A health-care professional has been asked to enter a notation in a patient’s chart that is not factual. If the professional feels that she cannot discuss the situation with anyone, what approach to a bioethical dilemma can she take?

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Grade Details – All Questions

Question 1. Question : Which of the following is most likely considered a competent patient?

Student Answer: A 63-year-old patient diagnosed with dementia

A 43-year-old patient diagnosed with dementia

A 36-year-old female patient abused by her spouse

A 15-year-old patient who is anemic

Question 2. Question : The general rule regarding competency states that a person is presumed to be competent unless there is a valid reason to believe otherwise. Which of the following patients might not be competent?

Student Answer: A wheelchair patient who lives in a nursing home because of her inability to walk more than a few feet

An adult male patient with a history of clinical depression

A 55-year-old adult male patient who lives independently but has a court-appointed guardian

A 21-year-old female cancer patient

Question 3. Question : Consent is being sought for a patient to undergo chemotherapy. Which of the following would not be considered a surrogate decision maker in the event that the patient is unable to consent?

Student Answer: The parent of a 2-year-old child receiving chemotherapy

The neighbor of an elderly adult receiving chemotherapy, if the adult patient has no family in the geographic area

The adult son of a patient

A court-appointed guardian of the patient

Question 4. Question : The patient that expresses his or her wishes in writing with regard to medical treatment offers the following:

Student Answer: Advance directive

Living will

Either a or b

Neither a or b

Question 5. Question : Which of the following would be classified as a special circumstance with regard to consent?

Student Answer: A patient with a rare disease requiring surgery

A patient in a mental health facility

A minor patient

A patient over the age of 65

Question 6. Question : A patient comes to a medical office and demands that she be given her medical record. Which of these statements is false in this situation?

Student Answer: The patient is allowed to take her personal medical record.

The patient is not allowed to take her medical record because the physical record belongs to the physician or health-care facility.

The patient is the owner of the information in the record.

The patient is not the owner of the physical record.

Question 7. Question : The primary purpose of a medical record is to:

Student Answer: Prevent liability lawsuits

Provide a format for health-care professionals to communicate with one another

Serve as a reference for previous care the patient has received

Plan for future care

Question 8. Question : Sue is a nurse providing care for patient. In which of the following situations is she not using the medical record according to the purposes of documentation?

Student Answer: Sue uses the information in the record to write a care plan.

Sue checks the record to determine whether the patient refused her last medication.

Sue looks at the record to confirm the spelling of a drug, which another patient is also taking, so that she can document it in the second patient’s chart.

Sue documents an instance during which the patient refuses to take her medication.

Question 9. Question : Which of the following identifies a patient’s strength?

Student Answer: The ability to walk to the restroom alone

The ability to wash her face but not her legs and arms

The ability to communicate but limited to written responses

The ability to follow directions

Question 10. Question : All of the following are components of the medical record except:

Student Answer: Personal Identification Information

Medical History

Family Medical History

Flow Sheets

Question 11. Question : The argument over whether abortion is an option for women facing difficult pregnancies is a(n):

Student Answer: Moral dilemma

Cultural issue

Ethical issue

Bioethical issue

Question 12. Question : Andrea knows that her employer has filed false insurance claims because he has asked her to add charges for procedures not performed on patients. If she discusses the matter confidentially with a fellow health-care provider whom she trusts and asks for advice, which approach to a bioethical dilemma is she using?

Student Answer: Identification

Information

Communication

Choice

Question 13. Question : Andrea has been told by no fewer than three patients that they have received notice from their insurance companies. These notices stated that claims were filed from the office for service dates on which the patients are sure they did not visit the physician. Andrea is concerned and decides to investigate the patient charts. Which approach to a bioethical dilemma is she using?

Student Answer: Identification

Information

Communication

Choice

Question 14. Question : A health-care professional has been asked to enter a notation in a patient’s chart that is not factual. If the professional feels that she cannot discuss the situation with anyone, what approach to a bioethical dilemma can she take?

Student Answer: Identification

Information

Communication

Choice

Question 15. Question : Patients have a right to make decisions regarding their health care. This is reflected in the principle of respect for:

Student Answer: Autonomy

Beneficence

Nonmaleficence

Integrity

What are your reflections to the statement made by Felliti in the video clip, “what is conventionally viewed as a problem is actually a solution to an unrecognized prior adversity”?

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Question 1- What are your reflections to the statement made by Felliti in the video clip, “what is conventionally viewed as a problem is actually a solution to an unrecognized prior adversity”?
Question 2- What were your general reactions to the findings of the ACE study? How does this connect to some of the other HBSE readings or HBSE films?

Question 3- This semester we have focused on the importance of growth-fostering relationships. In the article Relational Therapy for Trauma, Banks writes “it is the destruction of relationships that most interfere with recovery and healing” (p. 26). Please discuss how Banks’ perspective builds upon last week’s discussion.

Question 4- Brown writes, “The feminist standpoint asserts that the problem is situated not in the character of the suffering person, as is true for the construct of personality disorders; rather, it is viewed as a pattern of coping and survival in response to a traumagenic relational milieu” (p. 467). Pulling from the assigned readings, please expand upon the importance of this statement and to what degree it is consistent with the ideas around empowering social work practice? Feel free to further expand upon your discussion by identifying messages that contradict the feminist standpoint as articulated by Brown, and strategies we might employ as social workers to disrupt these contradictory messages.

What is systemic thinking? What is the primary case being made by the DiBlasio article related to systemic thinking and intra-psychic approaches. Fully explain.

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Paper for SWCL 703 Family Therapy

1. Following ALL instructions, a graduate level quality and accuracy, spelling and grammar are all factored into the grading process.
This paper requires that the student respond to course topics that are presented in the course and is NOT designed as a research or topical paper. ( rules and guidelines of Academic Integrity apply). The student may use his/her notes, books, and other literary resources, however, the use of citations/references do not add or subtract from the grading process. However, the student must be sure to properly document quotes, other’s thoughts, etc as instructed in the APA manual. The instructor does a plagiarism check and any plagiarism will result in an immediate “F” for the paper and a report to the Student Review Committee.

Format: Answer ALL of the below using two pages, double-spaced , 12 font New Times Roman, 1 inch margins all around. The student MUST take at least two full pages per question; therefore the length of the paper is 15 pages (leaves one page for limited overflow). Use a cover page (does not count as one of the 15 pages).
2. The paper is due via email attachment before midnight December 11.

3. Questions:
a. What is systemic thinking? What is the primary case being made by the DiBlasio article related to systemic thinking and intra-psychic approaches. Fully explain.
b. Fully explain from a strategic perspective “double-bind.” Give an original hypothetical example that is not modeled from any in the text or from lecture. Clearly relate how double-bind is a way that a therapist thinks systemically.
c. What is circular causality? Give an original hypothetical example that is not modeled from any in the text or from lecture. How would a strategic therapist intervene to stop dysfunctional circular reactions?
d. What are the similarities and differences between structural and strategic family therapy. Give a case hypothetical example (that is not model from any in the text or from lecture) and show how a strategic therapist and a structural therapist might handle the case.
e. Fully evaluate the two case videos (“Hearing Voices” and “Jovan”). Look on Utube. Relate as many course concepts from strategic and structural (from the book – The Essentials of Family Therapy 6th Edition -Michael P. Nicholas and from lecture) in your answer.
f. Discuss the theory of Personality Disorder as being a learning disability in emotions and close relationships. Fully explain family treatment from this perspective.
g. Fully explain the Person Practice Model and show how it relates to Family of Origin Work.

Describe how genome sequencing can be used to reduce the spread of an infection.

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This assignment is marked out of 100 possible points and is worth 10% of your final grade. It is based on Units 14 to 16. Submit it to your academic expert for grading using the appropriate Assignment Drop Box.
Unless otherwise directed, the information you need to answer the questions below is available from the course materials. Some questions may require information from more than one unit or lesson. Further research is not required.
Answer the questions in your own words, using full sentences.
For each of questions 1–4, select and support the most appropriate response, and explain why each of the incorrect statements is eliminated.
1. Adeno-associated virus (AAV) can carry a human gene into bone marrow cells. A patient received this genetically modified bone marrow, which resulted in production of a required enzyme. This is an example of
a. protein therapy.
b. germline therapy
c. somatic gene therapy
d. retroviral gene therapy
e. in vivo gene therapy (5 marks)
2. A procedure that combines gametes in a culture dish, then eventually transfers the resulting embryo to the female gamete donor’s uterus is
a. IVF.
b. intrauterine insemination.
c. surrogate insemination.
d. GIFT.
e. ICSI. (5 marks)
3. Sequencing of the human genome can reveal
a. mutations that do not alter phenotype.
b. mutations that do not alter genotype.
c. which tissues express a gene.
d. how many genes a person has.
e. epigenetic effects. (5 marks)
4. An inherited mutant p53 allele
a. creates DNA replication errors.
b. causes a Mendelian cancer trait.
c. is an oncogene.
d. raises the risk of cancer.
e. binds to DNA to increase transcription. (5 marks)
5. Match each descriptor or example in the right-hand column to the best term in the left-hand column. Use only one descriptor per term and one term per descriptor. (10 marks)
Term Descriptor/example
1. ____ innate immunity a. target specificity
2. ____ PGD b. sequencing
3. ____ MAb c. reverse transcriptase
4. ____ CRISPR d. antibacterial
5. ____ polyclonal response e. exome
6. ____ cDNA f. copy number variants
7. ____ DNA microarray g. antibody diversity
8. ____ liposome h. chromosome defects
9. ____ CMA i. vector
10. ____ EST j. phosphate-sugar backbone
6. Describe the genetic basis of HLA type. Describe the roles of HLA proteins. (6 marks)
7. How is apoptosis involved in T-cell differentiation? Why is this important? (4 marks)
8. You are exposed to a substance that quickly causes an allergic reaction you have never experienced before. What type of antibody is involved in this response? Why does your body have specific antibodies for this allergen? (6 marks)
9. Use all of these terms to describe one or more of the autoimmune disorders identified in Lewis: pleiotropy, genetic heterogeneity, and multifactorial trait. (4 marks)
10. Describe how genome sequencing can be used to reduce the spread of an infection. (6 marks)
11. Cancer cell internal structures, metabolism, and plasma membranes (with their associated proteins) differ from healthy cells. Some of these differences cause the cells to exhibit various characteristics, listed in Table 18.1 of the textbook. Which features of cancer cell plasma membranes, internal structures, and metabolism explain why cancer cells lack contact inhibition, are invasive, and can metastasize? (6 marks)
12. Viruses can cause cancer both directly and indirectly. Describe these two modes, providing examples. (6 marks)
13. The genetic basis of cancer is complex. Choose one of these contributors and describe their effects on the development of cancer. (6 marks)
a. stem cells
b. gatekeeper, driver, and passenger mutations
c. oncogenes
d. defective tumour-suppressor genes
14. Gene therapy may be used to treat cancer and symptoms resulting from cancer treatment, but it can also cause cancer. (6 marks)
a. Describe a gene therapy used to treat cancer or cancer-treatment symptoms.
b. Describe how gene therapy can cause cancer.
15. Reverse vaccinology identifies antigens that are very specific to the pathogen. These different antigens can then be synthesized and individually tested for their potential in creating immunity and can thus be used as vaccines. Identify DNA technologies and their purposes in the identification and production of these antigens for vaccine use, and describe the process of making individual antigens in large quantities. (6 marks)
16. Lewis quotes a consumer rejecting genetically modified foods as saying “I will not eat food that contains DNA!” (Lewis 381). Explain the misconception of this statement. (3 marks)
17. Contrast “genetically modified organisms” with “transgenic organisms.” Describe a practical and research application of each modification. (5 marks)
A gene therapy for ADA deficiency using stem cells is being tested. Gene therapy for muscular dystrophy uses immature muscle cells. What is the reasoning behind choosing these types of cells for the therapies? Are these therapies likely in vivo or ex vivo? Explain.