Read and watch the lecture resources & materials below early in the week to you respond to the discussion questions and to complete your assignment(s).

Read and watch the lecture resources & materials below early in the week to you respond to the discussion questions and to complete your assignment(s). QUESTION What strategies might a professional nurse use in his/her work environment to advocate for implementation of nursing theory as a framework for quality practice? This question is together with the audio. Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. All replies must be constructive and use literature where possible. Your assignment will be graded according to the grading rubric.

Organize and develop a 750-850-word essay on “Checking Out,” a short story by Chimamanda Ngozi Adichie. The story is attached below. This story can be

Organize and develop a 750-850-word essay on “Checking Out,” a short story by Chimamanda Ngozi Adichie.  The story is attached below.  This story can be found on page 1250 of the volume of .  Do not write a paper that is longer than 850 words. 1. Argue the events in this story justify undocumented immigration or not. You need to choose one side over the other, but you must not neglect evidence in favor of the opposition. Instead, you need to supply clear and logical reasons for why you believe your position adequately counters the other argument. In making your argument, you must include specific examples throughout the story. Quote from the story to support your argument (as well as when you must counter your own argument). Do not put your name on the paper itself. Provide a title page with your name, the date, and the class (English 202 A). Number the pages of the text of your paper in the upper right-hand corner. The title page does not have a number; it is a prefatory page. In your introduction, include, as the last sentence of your introduction, your thesis in which you state your opinion. Do NOT, however, engage into a political discussion of undocumented immigration outside the bounds of this story. Use MLA internal documentation to indicate the page in our text where each quotation comes from. End your paper with a conclusion, but do not simply restate your thesis.

The final portfolio project is a three- part activity. You will respond to three separate prompts but prepare your paper as one research paper. Be

The final portfolio project is a three- part activity. You will respond to three separate prompts but prepare your paper as one research paper. Be sure to include at least one UC library source per prompt, in addition to your textbook (which means you’ll have at least 4 sources cited). Start your paper with an introductory paragraph.Prompt 1 “Blockchain” (2-3 pages): Explain the major components of blockchain. Be sure to include how blockchain is affecting a global economy and how you see it growing in the future. Prompt 2 “Big Data” (1-2 pages): Describe your understanding of big data and give an example of how you’ve seen big data used either personally or professionally. In your view, what demands is big data placing on organizations and data management technology?  How does big data affect a global economy.Prompt 3 “Government and Policies” (1-2 pages):  Discuss the role government plays in a global economy.  Also, look at what policies are currently in place and then discussion what policies should be put in place..Conclude your paper with a detailed conclusion section. The paper needs to be approximately six to eight pages long, including both a title page and a references page (for a total of eight to ten pages). Be sure to use proper APA formatting and citations to avoid plagiarism.Your paper should meet these requirements:

No plagiarism or poor quality acceptable The essays should be approximately two pages in length, single spaced, and 12 point font. Make sure the title

No plagiarism or poor quality acceptable The essays should be approximately two pages in length, single spaced, and 12 point font. Make sure the title of your essay clearly refers to the specific question you’re addressing. In writing the essay make sure you have a clear introduction, main body paragraphs, and a conclusion. Make sure that you support all main points with specific examples. You should look at the General Guidelines for Papers to ensure that you’re writing the best essay possible. Choose one of the following questions to answer: -By the nineteenth century, women were expected to conform to an idealized gender role. Despite the predominate expectations, women still managed to break through these restrictions and make an impact upon American society. In what ways did women challenge the “Cult of domesticity” and act as agents of social reform throughout the nineteenth century? Were women successful in these endeavors? Why or why not? -During the antebellum period, the North was perceived to be dynamic and progressive, while the South, by comparison, was idyllic, antiquated, and extremely patriarchal. This overbearingly patriarchal society had a strong effect on its female denizens, both the plantation mistresses and female slaves. How did the roles of southern women evolve in this period? How did the Civil War alter these roles? -Perhaps no other movement encapsulated the challenges of women than that of the pursuit of female suffrage. Account for the rise of the suffrage movement in the nineteenth century. How did the movement evolve throughout this period? How did women eventually achieve the passage of the Nineteenth Amendment? Number of Pages: 2 Pages Page Line Spacing: Single spaced Academic Level: College Paper Format: MLA

