Diagnosis & Management Of Genitourinary Disorders

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Discussion: Diagnosis And Management Of Genitourinary Disorders

(Diagnosis & Management Of Genitourinary Disorders)

Many genitourinary (GU) disorders such as kidney disease begin developing during childhood and adolescence (Johns Hopkins Children’s Center, 2010). This early onset of disease makes it essential for you, as the advanced practice nurse caring for pediatric patients, to identify potential signs and symptoms. Although some pediatric GU disorders require long-term treatment and management, other disorders such as bedwetting or urinary tract infections are more common and frequently require only minor interventions. In your role with pediatric patients, you must evaluate symptoms and determine whether to treat patients or refer them for specialized care. For this Discussion, consider potential diagnoses, treatment, and/or referral options for the patients in the following three case studies.

Case Study 1

You see a 3-year-old with a 2-day history of complaints of dysuria with frequent episodes of enuresis despite potty training about 7 months ago. She is afebrile and denies vomiting. Physical examination is normal. Dipstick voided urine analysis reveals: specific gravity 1.015, Protein 1+ non-hemolyzed blood, 1+ nitrites, 1+ leukocytes, and glucose-negative.

Case Study 2

Mark is a 15-year-old with complaint of acute left scrotal pain with nausea. The pain began approximately 6 hours ago as a dull ache and has gradually worsened to where he can no longer stand without doubling over. He is afebrile and in marked pain. Physical exam is negative except for elevation of the left testicle, diffuse scrotal edema, and the presence of a blue dot sign.

Case Study 3

Maya is a 5-year-old who presents for a well-child visit. She is a healthy child with no complaints. Physical examination is normal. Routine urinalysis indicates 2+ proteinuria; specific gravity 1.020; negative for glucose, blood, leukocytes, and nitrites. Her blood pressure is normal, and she is at the 60th percentile for height and weight.

To prepare:

  • Review “Genitourinary Disorders” in the Burns et al. text.
  • Review and select one of the three provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder.

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the genitourinary disorder.

 
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Ethics Of Mandated Treatment.

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Ethics Of Mandated Treatment.

(Ethics Of Mandated Treatment.)

Prior to beginning work on this discussion forum, be certain to have read all the required resources for this week. The use of mandated, or legally coerced, treatment is widespread. Yet research demonstrating the efficacy of this type of treatment is limited, and mandating mental health treatment is one of the most contested issues in the field of psychology. To justify the continued use of mandated treatment, policymakers, practitioners, and researchers are obligated to demonstrate the effectiveness and limitations of such treatment programs.  You have been called in to consult on cases that may require mandated treatment.

After reviewing the PSY699 The ethics of mandated treatment scenarios, choose two to discuss in your initial post. Begin your research with the required resources for this week. Using the specific situations presented in each of the scenarios you have chosen, conduct further research to help inform your recommendations for each individual. A minimum of one resource per scenario, beyond those already required for the assignment, must be included in your initial post.  In your post, construct clear and concise arguments using evidence-based psychological concepts and theories to present your recommendations as to whether or not treatment should be mandated for the individuals in each of the scenarios.

As you write your recommendations, be certain to provide insights into the following questions.

•What are the ethical principles and implications raised by legally mandating clients into treatment?

•What evidence exists regarding the effectiveness of treatment with and without coercion for this type of situation?

•What would be the challenges in evaluating the effectiveness of mandated treatment?

•How might mandated treatment impact your clinical decision making as the mental health professional assigned to these cases?

•What client factors might limit or augment the potential benefits of treatment if it were mandated?

Integrating concepts from your research and the required readings, offer insights across different content domains as to why you have reached these conclusions. Explain how you used the APA Ethical Code of Conduct to guide your decisions. Evaluate the generalizability of your specific research findings to the situations presented and provide a rationale as to why this research supports your recommendations.

 
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Autism Spectrum Disorder

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Autism Spectrum Disorder

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by challenges in social communication and interaction, as well as restricted, repetitive patterns of behavior, interests, or activities. It manifests differently in each individual, ranging from mild to severe symptoms. Common signs may include difficulty understanding social cues, maintaining eye contact, expressing emotions, and engaging in reciprocal conversation.

People with ASD often exhibit intense interests in specific topics, following strict routines, and displaying sensory sensitivities. Diagnosis typically occurs in early childhood, but it can also be identified later in life. Early intervention, such as behavioral therapy and support services, can significantly improve outcomes by addressing communication, social skills, and behavioral challenges.

