has their own way of categorizing people by race. Shelby remembers from her anthropology class that racial categories are determined by:

Select one:

a. mental maps of reality

b. genetic variations between groups

c. biological differences between groups

d. cultural symbols

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Clifford Geertz (1926–2006), who urged anthropologists to explore culture primarily as a symbolic system, felt that symbols were largely responsible for meaning. This meant that symbols and their meanings required a great deal of ________.

Select one:

a. collective understanding

b. specificity

c. interpretation

d. rejection

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Which of the following is defined as the ability to create consent and agreement within a population, sometimes unconsciously, by shaping what people think is normal, natural, and possible?

Select one:

a. hegemony

b. materialism

c. consumerism

d. coercion

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Current estimates suggest that children in the United States view almost 40,000 commercials a year. All of this is accomplished by advertising, which helps us learn how to:

Select one:

a. perform well in school

b. best manage our personal finances

c. be successful consumers

d. have more friends

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Which of the following processes is intensifying the exchange and diffusion of people, ideas, and goods worldwide, creating more interaction and engagement among cultures?

Select one:

a. industrialization

b. neoliberalization

c. financialization

d. globalization

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Ifeoluwa and Grace live in different countries, practice different religions, and speak different languages. However, they both like the same clothing brands and have the same favorite TV show. Their surprising similarities demonstrate the impact of:

Select one:

a. globalization

b. stratification

c. cultural norms

d. unilinear cultural evolution

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Franz Boas is credited with developing the concept of cultural relativism. What specific perspective made cultural relativism radical at that time?

 

Select one:

a. applying an ethnocentric perspective to studying different cultures

b. viewing cultures exclusively through comparative ethnology

c. taking each culture as a variation of unilineal evolution

d. understanding each culture on its own unique merits

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What term describes ethnographers’ awareness that they should engage in critical self-examination regarding the role they play in the research process?

Select one:

a. confidentiality

b. relativity

c. reflexivity

d. polyvocality

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Two different anthropologists write about the same people at different times. The first makes detailed field notes and conducts surveys. The second does not conduct surveys, but talks to many people in the field and takes good notes. When they publish their results, the first anthropologist’s book has every single detail of the research, and the second anthropologist’s book has many of the raw interviews as part of the text. We might consider the second book to be polyvocal because:

Select one:

a. there is no actual survey data in the book.

b. it uses selective accounts of the informants to tell the whole story.

c. the voices of the informants are used to describe the ethnographer’s personal perspective.

d. it includes many voices from the people interviewed

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Imagine thousands of people, all screaming, yelling, and drinking, while a smaller group in the center area fight over the remains of a dead pig. If it were part of the research described in Horace Miner’s interpretations of Nacirema culture, this might be seen as significant in anthropological terms because it:

Select one:

a. helps to understand how ethnographic accounts are interpretations

b. demonstrates the tastes of a large population toward pork consumption.

c. illustrates mass ritual effectively.

d. affords a window into the nature of spectacle.

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An anthropologist conducts ethnographic research on the lives of undocumented immigrant families. How might the anthropologist justify publishing intimate and potentially incriminating details about the subjects?

Select one:

a. The anthropologist will violate the “do no harm” mandate unless the research is published.

b. The researcher obtained informed consent and ensured the anonymity of the subjects.

c. All of the poor must be given an equal voice, and publishing ethnographic research is the most useful way to accomplish this.

d. The anthropologist must publish the results to help stop illegal immigration.

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How would you describe the problems pertaining to the vulnerability of research subjects involved in a study of Facebook groups?

Select one:

a. The study population might be self-selecting, and therefore nonrepresentative.

b. The researcher would not be able to establish meaningful connections.

c. The participants would not have anonymity.

d. The population would not have the chance to say things in their own words.

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Increased migration has led anthropologists to conduct different types of ethnographic research, collecting data in two or more locations. What type of ethnography is this?

 

Select one:

a. multi-sited

b. public

c. reflexive

d. extensive

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Once arriving at a new site for ethnographic research, your curiosity leads you to spend large amounts of time walking through the small village complex where you live. What useful ethnographic information do you discover in doing this?

Select one:

a. who the most friendly people in the area are

b. how the history of the village developed over time

c. who in the village likes to sit around drinking at night

d. spatial awareness of where people live

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In late nineteenth-century debates on American immigration, many scholars and government officials privileged immigrants from northern Europe over those from southern Europe, such as Italians and Greeks, because the officials felt these southern people were a separate and inferior biological race with primitive ways. This is an example of genocide

Select one:

True

False

Question 26

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Anthropologists take a comprehensive approach to understanding human beings. They accomplish this task by looking at biology

Select one:

True

False

Question 27

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Cultural anthropologists like to hang out with the people they are studying and ask lots of questions as the people work, celebrate, dance, or play games. The term used for this process is “Hanging Out”, a methodology recently developed in western New York

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True

False

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Many large corporations—Walmart, General Motors, and others— routinely operate larger numbers of factories in places like China in order to take advantage of very cheap wages, putting workers in their home country out of a job. This is an example of flexible accumulation.

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Unilineal cultural evolution, inspired by the work of Charles Darwin, proposes that the diversity of human cultures represent different stages of development

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Question 30

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Franz Boas (1858–1942) rejected unilineal cultural evolution, instead suggesting that different cultures arise as the result of very different causes, and will vary widely. We call his approach unilineal cultural evolution.

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We often find ourselves seeing something as a “natural truth” and viewing any alternative as unthinkable. This an expression of human genetic differences.

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Anthropologists conducting fieldwork may experience a particular kind of disorientation from the “strangeness” they discover. This is often attributable to excessive consumption of coffee during fieldwork

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One of the typical steps taken during the planning stages of a fieldwork project is charting kinship networks

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It is essential that ethnographers map communities because mapping illuminates how use of space influences social interactions.

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Because she has been a community activist and an advocate for her research subjects, Nancy Scheper-Hughes’ work can be considered as politically engaged anthropology.

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Think about your intended career or field of interest. Describe how any two of the following anthropological frameworks or concepts can be applicable or useful in understanding aspects of work related to your career or field of interest: holism, stratification, power, hegemony, agency, emic, informed consent, polyvocality, reflexivity. Answer this question in no more than 200 words (8 points)

First of all, I think holism is important to my field of interest. My major is statistics. When I count a set of data, I will find that there are many factors that affect this set of data, and this set of data does not exist independently.

Secondly, I think reflexivity is also significant. Because in the process of data statistics, there may be some errors that we cannot find. At this time, our judgment and practical inspection may produce subversive changes to the results.

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Question 37

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You have been asked to conduct an ethnographic research on the level of adherence to COVID-19 safety protocols in your hometown. Your goal is to find out if people 1) are following the necessary recommendations, including wearing masks, socially distancing, and practicing appropriate hand hygiene, and 2) the challenges they may face in following these recommendations.

a) Describe three methods you would use to collect data for your research, explaining why you chose each method (12 points).

b) What two ethical issues would you consider in conducting your research? Explain each issue fully (6 points).

Answer this two-part question in no more than 450 words.

 

a) The first method I will choose Observations. Because this method can get a lot of data in a short time. For example, in a supermarket, I can observe whether 200 people wear masks in 30 minutes, and 50 people keep social distance and perform proper hand hygiene. Such data is true and reliable. The second method I will choose a questionnaire survey. Because this method allows me to understand the thoughts of people who follow the sanitation guidelines and those who are not allowed to look for sanitation guidelines and make general statistics. This will make me more aware and confident about my survey. The last method I will use quantitative data for data classification and comparison because quantitative data can improve the objectivity and accuracy of the results.

 

b) The first moral issue I think of is that I have to respect the behavior pattern of the observed, and I cannot let my own different ideas cause harm to others. The second ethical issue I think of is that I have to make sure that the people surveyed are voluntary and that my data is anonymous.

 
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Essay

Due 9/13/15 by midnight

 

Your Negotiation Proceedings Applied Thought Paper

 

See the below-listed Projects/Assignments Requirements and Evaluation Criteria Instructions for the Negotiation Proceedings Applied Thought Paper Preparing your paper requires careful thought. The following section outlines steps necessary in constructing an acceptable negotiation proceedings paper.

 

Getting Organized

 

The first step in preparing your paper involves deciding on a conflict or negotiation scenario (true or fiction) that you would like to be able to examine and effectively resolve.

 

Write a description of your selected scenario clearly providing context of the situation:

 

Who are the involved parties and what is your role? (e.g., are you taking on the role of a third-party mediator? Are you negotiating with another person on your own behalf?, etc.)

 

What is the conflict or negotiation about?

 

When and where did the situation occur?

 

Expound upon the process and skills you will use to effectively achieve resolution.

 

Specify the actual or projected results/outcome of your mediation/negotiation efforts.

 

The paper should concisely, yet clearly contain the information outlined above. It should be written in APA format with a Title Page and Abstract, with at least 2 sources other than the text to support your position. It should be a minimum of four (4) pages (typewritten 12 pt. font, doubled spaced, 1 inch margins). There should be a bibliography for all sources cited. Mechanics of paper will be evaluated based on grammatical correctness, including punctuation, spelling, syntax, and style. The document should be prepared using Word.

 

Criteria for Grade

 

Content of paper will be evaluated based on the extent to which there is:

 

Evidence that the above outlined instructions were followed;

Evidence of original/analytical thought; and

Clarity and a logical flow/presentation of written information.