Final Paper Focus of the Final Paper Prepare an 11- to 15-page paper (not including the title and reference pages) that assesses a legal/ethical issue

Final Paper Focus of the Final Paper Prepare an 11- to 15-page paper (not including the title and reference pages) that assesses a legal/ethical issue or situation relating to a current, previous, or potential future work environment. Use at least 10 scholarly sources that are suitable for research in a graduate-level course. Your paper must include the following:: A description of a business situation that presents a legal and ethical issue. The business situation must be from prior, current, or anticipated future employment experiences or from a current event. The description of the business situation must not exceed two pages. An analysis of the ethical concerns raised by the situation. Apply at least two different ethical theories to the situation to support at least two different outcomes. The paper must determine which ethical outlook as applied to this particular situation will result in the best legal outcome for the business. An explanation of at least three of the relevant areas of law that have been addressed in this course (e.g., constitutional law, contracts, anti-trust law, securities regulations, employment law, environmental law, crimes, or torts) and an assessment of the each area of law as it applies to the business situation identified. A recommendation to reduce liability exposure and improve the ethical climate or the overall ethics of the situation. Your recommendation must be supported by specific legal, ethical, and business principles. Writing the Final Paper The Final Paper: Must be 11 to 15 double-spaced pages in length (not including the title and reference pages), and formatted according to APA style as outlined in the Ashford Writing Center. Must include a title page with the following: Title of paper Student’s name Course name and number Instructor’s name Date submitted Must begin with an introductory paragraph that has a succinct thesis statement which identifies the focus of the paper. Must address the topic of the paper with critical thought. Must end with a conclusion that reaffirms your thesis. Must use at least 10 scholarly sources. Must document all sources in APA style, as outlined in the Ashford Writing Center. Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center. Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment. Here is my outline i will use. Also here are some comments about the outline from my instructor. This outline was written by one of your writers. Refer to order  #7687    business law    final paper outline in your system. BUSINESS LAW The Outline I.    Introduction A.    Summary The legal and ethical implication of gross negligence to a business organization is the focus of the final paper. Different organizations have suffered immensely due to gross negligence particularly by the board of directors, executive managers, departmental heads, and front-line employees (Emerson, 2009). B.    Goals The paper aims to provide a comprehensible description of gross negligence in addition to highlighting at least two ethical theories, which will be the basis of analysis of gross negligence (Davies et al, 2013). It further intends to expound on specific areas of law under which gross negligence will be analyzed. C.    Thesis Gross negligence in a business set up is both of legal and ethical concern to stakeholders and shareholders because it can potentially impede the overall performance and key decisions that affect various entities. II.    Description of gross negligence Gross negligence refers to a conscious and reckless disregard of the need to exercise reasonable care. It results to foreseeable harm or injury to property, individuals, or a business organization (Rendell, 1997). A manager’s failure to conduct thorough investigations of matters affecting the business enterprise and stakeholders is considered gross negligence. Therefore, the board, executive managers, and ordinary employees should not act in a manner that violates their legal and ethical obligation of care (Rendell, 1997). III.    Description of two ethical theories under which gross negligence is analyzed The analysis of gross negligence will be based on two ethical theories namely the Utilitarian theory and the Casuist ethical theory. A.    Utilitarian theory: The theory is mainly concerned with the ability or capacity to foresee the outcomes of an action (Fallbrook, 2005). A utilitarian will consider choices that yield maximum benefits to be ethically correct. B.    The Casuist theory: The theory primarily concerns comparison of current/existing ethical dilemma with past cases of similar nature and their outcomes. IV.    Explanation of specific areas of law under which gross negligence is analyzed A.    Punitive damages: Many jurisdictions offer punitive damage to the plaintiff. B.    Compensatory damages: The law provides for monetary payments for losses in medical expenses, mislaid property, and lost wages. C.    Other critical areas: They include description of a reasonable person, proof of negligence, duty, proximate cause, intervening cause, and defenses to negligence liability. V.    Conclusion Gross negligence is of both legal and ethical concern to business organizations. Furthermore, the consequences of gross negligence can be dire in both the short term and long term. References Abbott, K., Pendlebury, N., & Wardman, K. (2007). Business law. London: Thomson. Carney, L., & Kennedy, C. (2013). Gross negligence interpreted and applied in ireland. International Financial Law Review Clarkson, K. W., Miller, R. L. R., Cross, F. B., & Clarkson, K. W. (2012). Business law: Text and cases : legal, ethical, global, and corporate environment. Mason, OH: South-Western Cengage Learning. Curry, E. K. (2008). MBA fundamentals: Business law. New York: Kaplan Pub. Davies, P. S., Virgo, G., In Burn, E. H., Virgo, G., & Virgo, G. (2013). Equity & trusts: Text, cases, and materials. Emerson, R. W. (2009). Business law. Hauppauge, N.Y: Barron’s Educational Series. Fulbrook, J. (2005). Outdoor activities, negligence, and the law. Aldershot, Hants, England: Ashgate. Issue of gross negligence may void damage waiver. (2005). ENR, 255(14), 18. Mulheron, R. P. (2010). Medical negligence: Non-patient and third party claims. Farnham, Surrey, England: Ashgate. Pastor, J. F. (2006). Security law and methods. Burlington: Elsevier. Rendell, R. S. (1997). US: Gross negligence or wilful misconduct. International Financial Law Review, 16(10), 65. here are the comments: Numeric Grade:  3 / 3  pts    Weighted Average (Earned/Possible): 3 % / 3 % Letter Grade: Comments: View Waypoint markup for Outline for final paper bus 670.doc The following files have been attached to your