. What behaviors indicate psychological distress? Name 5 and explain.

. What behaviors indicate psychological distress? Name 5 and explain.

The term ‘distress’ is commonly used in nursing literature to … Read More...
AUCS 340: Ethics in the Professions Homework Assignment: International and US Health Care Systems The following homework assignment will help you to discover some of the differences between the administration of health care in the United States and internationally. This is a research based assignment; remember the use of Wikipedia.com is not an acceptable reference site for this course. You must include a references cited page for this assignment; correctly formatted APA or MLA references are acceptable (simply stating s web address is NOT a complete reference). The answers should be presented in paragraph formation. Staple all pages together for presentation. The first question refers to a country other than the United States of America 1) Socialized Medicine – provide a definition of the term socialized medicine and discuss a country that currently has a socialized medicine system to cover all citizens; this discussion should include the types of services offered to the citizens of this country. When was this system first implemented in this country? What is the name of this country’s health insurance plan? Compare the ranking for the life expectancy for this country to that of the United States. Which is higher? Why? Compare the cost of financing healthcare in this country to the United States in comparison to the amount of annual funding in dollars and the percentage of gross domestic product spent on health care for each country. What rank does this country have in comparison to the United States for overall health of its citizens? (This portion of the assignment should be approximately one page in length and graphic data is acceptable to support some answers, however, graphic information should only be used to explain your written explanation not as the answer to the question.) Bonus: Is this country’s system currently financially stable? Why or why not? The following questions refer to the delivery of healthcare in the United States of America, as it was organized prior to the implementation of the Affordable Care Act (ACA). The ACA is currently being phased into coverage. It is estimated that the answers to the following questions will result in an additional two to three pages of written text in addition to the page for question number one. 2) Medicare – when was it enacted? Who does it cover? Who was President when Medicare was originally passed? What do the specific portions Part A, Part B and Part D cover? When was Part D enacted? Who was President when Part D was enacted? Is the Medicare system currently financially stable? Why or why not. Compare the average life expectancy for males and females when Medicare was originally passed and the average life expectancy of males and females as of 2010; more recent data is acceptable. Bonus: What does Part C cover and when was it enacted? 3) Health Maintenance Organization (HMO) – Define the term health maintenance organization. When did this type of health insurance plan become popular in the United States? How does this type of system provide medical care to the people enrolled? This answer should discuss in network versus out of network coverage. 4) Medicaid- when was it enacted? Who does it cover? Who was President when this insurance plan was enacted? Are the coverage benefits the same state to state? Why or why not? Is the system currently financially stable? Why or why not. What effect does passage of the ACA project to have on enrollment in the Medicaid system? Why? 5) Organ Transplants – What is the mechanism for placement of a patient’s name on the organ transplant list? What is the current length of time a patient must wait for a heart transplant? Explain at least one reason why transplants are considered an ethical issue. How are transplants financed? Give at least one example of how much any type of organ transplant would cost. 6) Health Insurance/Information Portability and Accountability Act (HIPAA) – When was it enacted? Who was President when this legislation as passed? What is the scope of this legislative for the medical community and the general community? (Hint: There are actually two reasons for HIPAA legislation; make sure to state both in your response) 7) Death with Dignity Act – what year was the Oregon Death with Dignity Act passed? What ethical issue is covered by the Death with Dignity Act? List the factors that must be met for a patient to use the Death with Dignity Act. List two additional states that have enacted Death with Dignity Acts and when was the legislation passed in these states? 8) Hospice – what is hospice care? When was it developed? What country was most instrumental in the development of hospice care? Do health insurance plans in the United States cover hospice care? What types of services are covered for hospice care? Grading: 1) Accuracy and completeness of responses = 60% of grade 2) Correct use of sentence structure, spelling and grammar = 30% of grade 3) Appropriate use of references and citations = 10% of grade Simply stating a web page is not an appropriate reference This assignment is due on the date published in the course syllabus.