 
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MN551 Advanced Pathophysiology Across The Lifespan Week 2 Quiz

MN551 Advanced Pathophysiology Across the Lifespan week 2 quiz

 

 

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Week 2 quiz

 

Question 1.

A 60-year-old woman is suspected of having non-Hodgkin lymphoma (NHL). Which of the following aspects of her condition would help to rule out Hodgkin lymphoma?

Her neoplasm originates in secondary lymphoid structures.

The lymph nodes involved are located in a large number of locations in the lymphatic system.

The presence of Reed-Sternberg cells has been confirmed.

The woman complains of recent debilitating fatigue.

 

Question 2.

Which of the following patients is most likely to benefit from transplantation of thymic tissue or major histocompatibility complex (MHC)-compatible bone marrow?

A 12-year-old girl with a history of epilepsy and low IgG levels secondary to phenytoin use

A 7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM

A 6-year-old boy whose pre-B cells are incapable of translation to normal B cells

A 9-year-old girl who has a diagnosis of IgA deficiency

Question 3.

A nurse practitioner is teaching her colleagues about the role of cytokines in a variety of pathologies. Which of the following teaching points best captures an aspect of the functions and nature of cytokines?

“A particular cytokine can have varied effects on different systems, a fact that limits their therapeutic use.”

“Cytokine production is constant over time, but effects are noted when serum levels cross a particular threshold.”

“Most cytokines are produced by granular leukocytes, and different cells are capable of producing the same cytokine.”

“Cytokine actions are self-limiting in that activation of one precludes activation of other cytokines with similar actions.”

 

 

Question 4.

A 29-year-old construction worker got a sliver under his fingernail four days ago. The affected finger is now reddened, painful, swollen, and warm to the touch. Which of the following hematological processes is most likely occurring in response to the infection?

Proliferation of immature neutrophils

High circulatory levels of myeloblasts

Increased segmented neutrophil production

Phagocytosis by myelocytes

Question 5.

A 40-year-old woman who experiences severe seasonal allergies has been referred by her family physician to an allergist for weekly allergy injections. The woman is confused as to why repeated exposure to substances that set off her allergies would ultimately benefit her. Which of the following phenomena best captures the rationale for allergy desensitization therapy?

Repeated exposure to offending allergens binds the basophils and mast cells that mediate the allergic response.

Exposure to allergens in large, regular quantities overwhelms the IgE antibodies that mediate the allergic response.

Repeated exposure stimulates adrenal production of epinephrine, mitigating the allergic response.

Injections of allergens simulate production of IgG, which blocks antigens from combining with IgE.

 

Question 6.

A 22-year-old female who adheres to a vegan diet has been diagnosed with iron-deficiency anemia. Which of the following components of her diagnostic blood work would be most likely to necessitate further investigation?

Decreased mean corpuscular volume (MCV)

Decreased hemoglobin and hematocrit

Microcytic, hypochromic red cells

Decreased erythropoietin levels

Question 7.

Following a course of measles, a 5-year-old girl developed scattered bruising over numerous body surfaces and was diagnosed with immune thrombocytopenic purpura (ITP). As part of her diagnostic workup, blood work was performed. Which of the following results is most likely to be considered unexpected by the health care team?

Increased thrombopoietin levels

Decreased platelet count

Normal vitamin K levels

Normal leukocyte levels

 

Question 8.

As part of his diagnostic workup, a 77-year-old man’s nurse practitioner has ordered blood work that includes ferritin levels. The man is very interested in the details of his health care and is unfamiliar with ferritin and its role. He asks his nurse practitioner to explain the significance of it and the rationale for testing it. Which of the following explanations by the nurse practitioner is most accurate?

“Ferritin is the activated and usable form of iron that your red blood cells can use to transport oxygen.”

“Ferritin is a stored form of iron that indirectly shows me whether you would benefit from iron pills.”

“Ferritin is a protein-iron complex that allows your red blood cells to make use of the iron that you consume in your diet.”

“Ferritin is the form of iron that is transported in your blood plasma to the red blood cells that need it.”

 

 

Question 9.

A 23-year-old man has received a recent diagnosis of appendicitis following 24 hours of acute abdominal pain. The nurse practitioner providing care for the man is explaining that while it is unpleasant, the inflammation of his appendix is playing a role in his body’s fight against the underlying infectious process. Which of the following teaching points should the nurse practitioner eliminate from his teaching for the patient?

“Inflammation can help to remove the body tissue cells that have been damaged by infection.”

“Inflammation will start your body on the path to growing new, healthy tissue at the site of infection.

“Inflammation helps your body to produce the right antibodies to fight the infection.”

“Inflammation ultimately aids in eliminating the initial cause of the cell injury in your appendix.”

 

Question 10.