feedback I think you need to focus your paper. Your thesis alone is quite vague. I think you need to focus what you mean by gross negligence. That is fine that you define it, but it can be applied in so many different situations. After you define gross negligence in the body of the paper, then you need to discuss one or two examples of gross negligence. You need to give details about a case or example because you will use this example throughout the paper. When you discuss the two ethical theories you need to define them, explain them, and apply them to your example. You need to discuss the outcome of your example using this ethical theory. Then, after discussing two outcomes, you need to discuss the best outcome using an ethical theory. It does not have to be one of the two theories you discussed either. Then, before your conclusion, you need to give a recommendation as to how your example could reduce liability. While your example should be no more than 2 pages long, you will refer back to it throughout the paper. Lastly, once you have your example, you will need to change your thesis too. It needs to be more specifc and succinct. (0.6 / 0.6) Describes a Business Situation That Presents a Legal and Ethical Issue Distinguished – Offers a detailed description of a business situation that presents a legal and ethical issue. (0.6 / 0.6) Describes at Least Two Ethical Theories to Be Used for Analysis of the Business Situation Distinguished – Offers a detailed description of at least two ethical theories under which the business situation will be analyzed. (0.6 / 0.6) Explains the Specific Areas of Law to Be Used for Analysis of the Business Situation Distinguished – Comprehensively explains the specific areas of law under which the business situation will be analyzed. (0.6 / 0.6) Prepares a Reference Page Distinguished – Prepares a reference page that contains at least 10 scholarly sources. The references are appropriate and clearly relevant to the assignment. Citations are accurate and free of errors. (0.23 / 0.23) Critical Thinking: Evidence Distinguished – Employs persuasive information from credible sources to develop an ample analysis or synthesis of the topic. Viewpoints of experts are scrutinized thoroughly. (0.22 / 0.22) Reading: Relationship to Text Distinguished – Analyzes texts for scholarly significance and pertinence within and across the various disciplines, assessing them according to their contributions and consequences. (0.08 / 0.08) Written Communication: Control of Syntax and Mechanics Distinguished – Displays meticulous comprehension and organization of syntax and mechanics, such as spelling and grammar. Written work contains no errors, and is very easy to understand. (0.07 / 0.07) Written Communication: Page Requirement Distinguished – The length of the paper is equivalent to the required number of correctly formatted pages. Overall Score: 3 / 3 Also here is the grading rubic: Total Possible Score: 20.00 Describes a Business Situation That Presents a Legal or Ethical Issue Total: 2.00 Distinguished – Offers a detailed description of a business situation that presents a legal or ethical issue. Proficient – Offers a description of a business situation that presents a legal or ethical issue. Minor details are missing. Basic – Offers a general description of a business situation that presents a legal or ethical issue. Relevant details are missing. Below Expectations – Offers an incomplete description of a business situation that presents a legal or ethical issue. Significant details are missing. Non-Performance – The description of a business situation that presents a legal or ethical issue is either nonexistent or lacks the components described in the assignment instructions. Analyzes Ethical Concerns Raised by the Business Situation Total: 3.00 Distinguished – Offers a detailed analysis of the ethical concerns raised by the business situation by applying at least two ethical theories to support at least two different outcomes. Expertly utilizes concepts and vocabulary from the text and/or additional scholarly sources. Proficient – Offers an analysis of the ethical concerns raised by the business situation by applying at least two ethical theories to support at least two different outcomes. Sufficiently utilizes concepts and vocabulary from the text and/or additional scholarly sources. Minor details are missing. Basic – Offers a limited analysis of the ethical concerns raised by the business situation by applying at least two ethical theories to support at least two different outcomes. Partially utilizes concepts and vocabulary from the text and/or additional scholarly sources. Relevant details are missing. Below Expectations – Attempts to analyze the ethical concerns raised by the business situation by applying at least two ethical theories to support at least two different outcomes; however, concepts and vocabulary from the text and/or additional scholarly sources are not utilized, and significant details are missing. Non-Performance – The analysis of at least two ethical theories is either nonexistent or lacks the components described in the assignment instructions. Determines the Ethical Outlook Leading to the Best Legal Outcome for the Business Situation Total: 3.00 Distinguished – Completely determines the ethical outlook leading to the best legal outcome for the business situation. Proficient – Determines the ethical outlook leading to the best legal outcome for the business situation. Minor details are missing. Basic – Vaguely determines the ethical outlook leading to the best legal outcome for the business situation. Relevant details are missing. Below Expectations – Attempts to determine the ethical outlook leading to the best legal outcome for the business situation; however, significant details are missing. Non-Performance – The determination of the ethical outlook leading to the best legal outcome for the business situation is nonexistent or lacks the components described in the assignment instructions. Explains at Least Three Specific Areas of Law and Assesses Each Area as It Applies to the Business Situation Total: 3.00 Distinguished – Comprehensively explains at least three specific areas of law and thoroughly assesses each law as it applies to the business situation. Proficient – Explains at least three specific areas of law and assesses each law as it applies to the business situation. The explanation or assessment is slightly underdeveloped. Basic – Partially explains at least three specific areas of law and vaguely assesses each law as it applies to the business situation. The explanation and/or assessment are underdeveloped. Below Expectations – Attempts to explain at least three specific areas of law and assess each law as it applies to the business situation; however, the explanation