Select from the following list four (4) topics and discuss.  Use only 50-words max per topic to discuss and present your answer.

The discussion questions this week are from Chapter’s 3-5  (Jamsa, 2013). Chapter 3 topics:

• Define and describe PaaS.
• List the benefits of PaaS solutions.
• Describe potential disadvantages of PaaS.
• Describe how a cloud-based database management system differs from an on-site database.
• List the computing resources normally provided with a PaaS.

Chapter 4 topics:

• Define and describe IaaS.
• Define and describe system redundancy. Discuss how you might use IaaS to implement a redundancy plan.
• Define and describe load balancing. Discuss how you might use IaaS to implement load balancing.
• Define and describe NAS. Assume you must implement a shared file system within the cloud. What company would you select? Why? What costs should your client expect to pay for cloud-based data on a gigabyte (GB) basis?
• Define and describe colocation. Discuss how you might use IaaS to implement colocation.
• Compare and contrast a cloud-based disk storage device (with a file system) with a cloud based database.
• Compare and contrast physical, dedicated virtual, and shared virtual servers. Search the web for companies that provide each. What cost should a customer expect to pay for each?

Chapter 5 topics:

• Define and describe SSO.
• Define and describe IDaaS.
• Define SAML and describe its purpose.
• Define and describe provisioning.
• Define and describe FIDM.
• List factors that make mobile ID management difficult.

Note: You are required to use at least two-peer reviewed sources (besides your textbook) to answer the above questions.

For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.

• Review this week’s Learning      Resources and consider the insights they provide about assessing and      diagnosing psychotic disorders. Consider whether experiences of      psychosis-related symptoms are always indicative of a diagnosis of      schizophrenia. Think about alternative diagnoses for psychosis-related      symptoms.
• Download the      Comprehensive Psychiatric Evaluation Template, which you will use to      complete this Assignment. Also review the Comprehensive Psychiatric      Evaluation Exemplar to see an example of a completed evaluation      document.
• By Day 1 of      this week, you will be assigned to a specific video case study for this      Assignment. View your assigned video case, keeping the requirements of the      documentation template in mind.
• Consider what      history would be necessary to collect from this patient.
• Consider what      interview questions you would need to ask this patient.

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

Incorporate the following into your responses in the template:

• Subjective: What details did the patient      provide regarding their chief complaint and symptomology to derive your      differential diagnosis? What is the duration and severity of their      symptoms? How are their symptoms impacting their functioning in      life?
• Objective: What observations did you make      during the psychiatric assessment?
• Assessment: Discuss the patient’s mental      status examination results. What were your differential diagnoses? Provide      a minimum of three possible diagnoses with supporting evidence, listed in      order from highest priority to lowest priority. Compare the DSM-5      diagnostic criteria for each differential diagnosis and explain what DSM-5      criteria rules out the differential diagnosis to find an accurate      diagnosis. Explain the critical-thinking process that led you to the      primary diagnosis you selected. Include pertinent positives and pertinent      negatives for the specific patient case.
• Reflection notes: What would you do differently      with this client if you could conduct the session over? Also include in      your reflection a discussion related to legal/ethical considerations      (demonstrate critical thinking beyond confidentiality and consent for      treatment!), health promotion and disease prevention taking into      consideration patient factors (such as age, ethnic group, etc.), PMH, and      other risk factors (e.g., socioeconomic, cultural background, etc.).

NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template

CC (chief complaint):

HPI:

Past Psychiatric History:

· General Statement:

· Caregivers (if applicable):

· Hospitalizations:

· Medication trials:

· Psychotherapy or Previous Psychiatric Diagnosis:

Substance Current Use and History: 

Family Psychiatric/Substance Use History: 

Psychosocial History: 

Medical History: 

· Current Medications:

· Allergies:

• Reproductive Hx:

ROS:

· GENERAL:

· HEENT:

· SKIN:

· CARDIOVASCULAR:

· RESPIRATORY:

· GASTROINTESTINAL:

· GENITOURINARY:

· NEUROLOGICAL:

· MUSCULOSKELETAL:

· HEMATOLOGIC:

· LYMPHATICS:

· ENDOCRINOLOGIC:

Physical exam: if applicable

Diagnostic results:

Assessment

Mental Status Examination:

Differential Diagnoses:

Reflections:

References

https://ezp.waldenulibrary.org/login?qurl=https://video.alexanderstreet.com/watch/training-title-24

Do you feel that countries and companies need explicit strategies for technology development, given the tremendous amount of largely spontaneous creativity that occurs today, often in areas where new technologies are not expected to exert a great influence.  Why or why not?

HEENT Case Study B

Jane is a 19 year old college freshman who plays on her school’s soccer team. She presents to college health clinic with complaint of sore throat, fever, fatigue, aches and pains that started abruptly yesterday. She denies cough, runny nose, sinus congestion, nausea/ vomiting, and abdominal pain. A review of her record reveals that her immunizations are up to date. She has a benign PMH / FH. She has no drug allergies. Medications include OCPs.

VS: 110/64, 101.6, 88, 16

Physical Exam Findings

HEENT: PERRL, Sclera clear, conjunctiva pink without discharge; ear canals clear bilaterally, no swelling or exudate. TMs pearly grey bilaterally with clearly visible landmarks; nares clear bilaterally with no swelling, erythema or discharge visible; Pharynx erythematous with white tonsillar exudates bilaterally.

Neck: Supple with tender swollen anterior cervical lymph nodes bilaterally.

1. What additional history items are important?
2. In addition to the HEENT/neck findings given above, what additional physical exam items are important to perform and record?
3. Apply the Centor criteria. What did you get and what does that mean?
4. A diagnosis of GABHSpharyngitis is confirmed. What is your treatment plan?

Please refer to the Grading Rubric for details on how this activity will be graded.

• S Question 1
• O Question 2
• A Question 3
• P Question 4

The paper should be written in a Comprehensive Final SOAP Note (This is very important). Support your paper with 3-5 nursing articles not older than 5 yrs. Remember this is a more detailed comprehensive Soap Note So make sure to cover the Rubric Requirement and this is a Master’s level assignment which should reflex a higher degree of expectation.