Environmental Health: Local to Global: Module 4 Quiz 2025

Question 1 A combined sewer overflow is designed to handle __________. [removed] both the water flushed down toilets and other household wastewater [removed] the overflow of pretreated industrial wastes [removed] peaks in wastewater flow caused by surface runoff 1 points Question 2 A septic system consists of a septic tank and a __________. [removed] leach field [removed] sludge digester [removed] trickling filter 1 points Question 3 Secondary sewage treatment is fundamentally a _______________ process. [removed] biological [removed] chemical [removed] mechanical [removed] 1 points Question 4 About __________ of treated sewage sludge in the United States is disposed of by spreading it on land. [removed] 25 percent [removed] 50 percent [removed] 75 percent 1 points Question 5 Potable water is water that is __________. [removed] available for human use within a given watershed [removed] considered suitable for use as drinking water [removed] derived from a sustainable source 1 points Question 6 Primary sewage treatment is fundamentally a _______________ process. [removed] biological [removed] chemical [removed] mechanical 1 points Question 7 Metals present in municipal wastewater may still be present in treated sewage sludge; __________. [removed] dioxins may also be present in treated sludge, but pathogens will not be present [removed] pathogens may also be present in treated sludge, but dioxins will not be present [removed] both pathogens and dioxins may also be present in treated sludge 1 points Question 8 Currently, most human exposure to polychlorinated biphenyls (PCBs) in the environment is through _______________. [removed] ingestion of food [removed] inhalation of indoor air [removed] intravenous drips 1 points Question 9 The most significant difference between untreated and treated sewage sludge is that most of the __________ have been removed from the treated sludge. [removed] metals [removed] organic chemicals [removed] pathogens 1 points Question 10 The term biosolids is sometimes used to refer to __________. [removed] manure collected from CAFOs [removed] scum (floating material) inside a septic tank [removed] treated municipal sewage sludge 1 points Question 11 The bar screen, grinder, and grit chamber are used in __________. [removed] municipal drinking water treatment [removed] municipal solid waste disposal [removed] primary sewage treatment 1 points Question 12 Some likely human health impacts of polybrominated diphenyl ethers (PBDEs) are suggested by their chemical structure, which is similar to that of _______________. [removed] human growth hormone [removed] neurotransmitters [removed] thyroid hormones 1 points Question 13 Exposure to byproducts of disinfecting drinking water with chlorine has been associated with increased risk of __________. [removed] bladder cancer [removed] leukemia [removed] oral cancer 1 points Question 14 21. Chlorination of drinking water is highly effective at killing __________. [removed] bacteria [removed] protozoa [removed] viruses [removed] all of the above 1 points Question 15 Which of the following are steps in primary sewage treatment? [removed] Bar screen, grinder, grit chamber, primary clarifier [removed] Settling, coagulation and flocculation, sedimentation, filtration [removed] Thickening and stabilization Question 1 Trihalomethanes are __________. [removed] byproducts of drinking water disinfection [removed] common as indoor air contaminants from consumer products [removed] primarily a problem of medical wastes Question 3 Secondary sewage treatment is fundamentally a _______________ process. [removed] biological [removed] chemical [removed] mechanical Question 9 Historically, the use of chlorine bleach has made the pulp and paper industry an important source of __________ contamination. [removed] chromium [removed] dioxin [removed] polychlorinated biphenyls (PCBs) Question 10 Which of the following are steps in municipal drinking water treatment? [removed] Bar screen, grinder, grit chamber, sedimentation tank [removed] Settling, coagulation and flocculation, sedimentation, filtration [removed] Thickening, stabilization, fluoridation Question 12 Which of the following chemicals are widely used as flame retardants in consumer products? [removed] [removed] Polybrominated diphenyl ethers (PBDEs) [removed] Polychlorinated biphenyls (PCBs) Question 15 Industrial wastes, if not pretreated before entering a municipal wastewater treatment system, may __________. [removed] cause damage to the municipal works [removed] kill bacteria used in wastewater treatment [removed] both a and b

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Week 3 prenatal testing scenario and reflection 2025