AUCS 340: Ethics in the Professions Homework Assignment: International and US Health Care Systems The following homework assignment will help you to discover some of the differences between the administration of health care in the United States and internationally. This is a research based assignment; remember the use of Wikipedia.com is not an acceptable reference site for this course. You must include a references cited page for this assignment; correctly formatted APA or MLA references are acceptable (simply stating s web address is NOT a complete reference). The answers should be presented in paragraph formation. Staple all pages together for presentation. The first question refers to a country other than the United States of America 1) Socialized Medicine – provide a definition of the term socialized medicine and discuss a country that currently has a socialized medicine system to cover all citizens; this discussion should include the types of services offered to the citizens of this country. When was this system first implemented in this country? What is the name of this country’s health insurance plan? Compare the ranking for the life expectancy for this country to that of the United States. Which is higher? Why? Compare the cost of financing healthcare in this country to the United States in comparison to the amount of annual funding in dollars and the percentage of gross domestic product spent on health care for each country. What rank does this country have in comparison to the United States for overall health of its citizens? (This portion of the assignment should be approximately one page in length and graphic data is acceptable to support some answers, however, graphic information should only be used to explain your written explanation not as the answer to the question.) Bonus: Is this country’s system currently financially stable? Why or why not? The following questions refer to the delivery of healthcare in the United States of America, as it was organized prior to the implementation of the Affordable Care Act (ACA). The ACA is currently being phased into coverage. It is estimated that the answers to the following questions will result in an additional two to three pages of written text in addition to the page for question number one. 2) Medicare – when was it enacted? Who does it cover? Who was President when Medicare was originally passed? What do the specific portions Part A, Part B and Part D cover? When was Part D enacted? Who was President when Part D was enacted? Is the Medicare system currently financially stable? Why or why not. Compare the average life expectancy for males and females when Medicare was originally passed and the average life expectancy of males and females as of 2010; more recent data is acceptable. Bonus: What does Part C cover and when was it enacted? 3) Health Maintenance Organization (HMO) – Define the term health maintenance organization. When did this type of health insurance plan become popular in the United States? How does this type of system provide medical care to the people enrolled? This answer should discuss in network versus out of network coverage. 4) Medicaid- when was it enacted? Who does it cover? Who was President when this insurance plan was enacted? Are the coverage benefits the same state to state? Why or why not? Is the system currently financially stable? Why or why not. What effect does passage of the ACA project to have on enrollment in the Medicaid system? Why? 5) Organ Transplants – What is the mechanism for placement of a patient’s name on the organ transplant list? What is the current length of time a patient must wait for a heart transplant? Explain at least one reason why transplants are considered an ethical issue. How are transplants financed? Give at least one example of how much any type of organ transplant would cost. 6) Health Insurance/Information Portability and Accountability Act (HIPAA) – When was it enacted? Who was President when this legislation as passed? What is the scope of this legislative for the medical community and the general community? (Hint: There are actually two reasons for HIPAA legislation; make sure to state both in your response) 7) Death with Dignity Act – what year was the Oregon Death with Dignity Act passed? What ethical issue is covered by the Death with Dignity Act? List the factors that must be met for a patient to use the Death with Dignity Act. List two additional states that have enacted Death with Dignity Acts and when was the legislation passed in these states? 8) Hospice – what is hospice care? When was it developed? What country was most instrumental in the development of hospice care? Do health insurance plans in the United States cover hospice care? What types of services are covered for hospice care? Grading: 1) Accuracy and completeness of responses = 60% of grade 2) Correct use of sentence structure, spelling and grammar = 30% of grade 3) Appropriate use of references and citations = 10% of grade Simply stating a web page is not an appropriate reference This assignment is due on the date published in the course syllabus.

The organization that is specifically devoted to the advancement and recognition of the mental health counseling profession is the __________ a) APA b) AMHCA c) ACA d) AACD

The organization that is specifically devoted to the advancement and recognition of the mental health counseling profession is the __________ a) APA b) AMHCA c) ACA d) AACD

answer b The organization that is specifically devoted to the … Read More...
In making ethical decision, mental health counselors should abide by all but which if these principles ? a) Beneficience and nonmaleficence b) Justice and fidelity c) Common sense and autonomy d) Personal gain