A 2-year-old girl has had repeated ear and upper respiratory tract infections since she was born. A pediatrician has determined a diagnosis of transient hypogammaglobulinemia of infancy. What is the physiological origin of the child’s recurrent infections?

Antibody production by plasma cells is compromised because of impaired communication between B and T cells.

The child had a congenital absence of immunoglobulin G (IgG) antibodies and her body is only slowly beginning to produce them independently.

The child was born with immunoglobulin A (IgA) and immunoglobulin (IgM) antibodies, suggesting intrauterine infection.

The child lacks the antigen presenting cells integral to normal B-cell antibody production.

 

Question 11.

A 66-year-old female patient has presented to the emergency department because of several months of intermittently bloody stools that has recently become worse. The woman has since been diagnosed with a gastrointestinal bleed secondary to overuse of nonsteroidal anti-inflammatory drugs that she takes for her arthritis. The health care team would realize that which of the following situations is most likely?

The woman has depleted blood volume due to her ongoing blood loss.

She will have iron-deficiency anemia due to depletion of iron stores.

The patient will be at risk for cardiovascular collapse or shock.

She will have delayed reticulocyte release.

 

Question 12.

A 16-year-old female has been brought to her primary care nurse practitioner by her mother due to the girl’s persistent sore throat and malaise. Which of the following facts revealed in the girl’s history and examination would lead the nurse practitioner to rule out infectious mononucleosis?

The girl has a temperature of 38.1°C (100.6°F) and has enlarged lymph nodes.

Her liver and spleen are both enlarged.

Blood work reveals an increased white blood cell count.

Chest auscultation reveals crackles in her lower lung fields bilaterally.

 

Question 13.

A 30-year-old man has spent 5 hours on a cross-country flight seated next to a passenger who has been sneezing and coughing, and the man has been inhaling viral particles periodically. Which of the following situations would most likely result in the stimulation of the man’s T lymphocytes and adaptive immune system?

Presentation of a foreign antigen by a familiar immunoglobulin

Recognition of a foreign MHC molecule

Recognition of a foreign peptide bound to a self MHC molecule

Cytokine stimulation of a T lymphocyte with macrophage or dendritic cell mediation

 

Question 14.

A nurse practitioner is explaining to a 40-year-old male patient the damage that Mycobacterium tuberculosis could do to lung tissue. Which of the following phenomena would underlie the nurse practitioner’s explanation?

Tissue destruction results from neutrophil deactivation.

Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.

Macrophages are unable to digest the bacteria, resulting in immune granulomas.

Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.

 

Question 15.

A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the following pathophysiological phenomena is most responsible for his symptoms?

The Epstein-Barr virus (EBV) is lysing many of the boy’s neutrophils.

Viruses are killing some of his B cells and becoming incorporated into the genomes of others.

The EBV inhibits the maturation of white cells within his peripheral lymph nodes.

The virus responsible for mononucleosis inhibits the maturation of myeloblasts into promyelocytes.

 

Question 16.

A couple who are expecting their first child have been advised by friends to consider harvesting umbilical cord blood in order to have a future source of stem cells. The couple have approached their nurse practitioner with this request and are seeking clarification of exactly why stem cells are valuable and what they might expect to gain from harvesting them. How can the nurse practitioner best respond to the couple’s inquiry?

“Stem cells can help correct autoimmune diseases and some congenital defects.”

“Stem cells can be used to regenerate damaged organs should the need ever arise.”

“Stem cells can be used as a source of reserve cells for the entire blood production system.”

“Stem cells can help treat some cancers and anemias, but they must come from your child himself or herself.”

Question 17.

A 71-year-old male patient with a history of myocardial infarction and peripheral vascular disease has been advised by his nurse practitioner to begin taking 81 mg aspirin once daily. Which of the following statements best captures an aspect of the underlying rationale for the nurse practitioner’s suggestion?

Platelet aggregation can be precluded through inhibition of prostaglandin production by aspirin.

Aspirin helps to inhibit adenosine disphosphate (ADP) action and minimizes platelet plug formation.

Aspirin can reduce unwanted platelet adhesion by inhibiting thromboxane A2 (TXA2) synthesis.

Aspirin inhibits the conversion of fibrinogen into fibrin and consequent platelet plug formation.

 

Question 18.

A 60-year-old male patient with an acute viral infection is receiving interferon therapy. The nurse practitioner is teaching the family of the patient about the diverse actions of the treatment and the ways that it differs from other anti-infective therapies. Which of the following teaching points should the nurse practitioner exclude?

“Interferon can help your father’s unaffected cells adjacent to his infected cells produce antiviral proteins that limit the spread of the infection.”

“Interferon can help limit the replication of the virus that’s affecting your father.”

“Interferon helps your father’s body recognize infected cells more effectively.”

“Interferon can bolster your father’s immune system by stimulating natural killer cells that attack viruses.”

 
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