FIN 340 Milestone Two Guidelines and Rubric

Overview: In the first milestone, you prepared a client analysis. In this milestone, you will create the stock analysis and portfolio development sections of your final project.

First, you must understand what you are investing in. You have to know the underlying characteristics of the investment. What type of asset is it? What type ofsecurity? How is it priced? What are the expected cash flows? Who are the typical investors and what are their typical motives? If you do not understand theanswers to those questions, then the initial expectations you develop about the value and risk of the asset will be fundamentally flawed. This sets you up formissteps that can lead to underperforming your investment objectives.

Second, you must be able to estimate the value of the asset. Valuation is about assessing the estimated cash flows of the asset. This is a key component ofdiscerning absolute return potential and the differences between competing assets. It has a significant influence on the third step in the process as well.

The third step is developing a thesis about an asset’s expected return and the associated risk. This is accomplished by assessing your valuation estimates againstthe current market price and any developing economic or market dynamics that may impact your expected valuation or its pricing. The market is constantlychanging, and these expectations need to be monitored on a regular basis to ensure they continue to correspond to the objectives you are trying to achieve.

Finally, you must understand how the assets in a portfolio interact with one another. It is likely that you will not have just one investment, so any additionalassets will impact the overall performance of the portfolio. You want to formulate a plan to add assets that, when combined together, will have the potential tomeet your objectives. Putting all of these steps together into a consistent, thorough process will position you to better meet the investment objectives laid outat the beginning.

Prompt: This milestone involves creating a draft of the stock analysis and portfolio development sections of the final project. Use the provided spreadsheet to

calculate your portfolio’s standard deviation and the Final Project Scenarios document.

Specifically, the following critical elements must be addressed:

II. Stock Analysis: In this section, you will select five stocks from the provided list and determine their values by applying an appropriate valuation model from the following options: price to multiple model (earning or sales), dividend valuation model, or free cash flow to equity valuation model. A. Determine the value of each stock by using an appropriate model based on the characteristics provided for each stock; use each model at least once.

B. Provide a rationale for the stock valuation method you chose for each stock. Cite specific information to support your decisions. C. Using the calculated valuation, the current market price, and historical performance, determine the expected return for each stock.

III. Portfolio Development: In this section, you will develop a portfolio for a client (Ezra or Jacob and Rachel) based on the client’s risk tolerance, return

objectives, and liquidity objectives. You will select appropriate assets from the provided list.

A. For the client, develop a portfolio from the list of assets provided that is informed by your analysis of the client’s objectives and (if applicable)

the stock valuation you determined.

B. Calculate the expected portfolio return using the CAPM (beta) model. Based on the risk tolerance and return objective of the client you didn’t choose for this assignment, would you design an investment portfolio that has a higher or lower expected portfolio return, and why? C. Calculate the expected portfolio standard deviation. Based on the risk tolerance and return objective of the client that you didn’t choose for this assignment, would you design an investment portfolio that has a higher or lower expected standard deviation, and why?

Rubric

Guidelines for Submission: Your client analysis should be a 3- to 5-page Microsoft Word document, double spaced, with 12-pt. Times New Roman font, one-inch margins, and citations cited in APA format. Note that your submission may be longer than 6 pages as work must be shown for all calculations. You may use and upload an Excel workbook to show your calculations. In your written paper, if you are referring to data that is found within an uploaded Excel workbook, be sure to include a citation—for example, “the portfolio’s expected return is 7.2% (E64, Sheet1, WB1),” where E64 is the cell that the calculation took place in, Sheet1 isthe tab, and WB1 is designating the name of your file. This ensures that your instructor can quickly and accurately check data entry, formula use, and financialcalculations.

