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  • [Solved] mini project

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) – 2 years ago **files (1)** – ## MA120CourseMini-ProjectOptions.docx **## MA120CourseMini-ProjectOptions.docx** **![A logo for a higher education Description automatically generated](https://www.sweetstudy.com…

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management)

    – 2 years ago

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    – ## MA120CourseMini-ProjectOptions.docx

    **## MA120CourseMini-ProjectOptions.docx**

    **![A logo for a higher education Description automatically generated](https://www.sweetstudy.com/questions/mini-project-20893545)**

    **MA 120 Course Mini-Project Options**

    Creating a course project will display your learning in this course. It is important because it allows you an opportunity to apply the concepts you are studying in a real-world context and, in this way, you can display your understanding of the course material. Think critically and creatively. This project is an opportunity for you to showcase your knowledge and demonstrate how you can use what you have learned in practical, meaningful ways
    **.** Do your best as this is one part of your assessment for this course.

    **Directions:** _Select one of the mini-project choices below. You must complete all parts for whichever min-project you choose. Each project has multiple parts and requires the submission of all parts in order to obtain full credit. Submit the project work in a Word document. Please be sure to label each part. Please cite any sources._

    **Mini-Project One**

    Part 1: (40 points)

    Select two of the advertisements shown in Appendix A and, in a paragraph of no less than five sentences for each, discuss how logic is used to persuade the reader. Write a conditional statement that is implied by each of the advertisements that you use.

    Part 2: (10 points)

    Find an advertisement (online, newspaper ad, …). Discuss how logic is used to persuade the reader. Write a conditional statement that is implied by the advertisement.

    _Note: For full credit, the advertisement must be included with your submission._

    Part 3: (50 points)

    Design an advertisement for a product or service of your choice using logical statements (e.g., conjunctions, disjunctions, conditionals). Include at least one conditional statement and one disjunction in the ad. Explain how you are using these logical operators to persuade your audience. How do these logical statements impact the way the audience perceives the product?

    **Example for Part 3**:
    Create an ad for a fitness app that uses a conditional statement like "If you track your workouts with our app, then you will see measurable progress." Also, include a disjunction, such as "You can work out at home or at the gym with our app." This is one idea. Your task is to come up with your own.

    Name: ______________________________________

    My Product: ________________________________________

    Conditional Statement in my Ad: ____________________________________

    Disjunction Statement in my Ad: _____________________________________

    Other logical statements:______________________________________________ __________________________________________________________________

    Written Ad:

    Graphics:

    **Appendix A: Advertisements**

    ![Aiming to Be the Truck of Patriots – The New York Times](https://www.sweetstudy.com/questions/mini-project-20893545)![For Under Armour, a Focus on Shoes – Advertising – The New York Times](https://www.sweetstudy.com/questions/mini-project-20893545)![A person holding a baby Description automatically generated](https://www.sweetstudy.com/questions/mini-project-20893545)![13 of the Most Persuasive Ads We've Ever Seen | WordStream](https://www.sweetstudy.com/questions/mini-project-20893545)

    **Mini-Project Two**

    Part 1: (30 points)

    Use the Nielsen Top 10 Lists website

    [Nielsen Top 10 Lists](https://www.nielsen.com/us/en/top-ten/?gclid=Cj0KCQjwu8r4BRCzARIsAA21i_B_mMBGYinZxVdly-3mRSSbuwV7B0-6f6H7mnv_jvTj4k77wA8-5t0aAoTDEALw_wcB)

    to create a Venn diagram.

    Find the data on Streaming. Create a Venn diagram illustrating the ten top overall streaming programs viewed and the ten top acquired streaming programs. There are some different features on the website link.

    “Overall” and “Acquired” would be the labels for the diagram's circles.

    Label the two circles for the two categories of data. You may want to first list the data (names of games) separately, then arrange those data items (names) on the Venn diagram template as appropriate.

    ![A diagram of two circles Description automatically generated](https://www.sweetstudy.com/questions/mini-project-20893545)

    Part 2: (20 points)

    Conduct a survey of at least 10 people on a specific topic (e.g., favorite hobbies, preferred social media platform, etc.). Use the concept of complement in set theory to analyze the results. For example, if 6 out of 10 people like hiking, the complement would be the 4 people who do not like hiking. Present your findings in a graph or chart and write a brief analysis of the complement in this context. Discuss how this helps to understand the diversity of preferences.

    Part 3:
    (50 points)

    Take a poll among 20 of your friends, family, business associates, or social media subscribers. Ask each person two question: A) Do you enjoy reading novels? B) Do you enjoy watching documentary movies?

    Record your results in an organized list. See Appendix B for an example. Complete the two-set Venn diagram template with
    **_number totals_** that represent your results. Label your diagram and each set. Be sure to include the number of people who may not enjoy either of those activities.

    You can copy and paste the Venn Diagram outline below into your document and resize it as you need.

