Homework For Health Care Management

Due at 12PM CST, Monday, November 6, 2017

HCA 340 500

Discussion Board Assignment #10

Chapters12—Research:  How Health Care Advances and 13–Future of Health Care

Answer the following questions on Research: How Health Care Advances:

  1.            Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care.”  Name one (1) other dimension of quality care and why is it important?
  2.            What is the primary method of continuous quality improvement (CQI) in health care, and what is its underlying premise?
  3.            Since an ever-increasing amount of research is funded by commercial companies, what is your opinion on a requirement for authors of scientific studies who receive income from these companies to disclose funding sources in their scientific publications?

Future of Health Care Questions:

  1.            Today’s not-for-profit hospitals and health systems are commonly multi-billion dollar tax-exempt organizations. What is your position on the new federal scrutiny upon, and reporting requirements for justifying the charitable missions of not-for-profit hospitals and health systems?
  2.            In 1999, the Institute of medicine report, To Err is Human,generated a brief flurry of concerns about avoidable hospital deaths.  While progress has been made in addressing system errors and deficiencies, it remains inconsistent across the nation’s hospitals.  Fourteen years after this report, is it time for the professions, payers and the public to demand corrections of system problems in an accountable, transparent and publicly disclosed manner?  What form can or should these demands take?

Nursing Research On Falls Qualitive Vs Quantitive

Note: Please use attached articles provide

Please respond in labeled sections ( ex: A1, 2,3, etc)

A.  Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:

1.  Describe a healthcare problem.

Note: A healthcare problem can be broad in nature or focused.
2.  Explain the significance of the problem.

3.  Describe the current practice related to the problem.

4.  Discuss how the problem impacts the organization and/or patient’s cultural background (i.e., values, health behavior, and preferences).
B.  Complete the attached “PICO Table Template” by identifying all the elements of the PICO.

1.  Develop the PICO question.
C.  Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:

1.  Identify the keywords used for the search.

2.  Describe the number and types of articles that were available for consideration.

a.  Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

Note: Be sure to upload a copy of the full text of the aritcles with your submission
D.  Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.
Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.
Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.

Note: Be sure to upload a copy of the full text of the articles with your submission.
E.  Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”
F.  Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:

1.  Explain how you would involve three key stakeholders in the decision to implement the recommendation.

2.  Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.

3.  Identify two strategies that could be used to overcome the barriers discussed in F2.

4.  Identify one indicator to measure the outcome related to the recommendation.
G.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

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Evolving Practice Of Nursing And Patient Care Delivery Models

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

rubrics

 

 

Clearly States How the Practice of Nursing and Patient Delivery Will Evolve, While Addressing Relevant Concepts That Include Continuity or Continuum of Care, Accountable Care Organizations, Medical Homes, and Nurse-Managed Health Clinics

Evidence of Feedback and Forecasting of Nursing Role From Colleagues

Microbiology

Please answer original forum with a minimum of 300 words

Respond to both students on separate pages with a minimum of 100 wlords each

please Follow directioma or I will dispute

page1- Original Forum with References

page2- Jennifer Response

page3- Cristina Response

Original Forum

We have all heard about the variety of foods that claim to improve our health in some way or another. Of keen interest is to improve our immune system by consuming certain foods. A key term that has come into use is Probiotics. Yogurt, especially those that state, active live cultures, claim to boost our immune system but are these claims true? Are the advertising and marketing of these products true to their claims?

Immunity is not a single or simple process but a complex and ever changing system. In order to better understand what or if super foods exist that could potentially improve immunity, it is necessary to address what part of the immune system these foods might exert any effect. Is it possible to eat a food or foods that enhance our immunity? Are there any scholarly studies to support such claims?

Review Chapters 17 and 18 of your textbook for a review of Innate and Adaptive Host Defenses.

And then visit Harvard Health Publications
The American Journal of Clinical Nutrition

For this forum, choose ONE of the following products. Each of them claim they are probiotic. Do some research on it to determine if it has any scientific validity or if the probiotic key word is a marketing strategy used to get attention and boost sales.

Choose only ONE

Topic 1. Activia- Federal Trade Commission https://www.ftc.gov/news-events/press-releases/2010/12/dannon-agrees-drop-exaggerated-health-claims-activia-yogurt

Topic 2. Kimchi- Does kimchi Lactobacilli survive the stomach acid? http://aem.asm.org/content/71/6/3060.full

Topic 3. Kefir- Frontiers in Microbiology http://www.ncbi.nlm.nih.gov/pubmed/26579086

Compose prose to address the following questions;
-What part of immunity or our immune system might probiotics exert an effect, if any?

-Explain the proposed mechanism(s) of how probiotics work?

-Does one have to buy a special brand of the products for it to work?

-You only chose one of the topics, but what is the common denominator from all of them (it’s a microbe)?

Student Responses

Jennifer

Hello everyone,

Growing up my dad would always take a probiotic pill saying it promotes good health. I went to a nutrition store in town called 5Star nutrition and they gave me the whole probiotics are good for you and I bought a package of the pill form. All I can say is it helped me used the bathroom better.

Probiotics are said to contain a live microbial feed that balances the microbial bacteria in the intestines.

I find it wild that up to 500 million species of bacteria may be in the large intestine at any point in time. With that being said, probiotics enhance host defense mechanisms. This means that stabilizing microflora, a bacteria that develops after birth will allow the immune system to have a better chance at fighting off harmful pathogens.

You can buy probiotics in “pearl” pill form or in the form of food. I have heard that yogurt cleanses the body and is a good probiotic, but after reading about Activia’s lack of proof showing that their yogurt is a probiotic, I wonder what other companies lie about food and the benefits for you.

Before this forum I had not heard of the health benefits of Kimchi or Kefir and what they use to convey their health benefits. No matter if it is Activia, Kimchi, or Kefir studies show that the corresponding microbe enhances health benefits for the digestive system. I chose to read more in-depth about Activia and the misinformation they advertised to the public. They advertised what the public wanted to hear; that there is this delicious product that improves your health, so buy it by the cases. This proved to be very false as told by the Federal Trade Commission.

Works Cited

E., Y., P., H., S., & S. (2001, February 01). Probiotics: Effects on immunity. Retrieved October 29, 2018, from https://academic.oup.com/ajcn/article/73/2/444s/4737576

Dannon Agrees to Drop Exaggerated Health Claims for Activia Yogurt and DanActive Dairy Drink. (2013, September 30). Retrieved October 29, 2018, from https://www.ftc.gov/news-events/press-releases/2010/12/dannon-agrees-drop-exaggerated-health-claims-activia-yogurt

Cristina 

Some bacteria are able to survive the acidic environment in our stomachs with a protective shield around them, foods like Activia claim to contain this bacterium.  When digested, the majority of probiotics result in in the colon.  Inside of the colon is microbiome, colonies of bacteria, fungi viruses, and archaea which inhibit the environment; this collection of bacteria is essential in order to extract nutrients from foods.  “Bifidobacterium spp. constitute a substantial part of the human gut microbiota and are frequently used as probiotics and in yogurt production” (Foster, Lister, Parker, Schneegurt, Thi Tu, 2016.).  These strains are considered good bacteria and continue to survive through the digestive system, clearing out bad bacteria that may pose a risk to our bodies.

However, your environment is constantly changing, probiotics are being consumed and may little effects on the individual.  False accusations of products that contain probiotics have agreed to no longer support their claims; “the FTC charged that Dannon’s ads were deceptive because it did not have substantiation for its claims” (Dannon Agrees to Drop Exaggerated Health Claims, 2010).  Recent research still does not provide accurate information for companies to make claims of the proven facts on how probiotics help an individual.

In general, intestinal inflammation is a result of an imbalance of intestinal microflora, creating irregularity; microflora contributes to processing food antigens in the gut, an imbalance causes digestive issues for individuals.  Probiotics can positively affect immune regulation specifically by controlling of the balance of proinflammatory and anti-inflammatory cytokines, this can be affective by regulating what is consumed.  Focusing on fiber rich foods, or prebiotics are what is essential for probiotics to be effective.

References:

Dannon Agrees to Drop Exaggerated Health Claims for Activia Yogurt and DanActive Dairy Drink (15 Dec 2010). Federal Trade Commission. Retrieved October 29, 2018 from https://www.ftc.gov/news-events/press-releases/2010/12/dannon-agrees-drop-exaggerated-health-claims-activia-yogurt

Foster, B., Lister, P., Parker, N., Schneegurt, M., Thi Tu, A., (2016). Microbiology. OpenStax. Houston, TX. 1-947172-23-9

Arvilommi, H., Isolauri, E., Kankaanpää, P., Salminen, S., Sütas, Y. (2001). Probiotics: Effects on immunity. The American Journal of Clinical Nutrition, 73( 2). Retrieved from https://doi.org/10.1093/ajcn/73.2.444s

Article Analysis 1

he interpretation of research in health care is essential to decision making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care costs and best practices. To be effective in evaluating and interpreting research, the reader must first understand how to interpret the findings. You will practice article analysis in Topics 2, 3, and 5.

For this assignment:

Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the “Article Analysis 1” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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Asthma

To Prepare

  • Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
  • Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
  • Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.

To Complete

Write a 2- to 3-page paper that addresses the following:

  • Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.
  • Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.
  • Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

Evidence Based Practice Worksheet

Due Date

Submit the completed RRL Worksheet by Sunday, 11:59 p.m. MT at the end of Week 6.

Points

This assignment is worth 200 points.

Assignment Directions:

1. Read over each of the following directions, the required Reading Research Literature worksheet, and grading rubric.

2. Download and complete the required Reading Research Literature (RRL) worksheet (Links to an external site.)Links to an external site..

3. Download or access the required article. The required article must be used.

O’Connor, M., Tanner, P. , Miller, L.,  Watts, K., & Musiello, T. (2017). Detecting distress: Introducing routine screening in a gynecological cancer setting. Clinical Journal of Oncology Nursing, 21(1), 79-85. Retrieved from  https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? Links to an external site.
 (Links to an external site.)Links to an external site.

4. You must use the grading rubric to ensure you are meeting all grading criteria of the worksheet.

5. You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad.

6. Use correct grammar, spelling, punctuation, and in-text APA formatting.

7. Submit the completed Reading Research Literature Worksheet to the Week 6 Assignment.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

References

American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AACN-Essentials

Quality and Safety Education for Nurses (QSEN). (2018). Quality and safety education for nurses competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/#evidence-based_practice

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Discussion

Ch.1 Discussion topics.

  1. What does it mean to say that the human body is 90% prokaryotic?
  2. Can you develop a scientific hypothesis and means of testing the cause of stomach ulcers? (Are they caused by an infection? By too much acid? By a genetic disorder?)

 

• Your original thread on the specific topic and reference article must follow the questions provided to you by your Professor (you must follow a minimum of one question).

• Respond (follow-up) to three other student/s posting using 25 or more words to receive credit (up to 1 point each).

• Your response should include additional research information from within the posted/referenced article or from another article or source. You must include more than just a general statement or an opinion to receive full credit.

• Proper English is required (wording, comas, complete sentences, etc…).

• Your “Research Summary” and “Response (follow-up)” postings must be completed one day before the due date for the Lesson Test to receive credit.

• If you would like to receive a passing grade for each discussion you have to:

– Create your original thread/postings (5 points)

– Respond to minimum of three postings on your classmates’ discussion board (3 points).

Additionally you’ll receive 2 points for posting all your threads on separate days and one day before the due date for the particular Discussion.

Operant Conditioning

Topic: Operant Conditioning

· Format: APA Style,   Power-point

· Length: 12 Slides, 250 words   in speaker notes

· Criteria:

Definition

Working Definition

Positive and Negative Reinforcement

Positive and Negative Punishment

Schedules of Reinforcement

Stimulus Generalization, Discrimination, and Satiation

Motivation Operations

Minimum of 5 references within 5 years

PSY 1010- Intro To Psychology Exam MCQs Test Bank 3

Question 101  1 / 1 point
Which of the following questions is most likely to be answered by a personality psychologist?
Question options:
a)  At what age does usage of Internet social networks peak?
b)  How much of people’s personalities is reflected in their Facebook profiles?
c)  Will people above the age of sixty use the Internet?
d)  Does gender affect interest and participation in social networking sites?
Question 102  1 / 1 point
Anna is conducting research to find out if people who interact extensively with other people via Facebook are more or less outgoing than those who do not. Anna is most likely a ______________ psychologist.
Question options:
a)  personality
b)  clinical
c)  health
d)  social
Question 103  1 / 1 point
____________ sciences study the world of stars, light, waves, atoms, the earth, compounds, and molecules.
Question options:
a)  Environmental
b)  Biological
c)  Physical
d)  Social
Question 104  1 / 1 point
Which of the following is NOT a basic process of the scientific method?
Question options:
a)  Testing
b)  Interpreting
c)  Falsifying
d)  Observing
Question 105  1 / 1 point
In a(n) ____________, the answers are often open-ended and not constrained by the researcher.
Question options:
a)  interview
b)  case study
c)  questionnaire
d)  survey
Question 106  1 / 1 point
In the fourth step of the scientific method, scientists use mathematical techniques to ____________ the results and determine whether they are significant and closely fit the prediction or not.
Question options:
a)  test
b)  interpret
c)  observe
d)  predict
Question 107 1 / 1 point
A ____________ is a specific, informed, and testable prediction of what kind of outcome should occur under a particular condition.
Question options:
a)  hypothesis
b)  theory
c)  replication
d)  variable
View Feedback
Question 108  1 / 1 point
In correlational designs, the basic question is:
Question options:
a)  Is X related to Y?
b)  What is variable X?
c)  What is X an example of?
d)  How does X result in Y?
Question 109  1 / 1 point
What is important while interpreting correlations?
Question options:
a)  Correlation is necessary and sufficient for causation.
b)  Variable X is correlated with variable Y. Hence X causes Y.
c)  A correlation does not mean there is a causal relationship between the two variables.
d)  When one variable causes another, it is not necessarily correlated with it.
Question 110  1 / 1 point
The ____________ variable is the outcome, or response to the experimental manipulation.
Question options:
a)  dependent
b)  experimental
c)  categorical
d)  predictor
Question 111  1 / 1 point
Dr. Bischer is conducting a study to determine if men who wear a new type of soccer uniform made from a specially designed fabric will perform better in soccer matches. She recruits a professional soccer team to participate. She randomly assigns half of the men to wear the new-material uniforms made in the color blue and the other half to wear old-material uniforms made in the color red. Although the men know of the uniform test, they are not told which of the uniforms is made from the new material. They are asked to wear their assigned uniforms and score as many goals as possible in a practice game against one another. Dr. Bischer is noting the number of goals scored. Ultimately, the men who are wearing the old uniforms score more goals and therefore win the game. Dr. Bischer speculates that the new uniforms are not more beneficial to performance than the old uniforms, but she will rerun her study a few more times.
From a scientific viewpoint, why was it important for Dr. Bischer to randomly assign the men to wear new uniforms or old uniforms?
Question options:
a)  Some of the men who could not participate that day were then used as a control group, and she wanted to make sure she had an even number of new and old uniforms left over.
b)  She wanted the men to feel they all had a chance of wearing their old uniforms, in which they would likely be more comfortable.
c)  She wanted to ensure that the two groups were, on average, similar in ability and motivation, so that any differences in the end would be due to the experimental manipulation.
d)  Some of the men will feel it was unfair that they did not get new uniforms and will not be motivated to be competitive—in this case, therefore, the uniform assigned was simply the luck of the draw.
Question 112  1 / 1 point
Clients undergoing treatment for phobic disorder agree to participate in a clinical trial of a new antidepressant medication. The clients are randomly divided into two groups. Both receive pills to take on a daily basis, but only one of the groups receives pills with the newly produced, active ingredients. The other group’s pills contain no active ingredients. In this study, the group that receives the pills that do not contain the active ingredients is called a(n) ____________.
Question options:
a)  control group
b)  sham-operated group
c)  treatment group
d)  experimental group
Question 113  1 / 1 point
The tool used to assess thought or behavior is called a ____________.
Question options:
a)  sample space
b)  subset
c)  measure
d)  non-empty set
Question 114  1 / 1 point
____________ allow us to determine how likely it is that two or more samples came from the same population.
Question options:
a)  Inferential statistics
b)  Descriptive statistics
c)  Statistical inferences
d)  Predictive inferences
Question 115  1 / 1 point
The ____________ is the number of times a particular score occurs in a set of data.
Question options:
a)  percentile
b)  frequency
c)  variance
d)  standard deviation
Question 116  1 / 1 point
Which of the following is true of Stanley Milgram’s famous study of obedience?
Question options:
a)  It showed how psychologists chose to manipulate theories to suit their conclusions.
b)  It explained many aspects of learner-teacher interactions.
c)  Although it yielded powerful results, it placed great distress on participants.
d)  It showed how people are quick to make judgments about groups.
Question 117  1 / 1 point
When does an individual attain a flow state?
Question options:
a)  When he/she thrives in his/her ability to rise to the occasion of challenging tasks.
b)  When he/she is able to maintain focused awareness on a target.
c)  When he/she is barely awake or aware but shows some deliberate movements.
d)  When he/she recollects material that is potentially accessible but not currently available to awareness.
Question 118  1 / 1 point
Which of the following describes the interrelation of concentration and attention?
Question options:
a)  the cognitive load theory
b)  the global workspace model
c)  the perceptual load model
d)  Baddeley’s model
Question 119  1 / 1 point
When an individual engages in synchronization, he/she:
Question options:
a)  has a conscious experience.
b)  has a subconscious experience.
c)  hallucinates.
d)  becomes unconscious.
Question 120  1 / 1 point
The body’s biological clock is located in the:
Question options:
a)  thalamus.
b)  pineal gland.
c)  hypothalamus.
d)  pituitary gland.
Question 121  1 / 1 point
How many stages are there to non-REM sleep?
Question options:
a)  four
b)  three
c)  five
d)  six
Question 122  1 / 1 point
Why does sleep enhance learning and memory?
Question options:
a)  It increases hormonal growth in the brain.
b)  It increases polyclonal response in the brain.
c)  It increases humoral growth in the brain.
d)  It increases neural growth in the brain.
Question 123  1 / 1 point
Which of the following is released in the brain when one feels sociable and affectionate?
Question options:
a)  endorphin
b)  dopamine
c)  estrogen
d)  serotonin
Question 124  1 / 1 point
Which of the following is considered a field of applied psychology?
Question options:
a)  Organizational psychology
b)  Human factors psychology
c)  Personnel psychology
d)  All of the above
Applied Psychology: Personnel Psychology
Question 125  1 / 1 point
Which of the following assessment tools is considered a primary means of evaluating job applicants and a stronger predictor of productivity?
Question options:
a)  Structured interviews
b)  Projective tests
c)  Unstructured interviews
d)  Handwriting tests
Question 126  1 / 1 point
When appraisal ratings are based on the employee’s most current performance and not performance throughout the year, it is possible that the appraisal may have contained what?
Question options:
a)  Halo biases
b)  Leniency biases
c)  Recency biases
d)  Severity biases
Question 127  1 / 1 point
Of the following employees, who is most likely “job satisfied?”
Question options:
a)  Avery: has not missed a day of work but is unproductive
b)  Pete: has missed ten days of work and experienced one accident that kept him out of the work environment for ten days
c)  Jim: has not missed a day of work in the last 3 years and has not experienced a work related accident
d)  Bellamy: has missed two weeks and wants to resign from the job
Question 128  1 / 1 point
Which of the following characteristics is associated with job satisfaction?
Question options:
a) Low absenteeism
b) An increase in productivity
c) Experiences fewer work related accidents
d) All of the choices are characteristics associated with job satisfaction
Question 129  1 / 1 point
Jerry has difficulty reading the dashboard controls on his new car.  According to a human factors psychologist, Jerry has a problem with _______________.
Question options:
a)  voice effects
b)  intelligence tests
c)  simulated tasks
d)  usability
Question 130  1 / 1 point
Environmental psychologists have identified “at risk” behaviors among persons from developing countries.  Which of the following are “at risk” behaviors?
Question options:
a)  They exhaust planet resources and do not replace them
b)  They display poor agricultural techniques
c)  They pollute water supplies
d)  All of the above