and/or the assessment are significantly underdeveloped. Non-Performance – The explanation of at least three specific areas of law and the assessment of each law are either nonexistent or lack the components described in the assignment instructions. Provides a Recommendation to Reduce Personal Liability Exposure and Improve Overall Ethical Climate Total: 2.00 Distinguished – Provides a comprehensive recommendation to reduce personal liability exposure and improve the overall ethical climate for the business situation. The recommendation is strongly supported by specific legal, ethical, and business principles. Proficient – Provides a recommendation to reduce personal liability exposure and improve the overall ethical climate for the business situation. The recommendation is supported by specific legal, ethical, and business principles. Minor details are missing. Basic – Provides a vague recommendation to reduce personal liability exposure and improve the overall ethical climate for the business situation. The recommendation is partially supported by legal, ethical, and business principles. Relevant details are missing. Below Expectations – Attempts to offer a recommendation to reduce personal liability exposure and improve the overall ethical climate for the business situation; however, the recommendation may not supported by legal, ethical, and business principles. Significant details are missing. Non-Performance – The recommendation on how to reduce personal liability exposure and improve the overall ethical climate for the business situation is either nonexistent or lacks the components described in the assignment instructions. Organization: Introduction, Thesis Statement, and Conclusion Total: 2.00 Distinguished – The paper is logically organized with a well-written introduction, thesis statement, and conclusion. Proficient – The paper is logically organized with an introduction, thesis statement, and conclusion. One of these requires improvement. Basic – The paper is organized with an introduction, thesis statement, and conclusion. One or more of the introduction, thesis statement, and/or conclusion require improvement. Below Expectations – The paper is loosely organized with an introduction, thesis statement, and conclusion. The introduction, thesis statement, and/or conclusion require much improvement. Non-Performance – The introduction, thesis statement, and conclusion are either nonexistent or lack the components described in the assignment instructions. Critical Thinking: Evidence Total: 1.50 Distinguished – Employs persuasive information from credible sources to develop an ample analysis or synthesis of the topic. Viewpoints of experts are scrutinized thoroughly. Proficient – Employs applicable information from credible sources to develop an analysis of the topic. Basic – Identifies applicable information from credible sources, but may neglect the application of such information toward the analysis of the topic. Below Expectations – Displays information from external sources, but such information may lack credibility and/or relevance. Neglects the application of such information toward the analysis of the topic. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions. Reading: Relationship to Text Total: 1.50 Distinguished – Analyzes texts for scholarly significance and pertinence within and across the various disciplines, assessing them according to their contributions and consequences. Proficient – Utilizes texts in the context of scholarship to expand a foundation of disciplinary knowledge and to raise and discover significant inquiries. Basic – Employs texts with the intent and expectation of increasing knowledge. Below Expectations – Approaches texts only within the context of assignment. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions. Written Communication: Control of Syntax and Mechanics Total: 0.50 Distinguished – Displays meticulous comprehension and organization of syntax and mechanics, such as spelling and grammar. Written work contains no errors, and is very easy to understand. Proficient – Displays comprehension and organization of syntax and mechanics, such as spelling and grammar. Written work contains only a few minor errors, and is mostly easy to understand. Basic – Displays basic comprehension of syntax and mechanics, such as spelling and grammar. Written work contains a few errors, which may slightly distract the reader. Below Expectations – Fails to display basic comprehension of syntax or mechanics, such as spelling and grammar. Written work contains major errors, which distract the reader. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions. Written Communication: APA Formatting Total: 0.50 Distinguished – Accurately uses APA formatting consistently throughout the paper, title page, and reference page. Proficient – Exhibits APA formatting throughout the paper. However, layout contains a few minor errors. Basic – Exhibits basic knowledge of APA formatting throughout the paper. However, layout does not meet all APA requirements. Below Expectations – Fails to exhibit basic knowledge of APA formatting. There are frequent errors, making the layout difficult to distinguish as APA. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions. Written Communication: Page Requirement Total: 0.50 Distinguished – The length of the paper is equivalent to the required number of correctly formatted pages. Proficient – The length of the paper is nearly equivalent to the required number of correctly formatted pages. Basic – The length of the paper is equivalent to at least three quarters of the required number of correctly formatted pages. Below Expectations – The length of the paper is equivalent to at least one half of the required number of correctly formatted pages. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions. Written Communication: Resource Requirement Total: 0.50 Distinguished – Uses more than the required number of scholarly sources, providing compelling evidence to support ideas. All sources on the reference page are used and cited correctly within the body of the assignment. Proficient – Uses required number of scholarly sources to support ideas. All sources on the reference page are used and cited correctly within the body of the assignment. Basic – Uses less than the required number of sources to support ideas. Some sources may not be scholarly. Most sources on the reference page are used within the body of the assignment. Citations may not be formatted correctly. Below Expectations – Uses inadequate number of sources that provide little or no support for ideas. Sources used may not be scholarly. Most sources on the reference page are not used within the body of the assignment. Citations are not formatted correctly. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions.