    **Appendix B: Example of a data list**

    | | | |
    | — | — | — |
    | **Person** | **Do you like Action Movies** | **Do you like Reading Novels** |
    | **1** | **Yes** | **Yes** |
    | **2** | **No** | **Yes** |
    | **3** | **No** | **No** |
    | **4** | **No** | **Yes** |
    | **Etc.** | | |
    | **Etc.** | | |
    | **20** | **Yes** | **No** |

    **Mini-Project Three**

    Part 1: (40 points)

    Create one scenario that can be described by a linear function (e.g., predicting the temperature over the course of a day, calculating a discount for a sale)
    and choose a real-life situation that can be modeled by a linear equation (e.g., the cost of a product over time, distance traveled for a day trip, or savings account balance). Write the corresponding linear equation for each and graph them separately. Explain the meaning of the slope and the y-intercept in the context of each scenario/situation.

    **Example**:
    A store has a promotion where each item is discounted by $5. Create a function that represents the total cost of multiple items, graph it, and explain the meaning of the slope (discount per item) and the y-intercept (base price when no items are purchased).

    Part 2: (60 points)

    You are planning a fictitious community event for
    **100 attendees** (like a concert, festival, or sports event). You will use systems of linear equations to manage ticket sales, budgeting, and attendance.

    **Concept:** Describe the event’s purpose:

    \_\_\_________________________________________________________________

    \_\_\_________________________________________________________________

    **Ticket Pricing:** Determine two different ticket types (e.g., general admission/VIP, adult/child, member/nonmember…) List the ticket types and their prices. You are the planner, so you will have to decide these amounts yourself.

    | | |
    | — | — |
    | **NAMES OF TICKET TYPES** | **PRICES** |
    | 1 – () | $ |
    | 2 – () | $ |

    **Identifying Costs:** List potential costs associated with the event:

    | | |
    | — | — |
    | **POTENTIAL EXPENSES** | **COSTS (My estimate)** |
    | Venue rental | $ |
    | Equipment | $ |
    | Permits | $ |
    | Promotional materials | $ |
    | **TOTAL** | $ |

    **Setting Goals:**

    Determine how much profit you would like to make on this event. $__________

    Compute: Total costs of Expenses + My desired profit =

    _________ + __________ = __
    $\_\_\_________

    **Setting up the System of Equations:**

    Set up a system of linear equations based on expected
    **100** ticket sales. Solve the system of linear equations and determine how many of each ticket type will need to be sold in order to meet the goal.

    Note: You may need to create different scenarios (e.g., changes in ticket prices…) and adjust the equations accordingly. Analyze how these changes would affect the number of tickets needed to be sold.

    **Scenario Analysis:**

    I will need to sell _____ of the ______ type ticket and _____ of the ______ type

    # #

    ticket in order to make my desired profit of $__________ and cover the potential

    expenses.

    **Conclusion & Reflection**:
    _Write a paragraph summary including the analysis and conclusions. Include a reflection on what worked well and what challenges may be encountered during the planning process for your event._

    ## image6.png

    ## image1.png

    ## image2.jpeg

    ## image3.jpeg

    ## image4.jpeg

    ## image5.jpeg

    **## MA120CourseMini-ProjectOptions.docx**

    **![A logo for a higher education Description automatically generated](https://www.sweetstudy.com/questions/mini-project-20893545)**

    **MA 120 Course Mini-Project Options**

    Creating a course project will display your learning in this course. It is important because it allows you an opportunity to apply the concepts you are studying in a real-world context and, in this way, you can display your understanding of the course material. Think critically and creatively. This project is an opportunity for you to showcase your knowledge and demonstrate how you can use what you have learned in practical, meaningful ways
    **.** Do your best as this is one part of your assessment for this course.

    **Directions:** _Select one of the mini-project choices below. You must complete all parts for whichever min-project you choose. Each project has multiple parts and requires the submission of all parts in order to obtain full credit. Submit the project work in a Word document. Please be sure to label each part. Please cite any sources._

    **Mini-Project One**

    Part 1: (40 points)

    Select two of the advertisements shown in Appendix A and, in a paragraph of no less than five sentences for each, discuss how logic is used to persuade the reader. Write a conditional statement that is implied by each of the advertisements that you use.

    Part 2: (10 points)

    Find an advertisement (online, newspaper ad, …). Discuss how logic is used to persuade the reader. Write a conditional statement that is implied by the advertisement.

    _Note: For full credit, the advertisement must be included with your submission._

    Part 3: (50 points)

    Design an advertisement for a product or service of your choice using logical statements (e.g., conjunctions, disjunctions, conditionals). Include at least one conditional statement and one disjunction in the ad. Explain how you are using these logical operators to persuade your audience. How do these logical statements impact the way the audience perceives the product?

    **Example for Part 3**:
    Create an ad for a fitness app that uses a conditional statement like "If you track your workouts with our app, then you will see measurable progress." Also, include a disjunction, such as "You can work out at home or at the gym with our app." This is one idea. Your task is to come up with your own.

    Name: ______________________________________

    My Product: ________________________________________

    Conditional Statement in my Ad: ____________________________________

    Disjunction Statement in my Ad: _____________________________________

    Other logical statements:______________________________________________ __________________________________________________________________

    Written Ad:

    Graphics:

    **Appendix A: Advertisements**

    ![Aiming to Be the Truck of Patriots – The New York Times](https://www.sweetstudy.com/questions/mini-project-20893545)![For Under Armour, a Focus on Shoes – Advertising – The New York Times](https://www.sweetstudy.com/questions/mini-project-20893545)![A person holding a baby Description automatically generated](https://www.sweetstudy.com/questions/mini-project-20893545)![13 of the Most Persuasive Ads We've Ever Seen | WordStream](https://www.sweetstudy.com/questions/mini-project-20893545)

    **Mini-Project Two**

    Part 1: (30 points)

    Use the Nielsen Top 10 Lists website

    [Nielsen Top 10 Lists](https://www.nielsen.com/us/en/top-ten/?gclid=Cj0KCQjwu8r4BRCzARIsAA21i_B_mMBGYinZxVdly-3mRSSbuwV7B0-6f6H7mnv_jvTj4k77wA8-5t0aAoTDEALw_wcB)

    to create a Venn diagram.

    Find the data on Streaming. Create a Venn diagram illustrating the ten top overall streaming programs viewed and the ten top acquired streaming programs. There are some different features on the website link.

    “Overall” and “Acquired” would be the labels for the diagram's circles.

    Label the two circles for the two categories of data. You may want to first list the data (names of games) separately, then arrange those data items (names) on the Venn diagram template as appropriate.

    ![A diagram of two circles Description automatically generated](https://www.sweetstudy.com/questions/mini-project-20893545)

    Part 2: (20 points)

    Conduct a survey of at least 10 people on a specific topic (e.g., favorite hobbies, preferred social media platform, etc.). Use the concept of complement in set theory to analyze the results. For example, if 6 out of 10 people like hiking, the complement would be the 4 people who do not like hiking. Present your findings in a graph or chart and write a brief analysis of the complement in this context. Discuss how this helps to understand the diversity of preferences.

    Part 3:
    (50 points)

    Take a poll among 20 of your friends, family, business associates, or social media subscribers. Ask each person two question: A) Do you enjoy reading novels? B) Do you enjoy watching documentary movies?

    Record your results in an organized list. See Appendix B for an example. Complete the two-set Venn diagram template with
    **_number totals_** that represent your results. Label your diagram and each set. Be sure to include the number of people who may not enjoy either of those activities.

    You can copy and paste the Venn Diagram outline below into your document and resize it as you need.

    **Appendix B: Example of a data list**

    | | | |
    | — | — | — |
    | **Person** | **Do you like Action Movies** | **Do you like Reading Novels** |
    | **1** | **Yes** | **Yes** |
    | **2** | **No** | **Yes** |
    | **3** | **No** | **No** |
    | **4** | **No** | **Yes** |
    | **Etc.** | | |
    | **Etc.** | | |
    | **20** | **Yes** | **No** |

    **Mini-Project Three**

    Part 1: (40 points)

    Create one scenario that can be described by a linear function (e.g., predicting the temperature over the course of a day, calculating a discount for a sale)
    and choose a real-life situation that can be modeled by a linear equation (e.g., the cost of a product over time, distance traveled for a day trip, or savings account balance). Write the corresponding linear equation for each and graph them separately. Explain the meaning of the slope and the y-intercept in the context of each scenario/situation.

    **Example**:
    A store has a promotion where each item is discounted by $5. Create a function that represents the total cost of multiple items, graph it, and explain the meaning of the slope (discount per item) and the y-intercept (base price when no items are purchased).

    Part 2: (60 points)

    You are planning a fictitious community event for
    **100 attendees** (like a concert, festival, or sports event). You will use systems of linear equations to manage ticket sales, budgeting, and attendance.

    **Concept:** Describe the event’s purpose:

    \_\_\_________________________________________________________________

    \_\_\_________________________________________________________________

    **Ticket Pricing:** Determine two different ticket types (e.g., general admission/VIP, adult/child, member/nonmember…) List the ticket types and their prices. You are the planner, so you will have to decide these amounts yourself.

    | | |
    | — | — |
    | **NAMES OF TICKET TYPES** | **PRICES** |
    | 1 – () | $ |
    | 2 – () | $ |

    **Identifying Costs:** List potential costs associated with the event:

    | | |
    | — | — |
    | **POTENTIAL EXPENSES** | **COSTS (My estimate)** |
    | Venue rental | $ |
    | Equipment | $ |
    | Permits | $ |
    | Promotional materials | $ |
    | **TOTAL** | $ |

    **Setting Goals:**

    Determine how much profit you would like to make on this event. $__________

    Compute: Total costs of Expenses + My desired profit =

    _________ + __________ = __
    $\_\_\_________

    **Setting up the System of Equations:**

    Set up a system of linear equations based on expected
    **100** ticket sales. Solve the system of linear equations and determine how many of each ticket type will need to be sold in order to meet the goal.

    Note: You may need to create different scenarios (e.g., changes in ticket prices…) and adjust the equations accordingly. Analyze how these changes would affect the number of tickets needed to be sold.

    **Scenario Analysis:**

    I will need to sell _____ of the ______ type ticket and _____ of the ______ type

    # #

    ticket in order to make my desired profit of $__________ and cover the potential

    expenses.

    **Conclusion & Reflection**:
    _Write a paragraph summary including the analysis and conclusions. Include a reflection on what worked well and what challenges may be encountered during the planning process for your event._

    ## image6.png

    ## image1.png

    ## image2.jpeg

    ## image3.jpeg

    ## image4.jpeg

    ## image5.jpeg

  • [Solved] Nursing

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    – [\ \ 17426738439647672999511545606033.jpg](https://www.sweetstudy.com/files/17426738439647672999511545606033-jpg "17426738439647672999511545606033.jpg") – 2 years ago

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    \
    17426738439647672999511545606033.jpg](https://www.sweetstudy.com/files/17426738439647672999511545606033-jpg "17426738439647672999511545606033.jpg")

    – 2 years ago

  • [Solved] Psychology assignment

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    In-depth study guidance and analytical solution covering Psychology assignment.

