The stated purpose of the nursing profession is to “deliver excellent care to each patient through the management of resources and to maintain a professional work environment to ensure competence and satisfaction.” In managing nursing services as a CNO, COO, or CEO, how would you measure the performance of your nursing department toward meeting this purpose? List specific dimensions and provide specific examples for the type of healthcare facility that you would like to manage (hospital, clinic, long-term care, home care, or other). Healthcare facility: Hospital

The stated purpose of the nursing profession is to “deliver excellent care to each patient through the management of resources and to maintain a professional work environment to ensure competence and satisfaction.” In managing nursing services as a CNO, COO, or CEO, how would you measure the performance of your nursing department toward meeting this purpose? List specific dimensions and provide specific examples for the type of healthcare facility that you would like to manage (hospital, clinic, long-term care, home care, or other). Healthcare facility: Hospital

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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.

Critical Thinking: How much stress is too much? The level of stress a person can experience before it does harm to the human body remains an important question. In a study of medical students, many working between 70-80 hours per week, nearly half suffered from extremely high levels of stress. In general, the more hours worked, the greater the level of stress experienced by the student. Higher levels of stress often corresponded with unhealthy coping strategies, including drug and alcohol abuse (Kasi et al., 2007) In addition, the study found that the students’ stress level also put their patients at risk. Stressed residents were more likely to make errors and to compromise patient care (Pitt et al., 2004).

Critical Thinking: How much stress is too much? The level of stress a person can experience before it does harm to the human body remains an important question. In a study of medical students, many working between 70-80 hours per week, nearly half suffered from extremely high levels of stress. In general, the more hours worked, the greater the level of stress experienced by the student. Higher levels of stress often corresponded with unhealthy coping strategies, including drug and alcohol abuse (Kasi et al., 2007) In addition, the study found that the students’ stress level also put their patients at risk. Stressed residents were more likely to make errors and to compromise patient care (Pitt et al., 2004).

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Quiz Page 1 of 2 Note: It is recommended that you save your response as you complete each question. ________________________________________ Question 1 (1 point) Which of the following can cause cervicitis? Question 1 options: Candida Sexually transmitted infections Irritation from a contraceptive All of these choices are correct Question 2 (1 point) There is every indication that cervical cancer may take _____ or more years to develop. Question 2 options: 5 15 2 10 Question 3 (1 point) Cervical cancer is found almost exclusively in women who have been Question 3 options: sexually active underweight celibate overweight Question 4 (1 point) The best predictor for survival of ovarian cancer is Question 4 options: the sexual history of the patient how far the tumor has spread the amount of diagnostic measures taken the attitude (positive or negative) of the patient Question 5 (1 point) The current recommendation for most women, after becoming sexually active or starting at age 21, is to have a Pap smear done Question 5 options: once every 3 years once every year once every 5 years once every 6 months Page 1 of 2 ________________________________________ Quiz Page 2 of 2 Note: It is recommended that you save your response as you complete each question. Question 6 (1 point) Which of the following is not a fibroid classification? Question 6 options: Submucous Subserous Extramural Intramural Question 7 (1 point) Statistics indicate that _____ of breast cancers are diagnosed when women are between 45 and 64 years of age. Question 7 options: 47% 14% 22% 35% Question 8 (1 point) Ovarian cancers are classified according to their: Question 8 options: Cellular origin Symptoms Genetic predispositions All of these choices are correct Question 9 (1 point) The primary initial symptom of endometrial cancer is Question 9 options: odiferous vaginal discharge abnormal and painless vaginal bleeding painful, often incapacitating, cramps involuntary uterine contractions Question 10 (1 point) Ovarian cancers are considered the worst of gynecological malignancies because Question 10 options: they sometimes develop slowly they are often symptomless until it is too late too little is known about this disease both A and B are correct choices Page 2 of 2 Quiz 8 Quiz Page 2 of 2 Note: It is recommended that you save your response as you complete each question. Question 6 (1 point) The best predictor for survival of ovarian cancer is Question 6 options: the sexual history of the patient how far the tumor has spread the attitude (positive or negative) of the patient the amount of diagnostic measures taken Question 7 (1 point) Ovarian cancers are classified according to their: Question 7 options: Genetic predispositions Symptoms Cellular origin All of these choices are correct Question 8 (1 point) The primary initial symptom of endometrial cancer is Question 8 options: involuntary uterine contractions painful, often incapacitating, cramps abnormal and painless vaginal bleeding odiferous vaginal discharge Question 9 (1 point) Cervical cancer is found almost exclusively in women who have been Question 9 options: sexually active underweight celibate overweight Question 10 (1 point) Several screening techniques for early detection of ovarian cancer have been developed. As of yet _____ have proven effective. Question 10 options: 50% All None 25% Page 2 of 2 ________________________________________ Quiz Page 1 of 2 Note: It is recommended that you save your response as you complete each question. ________________________________________ Question 1 (1 point) The unsubstantiated idea that the uterus was damaged by sports and emotions remained common into the: Question 1 options: 1890s 1950s 1920s 1970s Question 2 (1 point) Which of the following can cause cervicitis? Question 2 options: Candida Sexually transmitted infections Irritation from a contraceptive All of these choices are correct Question 3 (1 point) There is every indication that cervical cancer may take _____ or more years to develop. Question 3 options: 10 5 2 15 Question 4 (1 point) Which of the following is not a fibroid classification? Question 4 options: Intramural Subserous Extramural Submucous Question 5 (1 point) Ovarian cancers are considered the worst of gynecological malignancies because Question 5 options: they sometimes develop slowly they are often symptomless until it is too late too little is known about this disease both A and B are correct choices Page 1 of 2 ________________________________________