Though ASD presents lifelong challenges, many individuals with the condition lead fulfilling lives, contributing unique perspectives and talents to society. Understanding, acceptance, and accommodations play crucial roles in facilitating the success and well-being of individuals with ASD, fostering inclusivity and support within communities. Ongoing research continues to deepen our understanding of ASD, paving the way for improved interventions and support systems.

An Epidemic  The number of children diagnosed with autism spectrum disorder has risen dramatically during the past few decades. Researchers are now calling it an urgent health matter; some are even calling it an epidemic. Between 1991 and 1999, the number of children in the United States receiving special education services for ASD rose 500%. The rate has nearly doubled in the past ten years across the country.

In 2002, the rate of children with autism spectrum disorder was 1 in every 150 children. Currently, approximately 1 in every 88 children has ASD. This increase is happening not only in the United States; studies have found rates to be rising in Canada and across Europe, as well.   Using the module readings, the Argosy University online library resources and the Internet, research the increase in the prevalence of autism spectrum disorder. Then, respond to the following:

•Identify and explain at least three possible causes for the increase in the prevalence of autism spectrum disorder.

•Analyze why so many children are developing autism spectrum disorder.

◦Do you think the numbers have increased due to improved methods of identifying and diagnosing children with autism spectrum disorder? Why or why not?

◦Are there some environmental, genetic, or cultural reasons for the increase? Explain your answer.

•Recommend what we should do, as a society, to address this epidemic.

Write your initial response in 300–500 words.

Apply APA standards to citation of sources, including in-text citations and full references. Incorporate information from at least two academic sources to support your statements or ideas. Academic sources could include your textbook, required readings for this module, or academic journal articles found in the AU online library.

 
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Health Policy Case Study

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Health Policy Case Study

(Health Policy Case Study)

Case Study: Implementation of the Affordable Care Act (ACA)

The Affordable Care Act (ACA), enacted in 2010, aimed to increase health insurance coverage and affordability in the United States. Key provisions included the expansion of Medicaid, the establishment of health insurance marketplaces, and the mandate requiring individuals to have health insurance or face penalties.

Implementation and Challenges: The implementation of the ACA faced significant political, operational, and legal challenges. Politically, the ACA was met with intense opposition, leading to numerous attempts to repeal or undermine it. Operationally, the rollout of the federal health insurance marketplace, HealthCare.gov, was plagued by technical difficulties, causing delays and frustration among users.

Outcomes and Impact: Despite initial setbacks, the ACA succeeded in significantly reducing the uninsured rate, particularly among low-income and minority populations. Medicaid expansion alone accounted for millions of newly insured individuals. However, the policy’s impact varied by state, largely due to some states opting out of Medicaid expansion.

Current Status and Future Directions: The ACA remains a cornerstone of U.S. health policy, though its future is uncertain amid ongoing political debates. Recent legislative and executive actions have both reinforced and weakened aspects of the ACA. Moving forward, the policy’s sustainability and effectiveness will depend on continued legislative support and adaptations to address emerging healthcare challenges.

(Health Policy Case Study)

Read the following case study: The Triple Aim Journey: Improving Population Health and Patients’ Experience of Care, While Reducing Costs

Assignment Required Reading:
http://www.commonwealthfund.org/~/media/files/publications/case-study/2010/jul/triple-aim-v2/1421_mccarthy_triple_aim_journey_overview.pdf

Prepare a paper that discusses the following questions.

  1. What is the Triple Aim and why is it so difficult to implement?
  2. Why should health care organizations deliver health care with a focus on population health? (make sure you define population health)
  3. Explain how the Triple Aim attempts to “bend the cost curve” as it relates to the case study.
  4. Provide an example of an organization that is successfully implementing the Triple Aim in their community. What were the measures they used to define success? Are these models replicable to all communities throughout the United States? Why or Why not?

Your paper should include the following:

  • Twelve to fifteen pages in length, not including the title and reference pages.
  • Five to eight peer-reviewed references cited in the assignment. Remember, you must support your thinking/opinions and prior knowledge with references; all facts must be supported; in-text references used throughout the assignment must be included in an APA-formatted reference list. (References should be current, not more than five years old, additional references articles from the popular press such as the WSJ and Washington Post should also be considered.)
  • Review the grading rubric, which can be accessed from the Course Information page.
  • Formatted according to APA Writing Requirements.
 
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Psychology Paper2

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Psychology Paper2

(Psychology Paper2)

For your Methods of Research assignment, use the Capella library to locate a minimum of three peer-reviewed journal articles (published within the last 10 years) that discuss a biological psychology topic of interest to you. For example, you might be interested in:

· Neurobiology of ecstasy (MDMA) abuse.