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  • [Solved] Reflection Paper

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    Cultivating positive relationships with supervisees and trainees can be difficult. Based on this week's lecture, what do you think your greatest strength will be when developing and maintaining these relationships? What do you think your biggest challenge will be, and how will you use the concepts f…

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    Cultivating positive relationships with supervisees and trainees can be difficult. Based on this week's lecture, what do you think your greatest strength will be when developing and maintaining these relationships? What do you think your biggest challenge will be, and how will you use the concepts from this week's module to overcome that challenge?

    _Remember to review the Reflection Paper rubric and instructions for reviewing a peer's submission in the Important Course Information module._

    _Additionally, please include LINKS or DOIs to any articles or books referenced outside of the assigned readings as part of your APA citation (_ [_as is required when using web-based referencesLinks to an external site._](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_electronic_sources.html) _). Failing to do so will result in point deductions._

    – [\
    \
    UWFReflectionPaperRubric.pdf](https://www.sweetstudy.com/files/uwfreflectionpaperrubric-pdf-10235475 "UWFReflectionPaperRubric.pdf")

    – 2 years ago

  • [Solved] need help

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    will post in chat – 2 years ago

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    will post in chat

    – 2 years ago

  • [Solved] project 4

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    ## **Scenario** You are a security professional for Blue Stripe Tech, an IT services provider with approximately 400 employees. Blue Stripe Tech partners with industry leaders to provide storage, networking, virtualization, and cybersecurity to clients. Blue Stripe Tech recently won a large DoD cont…

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    ## **Scenario**

    You are a security professional for Blue Stripe Tech, an IT services provider with approximately 400 employees. Blue Stripe Tech partners with industry leaders to provide storage, networking, virtualization, and cybersecurity to clients.

    Blue Stripe Tech recently won a large DoD contract, which will add 30 percent to the revenue of the organization. It is a high-priority, high-visibility project. Blue Stripe Tech will be allowed to make its own budget, project timeline, and tollgate decisions.

    As a security professional for Blue Stripe Tech, you are responsible for developing security policies for this project. These policies are required to meet DoD standards for delivery of IT technology services to the U.S. Air Force Cyber Security Center (AFCSC), a DoD agency.

    To do this, you must develop DoD-approved policies, standards, and control descriptions for your IT infrastructure (see the “Tasks” section in this document). The policies you create must pass DoD-based requirements. Currently, your organization does not have any DoD contracts and thus has no DoD-compliant security policies, standards, or controls in place.

    Blue Stripe Tech's computing environment includes the following:

    – 12 servers running the latest edition of Microsoft Server, providing the following:
    – Active Directory (AD)
    – Domain Name System (DNS)
    – Dynamic Host Configuration Protocol (DHCP)
    – Enterprise resource planning (ERP) application (Oracle)
    – A research and development (R&D) engineering network segment for testing, separate from the production environment
    – Microsoft Exchange Server for email
    – Email filter
    – Cloud-based secure web gateway (web security, data loss protection, next-generation firewall, cloud application security, advanced threat protection)
    – Two Linux servers running Apache Server to host your website
    – 400 PCs/laptops running Microsoft Windows 10, Microsoft 365 office applications, and other productivity tools

    ## **Tasks**

    – Develop a list of compliance laws required for DoD contracts.
    – Determine which policy framework(s) will be used for this project.
    – List controls placed on domains in the IT infrastructure.
    – List required standards for common devices, categorized by IT domain.
    – Develop DoD-compliant policies for the organization’s IT infrastructure.
    – Describe the policies, standards, and controls that would make the organization DoD compliant.
    – Develop a high-level deployment plan for implementation of these polices, standards, and controls.
    – Write a professional report that includes all of the above content-related items and citations for all sources.

    #### **Submission Requirements**

    – Format: Microsoft Word (or compatible)
    – Font: Arial, size 12, double-space
    – Citation style: Your school’s preferred style guide
    – Length of draft research documents: 2–4 pages
    – Length of final report: 14–18 pages

    – 2 years ago

  • [Solved] see attached

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    – [\ \ Unit13DiscussionSleepDisordersandHypnotics.800w.400winitialpostingand400w-peerresponse.4-references.Due3-27-25.docx.doc](https://www.sweetstudy.com/files/unit13discussionsleepdisordersandhypnotics-800w-400winitialpostingand400w-peerresponse-4-references-due3-27-25-docx-doc "Unit13Discussion…

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    – [\
    \
    Unit13DiscussionSleepDisordersandHypnotics.800w.400winitialpostingand400w-peerresponse.4-references.Due3-27-25.docx.doc](https://www.sweetstudy.com/files/unit13discussionsleepdisordersandhypnotics-800w-400winitialpostingand400w-peerresponse-4-references-due3-27-25-docx-doc "Unit13DiscussionSleepDisordersandHypnotics.800w.400winitialpostingand400w-peerresponse.4-references.Due3-27-25.docx.doc")