In making ethical decision, mental health counselors should abide by all but which if these principles ? a) Beneficience and nonmaleficence b) Justice and fidelity c) Common sense and autonomy d) Personal gain

answer d
1 ACTIVITY PURPOSE The purpose of this activity is to give you practice preparing a four-week work schedule. PROCESS Follow the steps listed below to prepare a schedule. 1. Read the Information Sheet: Scheduling Employees. 2. The pay week for this medical record service runs Sunday – Saturday. The pay period is two pay weeks. Each full-time employee cannot work more than 40 hours per pay week, or 80 hours per pay period. Each part-time employee works 20 hours per pay week – 40 hours per pay period. 3. The first Friday of the four – week period is a holiday. 4. The medical record service has 24 hour coverage, seven days a week. All full-time employees work a five day pay week, eight hours per day, with rotating weekend coverage. Part-time employees work four hours Monday – Friday, except for their rotation weekend. On those days they work an eight hour shift. Remember to adjust their time accordingly. 5. The Assistant Director and all supervisors, except the Tumor Registry Supervisor, should be scheduled for rotating weekend coverage. 2 6. All employees, except the Tumor Registry employees, should be scheduled on a rotating basis for weekend coverage. 7. For weekend and holiday coverage, there needs to be at least two clerks and one transcriptionist on days and evenings, one clerk and one transcriptionist at night. 8. The Department Director has scheduled a two – week vacation for the first two full weeks of the four – week schedule. 9. Employees who work holidays must take the holiday time within the pay period in which the holiday occurs. 10.Use the following marks on the schedule: X – work eight hours V – vacation H – holiday D – day off 4 – hours for part-time employees 3 PERSONNEL OF HUFFMAN MEMORIAL MEDICAL RECORD DEPARTMENT DAYS (7:00 A.M. – 3:30 P.M.) Director Diane Lucas Assistant Director JoAnn DeWitt Coding 1 Supervisor – Nina Long 3 Coding/PAS Clerks – Cheryl Newman Pam Rogers Janet Bennett Transcription 1 Supervisor – 6 Transcribers – Jessica DuBois Eileen Andrews Iris Williams Diane Henderson Vivian Thomas Lois Fisher Emma Daily Filing/Retrieval 1 Supervisor – 4 Clerks – 1 Part-time Clerk – Bill James Darlene Cook Janice Stivers Larry Patterson Don Williamson Susan Evanston Tumor Registry 1 Supervisor – 1 Clerk – 1 Part-time Clerk – Mabel Smith Pauline Erskine Suzanne Chapman EVENING (3:00 P.M. – 11:00 P.M.) Transcription 1 Part-time – Beth Richman Filing/Retrieval 1 Supervisor – 2 Clerks – 1 Part-time Clerk – Daniel Johnson Harry Skinner Matthew Scott Anne Madison NIGHTS (11:00 P.M. – 7:00 A.M.) Transcription 3 Transcribers – Louise Wilson Jane Matters Nancy Lipman Filing/Retrieval 2 Clerks – Lily Jamison Helen Benson 4 INFORMATION SHEET SCHEDULING EMPLOYEES In addition to the planning, organizing and controlling of a medical record service, managers must accurately plan the work pattern for employees. This plan must insure that all duties are adequately covered, all shifts have sufficient numbers of people to perform duties, and employees are given appropriate days off. Scheduling encompasses both short term and long term plans. Short term scheduling involves planning work on a daily and/or weekly basis. Long term scheduling generally covers a four – to six – week time period, as well as yearly planning for holidays. In larger health care facilities with the medical record service providing 24 hour service, seven days a week, advanced planning is a requisite to a smooth operation. In smaller facilities with shorter hours of service, the schedule is less complex. The number of employees needed for weekend work for those facilities open on weekends is totally dependent upon the weekend workload. A volume of seventy (70) to ninety (90) discharges per day generally requires two (2) medical record clerks to process those discharges, as well as to perform the other daily responsibilities of the medical record service. It is also advisable to schedule a supervisor during the weekend in the event that any problems arise which a clerk might not be able to handle (i.e. medico-legal questions, irate patients or physicians). If you work in a department that has an active work 5 measurement program, valuable scheduling information can be obtained from the data reported. In planning for holidays, it is important to remember to: 1. obtain employee preferences for which holidays they might choose to work; 2. keep track of who has worked which holidays; 3. if a holiday occurs on a Friday or a Monday and the employee must work on the holiday, try to give them a Friday or Monday off to compensate. It is important for you to be fair in terms of assigning employees weekend work and scheduling Holidays. Everyone should share the responsibility equally. If you have all supervisors work one weekend per month, then that schedule should be followed. If you have clerks working every other weekend, then that pattern should be followed consistently. When preparing a schedule it is best to put in all the “givens” first. For example, if you have vacations scheduled for the four weeks you’re preparing, then those should be marked in first. Also included in this category would be employees who do not work weekends (i.e. personnel in the Tumor Registry). Once all work times have been scheduled, you must be certain that an employee receives two (2) days off for every seven (7) days. If an employee works more than forty (40) hours in one (1) week, the facility must pat time-an-a-half for all hours over forty. Some facilities are experimenting with a variety of scheduling techniques: flex time and the four-day work week. Both techniques have been 6 heavily debated. The final questions regarding these nontraditional alternatives end up being: 1. Are your employees willing to try it? 2. Are you ready to handle the extra planning these alternatives may warrant? 3. Do you have the necessary resources, including equipment, to accommodate a nontraditional scheduling alternative? 4. Will administrator of the facility support your proposal? Once you have established answers to those questions you are ready to embark on a new technique of scheduling. Scheduling employees can be one of the most challenging tasks that a manager faces. Whether you elect to try one of the nontraditional alternatives or use the five-day work week, the manager must: 1. be fair; 2. apply all guidelines to every employee consistently 3. utilize all available data to arrive at appropriate numbers for weekend and holiday staffing requirements; and 4. maximize the utilization of equipment and resources.