Quiz Page 1 of 2 Note: It is recommended that you save your response as you complete each question. ________________________________________ Question 1 (1 point) Which of the following can cause cervicitis? Question 1 options: Candida Sexually transmitted infections Irritation from a contraceptive All of these choices are correct Question 2 (1 point) There is every indication that cervical cancer may take _____ or more years to develop. Question 2 options: 5 15 2 10 Question 3 (1 point) Cervical cancer is found almost exclusively in women who have been Question 3 options: sexually active underweight celibate overweight Question 4 (1 point) The best predictor for survival of ovarian cancer is Question 4 options: the sexual history of the patient how far the tumor has spread the amount of diagnostic measures taken the attitude (positive or negative) of the patient Question 5 (1 point) The current recommendation for most women, after becoming sexually active or starting at age 21, is to have a Pap smear done Question 5 options: once every 3 years once every year once every 5 years once every 6 months Page 1 of 2 ________________________________________ Quiz Page 2 of 2 Note: It is recommended that you save your response as you complete each question. Question 6 (1 point) Which of the following is not a fibroid classification? Question 6 options: Submucous Subserous Extramural Intramural Question 7 (1 point) Statistics indicate that _____ of breast cancers are diagnosed when women are between 45 and 64 years of age. Question 7 options: 47% 14% 22% 35% Question 8 (1 point) Ovarian cancers are classified according to their: Question 8 options: Cellular origin Symptoms Genetic predispositions All of these choices are correct Question 9 (1 point) The primary initial symptom of endometrial cancer is Question 9 options: odiferous vaginal discharge abnormal and painless vaginal bleeding painful, often incapacitating, cramps involuntary uterine contractions Question 10 (1 point) Ovarian cancers are considered the worst of gynecological malignancies because Question 10 options: they sometimes develop slowly they are often symptomless until it is too late too little is known about this disease both A and B are correct choices Page 2 of 2 Quiz 8 Quiz Page 2 of 2 Note: It is recommended that you save your response as you complete each question. Question 6 (1 point) The best predictor for survival of ovarian cancer is Question 6 options: the sexual history of the patient how far the tumor has spread the attitude (positive or negative) of the patient the amount of diagnostic measures taken Question 7 (1 point) Ovarian cancers are classified according to their: Question 7 options: Genetic predispositions Symptoms Cellular origin All of these choices are correct Question 8 (1 point) The primary initial symptom of endometrial cancer is Question 8 options: involuntary uterine contractions painful, often incapacitating, cramps abnormal and painless vaginal bleeding odiferous vaginal discharge Question 9 (1 point) Cervical cancer is found almost exclusively in women who have been Question 9 options: sexually active underweight celibate overweight Question 10 (1 point) Several screening techniques for early detection of ovarian cancer have been developed. As of yet _____ have proven effective. Question 10 options: 50% All None 25% Page 2 of 2 ________________________________________ Quiz Page 1 of 2 Note: It is recommended that you save your response as you complete each question. ________________________________________ Question 1 (1 point) The unsubstantiated idea that the uterus was damaged by sports and emotions remained common into the: Question 1 options: 1890s 1950s 1920s 1970s Question 2 (1 point) Which of the following can cause cervicitis? Question 2 options: Candida Sexually transmitted infections Irritation from a contraceptive All of these choices are correct Question 3 (1 point) There is every indication that cervical cancer may take _____ or more years to develop. Question 3 options: 10 5 2 15 Question 4 (1 point) Which of the following is not a fibroid classification? Question 4 options: Intramural Subserous Extramural Submucous Question 5 (1 point) Ovarian cancers are considered the worst of gynecological malignancies because Question 5 options: they sometimes develop slowly they are often symptomless until it is too late too little is known about this disease both A and B are correct choices Page 1 of 2 ________________________________________