In this assignment, you will use a spreadsheet to examine pairs of variables, using the method of linear regression, to determine if there is any

In this assignment, you will use a spreadsheet to examine pairs of variables, using the method of linear regression, to determine if there is any correlation between the variables. Afterwards, you will postulate whether this correlation reveals a causal relationship (and why). Click to open the Excel spreadsheet containing the data for this assignment. This spreadsheet contains the data from a study that attempted to see if there is a correlation between the hours that students studied and the grade that they earned on a test. The correlation test you are about to run will you to determine if there is, in fact, a correlation between study time and test score. If you find a strong correlation, then you will postulate whether you feel this indicates a causal relationship. Below are instructions on how to perform this correlation test in Microsoft Excel. In the Excel spreadsheet, perform the following operations: To see an example spreadsheet containing a completed analysis click . Now that you’ve completed your analysis and determined the linear regression formula and r , it is now time to report on the results of your study and examine your findings. In a Microsoft Word document, respond to the following: For this assignment, you will submit a spreadsheet and a report. The spreadsheet will be the Microsoft Excel file containing your scatterplot and analysis. Name your Microsoft Excel file as follows: LastnameFirstInitial_M3_A2.xls. The report will be a Microsoft Word document in which you will address all of the questions in this assignment in the form of a narrative.  Name your Microsoft Word document as follows: LastnameFirstInitial_M3_A2.docx. Purchase the answer to view it Purchase the answer to view it Purchase the answer to view it Purchase the answer to view it Purchase the answer to view it Purchase the answer to view it

APA Style due 6/27/2015 4 pages Your employer has been going through many challenges this past eighteen months due to the recent financial crises. There

APA Style due 6/27/2015 4 pages Your employer has been going through many challenges this past eighteen months due to the recent financial crises. There has been major challenges throughout the company including, high turnover, software applications being used are outdated, stress is increasing for those employees who have been staying around, and morale is at the lowest point ever for the company . The remaining executives are planning to do a re-organization of the jobs and responsibilities throughout the company. However, each time the executives want to implement the change; another batch of employees resigns. You have been asked by your supervisor to prepare an analysis of what the executive leaders must do. Present your findings as a 4-5 page report in a Word document formatted in APA style. At a minimum, your paper must: Apply the best organizational development process skills the executives should use Apply the change strategies within the short-term and long-term Evaluate and present the impacts of the resources Objectives: Assess organization development process skills, such as providing support, relaying feedback and observations, and reflecting feelings Construct change strategies for collaborative group relations Critically discuss the impact of technology on business Purchase the answer to view it

Science is the study of how the universe works using the scientific method as a framework for asking questions. Throughout history, humans have built up

Science is the study of how the universe works using the scientific method as a framework for asking questions. Throughout history, humans have built up a body of scientific knowledge and have used this knowledge to develop technologies to make life easier or to broaden their knowledge. Scientific discovery drives technological advances and sometimes, as new technologies are developed, they enable scientists to answer questions that were unanswerable before. For example, researchers had to understand the physics of visible light and how it changes when going through different substances before they could use this knowledge to design microscopes. Once microscope technology was developed, it allowed scientists to ask questions about things that were not visible to the human eye. For this assignment you will look at this interdependence between science and technology by learning more about a biotechnology that is crucial to the modern world such as feeding a growing world population, fighting disease, developing new fuels, or cleaning up the environment. To learn more about biotechnology, review the assigned readings in your textbook for this unit and review the following resources: Select one specific biotechnology that you are interested in learning more about. It can be a broad category such as one type of cloning, or more focused such as a specific product or diagnostic test. For your selected biotechnology address the following:

: Verification vs. Validation Initial posts are due by 12:00 PM ET Tuesday. Within the Discussion Forum area, write two – three paragraphs that respond

:  Verification vs. Validation Initial posts are due by 12:00 PM ET Tuesday.  Within the Discussion Forum area, write two – three paragraphs that respond to the topic with your thoughts, ideas, and comments.  Be substantive and clear, and use examples from the readings and your own experiences to reinforce your ideas.  Be sure to integrate citations/references to the readings for the week as well as two additional peer reviewed resources.  This will be the foundation for the module discussion with your classmates Responses are due by 12:00 PM ET Friday.  reply to two classmates on differing days.  When replying to your classmates ask them critical thinking questions about their post and offer them an additional resource to further their thinking on the subject.  The idea is to keep coming back to the discussion throughout the week, replying to your classmates’ posts and any classmates that reply to your posts. You have been working as a project manager on a software project for the past eight months.  You are leading a team of 6 other developers in creating a database management system for a large company.  The project is very intricate and many details have been added to account for the wide range of functions that the company needs the database to manage. You completed the development phase and your company has already spent 95% of the allocated budget to develop this product. You have handed over the beta version to the customer for final testing and implementation.  After one week, you have a meeting with the customer and they appear to be very upset.  They state that “the database works really well, but it is not what we wanted at all.”