1 ACTIVITY PURPOSE The purpose of this activity is to give you practice preparing a four-week work schedule. PROCESS Follow the steps listed below to prepare a schedule. 1. Read the Information Sheet: Scheduling Employees. 2. The pay week for this medical record service runs Sunday – Saturday. The pay period is two pay weeks. Each full-time employee cannot work more than 40 hours per pay week, or 80 hours per pay period. Each part-time employee works 20 hours per pay week – 40 hours per pay period. 3. The first Friday of the four – week period is a holiday. 4. The medical record service has 24 hour coverage, seven days a week. All full-time employees work a five day pay week, eight hours per day, with rotating weekend coverage. Part-time employees work four hours Monday – Friday, except for their rotation weekend. On those days they work an eight hour shift. Remember to adjust their time accordingly. 5. The Assistant Director and all supervisors, except the Tumor Registry Supervisor, should be scheduled for rotating weekend coverage. 2 6. All employees, except the Tumor Registry employees, should be scheduled on a rotating basis for weekend coverage. 7. For weekend and holiday coverage, there needs to be at least two clerks and one transcriptionist on days and evenings, one clerk and one transcriptionist at night. 8. The Department Director has scheduled a two – week vacation for the first two full weeks of the four – week schedule. 9. Employees who work holidays must take the holiday time within the pay period in which the holiday occurs. 10.Use the following marks on the schedule: X – work eight hours V – vacation H – holiday D – day off 4 – hours for part-time employees 3 PERSONNEL OF HUFFMAN MEMORIAL MEDICAL RECORD DEPARTMENT DAYS (7:00 A.M. – 3:30 P.M.) Director Diane Lucas Assistant Director JoAnn DeWitt Coding 1 Supervisor – Nina Long 3 Coding/PAS Clerks – Cheryl Newman Pam Rogers Janet Bennett Transcription 1 Supervisor – 6 Transcribers – Jessica DuBois Eileen Andrews Iris Williams Diane Henderson Vivian Thomas Lois Fisher Emma Daily Filing/Retrieval 1 Supervisor – 4 Clerks – 1 Part-time Clerk – Bill James Darlene Cook Janice Stivers Larry Patterson Don Williamson Susan Evanston Tumor Registry 1 Supervisor – 1 Clerk – 1 Part-time Clerk – Mabel Smith Pauline Erskine Suzanne Chapman EVENING (3:00 P.M. – 11:00 P.M.) Transcription 1 Part-time – Beth Richman Filing/Retrieval 1 Supervisor – 2 Clerks – 1 Part-time Clerk – Daniel Johnson Harry Skinner Matthew Scott Anne Madison NIGHTS (11:00 P.M. – 7:00 A.M.) Transcription 3 Transcribers – Louise Wilson Jane Matters Nancy Lipman Filing/Retrieval 2 Clerks – Lily Jamison Helen Benson 4 INFORMATION SHEET SCHEDULING EMPLOYEES In addition to the planning, organizing and controlling of a medical record service, managers must accurately plan the work pattern for employees. This plan must insure that all duties are adequately covered, all shifts have sufficient numbers of people to perform duties, and employees are given appropriate days off. Scheduling encompasses both short term and long term plans. Short term scheduling involves planning work on a daily and/or weekly basis. Long term scheduling generally covers a four – to six – week time period, as well as yearly planning for holidays. In larger health care facilities with the medical record service providing 24 hour service, seven days a week, advanced planning is a requisite to a smooth operation. In smaller facilities with shorter hours of service, the schedule is less complex. The number of employees needed for weekend work for those facilities open on weekends is totally dependent upon the weekend workload. A volume of seventy (70) to ninety (90) discharges per day generally requires two (2) medical record clerks to process those discharges, as well as to perform the other daily responsibilities of the medical record service. It is also advisable to schedule a supervisor during the weekend in the event that any problems arise which a clerk might not be able to handle (i.e. medico-legal questions, irate patients or physicians). If you work in a department that has an active work 5 measurement program, valuable scheduling information can be obtained from the data reported. In planning for holidays, it is important to remember to: 1. obtain employee preferences for which holidays they might choose to work; 2. keep track of who has worked which holidays; 3. if a holiday occurs on a Friday or a Monday and the employee must work on the holiday, try to give them a Friday or Monday off to compensate. It is important for you to be fair in terms of assigning employees weekend work and scheduling Holidays. Everyone should share the responsibility equally. If you have all supervisors work one weekend per month, then that schedule should be followed. If you have clerks working every other weekend, then that pattern should be followed consistently. When preparing a schedule it is best to put in all the “givens” first. For example, if you have vacations scheduled for the four weeks you’re preparing, then those should be marked in first. Also included in this category would be employees who do not work weekends (i.e. personnel in the Tumor Registry). Once all work times have been scheduled, you must be certain that an employee receives two (2) days off for every seven (7) days. If an employee works more than forty (40) hours in one (1) week, the facility must pat time-an-a-half for all hours over forty. Some facilities are experimenting with a variety of scheduling techniques: flex time and the four-day work week. Both techniques have been 6 heavily debated. The final questions regarding these nontraditional alternatives end up being: 1. Are your employees willing to try it? 2. Are you ready to handle the extra planning these alternatives may warrant? 3. Do you have the necessary resources, including equipment, to accommodate a nontraditional scheduling alternative? 4. Will administrator of the facility support your proposal? Once you have established answers to those questions you are ready to embark on a new technique of scheduling. Scheduling employees can be one of the most challenging tasks that a manager faces. Whether you elect to try one of the nontraditional alternatives or use the five-day work week, the manager must: 1. be fair; 2. apply all guidelines to every employee consistently 3. utilize all available data to arrive at appropriate numbers for weekend and holiday staffing requirements; and 4. maximize the utilization of equipment and resources.

A factor that positively affected the state of women’s health care is: Question 3 options: the entry of women into the workforce during World War II Political attempts to control the distribution of information about reproductive options the treatment of menopause as an “illness” the different treatments for men and women suffering from heart disease

A factor that positively affected the state of women’s health care is: Question 3 options: the entry of women into the workforce during World War II Political attempts to control the distribution of information about reproductive options the treatment of menopause as an “illness” the different treatments for men and women suffering from heart disease

A factor that positively affected the state of women’s health … Read More...
Which of following is an accurate statement if a mental health counselor is having feelings towards a clients a) Automatically means that the helper is having countertransference reactions b) May be an indicator that the helper is feeling deep empathy and compassion for the client c) Indicates that a referral may be in order d) Is dysfunctional and creates problems in the counseling process that need to be addressed e) Means that the helper is over-identifying with the client’s issues.

Which of following is an accurate statement if a mental health counselor is having feelings towards a clients a) Automatically means that the helper is having countertransference reactions b) May be an indicator that the helper is feeling deep empathy and compassion for the client c) Indicates that a referral may be in order d) Is dysfunctional and creates problems in the counseling process that need to be addressed e) Means that the helper is over-identifying with the client’s issues.

answer d Which of following is an accurate statement if … Read More...