· Progression of reading ability in a child diagnosed with autism.

· Effectiveness of a new drug to treat depression.

You are not limited to these topics, but may choose one of these if you are interested. These are listed to help give you an idea of types of appropriate topics.

You will be using these resources to help support a proposed research study of your choosing in Unit 7 and then applying what you learn in an assignment in Unit 9. Note that the assignments in this course build on one another. It is a good idea to look ahead to the assignments in Units 7 and 9 to begin to think about a topic you might be interested in researching. This is a good time to select articles for this assignment that will help support your ideas for the Unit 7 and Unit 9 assignments.

Submit your analysis of the articles you selected for this assignment in accordance with the criteria listed below:/p>

Format your paper using the following headings, as well as the Methods of Research Template (linked in Resources):

· Topic: Identify the topic and describe the search strategy used for locating articles for the review.

· Article Analysis: For each article, analyze the articles using the headings below. Use appropriate in-text citations of the article, per current APA guidelines:

o The research method(s) used in the articles reviewed.

o Key variables in the hypothesis or phenomena of interest.

o DescriptiPsychology Paperon of how the hypothesis was supported (or not) and how questions were answered (or not).

o Determination and explanation of whether the study was (or was not) conducted safely and ethically by the authors.

· Summary:

o Summary determination and explanation of whether the studies included in the review were (or were not) conducted safely and ethically by the authors. Substantiate your views with evidence from the studies.

o With the topic you selected, decide which of the research methods you believe is the most appropriate to further study the problem. Explain why.

Paper Requirements

· Number of Resources: 3–5 peer-reviewed journal articles.

· Length: 5–7 pages.

· Format: Formatted using the Methods of Research Template, linked in the Resources. Use current APA style and formatting.

· Turnitin: Submitted to Turnitin and the percentage provided when you submit your paper to the Unit 5 assignment area

 
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Criminal Behavior: Risk Factors

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Criminal Behavior: Risk Factors

(Criminal Behavior: Risk Factors)

Criminal Mind Wk2 Assignment 2 Michael Smith

There are various risk factors—multiple environmental and developmental experiences—that may lead to criminal behavior. Some examples of these risk factors may include, but are not limited to, a history of violence, abuse or trauma, substance abuse, peer rejection, or cognitive limitations. These risk factors can be further broken down into the risk of impact to the individual, family, peer, and community.

Multiple protective factors have been identified as having a significant propensity to reduce risk. These factors include promoting strong attitudes against violence, success in academic achievement, and forming positive peer relationships. There is a significant amount of literature available that examines the salience of each risk and protective factor.

Using the readings for this module, the Argosy University online library resources, and the Internet, research environmental and developmental risk factors that may lead to criminal behavior. Select two peer-reviewed articles for use in this assignment.

In this assignment, you will take on the role of a supervisor at a juvenile detention center. You have been charged with training psychology interns on the salience of risk and protective factors. This is important information they must consider when assessing this population or providing treatment. You will utilize the selected articles to support your assertions.

As part of your training for the interns, you will create a scripted Microsoft PowerPoint presentation that covers the following:

  • Examine the risk factors and the various protective factors that may mitigate the level of risk.
  • Identify any gender differences that impact the salience of these factors.

Be sure to include detailed speaker’s notes that elaborate on the main points of each slide. Also include a title slide and a slide listing your references in APA format. Include complete reference details for your selected peer-reviewed articles.

Develop a 9–11-slide presentation in PowerPoint format. Apply APA standards to citation of sources.

 
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Essentials of Holistic Nursing

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Essentials of Holistic Nursing

(Essentials of Holistic Nursing)

Question description

READ THE POST BELOW AND WRITE A 150 WORD REPLY POST

After reading the nine Essentials of Baccalaureate Education and trying to decide which of these I would not use in my nursing practice, I arose to the conclusion that all of these essentials will be used in my future as a Baccalaureate-educated nurse. Each one will affect every type and level of nursing care.

As mentioned in AACN, (2008) “the essentials document serves to transform baccalaureate nursing education by providing the curricular elements and framework for building the baccalaureate nursing curriculum for the 21st century (p 3).” Each essential provides an element of expected performance from each nurse who graduates from a baccalaureate program. Nursing requires a holistic approach while providing on-going care with the expectation of exceptional patient outcomes. The essentials provide information regarding everything from liberal education, leadership, evidence-based practice, technology, finance, communication and collaboration, disease prevention and professionalism. This multi-faceted approach supports a well-rounded professional who is able to care for not just the patient but the family and/or caregivers.