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AUCS 340: Ethics in the Professions Medical Ethics Case Study You work as a registered nurse in a busy urban emergency department. Today you are caring for an adorable four-year old female patient who presents with a broken right arm and several bruises around her abdomen. You suspect that this patient is a victim of accidental trauma (child abuse). If you report your suspicions to the proper authorities, your state laws mandate that the child be removed from the care of the parents until an investigation of the allegation is complete. You know that this may take up to a week. Answer the following questions. 1) What type of ethical problem is this professional facing and why? 2) What steps should this medical professional take and why? 3) What would be the result of the nurse’s actions if this child is found to have a genetic problem and it is not a case of child abuse? 4) Are there other types of professionals who may also be required to report cases of suspected child abuse? If yes, what type of professional would that be? 5) What would you do in this situation?

AUCS 340: Ethics in the Professions Medical Ethics Case Study You work as a registered nurse in a busy urban emergency department. Today you are caring for an adorable four-year old female patient who presents with a broken right arm and several bruises around her abdomen. You suspect that this patient is a victim of accidental trauma (child abuse). If you report your suspicions to the proper authorities, your state laws mandate that the child be removed from the care of the parents until an investigation of the allegation is complete. You know that this may take up to a week. Answer the following questions. 1) What type of ethical problem is this professional facing and why? 2) What steps should this medical professional take and why? 3) What would be the result of the nurse’s actions if this child is found to have a genetic problem and it is not a case of child abuse? 4) Are there other types of professionals who may also be required to report cases of suspected child abuse? If yes, what type of professional would that be? 5) What would you do in this situation?

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AUCS 340: Ethics in the Profession Written Video Presentation Response Paper As a component of this course you will have the opportunity to view the movie “My Sister’s Keeper” (2009) starring Cameron Diaz, Jason Patric and Abigail Breslin. This movie is an adaptation of the book of the same title written by Jodi Picoult. Your answers are to be based on the movie adaptation of the book. While this movie offers a profound family story it also reflects upon issues related to current technological advancements in medicine and it will also offer you the opportunity to identify and respond to some of ethical issues represented in the movie. After viewing this movie, respond to the following questions. Your answers should be insightful and reflective of the topics researched for class, in regards to the ethical treatment to be afforded all citizens. 1. Identify at least two ethical issues/situations portrayed in the movie. These issues must be separate from the issue of stem cell research which will be addressed in questions later in this assignment. 2. Discuss a solution or solutions to each of the ethical issues that you identified in question number one. If multiple solutions are offered, identify your solutions as to first preference, second preference and so on until concluded. 3. Are your solutions feasible? What cost would it take to implement your solutions: taxes, wholesale system changes, society as a whole? 4. This movie incorporates the topic of stem cell usage for the treatment of medical conditions. Discuss the difference between the acquisition of fetal stem cells and adult stem cells. List ethical arguments both for and against the concept of expanding stem cell research to have a more active role in the development of treatment options for patients. 5. List at least five medical conditions that have the potential to be treated with stem cells. 6. Discuss the attitude of former President George W. Bush and current President Barack Obama in their philosophical approach to the issue of stem cell research. (Do they accept or reject the idea of stem cell research? Is there legislation that supports their views?) 7. From your previous assignment on the administration of healthcare in the United States you should have a general view of some of the problems facing the distribution of healthcare services in the United States. Research the changes to the health care system as proposed by President Barack Obama, and passed into legislation as the Patient Protection and Affordable Care Act, and outline/list these changes for healthcare reform in the United States. What are the financial implications of this plan? What portions of this plan do you find feasible to solving the problem of inadequate healthcare coverage for all Americans? What portions of this plan do you find unacceptable? 8. Overall, do you feel that these proposed changes will benefit or cause harm to the distribution of healthcare in the United States? Explain the rationale behind your answer. 9. Discuss problems in implication of the Affordable Care Act (ACA) that have occurred since October 2013. Have theses issues been resolved? 10. To date, how many people have been enrolled in the Affordable Care Act? Is this number above expectations, below expectations or at the level of expectation for enrollment at this point in time? 11. How will future enrollment in Medicaid be affected by the passage of the Affordable Care Act? This assignment is due on the date posted in the syllabus. Grading: Content of responses: thought provoking, rationale defended = 70% of grade Correct use of sentence structure, grammar and spelling, stapled for presentation = 20% of grade Appropriate use of citations and references = 10% of grade (No www.Wikipedia.com) It is expected that the length of the computer generated responses to these questions will be presented in at least three – four pages of text. Use 12 font and double spacing for your responses. Format: you may either respond to the questions as a running essay or use the questions as a header for each individual answer.