In the scenario assignments below, you are asked to reflect on responses to the presented scenario. It should not just be writing down your first reaction or what you already know.Reflection involves critical thinking, which means rethinking your existing knowledge and previously held opinions in light of what we have learned about theories of ethics, logic, and reasoning. You will need to question your current knowledge and beliefs.Discuss the main points of the debate, what stance you take, support that stance, and discuss the opposing argument. Also discuss an ethical theory that would apply to defend your view. To complete each scenario assignment: Complete the entire scenario. Compose your reflection in a Word document and be sure to address, at a minimum, the following questions: Why do you feel the way you do about the issue presented? Of the four responses offered in the scenario, which do you think is the most ethical and why? Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance. Your reflection must be 1-2 pages in length and follow APA formatting and citation guidelines as appropriate, making sure to cite at least two sources the discussion of topic is a blood test given to screen for Down syndrome in the first trimester. ***below I will upload files of the two debates between Dr.Garcia and Dr.Williams and choose which one is more ethical and follow the rest of instructions above to write the paper.

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Discussion:week 8 Decision Making When Treating Psychological Disorders/NURS 6521: Advanced Pharmacology 2025

Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders. For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology. To Prepare Review this week’s interactive media pieces and select one to focus on for this Discussion. Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology. By Day 3 of Week 8 Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples. By Day 6 of Week 8 Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different interactive media piece on a psychological disorder, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology. Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

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how being overweight or obese affects your health? 2025

nursing homework help APA 7 format. the rubric is attached read the rubric thoroughly there are four questions that have to be answered in APA format style only and there are additional questions each question should have at least 10 sentences for each question (2 paragraphs) we must answer the questions that say in the rubric how does bodyweight affect the five body systems? cardiovascular, gastrointestinal, musculoskeletal, endocrine system, and immune system. I hate attached the rubric and the ati nutrition book in the files the questions have to be in APA format only, · Additional Written Paper for 4 Additional Questions : 1. How does additional bodyweight affect physical status in general? 2. What are some of the barriers and challenges to losing weight in the U.S.? 3. Describe cultural considerations when discussing weight and weight loss with clients in general. 4. What would you suggest to help Mark achieve a healthy weight? · Late Assignment and Academic Integrity Violation Policy will be applied to this assignment. Preparing Additional WRITTEN PAPER: Additional Questions · Page Length: 2-3 pages EXCLUDING title page and reference (APA format) · Answers must be descriptive and comprehensive. § Each answer must have 2 complete paragraphs with at least 10 sentences in each paragraph. § Must use complete sentences. · Paper must be written following Paper Format using APA format (Title page, Running head, Page number, Headings, In-text Citation, Full-sentences, and References) PAPER FORMAT Body Weight and Physical Status · How does excess body weight affect Five body systems ? § Describe the mechanisms of extra body weight on each body system. § Cardiovascular (CV)System § Gastrointestinal (GI) System § Musculoskeletal System § Endocrine System § Immune System · Must include in-text citations Barriers and Challenges · Identify Three barriers and challenges to losing weight in the U.S. · Describe how and why each identified barrier and challenge affect losing weight? · Must include in-text citations Cultural Considerations · Identify Three different cultures. · Describe how and why each culture influence weight and weight loss with clients in each culture · Must include in-text citations Advice for Mark · What would you suggest to help Mark achieve a healthy weight? · Must include in-text citations

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Assignment: Assessing and Treating Clients With Anxiety Disorders 2025

Case Study: Middle-Aged White Male With Anxiety BACKGROUND INFORMATION: The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL. He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at. In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26. Client has never been on any type of psychotropic medication. MENTAL STATUS EXAM: The client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. Affect is somewhat blunted but does brighten several times throughout the clinical interview. Affect broad. Client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation. The PMHNP administers the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26. Diagnosis: Generalized anxiety disorder To prepare for this Assignment: · Review this week’s Learning Resources. Consider how to assess and treat clients requiring anxiolytic therapy. · The Assignment: Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following: · Decision #1: o Which decision did you select? o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? · Decision #2: o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? · Decision #3: o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Also include how ethical considerations might impact your treatment plan and communication with clients. Note: Support your rationale with a minimum of three to five academic resources no more than five years in APA Format.

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