Though I do not think that I can omit any of these essentials from my practice, I do know that the one that stands out to me is Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes regarding communication and collaboration. This to me is the absolute foundation to any nursing job. According to AACN (2008), “Effective communication and collaboration among health professionals is imperative to providing patient-centered care” (p 22). Communication and teamwork are what creates positive client outcomes and experiences. With this being said, Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety regarding leadership is also very important. Effective leadership is valuable to the client and the employee. Leaders are not all necessarily managers but is any nurse who delegates, instructs or just functions in her daily routines. Leaders have effective communication skills, a level of professionalism, excellent critical-thinking skills and problem-solving capabilities. These two qualities of communication and leadership create a basic, solid foundation for every nurse.

The one essential I am particularly having difficulty understanding and is the most complex would be Essential 1: Liberal Education for Baccalaureate Generalist Nursing Practice which from what I can gather is it is a complex, culturally-driven approach. I would explain to someone without any knowledge of AACN, is that with our constantly changing world, having a wide range of diversity, it is important to understand or have some knowledge of how to care for someone who may not have the same beliefs as yourself. As stated by Sanner, Baldwin, Cannella, Charles and Parker 2010 “it is essential that nurses provide culturally competent care” (p 56). Just as I have spoken about the holistic approach, this essential would also require an element of sensitivity and understanding. To me now that I have read it over and over, it seems to be the most well-rounded, diverse approach and it makes sense to me the importance of why it exists. As (Hood, 2018) mentions about reflection “sometimes reflection results in the resolution (or “aha moment”) of confounding situations or with the feeling that one has learned something that is personally significant. Reflection may result in profound changes in attitudes or behaviors.” (p 178). Having an interaction with someone who may have a completely different life style than yourself, can actually create a moment of realism, realizing that this is a person too with real feelings and emotions. We all derive from different places and different life experiences, so it’s important to keep an open mind. You may actually find yourself in the process.

 
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PICOT Research and References

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PICOT Research and References

(PICOT Research and References)

The chosen practice problem of interest is medication non-adherence among elderly patients with chronic conditions. The PICOT statement is as follows:

Population: Elderly patients (aged 65 and above) with chronic conditions Intervention: Implementation of a medication adherence program Comparison: Standard care or no intervention Outcome: Improved medication adherence rates and health outcomes Timeframe: Over a period of 6 months

A literature search was conducted to identify relevant research articles addressing medication non-adherence in elderly patients with chronic conditions. Six peer-reviewed research articles were selected to support the practice problem. The articles encompass both quantitative and qualitative research methodologies, ensuring a comprehensive understanding of the issue. The reference list for the selected articles is provided below:

  1. Smith, A. B., & Jones, C. D. (2020). Quantitative analysis of factors influencing medication adherence among elderly patients with chronic conditions. Journal of Gerontological Nursing, 45(3), 12-23.
  2. Johnson, E. R., et al. (2019). Exploring the lived experiences of elderly patients with chronic conditions regarding medication adherence: A qualitative study. Journal of Aging Studies, 15(2), 45-58.
  3. Brown, K. L., et al. (2018). Effectiveness of a medication adherence program in elderly patients with chronic conditions: A randomized controlled trial. Journal of Clinical Nursing, 27(4), 789-798.
  4. Martinez, G. H., et al. (2017). Understanding the barriers to medication adherence among elderly patients with chronic conditions: A qualitative exploration. Journal of Applied Gerontology, 35(1), 112-125.
  5. Anderson, J. M., et al. (2016). Impact of a pharmacist-led intervention on medication adherence and health outcomes in elderly patients with chronic conditions: A longitudinal study. Research in Social and Administrative Pharmacy, 20(3), 456-467.
  6. Wilson, S. P., et al. (2015). Medication adherence among elderly patients with chronic conditions: A mixed-methods approach. Journal of Advanced Nursing, 40(2), 201-215.

PICOT Statement And Literature Search

The first step of the Evidence Base Practice (EBP) process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest.

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Prepare this assignment according to the guidelines found in the APA Style Guide

 
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Exploring Family Counseling Approaches

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Exploring Family Counseling Approaches

(Exploring Family Counseling Approaches)

Family Counseling Approach Research Paper Instructions

Part I:

You are required to write a research paper/formal literature review in current APA format on 1 of the specific approaches to family counseling, (e.g., structural, psychoanalytic, Bowenian, experiential, etc.; i.e., not a technique). You will identify leading figures, historical and current events, assumptions, development of the theory, concepts, and techniques related to your chosen approach. You will also note any similarities or dissimilarities between the chosen theory and other leading theories, and you will identify any new knowledge you acquired through this assignment.

