Factor the polynomial completely.x4 – 25

Factor the polynomial completely.48×2 – 75

Factor the trinomial completely.9×2 – 39x – 30

Factor Completely.24m9 – 60m7 – 72m3

Mindy, 41, lives on the streets of Los Angeles and carries all of her positions in a grocery cart. Mindy wears many layers of clothing stuffed with newspapers and lined with aluminum foil. In addition, she has a ball of tinfoil on her hat. When questioned about the aluminum foil she states, “There is a bad man after me trying to steal my Coronovirus remedy. He is also is trying to send thoughts into my head and the foil keeps them out. They are all constantly using microwaves. I passed a man in a block away and he looked at me funny. He is probably a partner to this other guy. I frustrated him with my foil covered hat.” Mindy has paranoid delusions about others and is afraid to go to a shelter for anything except food. The client seems to relate all the events in her life to her delusions. Mindy is articulate, but is focuses primarily on her delusions and the voices that she hears that tell her men are trying to find her and take her possessions. Mindy has had symptoms for over many years. Her initial symptoms appear to have begun in her early 20s. She has been administered a number of antipsychotic medications, but she often refuses to take them and ends up living on the street again. Her family has given up on Mindy and are afraid of her.  Mindy evidences no mania or depression. Occasionally, she drinks beer or wine if she is offered it, but does not seek it out herself. She does not take any other types of drugs, because she is afraid of being poisoned by , “that man.” Which diagnosis is more appropriate?  

The neurodevelopmental disorders are a group of conditions with onset in the developmental period. The disorders typically manifest in early developmental sometimes before the child enters school and are characterized by developmental deficits or differences in brain processes. Which of the following statements are true of this diagnosis?  

A child of seven, Michael is brought in for an evaluation. His grandmother, who is raising the child, states, “Mikey is a sweet boy, but he is not very smart. He has never been good at school, even though he likes to go. He still has trouble with his numbers and letters. I have had him up to the school for tutoring, but he just doesn’t seem as smart as Allie or Karrie. Allie is five and she can write her name and knows so much more than Mikey. Karrie is three and can sing the numbers and the letter. I am worried about him.” Michael’s teachers indicate that he has academic difficulty. Michael is a short and slightly overweight child who has problems with reasoning, problem solving, and academic tasks. His progress in mathematics, reading, writing, and understanding time and money issues is limited. He lags behind his peers in all academic skills, reading slowly and poorly and having difficulty with arithmetic calculations. Although generally a gentle child he becomes aggressive and strikes out when he is teased or frustrated by tasks that he cannot accomplish. Accepted by most of the class, a few peers sometimes pick on the child. Michael has delayed mental and social development. He has some friends in his neighborhood and at school and is friendly and sweet, but some of his friends take advantage of him. Early in the year, an older boy coerced him into giving him sweets and his lunch money until another child informed the teacher. The boy is eager to make friends and is unaware that some “friends” will take advantage of him. He is becoming more self-sufficient; he keeps clean if his grandmother mother assists him. She still checks his teeth brushing, bathing and toileting. He sometimes has accidents if he is too focused on a task and needs help cleaning himself. It was a struggle to get him there, but he has learned many important self-care behaviors. At school he is monitored by his teacher. He has learned to do simple chores, taking out the garbage, putting water in the dog’s bowl, even walking the dog with supervision and takes pride in his accomplishments. Michael needs assistance in many areas of life but tries hard to learn skills and be independent. You diagnose what?

Nathan, 33, has had a varying course of issues since late adolescence. He had difficulty in school because of his tendency to engage in risky behaviors, fighting, and his short temper. Although gifted in linguistic and mathematical intelligence, his mood issues created problems with teachers and peers. He had one hospitalization as a child, 7, when he insisted that his grandfather, who had died recently, was talking to him. He was an athlete and channeled some of his excess energy into team sports until an injury sidelined him in his junior year. Nathan has a history of drug and alcohol use disorder from that period. As an adult, he completed undergraduate studies and a master’s degree after recovering from his alcohol and drug use problems. He was diagnosed with depression by an internist and given an Zoloft for the condition. After having taken the medication for several months, his girlfriend brought him to the ER disturbed by his behavior. Betsy states, “I have been with Nate for several years and gotten used to his periods of depression, but this is something new. That is not to say that he is easy to deal with, but this is different. In the past two weeks he has slept less than 3 hour a night. He is not a good sleeper, but 2 or 3 hours a night! Then he was so up and energetic. He had lots of energy, too much, was elated, not happy but almost high. Then he started redoing our basement. He went to Lowes and spent a ton of money on flooring, paint, wood to redo the basement. Nate wanted to redo the whole house. He would start on one part of his projects and go to something else. It upset me to watch him tear stuff out and not fix it. As it went on, he became irritable if I did not do everything he said when he said it. He was hard to take, demanding. The thing is he is just not that way. Nat is sweet and kind. He started to scare me because it just wasn’t like him. Not violent, no, just like I had to stop whatever I was doing and do what he wanted. He kept getting worse and after more than a week he started talking to someone who was not there. That was what brought me here. Another thing he never did, no taking to the wall.” Early in hospitalization the patient was medicated with 5 mg. of Haldol, 2 mg. of Ativan im to calm his agitation and combative behaviors. After awakening from his stupor, he asked where he was and what has happened. He was begun on 250 mg Depakote twice daily and 2 mg. daily of Risperdal for symptom relief. Initial drug screens indicated no illicit medications in the patient’s bloodwork. He is kept in the psychiatric facility for another week and a half during which he has begun to oversleep, reject food, and appear moderately depressed. You diagnose what?  

To differentiate the levels of severity of the conditions in the Schizophrenia Spectrum Category use which of the following instruments?  

Which statement by the client newly prescribed tamsulosin indicates teaching has been effective?