    – 2 years ago

  • [Solved] discussion

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    – 2 years ago **files (1)** – ## Week4FocusedSOAPNoteforCasePresentation-2.doc **## Week4FocusedSOAPNoteforCasePresentation-2.doc** [removed] **## Week4FocusedSOAPNoteforCasePresentation-2.doc** [removed]

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    – 2 years ago

    **files (1)**

    – ## Week4FocusedSOAPNoteforCasePresentation-2.doc

    **## Week4FocusedSOAPNoteforCasePresentation-2.doc**

    [removed]

    **## Week4FocusedSOAPNoteforCasePresentation-2.doc**

    [removed]

  • [Solved] Discussion

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    – 2 years ago **files (1)** – ## Week-8Assgn_Haji_A.docx **## Week-8Assgn_Haji_A.docx** 6 CC: "Anxiety and depressive symptoms with concerns about appetite, weight, sleep, energy, and motherhood abilities." HPI: D.R. is a 48-year-old female with a history of anxiety treatment is presenting to es…

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    – 2 years ago

    **files (1)**

    – ## Week-8Assgn_Haji_A.docx

    **## Week-8Assgn_Haji_A.docx**

    6

    CC: "Anxiety and depressive symptoms with concerns about appetite, weight, sleep, energy, and motherhood abilities." HPI: D.R. is a 48-year-old female with a history of anxiety treatment is presenting to establish care with a new provider. She reports experiencing increased appetite, poor sleep, low energy, excessive worry, depressed mood, intrusive thoughts, rumination, and excessive guilt. The patient is also concerned about her weight and the fear of getting fat. She expresses worry about being a good mother, particularly given her divorce and custody issues with her ex-husband. She shares details about her custody battle with her ex-husband, who recently got remarried. Despite going three years without utilizing his allotted custody time, the husband sued the patient for primary custody. The lawsuit has been settled with a 50/50 custody arrangement, alternating summers every other week, with facilitated parenting and monthly meetings in place. Additionally, the patient discloses self-medicating with alcohol and attending AA for alcohol use disorder, with a sponsor for support. In July, the patient stopped taking Vyvanse, Lexapro, and clonidine, medications she had been prescribed by a neurologist, indicating a more disjointed treatment history. She works as a musician on weekends and is pursuing certification in music therapy, requiring the completion of a certification exam. The patient regularly attends therapy sessions to address her mental health concerns. Past Psychiatric History: • Started psychotherapy in 2004 under the care of Herbert Edmoundson at Memorial Hermann • No history of hospitalizations or suicide attempts • Engaged in both individual and group therapy sessions • Past medication trials include Lexapro, Effexor (2004), Wellbutrin (2014), Vyvanse, and Clonidine3 Substance Current Use: Denies current alcohol or substance use. Reports attending AA for alcohol use disorder. Psychiatric Family History: • Alcohol use disorder in brother and uncle • ADHD in brother and aunt • Social anxiety in brother • Mother deceased in 2020 due to depression/anxiety. Social History: • Lives with a roommate in an apartment. Family support is available. Experienced emotional abuse and sexual abuse. She is divorced. She is employed full-time. Financially stable. Completed Bachelor's degree. Medical History: Generalized Anxiety Disorder, Major Depressive Disorder, Mitral valve prolapse (resolved). • Current Medications: Vyvanse, Lexapro, Clonidine • Allergies: No Known Allergies • Reproductive Hx: One child ROS: • GENERAL: Increased appetite, poor sleep, low energy. • HEENT: No issues with vision or hearing. • SKIN: Intact skin without lesions or rashes. • CARDIOVASCULAR: No chest pain or palpitations. • RESPIRATORY: Reports decreased appetite • GASTROINTESTINAL: No abdominal pain or changes in bowel habits. • GENITOURINARY: No urinary symptoms.4 • NEUROLOGICAL: Excessive worry, depressed mood, intrusive thoughts, rumination, excessive guilt. • MUSCULOSKELETAL: Weight concerns. • HEMATOLOGIC: No history of bleeding disorders. • LYMPHATICS: No history of infections. • ENDOCRINOLOGIC: No history of thyroid disorders. Diagnostic results: Anxiety and mood disorder symptoms were noted, with elevated scores on standardized measures such as the GAD-7 and PHQ-9 scales, supporting the diagnosis of Generalized Anxiety Disorder and Major Depressive Disorder. Mental Status Examination: During the assessment, it was observed that D.R. was cooperative with appropriate grooming. She exhibited signs of anxiety and sadness in her mood, and at times appeared tearful. Her thought process was goal-directed, but she expressed concerns about her weight and custody issues. There were no indications of hallucinations or delusions in her perception. She demonstrated good cognitive functioning by being oriented to time, place, and person. In terms of insight and judgment, she displayed a fair understanding of her symptoms. Diagnostic Impression: 1. Major Depressive Disorder (MDD): This is the primary diagnosis based on the patient's reported symptoms of depressed mood, poor sleep, low energy, excessive guilt, and concerns about weight and appetite, which align with the DSM-5 criteria for MDD. The patient's elevated scores on the PHQ-9 scale further support this diagnosis (American Psychiatric Association, 2013). 2. Generalized Anxiety Disorder (GAD): The patient's excessive worry, intrusive thoughts, rumination, and anxiety symptoms support the diagnosis of GAD. The elevated scores on the GAD-7 scale also indicate significant anxiety symptoms (American Psychiatric Association, 2013). 3. Alcohol Use Disorder (AUD): While the patient denies current alcohol use, her history of self-medicating with alcohol, attending AA for AUD, and family history of AUD5 suggests the need to assess and monitor for any potential substance use concerns (American Psychiatric Association, 2013). Reflections: In delving into D.R.'s history and symptoms, I was struck by the intertwining of her past experiences, current struggles, and familial influences on her mental health. The primary diagnosis of Major Depressive Disorder (MDD) resonated, given the range of symptoms she exhibits, aligning closely with DSM-5 criteria. Additionally, the secondary diagnosis of Generalized Anxiety Disorder (GAD) was warranted, supported by her pervasive worry and intrusive thoughts that impact her daily life. Crafting a treatment plan for D.R. involved integrating pharmacotherapy, psychotherapy, and holistic interventions to address her complex mental health needs. Initiating SSRIs and potentially incorporating CBT were strategic choices to target her depressive and anxiety symptoms effectively. Recognizing the impact of social determinants such as past trauma and current stressors, including divorce, highlighted the broader context influencing D.R.'s well- being. As I mull over D.R.'s case, the importance of individualized, compassionate care resonates deeply. Collaborating with a multidisciplinary team, monitoring treatment progress, and prioritizing patient education and empowerment are crucial steps in facilitating recovery and advancing mental health equity. Through a personalized and holistic approach, we aim to support D.R. in navigating her challenges, fostering resilience, and promoting overall well-being. Case Formulation and Treatment Plan: o D.R.'s history and symptoms align closely with DSM-5 criteria for MDD and GAD, warranting a comprehensive treatment approach. o Given her initial visit and the need to obtain current records from the neurologist for medication management, we emphasize caution and collaboration to ensure continuity of care.6 • Psychopharmacologic Treatment: o Initiation of Lexapro (escitalopram) 10mg for Major Depressive Disorder and Generalized Anxiety Disorder symptoms, aiming to improve mood and reduce anxiety with consideration of obtaining records for collaborative medication management. (Lam & Bhat, 2022). o Consideration of adjunctive therapy with Wellbutrin (bupropion) to address depressive symptoms and potential fatigue, pending neurologist consultation (Zisook et al., 2021). • Alternative Treatments and Interventions: o Incorporation of Cognitive Behavioral Therapy (CBT) to challenge negative thought patterns and enhance coping skills, supported by research for treating MDD and GAD (Hofmann et al., 2020). o Introduction of mindfulness practices to promote emotional regulation and reduce anxiety symptoms, aligning with evidence-based approaches (Burke et al., 2018). • Rationales for Treatment Plan: o SSRIs like Lexapro are FDA-approved for MDD and GAD, offering efficacy and safety in managing symptoms (FDA, 2019). o Wellbutrin, an atypical antidepressant, can complement the effects of Lexapro, especially in cases of persistent depressive symptoms (American Psychiatric Association, 2022). • Follow-up Parameters: o Plan for a follow-up appointment in 4 weeks to assess medication response, side effects, and overall symptom improvement. • Referrals: o Referral to a licensed therapist specializing in CBT for ongoing psychotherapy sessions to augment pharmacological treatment effects. o Collaboration with a nutritionist or dietitian to address potential weight and appetite concerns associated with MDD and enhance overall well-being. • Social Determinant of Health:7 o Addressing the impact of social isolation (a key determinant) by encouraging participation in community support groups or engaging in social activities to improve mental health outcomes (HealthyPeople, 2020). • Health Promotion Activity: o Encouraging regular physical exercise, such as walking or yoga, to promote overall wellness and alleviate depressive symptoms (Lawlor & Hopker, 2023). • Patient Education Consideration: o Providing resources and education on stress management techniques and self-care practices to empower D.R. in navigating her mental health challenges and promoting resilience (National Institute of Mental Health, 2024). PRECEPTOR VERFICIATION: I confirm the patient used for this assignment is a patient that was seen and managed by the student at their Meditrek approved clinical site during this quarter course of learning. Preceptor signature: ________________________________________________________ Date: ________________________8 References American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association. (2022). Practice Guideline for the Treatment of Patients with Major Depressive Disorder. Retrieved from [https://www.psychiatry.org/psychiatrists/practice/clinical-practice- guidelines](https://www.psychiatry.org/psychiatrists/practice/clinical-practice-guidelines) Burke, C. A., Carbone, E. G., & French, A. W. (2018). Mindfulness-based strategies and recommendations for making mindfulness a core value at a university college of nursing. Nursing Education Perspectives, 39(1), 37-40. Food and Drug Administration. (2019). Drugs@FDA: FDA-approved Drugs. Retrieved from [https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm](https://www.accessdata.fda. gov/scripts/cder/daf/index.cfm) HealthyPeople. (2020). Social Determinants of Health. Retrieved from [https://health.gov/healthypeople](https://health.gov/healthypeople) Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440. Lam, R. W., & Bhat, V. (2022). Escitalopram (Lexapro) for major depressive disorder: A comprehensive review of efficacy and tolerability. Annals of Pharmacotherapy, 56(2), 274-285. Lawlor, D. A., & Hopker, S. W. (2023). The effectiveness of exercise as an intervention in the management of depression: Systematic review and meta-regression analysis of randomised controlled trials. BMJ, 322(7289), 763-767. National Institute of Mental Health. (2024). Coping with Stress. Retrieved from[https://www.nimh.nih.gov/health/publications/stress/index.shtml](https://www.nim h.9 nih.gov/health/publications/stress/index.shtml) Zisook, S., Trivedi, M. H., Warden, D., Leuchter, A., Husain, M., Ketter, T., … & Schwartz, T. (2021). Bupropion and escitalopram in major depressive disorder (BES): An open-label, randomized trial. The Lancet, 398(10173), 1-10.

