In addition, what steps and actions might be taken by these communities to prepare for such events in a proactive and effective manner?

Assignment Instructions Develop a 4-5 page essay that fully responds to the following prompt: Prompt: The Department of Homeland Security’s 2014 Quadrennial Homeland Security Review identifies six strategic challenges (found on page 28 of this document) that it believes will drive risks facing the nation over the next several years. Explain the process used by local communities (counties or cities) in determining which of these threats pose the greatest risks to their respective communities, and how these communities prioritize their resources in attempting to prevent or mitigate these threats. In addition, what steps and actions might be taken by these communities to prepare for such events in a proactive and effective manner? https://www.dhs.gov/sites/default/files/publications/2014-qhsr-final-508.pdf (Note: The six strategic challenges are: The terrorist threat, cyber threats, biological concerns, nuclear terrorism, transnational criminal organizations and natural hazards.

What information would you need from Erica’s mothers relative to family, Erica’s current and past functioning, and the rationale for needing inpatient psychiatric treatment rather than outpatient treatment at this time?

Erica Daniels-Dottir is a 13-year-old Caucasian female who was admitted today to an inpatient adolescent psychiatric unit for suicidal ideation and reports of severe depression. She has no other significant medical problems. You are at a meeting with Erica and her mothers, Sally Daniels and Thea Sindridottir. Erica has had severe mood swings, irritability, and dangerous and impulsive behavior. This is her third suicide attempt in the past two months. Questions From your perspective as Erica’s psychiatric nurse practitioner, answer the following questions in a two- page double-spaced paper (not including the reference and tittle page) and in APA format. Include at least three peer-reviewed, evidence-based references. 1-You are assigned to complete a psychiatric evaluation on Erica. Identify the clinical presentation and symptoms you would expect to see if you were to make a diagnosis of Major Depression. 2-What lab tests would you order? Discuss the rationale for each test. 3-Erica’s mothers want to know how their daughter could be depressed enough to require psychiatric hospitalization. What information would you need from Erica’s mothers relative to family, Erica’s current and past functioning, and the rationale for needing inpatient psychiatric treatment rather than outpatient treatment at this time? 4-Erica’s mothers tell you they do not want to medicate her. How do you discuss medication treatment with parents of teenagers and of younger patients? How young is too young? At what age do you consider the child’s opinion? (Optional: Imagine Sally and Thea are divorced, and one of them wants medications and the other does not. How do you mediate that conversation?) 5-Identify pharmacological and non-pharmacological interventions you might recommend. Include a specific recommendation of a psychotropic medication (include starting dose and side effects to monitor). Provide the rationale for these recommendations. Identify how the drug you select is metabolized and its mechanism of action. 6-How would you know when Erica would be ready for a safe discharge relative to symptom presentation and functioning? What are the potential complications if these symptoms are not well managed?

Create a 500-750-word essay depicting the evolution of democracy from the time of President Jefferson to President Jackson.

Create a 500-750-word essay depicting the evolution of democracy from the time of President Jefferson to President Jackson. Be sure to include the following: How was the form of the American Republic different under Jackson than it was under Jefferson? What caused these changes? Why were these changes significant to the future development of the American Republic?

Describe Involuntary Commitment.

Alejandro Escobar-Vega arrives for his next appointment. Just as you invite him back to your office, his wife Daniella rushes into the waiting room. “Alejandro!” she calls out. “I told you I needed to come to this appointment with you.” Alejandro drops his shoulders but does not verbally protest when Dani joins you walking back to your office. Once the door is closed, Dani jumps right in. “Look, I’m really worried. You know he’s been really depressed and it’s not getting any better. He recently bought a .45 and it’s in his bedside drawer. And that’s just the start. He’s been spendin’ left and right. There’s deliveries every day. And we can’t afford it.” Dani looks at Alejandro who starts to open his mouth to protest. “I saw them receipts for that fancy recliner, Alejandro, don’t you deny it. I’ve tried to talk to him, but he just gets real angry when I bring it up,” says Dani. “Dani, I know you wanted to get rid a my huntin’ guns after I got out of the hospital but I…I gotta keep us all safe. That’s what the .45 is for. And the recliner and the sofa and Dario’s new bed? Don’t worry, I’ll have a new job next week that pays even better. I promise you!” Alejandro’s affect becomes agitated. “I don’t think that’s possible. You worked for the city and it’s not like there’s another city right here. I don’t want to move!” She takes a deep breath. “I think all the guns should be locked up and I get the key, or they get taken to Tio Pedro’s house.” “Come on, Dani. I don’t want to have to ask for my stuff if I want to go hunting. Don’t treat me like a child.” Alejandro speaks in a condescending manner. After some more conversation, you ask Dani to leave so that you can talk to Alejandro alone. The purchase of the .45 concerns you and you ask Alejandro about suicide in more than one way. He continuously avoids answering the direct question of whether he is considering suicide. You realize you may have misdiagnosed Alejandro with just depression, when he might have bipolar and may be on the wrong medications. You think that Alejandro should be hospitalized immediately. He refuses voluntary hospitalization because of his current situation. You determine that you must involuntarily commit Alejandro for his own safety. How do you explain this to Alejandro? 1-FIRST I NEED AN EXPLANATION TO EXPLAIN THIS TO ALEJANDRO, THEN I ( MYSELF ) WILL Create a two- to three-minute video explaining this to Alejandro. 2-SECOND – How do you address Dani in addition to Alejandro? 3- THIRD-find and fill out your state’s involuntary commitment form. include the link to the form.. JUST INCLUDE THE FORM: IM IN THE STATE ON FLORIDA