Critical Elements Proficient (100%) Needs Improvement (75%) Not Evident (0%) ValueStock Analysis: Determine Accurately determines the value of Determines the value of each stock, but Does not determine the value of each 17 the Value each stock using an appropriate model determination contains inaccuracies, or model stock

based on the characteristics provided applied is not appropriate for each stock

Impulsivity, compulsivity, and addiction are challenging disorders for patients across the life span. Impulsivity is the inclination to act upon sudden urges or desires without considering potential consequences; patients often describe impulsivity as living in the present moment without regard to the future (MentalHelp.net, n.d.). Thus, these disorders often manifest as negative behaviors, resulting in adverse outcomes for patients. For example, compulsivity represents a behavior that an individual feels driven to perform to relieve anxiety (MentalHelp.net, n.d.). The presence of these behaviors often results in addiction, which represents the process of the transition from impulsive to compulsive behavior.

In your role as the psychiatric nurse practitioner (PNP), you have the opportunity to help patients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction.

Reference: MentalHelp.net. (n.d.). Impaired decision-making, impulsivity, and compulsivity: Addictions’ effect on the cerebral cortex. https://www.mentalhelp.net/addiction/impulsivity-and-compulsivity-addictions-effect-on-the-cerebral-cortex/

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To prepare for this Assignment:

• Review this week’s Learning Resources, including the Medication Resources indicated for this week.
• Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring therapy for impulsivity, compulsivity, and addiction.

The Assignment: 5 pages

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. 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, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

• Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

• Which decision did you select?
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

TOPIC: Module 07 Assignment – Pediatric Assessment: PDA with RSV

Purpose of Assignment

The goal of creating a nursing concept map and create a plan of care for a child with bronchiolitis. The nursing interventions would reflect the underlying respiratory syncytial virus with patent ductus arteriosus (PDA) history.

Competency

Apply the foundations of pediatric nursing when caring for clients with health alterations.

Scenario

You are working in a large urban pediatric clinic after-hours.

A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.

• The child is in less than 10^th percentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA).
• Born at 36 weeks gestation.
• Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.
• T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96%
• A swab for respiratory syncytial virus (RSV) is positive.

Doctor orders – Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office and push po fluids as tolerated.

After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home and can return to pediatric afterhours or ER if needed.

Client is discharged with these orders:

• methylprednisolone 0.4 mg/kg oral BID for 3
• Albuterol Q4 hours for 24 hours, then Q 6 hours for 24 hours, and Q6 as needed.
• Call if needed prior to the Q4 dose.
• Manage fever with Tylenol and continue hydration and nasal bulb suction Q6 while awake.
• Return for re-evaluation in 3 days

Instructions

In a two to three-page APA formatted paper, provide reponses for these questions and requests for information:

Criteria:

1. Describe the pathophysiology of bronchiolitis and identify the most common organism causing this infection. What laboratory testing can confirm your suspicion?
2. Describe the pathophysiology of PDA and why the history of PDA is significant in this scenario.
3. What risk factors place Vivi Mitchell at a greater risk for the development of bronchiolitis?
4. What are the characteristic signs/symptoms of bronchiolitis?
5. Vivi Mitchell been prescribed the following medications; acetaminophen, albuterol nebulizer, corticosteroids. Provide the rationale for why each medication has been included as part of her medical management and explain any potential contraindications related to these medications.
6. You are designing Vivi Mitchell’s plan of care. Identify two priority nursing diagnoses to include in your plan. For each nursing diagnosis, identify two SMART goals, and two interventions for each goal.
7. What short and long-term possible complications should the nurse anticipate?
8. What client education is appropriate for Vivi Mitchell as she is discharged from the after-care clinic?

* Include a minimum of four scholarly sources

Format

• Standard American English (correct grammar, punctuation, etc.)
• Logical, original and insightful
• Professional organization, style, and mechanics in APA format

NO CONSIDERATION FOR PLAGIARISM

APA FORMAT AND INDEX CITATION

PLEASE WRITE FROM NURSING PROSPECTIVE

DUE 2/10/22

• FOLLOW ALL Rubric Details CORRECTLY TO AGAIN FULL POINTS

·

·       Criteria 1, 2, 3

23% of total grade

Mastery: Advanced or exceeds achievement

Addresses criteria correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.

14.72

Proficiency: Clear/effective achievement

Addresses criteria correctly. Demonstrates solid understanding of the topic. Gives examples without research.

13.69

Competence: Adequate/basic achievement

Addresses criteria correctly. Demonstrates basic understanding of the topic.