    **## Week-8Assgn_Haji_A.docx**

    6

    CC: "Anxiety and depressive symptoms with concerns about appetite, weight, sleep, energy, and motherhood abilities." HPI: D.R. is a 48-year-old female with a history of anxiety treatment is presenting to establish care with a new provider. She reports experiencing increased appetite, poor sleep, low energy, excessive worry, depressed mood, intrusive thoughts, rumination, and excessive guilt. The patient is also concerned about her weight and the fear of getting fat. She expresses worry about being a good mother, particularly given her divorce and custody issues with her ex-husband. She shares details about her custody battle with her ex-husband, who recently got remarried. Despite going three years without utilizing his allotted custody time, the husband sued the patient for primary custody. The lawsuit has been settled with a 50/50 custody arrangement, alternating summers every other week, with facilitated parenting and monthly meetings in place. Additionally, the patient discloses self-medicating with alcohol and attending AA for alcohol use disorder, with a sponsor for support. In July, the patient stopped taking Vyvanse, Lexapro, and clonidine, medications she had been prescribed by a neurologist, indicating a more disjointed treatment history. She works as a musician on weekends and is pursuing certification in music therapy, requiring the completion of a certification exam. The patient regularly attends therapy sessions to address her mental health concerns. Past Psychiatric History: • Started psychotherapy in 2004 under the care of Herbert Edmoundson at Memorial Hermann • No history of hospitalizations or suicide attempts • Engaged in both individual and group therapy sessions • Past medication trials include Lexapro, Effexor (2004), Wellbutrin (2014), Vyvanse, and Clonidine3 Substance Current Use: Denies current alcohol or substance use. Reports attending AA for alcohol use disorder. Psychiatric Family History: • Alcohol use disorder in brother and uncle • ADHD in brother and aunt • Social anxiety in brother • Mother deceased in 2020 due to depression/anxiety. Social History: • Lives with a roommate in an apartment. Family support is available. Experienced emotional abuse and sexual abuse. She is divorced. She is employed full-time. Financially stable. Completed Bachelor's degree. Medical History: Generalized Anxiety Disorder, Major Depressive Disorder, Mitral valve prolapse (resolved). • Current Medications: Vyvanse, Lexapro, Clonidine • Allergies: No Known Allergies • Reproductive Hx: One child ROS: • GENERAL: Increased appetite, poor sleep, low energy. • HEENT: No issues with vision or hearing. • SKIN: Intact skin without lesions or rashes. • CARDIOVASCULAR: No chest pain or palpitations. • RESPIRATORY: Reports decreased appetite • GASTROINTESTINAL: No abdominal pain or changes in bowel habits. • GENITOURINARY: No urinary symptoms.4 • NEUROLOGICAL: Excessive worry, depressed mood, intrusive thoughts, rumination, excessive guilt. • MUSCULOSKELETAL: Weight concerns. • HEMATOLOGIC: No history of bleeding disorders. • LYMPHATICS: No history of infections. • ENDOCRINOLOGIC: No history of thyroid disorders. Diagnostic results: Anxiety and mood disorder symptoms were noted, with elevated scores on standardized measures such as the GAD-7 and PHQ-9 scales, supporting the diagnosis of Generalized Anxiety Disorder and Major Depressive Disorder. Mental Status Examination: During the assessment, it was observed that D.R. was cooperative with appropriate grooming. She exhibited signs of anxiety and sadness in her mood, and at times appeared tearful. Her thought process was goal-directed, but she expressed concerns about her weight and custody issues. There were no indications of hallucinations or delusions in her perception. She demonstrated good cognitive functioning by being oriented to time, place, and person. In terms of insight and judgment, she displayed a fair understanding of her symptoms. Diagnostic Impression: 1. Major Depressive Disorder (MDD): This is the primary diagnosis based on the patient's reported symptoms of depressed mood, poor sleep, low energy, excessive guilt, and concerns about weight and appetite, which align with the DSM-5 criteria for MDD. The patient's elevated scores on the PHQ-9 scale further support this diagnosis (American Psychiatric Association, 2013). 2. Generalized Anxiety Disorder (GAD): The patient's excessive worry, intrusive thoughts, rumination, and anxiety symptoms support the diagnosis of GAD. The elevated scores on the GAD-7 scale also indicate significant anxiety symptoms (American Psychiatric Association, 2013). 3. Alcohol Use Disorder (AUD): While the patient denies current alcohol use, her history of self-medicating with alcohol, attending AA for AUD, and family history of AUD5 suggests the need to assess and monitor for any potential substance use concerns (American Psychiatric Association, 2013). Reflections: In delving into D.R.'s history and symptoms, I was struck by the intertwining of her past experiences, current struggles, and familial influences on her mental health. The primary diagnosis of Major Depressive Disorder (MDD) resonated, given the range of symptoms she exhibits, aligning closely with DSM-5 criteria. Additionally, the secondary diagnosis of Generalized Anxiety Disorder (GAD) was warranted, supported by her pervasive worry and intrusive thoughts that impact her daily life. Crafting a treatment plan for D.R. involved integrating pharmacotherapy, psychotherapy, and holistic interventions to address her complex mental health