Hello, I need to do my weekly discussion question for my nursing class. Here is the SOAP note and at the end there are 3

Hello, I need to do my weekly discussion question for my nursing class. Here is the SOAP note and at the end there are 3 questions to answer. Name: X.X.                             Date:                                                   Age: 44 Gender: Female                       Marital Status: Married          Occupation: Bank Teller Examiner: APRN-BC                     Time: 9:15 am HPI: Patient reports that after reading a recent article in Women’s Health magazine, she decided to do a self-breast exam.  This was the first time she had performed such an exam and is unsure of the results.  Patient reports that during the self-exam she felt a “marble-sized” mass in the upper, outer quadrant of her right breast.  Patient reports that the mass was movable and was not painful or tender to the touch.  Patient states that the self-breast exam occurred about ten days ago.  She is unaware of any changes in the mass. Also she reports some itching and burning sensation in vaginal area. Patient stated she is having regular monthly menstruation. BP 128/82; T 98.1 F; P 64; R 25.  Patient is verbally responsive, demonstrates fluid coordination in large and small movements, and reports no pain or discomfort.  Patient is a non-smoker and an occasional drinker.  Patient states that she drinks approximately 3 alcoholic drinks per week with friends. Patient is slightly overweight with a BMI of 29.8. : Patient has no chronic illnesses.  Patient suffered from pneumonia for approximately four weeks in November 2007. : Patient is one of three children. Her siblings are both males.  Mother died in a car crash at the age of 69 and had no chronic conditions apart from mild arthritis.  Father is still alive and is undergoing treatment for lung cancer. Married, but she believes her husband goes around and maybe have another sexual partner. She uses birth control pills to prevent pregnancy, but husband uses no condoms. She is afraid to confront husband regarding this issue. She is willing to talk to a therapist if it is need it. : use of contraceptives Altavera. Patient has itching and burning sensation (vaginal area) showing some discomfort symptoms. Also patient present symptom is a marble-sized lump in right breast. : NKA, immunizations current. In no acute distress. Alert and oriented x 3. Appropriate and cooperative. Head is normocephalic without lesions or masses. Pupils round and reactive to light accommodation. Extraocular movements intact. Supple.  Trachea is midline. No JVD, internal, Proper neck strength and movement. symmetric, no lesion or discharge, palpation revels no masses or tenderness. Except for R breast lump. :  Lung fields clear to auscultation bilaterally.  No acute respiratory distress, no accessory muscle use; No wheezing, rales or rhonchi.  Equal chest expansion bilaterally. Oral cavity lips moist and pink, no cyanosis.  Carotid pulses +2 palpable bilaterally, no JVD or bruit.  Upper extremities- capillary refills less than 2 seconds, no clubbing or cyanosis present.  Radial and brachial pulses +2 palpable bilaterally. Apical pulse palpable at the 5th and 6th intercostal spaces.  Apical rate and rhythm regular at 90 bpm. S1 and S2 are present without murmurs, rubs, or gallops. :  Flat, soft, no tender, non distended with positive bowel sounds x 4. No organs enlarged. :  Redness, no lesions. : showing redness and Gray-white color discharge with a fishy, foul rotten  odor. Vaginal walls erythematous and edematous. Cervix pink with no lesions. Specimens obtained No tenderness to palpation, uterus and ovaries not enlarged. No masses or fissure. Stool brown test negative for occult blood. The lump the patient reports is indeed a marble-sized lump in the upper outer quadrant of the right breast.  The lump feels nodal, rather than smooth, has moderate density, and does not appear to give any discomfort to the patient when manipulated. Patient’s breast tissue is dense considering patient’s age.