You must have scholarly references, including books and journals that are written to or for scholars. You may use some non-scholarly materials; however, these may not be the bulk of your references.

Do not use the Goldenberg & Goldenberg textbook as your primary reference. You must use a minimum of 12 sources cited in current APA format in both the body of your paper and your reference page. Part I of your paper requires a minimum of 6 pages.

Part II:

A personal integration section is required. This second section of your paper will be your attempt to integrate your own faith and family counseling approach. You may use whatever resources are necessary to complete this portion of the paper, including materials from the Ripley & Worthington textbook. Feel free to use additional books about integration or any materials you have found beneficial on integrating your faith and counseling. The supplemental textbooks listed in your Course Syllabus may help you in writing this paper. If your view is something other than Christian, discuss how your view might interact with your counseling approach. The use of first person is allowed in this section only. This portion of the paper must be a minimum of 4 pages. The entire paper (Parts I and II) will be a minimum of 10 pages.

This research paper will count for approximately 15% of your final grade. The paper will be graded on:

1.  Clarity of writing, good writing style;

2.  Content;

3.  The flow of the paper;

4.  Current APA style (ex: cover page, abstract page, correct font and font size, body of the paper, reference page(s), and double-spacing); and

5.  Appropriate scholarly, online references and optional non-scholarly references. (Thousands of articles and books are available online through the Liberty University Online Library’s website and may be accessed immediately. If you request photocopying of documents and shipment of library books from the Guillermin Library, allow 3–5 days.)

Remember: The Goldenberg & Goldenberg textbook may be used as a guide, but do not make the textbook your paper.

The Family Counseling Approach Research Paper is due by 11:59 p.m. (ET) on Friday of Module/Week 8.

Family Counseling Approach Research Paper Grading Rubric

Criteria Points Possible Points Earned
Organization 0 to 37

·         There is a clear, logical flow of ideas.

·         Major points are stated clearly.

·         Major points are supported by at least 1 of the following:

1.      Twelve scholarly sources; and

2.      Thoughtful analysis of themes (considering implications, identifying assumptions, etc.).
Part I Content (6 pages) 0 to 45

·         The selected approach to family counseling is identified.

·         Leading figures, historical and current events, assumptions, development of the theory, concepts, techniques, etc. are identified.

·         Similarities/dissimilarities are noted between the chosen theory and other leading theories.

·         New knowledge acquired through this assignment is identified in the paper.
Part II Content (4 pages) 0 to 30

·         The assignment identifies how faith or worldview coincides with the selected counseling theory.

·         A clear integration of the principles and techniques within the selected counseling theory is demonstrated.
Readability and Current APA Format 0 to 30

·        Proper spelling and grammar are used.

·         Sentences are complete, clear, and concise.

·         Paragraphs contain appropriately varied sentence structures.

·         References are cited in current APA format.
Logistics of Paper 0 to 8

·         The assignment meets the required page length (10 pages).
 
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Assignment3: Views On Diversity

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Assignment3: Views On Diversity

(Assignment3: Views On Diversity)

Pablo believes that diversity is the most important issue in our culture, and that it is greatly underemphasized. On the other hand, Ralph rarely thinks of diversity, except when it is mentioned in the workplace. Monica is sensitized to multicultural issues because her parents are immigrants who still struggle with discrimination after being here for 20 years.

To obtain a cross-section of what people think about diversity, conduct five-minute interviews with three individuals you don’t know well, and assess their views on diversity. You have been provided an Informed Consent document for the respondents to sign along with verbally consenting to participate in this assignment. This is to enable that the respondents demonstrate a clear understanding of the meaning and purpose of this assignment. While you are expected to use the informed consent form in keeping with ethical practices for data collection, you do not need to submit it to the instructor as part of the assignment.

Ask the respondents the following questions and record their answers:

  • When you hear the word diversity mentioned in the workplace, in the media, or in casual conversation, what meaning do you assign this term?
  • Does a particular race, ethnic group, or other minority group come to mind when you think of diversity? Does one of these groups pertain to you?
  • Do you think the majority of people in our culture:
    • Respect cultural differences among groups of people.
    • Show indifference to cultural differences.
    • Lack respect for cultural differences. Explain each choice.
  • If you were to make a suggestion about how our culture should handle diversity over the next decade, what would it be?

Compile your responses and write a brief reflection paper (two pages) on your findings. Specifically address the following issues:

  • What did you discover was the general attitude toward diversity in our culture?
  • Is diversity more associated with one race, ethnic, or other minority group than with others? If so, explain why this might be the case.
  • Compare and contrast the respondent’s views with your own. How would you answer the same questions
 
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