needs. Initiating SSRIs and potentially incorporating CBT were strategic choices to target her depressive and anxiety symptoms effectively. Recognizing the impact of social determinants such as past trauma and current stressors, including divorce, highlighted the broader context influencing D.R.'s well- being. As I mull over D.R.'s case, the importance of individualized, compassionate care resonates deeply. Collaborating with a multidisciplinary team, monitoring treatment progress, and prioritizing patient education and empowerment are crucial steps in facilitating recovery and advancing mental health equity. Through a personalized and holistic approach, we aim to support D.R. in navigating her challenges, fostering resilience, and promoting overall well-being. Case Formulation and Treatment Plan: o D.R.'s history and symptoms align closely with DSM-5 criteria for MDD and GAD, warranting a comprehensive treatment approach. o Given her initial visit and the need to obtain current records from the neurologist for medication management, we emphasize caution and collaboration to ensure continuity of care.6 • Psychopharmacologic Treatment: o Initiation of Lexapro (escitalopram) 10mg for Major Depressive Disorder and Generalized Anxiety Disorder symptoms, aiming to improve mood and reduce anxiety with consideration of obtaining records for collaborative medication management. (Lam & Bhat, 2022). o Consideration of adjunctive therapy with Wellbutrin (bupropion) to address depressive symptoms and potential fatigue, pending neurologist consultation (Zisook et al., 2021). • Alternative Treatments and Interventions: o Incorporation of Cognitive Behavioral Therapy (CBT) to challenge negative thought patterns and enhance coping skills, supported by research for treating MDD and GAD (Hofmann et al., 2020). o Introduction of mindfulness practices to promote emotional regulation and reduce anxiety symptoms, aligning with evidence-based approaches (Burke et al., 2018). • Rationales for Treatment Plan: o SSRIs like Lexapro are FDA-approved for MDD and GAD, offering efficacy and safety in managing symptoms (FDA, 2019). o Wellbutrin, an atypical antidepressant, can complement the effects of Lexapro, especially in cases of persistent depressive symptoms (American Psychiatric Association, 2022). • Follow-up Parameters: o Plan for a follow-up appointment in 4 weeks to assess medication response, side effects, and overall symptom improvement. • Referrals: o Referral to a licensed therapist specializing in CBT for ongoing psychotherapy sessions to augment pharmacological treatment effects. o Collaboration with a nutritionist or dietitian to address potential weight and appetite concerns associated with MDD and enhance overall well-being. • Social Determinant of Health:7 o Addressing the impact of social isolation (a key determinant) by encouraging participation in community support groups or engaging in social activities to improve mental health outcomes (HealthyPeople, 2020). • Health Promotion Activity: o Encouraging regular physical exercise, such as walking or yoga, to promote overall wellness and alleviate depressive symptoms (Lawlor & Hopker, 2023). • Patient Education Consideration: o Providing resources and education on stress management techniques and self-care practices to empower D.R. in navigating her mental health challenges and promoting resilience (National Institute of Mental Health, 2024). PRECEPTOR VERFICIATION: I confirm the patient used for this assignment is a patient that was seen and managed by the student at their Meditrek approved clinical site during this quarter course of learning. Preceptor signature: ________________________________________________________ Date: ________________________8 References American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association. (2022). Practice Guideline for the Treatment of Patients with Major Depressive Disorder. Retrieved from [https://www.psychiatry.org/psychiatrists/practice/clinical-practice- guidelines](https://www.psychiatry.org/psychiatrists/practice/clinical-practice-guidelines) Burke, C. A., Carbone, E. G., & French, A. W. (2018). Mindfulness-based strategies and recommendations for making mindfulness a core value at a university college of nursing. Nursing Education Perspectives, 39(1), 37-40. Food and Drug Administration. (2019). Drugs@FDA: FDA-approved Drugs. Retrieved from [https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm](https://www.accessdata.fda. gov/scripts/cder/daf/index.cfm) HealthyPeople. (2020). Social Determinants of Health. Retrieved from [https://health.gov/healthypeople](https://health.gov/healthypeople) Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440. Lam, R. W., & Bhat, V. (2022). Escitalopram (Lexapro) for major depressive disorder: A comprehensive review of efficacy and tolerability. Annals of Pharmacotherapy, 56(2), 274-285. Lawlor, D. A., & Hopker, S. W. (2023). The effectiveness of exercise as an intervention in the management of depression: Systematic review and meta-regression analysis of randomised controlled trials. BMJ, 322(7289), 763-767. National Institute of Mental Health. (2024). Coping with Stress. Retrieved from[https://www.nimh.nih.gov/health/publications/stress/index.shtml](https://www.nim h.9 nih.gov/health/publications/stress/index.shtml) Zisook, S., Trivedi, M. H., Warden, D., Leuchter, A., Husain, M., Ketter, T., … & Schwartz, T. (2021). Bupropion and escitalopram in major depressive disorder (BES): An open-label, randomized trial. The Lancet, 398(10173), 1-10.

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