AUCS 340: Ethics in the Profession Written Video Presentation Response Paper As a component of this course you will have the opportunity to view the movie “My Sister’s Keeper” (2009) starring Cameron Diaz, Jason Patric and Abigail Breslin. This movie is an adaptation of the book of the same title written by Jodi Picoult. Your answers are to be based on the movie adaptation of the book. While this movie offers a profound family story it also reflects upon issues related to current technological advancements in medicine and it will also offer you the opportunity to identify and respond to some of ethical issues represented in the movie. After viewing this movie, respond to the following questions. Your answers should be insightful and reflective of the topics researched for class, in regards to the ethical treatment to be afforded all citizens. 1. Identify at least two ethical issues/situations portrayed in the movie. These issues must be separate from the issue of stem cell research which will be addressed in questions later in this assignment. 2. Discuss a solution or solutions to each of the ethical issues that you identified in question number one. If multiple solutions are offered, identify your solutions as to first preference, second preference and so on until concluded. 3. Are your solutions feasible? What cost would it take to implement your solutions: taxes, wholesale system changes, society as a whole? 4. This movie incorporates the topic of stem cell usage for the treatment of medical conditions. Discuss the difference between the acquisition of fetal stem cells and adult stem cells. List ethical arguments both for and against the concept of expanding stem cell research to have a more active role in the development of treatment options for patients. 5. List at least five medical conditions that have the potential to be treated with stem cells. 6. Discuss the attitude of former President George W. Bush and current President Barack Obama in their philosophical approach to the issue of stem cell research. (Do they accept or reject the idea of stem cell research? Is there legislation that supports their views?) 7. From your previous assignment on the administration of healthcare in the United States you should have a general view of some of the problems facing the distribution of healthcare services in the United States. Research the changes to the health care system as proposed by President Barack Obama, and passed into legislation as the Patient Protection and Affordable Care Act, and outline/list these changes for healthcare reform in the United States. What are the financial implications of this plan? What portions of this plan do you find feasible to solving the problem of inadequate healthcare coverage for all Americans? What portions of this plan do you find unacceptable? 8. Overall, do you feel that these proposed changes will benefit or cause harm to the distribution of healthcare in the United States? Explain the rationale behind your answer. 9. Discuss problems in implication of the Affordable Care Act (ACA) that have occurred since October 2013. Have theses issues been resolved? 10. To date, how many people have been enrolled in the Affordable Care Act? Is this number above expectations, below expectations or at the level of expectation for enrollment at this point in time? 11. How will future enrollment in Medicaid be affected by the passage of the Affordable Care Act? This assignment is due on the date posted in the syllabus. Grading: Content of responses: thought provoking, rationale defended = 70% of grade Correct use of sentence structure, grammar and spelling, stapled for presentation = 20% of grade Appropriate use of citations and references = 10% of grade (No www.Wikipedia.com) It is expected that the length of the computer generated responses to these questions will be presented in at least three – four pages of text. Use 12 font and double spacing for your responses. Format: you may either respond to the questions as a running essay or use the questions as a header for each individual answer.

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Dr. Morse is a psychologist whose current patient wants to become less introverted and more confident. According to what we know about procedural knowledge, what is the first thing Dr. Morse should do to help his patient? motivate his patient to go to a party and talk to a minimum of 5 people provide feedback on how his patient is doing in his or her ongoing efforts instruct his patient to practice mindfulness and truly accept his or her introversion allow his patient to talk freely about his or her social issues

Dr. Morse is a psychologist whose current patient wants to become less introverted and more confident. According to what we know about procedural knowledge, what is the first thing Dr. Morse should do to help his patient? motivate his patient to go to a party and talk to a minimum of 5 people provide feedback on how his patient is doing in his or her ongoing efforts instruct his patient to practice mindfulness and truly accept his or her introversion allow his patient to talk freely about his or her social issues

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