12.36

Emerging: Limited or growing achievement

Addresses criteria incorrectly.

9.57

·       Criteria 4, 5, 6

15% of total grade

Mastery: Advanced or exceeds achievement

Addresses criteria correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.

9.6

Proficiency: Clear/effective achievement

Addresses criteria correctly. Demonstrates solid understanding of the topic. Gives examples without research.

8.93

Competence: Adequate/basic achievement

Addresses criteria correctly. Demonstrates basic understanding of the topic.

8.06

Emerging: Limited or growing achievement

Addresses criteria incorrectly.

6.24

·       Criteria 7, 8, 9

31% of total grade

Mastery: Advanced or exceeds achievement

Addresses criteria correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.

19.84

Proficiency: Clear/effective achievement

Addresses criteria correctly. Demonstrates solid understanding of the topic. Gives examples without research.

18.45

Competence: Adequate/basic achievement

Addresses criteria correctly. Demonstrates basic understanding of the topic.

16.67

Emerging: Limited or growing achievement

Addresses criteria incorrectly.

12.9

·       Tone

15% of total grade

Mastery: Advanced or exceeds achievement

Uses consistent professional tone with excellent use of medical terminology.

9.6

Proficiency: Clear/effective achievement

Tone is professional. Good use of medical terminology.

8.93

Competence: Adequate/basic achievement

Tone is professional. Inconsistent use of medical terminology.

8.06

Emerging: Limited or growing achievement

Tone is consistently unprofessional with poor use of medical terminology.

6.24

·       Spelling and Grammar

9% of total grade

Mastery: Advanced or exceeds achievement

Demonstrates an exemplary application of spelling and grammar.

5.76

Proficiency: Clear/effective achievement

Displays proper grammar application and writing contains minimal to no spelling errors. May contain rare improper uses of words (ex., their vs. there), a misplaced modifier, or a run-on sentence, but does not detract from the overall understanding of the sentence and/or paragraph.

5.36

Competence: Adequate/basic achievement

Spelling and grammar errors occur but are inconsistent. Paragraphs and sentences are coherent but may exhibit spelling errors, run-on’s or fragments, and/or improper verb tense usage.

4.84

Emerging: Limited or growing achievement

Spelling and grammar contain substantial errors that makes sentences and/or paragraphs incoherent.

3.74

·       APA Style

7% of total grade

Mastery: Advanced or exceeds achievement

APA citations are free of style and formatting errors.

4.48

Proficiency: Clear/effective achievement

Errors in APA citations are less noticeable and do not detract from the ability to locate the original source (for example, a missing or misused comma or period, missing parentheses, author name not properly abbreviated, indentation is misaligned).

4.17

Competence: Adequate/basic achievement

Errors in APA citations are noticeable and may detract from the ability to locate the original source (for example, no title provided, year of publication is missing, no punctuation).

3.76

Emerging: Limited or growing achievement

Citations do not follow APA Style. Quotations, paraphrases, and summaries are not cited, or there is no attempt to cite them using APA style.

2.91

The U.S. is in the midst of one of the world’s most challenging pandemics. Few have been unaffected by this virus, professionally, socially, and economically. We have lost more Americans to this virus than some of our wars, even when added together. We are in an economic recession, facing a depression. Warding off mental health issues has been a challenge.

What has been our response to this crisis? Have we met the challenge the way any modern, experienced public health system should? How are other nations doing? Have we done as we have so many times before with H1N1, HIV, and Ebola to mitigate spread and damage by this Covid-19 threat?

Assess our situation. Review our systems, organizations, and ourselves. How did generations before you manage the war years? WWI, WWII, Korea, Vietnam, the Mideast? How was earlier pandemics managed? The Great Depression? Some of these events went on for years. This virus has been here for only months and some seem unable to even wear a mask or avoid large gatherings. What if we had that attitude during WWII when rationing was in effect? What is our future? What have we done right? Where could we have done more or better? Where are our successes? Failures? What can we and should we be doing now?  Earn points by posting or commenting on others at least three times, initiating your own post at least once.