Write an essay in regards to Evolution of the divorce rate in U.S in the last 70 years.

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?
In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.
Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.
· Based on the scenarios provided:
o Select one scenario, and reflect on the material presented throughout this course.
o What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
o Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.
Write a detailed two-pages narrative explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.
Rome and Romanization This assignment gives you the opportunity to practice determining the purpose and function of artifacts in order to create your interpretation of a specific historical development—Romanization. Discuss the impact of the process of Romanization on the Roman world. Identify at least two examples of cultural structures that were patterned across Roman-conquered cities. Cultural structures can include physical features of Roman-ruled cities, practices, policies, ideas, or any artifact that was used to shape the conquered religions. Discuss how these structures impacted daily life, which may include politics, economics, or social roles. Describe how and with what intent these events were “memorialized” or used in the cultural arena. Step 1: Choose two appropriate sources. At least one source must come from the CSU Online Library. The Academic Search Complete and eBook Academic Collection databases in the CSU Online Library would be good places to start your search. If you need additional help with using or locating information in the online library, there are library video tutorials available on the main page of the online library under the heading “Research Guides.” Resources from outside of the library should be credible and peer-reviewed and cannot include Wikipedia, Biography.com, History.com, any type of message board, or other similar encyclopedias. Step 2: Complete your research. Choose one interesting development that illustrates the main point that you want to make about your chosen physical structures, practices, or ideas. Gather details about your choice. For example, what types of buildings were first introduced in Rome, and why were they purposely replicated in other, smaller cities? Step 3: Draw conclusions from the details you found, and prepare your thesis. A thesis is prepared after you have completed your research and gathered enough information about the chosen structures. You should sit back to think about what it means to see the influence on culture. Your thesis statement should offer your reader the overall insight into the use and impact of the structure on Roman development. Use the following guidelines to help decide on your thesis. Ask yourself about how the cultural element (idea, practice, or structure) was shaped by its time period and environment. Ask yourself how the structure impacted the lives of the people around it, the general public, and the immediately following period in the history of Rome. Find the perfect specific example to demonstrate the qualities of the structure you would most like to show. Step 4: Write your essay. Your essay must be at least 500 words in length. All sources must be referenced and cited according to APA guidelines. Be sure to consider the following guidelines in your essay. The introduction should engage the reader and clearly present the essay’s thesis and summarize the main points that clarify your point of view. The last sentence of the introductory paragraph should be your specific thesis. Organization should clearly present points arranged to illustrate your opening thesis. Paragraph order and organization should clearly present points arranged to illustrate your opening thesis rather than to narrate the chronological story. Writing should be clear and concise with no spelling, grammatical, or punctuation errors. The number of sources should meet or exceed any expressed assignment requirements, and the sources should be peer-reviewed or academic in nature. At least one source must be from the CSU Online Library. APA guidelines should be used for reference entries and in-text citations. If you need assistance with writing or formatting your essay, there are additional tutorials and webinars available in the myCSU Student Portal through the Writing Center. All other questions should be directed toward your professor.
Appraise the efficiency of primary, secondary, and tertiary care in the U.S. healthcare delivery system.
You are the newly appointed director of the Center for Medicare and Medicaid Services (CMS). With healthcare costs continuing to soar, the Medicare Modernization Act (MMA) rollout and Medicare Prescription Drug Improvement Plan in place, and the possible changes of the Affordable Care Act in progress, you are confronted with potential increases in payments for Medicare and Medicaid programs.
You are trying to understand how to best prepare the agency for the changes so that the efficiency of healthcare delivery is not compromised. As a courtesy, the Director for the Administration on Aging continues to send you data about the predicted rise in the number of older people and those with disabilities. Data is also sent on the forecasted needs of such persons for comprehensive care, not just acute care.
Create a trends forecast outlining the possible changes (trends) that may affect efficiency and delivery in primary, secondary, and tertiary care in the U.S. healthcare delivery system over the next 10 years.
The trends forecast should be in the form of a report used by such agencies as CMS, OIG, DHHS and include a Table of Contents, Introduction/Background, Appendices (if applicable), Executive Summary, Charts/Graphs (if applicable), and References. Be sure to include at least 5 references (e.g., government websites or scholarly articles) and cite your sources using APA format. Your trends forecast should include (at a minimum, but not limited to) the criteria below:
Competency
Develop strategies for training and mentoring future leaders in early childhood education.
Scenario
You are a teacher at All Kids Childcare and Education. You have been a teacher at this center for over five years. In that time, you have seen the program grow from 55 children to over 200. This has caused some growing pains for the center. The center has suffered high staff turnover in recent years, but you have stayed with the center because you know that stability is best for children. The director is thinking of retiring soon, and she has decided to find a replacement from within the center. You know that you would like to be a future leader for the child care program and asked for more information. The director has decided that any teacher who wants to apply for the director’s job must create a chart showing their leadership skills. You believe that you have some great leadership and advocacy skills.
Instructions
First, review what it means to be a leader, the challenges a leader might face, and what leadership development entails. Create a one-page cover letter explaining to the director why you would be a good leader of the child care program. Use early childhood terminology to explain your vision. Use examples of your leadership work with children, parents, or in the community.
Second, create a two-column chart for the director similar to the example shown below. The first column should state each leadership skill you possess. The second column will describe the skill, and provide an example of that skill being used in early childhood education. You need to have at least ten leadership skills and descriptions to present to the director.
Select an infectious disease and conduct an Internet search. Write a narrative of what you learned about the disease and ways that you can prevent the contraction of the disease.
Additionally, express what this scripture means to you in light of this topic: “This will bring health to your body and nourishment to your bones.” Proverbs 3:8 NIV
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Assignment 1: Stock Investment Analysis
Due Week 5 and worth 210 points
Review the investment information for the Fidelity Large Cap Stock Fund (FLCSX) at http://fundresearch.fidelity.com/mutual-funds/summary/315912402.
Write a four to five (4-5) page paper in which you:
Throughout this module you have explored many different federal funding opportunities. Now, you will take a deeper look at some of these programs and their implications.
Use your knowledge to consider not only the impact of the funding but also what you think the programs should do in the future to remain successful.
For this assignment: