Chapter 17 introduced some challenges to policy making in developing countries. If you were an analyst working for the St. Petersburg Informational and Analytical Center, explain how you would use data available to you to prepare a report for the Governor for the State Program “Combating Proliferation of Drugs.” Briefly explain what you would include in your report to detail the problem, and what the forecast results would be for each of several responses to the problem. (You do not have to use actual data from a real model for this discussion.) The idea is to focus on how models can use real data to create forecasts.

Example of the instruction:Homestead Partners is a company that connects independent home owners with long-term renters. You work in the Customer Service Department of Homestead Partners as a data analyst. You are developing an Access database application to help manage and analyze several types of customer service data, including property and property manager effectiveness. In this project, you will improve an existing database by modifying field properties in tables and creating different types of queries. In Design View of the Managers table, below the ReviewDate field, add three new fields. The first field should be named ManagerEmail with a Hyperlink data type. The second should be named Background with a Long Text data type, and the third should be named Resume with an Attachment data type. Change the Append Only property for the Background field to Yes, then save and close the Managers table.In Design View of the Properties table, set the Caption property for the StreetAddress field to Address, change the Field Size property for the StreetAddress field to 30, and apply the Format property for the DepositDate field to Medium Date. Save the Properties table. (Hint: Select Yes in the Microsoft Access window that appears to let you know that the field size has changed.)While still in Design View of the Properties table, change the Required property for the Deposit field to Yes, apply the Validation Rule property for the Deposit field to >=100, enter Deposit must be greater than or equal to $100 for the Validation Text property for the Deposit field, and then save the Properties table. If prompted to test data integrity rules, click Yes.While still in Design View of the Properties table, use the Lookup Wizard to lookup field values for the State field from the StateAbbreviations table. Select both fields from the StateAbbreviations table, and accept the other default settings in the Lookup Wizard. Save the table if prompted, then modify the List Rows Lookup property for the State field to display 30 rows.

The Assignment Examine Case Study: An Asian American Woman With Bipolar Disorder. 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 pharmacodynamics processes. At each decision point stop to complete the following: Decision #1 Which decision did you select? Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Decision #2 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? Decision #3 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 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 five or academic resources. BACKGROUND INFORMATION The client is a 26-year-old woman of Korean descent who presents to her first appointment following a 21-day hospitalization for onset of acute mania. She was diagnosed with bipolar I disorder. Upon arrival in your office, she is quite “busy,” playing with things on your desk and shifting from side to side in her chair. She informs you that “they said I was bipolar, I don’t believe that, do you? I just like to talk, and dance, and sing. Did I tell you that I liked to cook?” She weighs 110 lbs. and is 5’ 5” SUBJECTIVE Patient reports “fantastic” mood. Reports that she sleeps about 5 hours/night to which she adds “I hate sleep, it’s no fun.” You reviewed her hospital records and find that she has been medically worked up by a physician who reported her to be in overall good health. Lab studies were all within normal limits. You find that the patient had genetic testing in the hospital (specifically GeneSight testing) as none of the medications that they were treating her with seemed to work. Genetic testing reveals that she is positive for CYP2D6*10 allele. Patient confesses that she stopped taking her lithium (which was prescribed in the hospital) since she was discharged two weeks ago. MENTAL STATUS EXAM The patient is alert, oriented to person, place, time, and event. She is dressed quite oddly- wearing what appears to be an evening gown to her appointment. Speech is rapid, pressured, tangential. Self-reported mood is euthymic. Affect broad. Patient denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, but insight is clearly impaired. She is currently denying suicidal or homicidal ideation. The Young Mania Rating Scale (YMRS) score is 22 Bipolar Therapy Client of Korean Descent/Ancestry Decision Point One Begin Lithium 300 mg orally BID RESULTS OF DECISION POINT ONE Client returns to clinic in four weeks Client informs the PMHNP that she has been taking her drug “off and on” only when she “feels like she needs it” Today’s presentation is similar to the first day you met her Decision Point Two Increase Lithium to 450 mg orally BID RESULTS OF DECISION POINT TWO Client returns to clinic in four weeks Client returns reports that she is still taking the medication when she feels that she needs it She remains quite manic and reports that her family is getting really upset because she likes to play her new guitar at night Decision Point Three Assess for rationale for non-compliance and educate client Guidance to Student The PMHNP should further assess for dangerousness to self or others. The client should be assessed for self-care, to including hygiene, eating, sleeping, etc. Hospitalization may be indicated if the client remains non-compliant and is a danger to self. If the client is not a danger to self, and hospitalization is not indicated, the PMHNP needs to assess for rationale for non-compliance. Many clients enjoy mania as it is a nice feeling to be consistently happy. When clients are successfully treated for mania, they often describe themselves as feeling ‘down’ or ‘flat.’ The PMHNP needs to assess for depression at this point as opposed to normalization of mood. Abilify is also FDA approved as monotherapy for mania and mixed presentations, but at a dose of 15 mg. day., so although you may be tempted to begin Abilify- be certain to use correct dose. Also, because it can be “activating” you need to dose this drug in the morning. However, the client is non-compliant and therefore, eliciting reasons for non-compliance is essential to the care of this client.