Counselors must prevent misdiagnosing or pathologizing clients from diverse backgrounds. Which approach best supports this goal?

Which approach uses assessment to identify recurring thought patterns and cognitive distortions?

Which concept blends research findings, clinical judgment, and patient context to guide intervention?

Which of the following cancer screening recommendation(s) is CORRECT?

Select which one of the following statements about principles of cancer therapy is CORRECT.

BR is a 78-year-old man who diagnosed with Hodgkin’s Lymphoma. and started on induction chemotherapy, resulting in an absolute neutrophil count of 60 cells/mm3, which is expected for at least the next 7 days.  His Tmax spikes to 101.9⁰F on day 3 with blood pressure 90/59 mm Hg and respiratory rate 24 breaths/min. Blood cultures are pending.  The team wants an antimicrobial recommendation for this patient.  What should you recommend? 

Which of the following statements about HIV is correct?

History of Present Illness: 82 yo woman referred for outpatient pulmonary rehab by her pulmonologist,  with chronic hypoxia due to emphysema.  She has had increasing LE weakness since her previous trial of pulmonary rehab 1 year ago. Medications: Spiriva (Tiotropium bromide), advil (for low back pain) Past Medical History: COPD, OA (low back), cellulitis, hemorrhoids, diverticulitis, previous hospitalization with SOB (attributed to viral myositis and influenza) Social History: The patient is R hand dominant.  She has a 40 pack- year history of smoking and is a social drinker.  She completed high school.  Living Environment: Lives with her husband in a single family home.  She has stairs to the second floor with a rail on the right.  Master Bedroom and bath on second floor. Prior Level of Function:  Patient was independent with all mobility without an assistive device, ADLs, and IADLs prior to admit.  She is retired.  She doesn’t engage in any exercise beyond her normal daily activities or chores.  She uses continuous flow oxygen (2L at rest and 4L with exertion). Patient Goal: Be stronger; Breathe easier; Feel better Chief Complaint: Arm and leg weakness (especially stair climbing and squatting to pick up objects off the floor), shortness of breath that is affecting her ability to complete ADLs (dressing and bathing) and IADLs (walking, shopping) Systems Review Pain: 2-4/10 pain in her lower back, relieved with Advil Relevant Tests: PFTs:     FEV1: 0.60 (41% predicted, no significant change with bronchodilator) FEV1/FVC: 34% Lung volumes are normal and diffusion capacity is severely depressed (25% of predicted) Aerobic Capacity:  Blood Pressure (BP): 120/78  Rest 166/80 Peak Heart rate (HR): 76  Rest   118 Peak Respiratory rate:  18 Rest   28 Peak SpO2:  97% at rest, 92% at peak Borg (6-20 scale): 7 at rest, 14 at peak   Practical Examination: This is patient’s first outpatient pulmonary rehabilitation session, proceed with your evaluation/assessment/interventions/education. I have read the above case and am prepared for the practical exam:   

Exam Rules: This assignment is timed and you will get 2 hours total to complete it.  This is far more time than I could give in a face-to-face class (most people complete it in about an hour) so it should feel like you have unlimited time. You will not be permitted to use the bathroom or have any other break so be sure to do anything you need to before the exam is unlocked by the proctor. No notes or any other outside sources of information are permitted during the exam (this includes running spell check on your computer and having predictive text turned on).  If this is discovered, it is cheating and will result in a grade of zero for the examination. You are allowed to have one blank sheet of paper and one writing instrument in case you need to think things through before answering questions on the computer.  When using the scrap paper, it must also be in view of your webcam or you will no longer be permitted to use it. You will need to have an ID with your picture and name to show the proctor.  You will also need to show the proctor your computer screen so either have a mirror ready or be prepared to take the computer to a place with a mirror.  You are expected to follow the proctor’s request to see things in the space where you are taking the exam. They are trying to help you show that you are not cheating for the recording of your examination that Dr. Kalifa will be watching later. DISCONNECTIONS: If something happens and you get disconnected from your proctor during your exam, you need to answer your phone when the proctor calls you to reconnect.  While you are waiting for this call, you must contact the Examity support team by using the Live Chat button on your Examity dashboard or calling the 24/7 support line.  If you do not reconnect with them as soon as possible, your exam will only be graded up to the point of the disconnection. If these rules are not followed, all of your answers on the exam may not count.  For example, if you get up and use the bathroom during the exam, that is where Dr. Kalifa will end the exam later when she regrades it, (whether the proctor allows you to complete the exam or not, all questions past that point will be awarded 0 points).  The same applies if you do not comply with the proctor’s request to see something in your working space or do not reconnect with your proctor after a disconnection. Information about the online exam specifically: You will have 54 questions worth 2 points each that are chosen by software from a pool of questions so that everyone gets their own, unique, but still comparable exam.  How are we sure that it is comparable?  Because while the exam was designed, it was divided into sections which the software will select from.  For example, there will be a question on epithelial tissues and the computer will select one question for each student from a pool of approximately 5 questions so that everyone gets a question on this topic.  Any 4 questions that you hate will be considered bonus because although 108 points are possible, this portion of the exam will only be graded out of 100 points.  You could miss any 4 questions and still get all 100 points. Questions will be given to you in their own random, unique order.  They will not follow the order of the lab schedule.  You will automatically be given your grade once the assignment is complete; however, your instructor will review responses and give points back as needed.  This is usually a significant amount of points back for the lab exams. Later, you will get a chance to review the questions that you got right/wrong by appointment with Dr. Kalifa after everyone has completed the exam.   To advance to the next question, you will need to click on the small arrow located on the right of the screen (top and bottom).   It will look like this and the first arrow will take you to the next question: Question # of #  Taking an online exam requires that you keep some things in mind.  For example, if you open other programs or don’t click on the save button or advance to questions within a certain amount of time, Blackboard will log you off or could cause your exam to end early.  Therefore, we recommend using this guide to help you become familiar with potential issues (so you don’t have them) BEFORE you begin: Best Practices for Blackboard Assessment Taking General Information to always keep in mind: Spelling will count for this assignment. Answer left vs right where appropriate.  Please do not abbreviate these terms as the computer will be grading your exam. If an arrow is present, always answer for what the arrow tip is touching unless told otherwise. Read questions carefully!  There is a big difference between a structure, layer, region, and open space.  There is also a big difference between a “full” structure/region and a more “specific” structure/region within it.  Have blank scrap paper handy so that you may think things through more easily. ***Taking this exam will be best if you open it in a Chrome browser.  Remember that a computer with a webcam and microphone are required to take this exam. ***Go to the “Examity – for taking exams” tool button (on the left of your screen) to take this test.  The proctor has the password to enter this assignment and they will enter it for you.  You will not be given the password. If you run into issues with the exam, contact me and MC-IT (240-567-7222; Press 2 to reach the Blackboard Help Desk).  If you have trouble setting up your computer for the proctoring service, please contact Assessment_RV@montgomerycollege.edu.  Good luck!  I know that you all have been working hard and I hope you will do well! Dr. Kalifa —-    Anything below this line is from Blackboard.  The rules for taking this exam are outlined above.    —-

The use of biological filters to mechanically remove bacteria from liquids by trapping bacteria on the surface of filters with pores smaller than the average diameter of bacteria describes: