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Exam Code: ANP-BC Practice test 2022 by team
ANP-BC ANCC Adult Nurse Practitioner

Category Content Domain Number of Questions Percentage
I Assessment 31 21%
II Diagnosis 39 26%
III Clinical Management 65 43%
IV Professional Role 15 10%
TOTAL 150 100%

Body Systems Drug Agents Age Group
1. Cardiovascular 1. Analgesic 1. Infant
2. Endocrine 2. Anti-Infective 2. Preschool
3. Gastrointestinal 3. Cardiovascular 3. School-Age
4. Genitourinary and Renal 4. Endocrine 4. Adolescent
5. Head, Eyes, Ears, Nose, and Throat 5. Eye, Ear, Nose and Skin 5. Young Adult (including late adolescent and emancipated minors)
6. Hematopoietic* 6. Gastrointestinal 6. Adult
7. Immune* 7. Genitourologic 7. Older Adult
8. Integumentary 8. Musculoskeletal 8. Frail Elderly
9. Musculoskeletal 9. Neurological
10. Neurological 10. Psychiatric
11. Psychiatric 11. Reproductive
12. Reproductive 12. Respiratory
13. Respiratory

A. Knowledge
1. Evidence-based population health promotion and screening
B. Skill
1. Comprehensive history and physical assessment
2. Focused history and physical assessment
3. Risk assessment (e.g., genetic, behavioral, lifestyle)
4. Functional assessment (e.g., cognitive, developmental, physical capacity)
II Diagnosis
A. Knowledge
1. Pathogenesis and clinical manifestations of disease states
B. Skill
1. Differentiating between normal and abnormal physiologic or psychiatric changes
2. Diagnostic test selection and evaluation
III Clinical Management
A. Knowledge
1. Pharmacotherapeutics, pharmacokinetics, pharmacodynamics, and pharmacogenetics
2. Anticipatory guidance (e.g., developmental, behavioral, disease progression, crisis management, end-of-life care)
3. Age-appropriate primary, secondary, and tertiary prevention interventions
B. Skill
1. Pharmacotherapeutic intervention selection (e.g., interactions, contraindications)
2. Pharmacotherapeutic intervention evaluation (e.g., monitoring, side/adverse effects, patient outcomes)
3. Non-pharmacologic intervention selection and evaluation
4. Therapeutic communication (e.g., motivational interviewing, shared decision making)
5. Culturally congruent practice
6. Resource management (e.g., accessibility, coordination, cost effectiveness)
IV Professional Role
A. Knowledge
1. Legal and ethical considerations for health care informatics and technology (e.g., confidentiality, accessibility)
2. Scope and standards for advanced practice registered nurses
3. Regulatory guidelines (e.g., reportable diseases, abuse reporting)
4. Evidence-based clinical guidelines and standards of care
5. Ethical and legal principles and issues for patients, populations, and systems (e.g., justice, consent, guardianship, bioethics)
B. Skill
1. Research appraisal (e.g., design, results, clinical applicability)

The ANCC Family Nurse Practitioner board certification examination is a competency based examination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of nurse practitioners. This certification aligns with the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education. Once you complete eligibility requirements to take the certification examination and successfully pass the exam, you are awarded the credential: Family Nurse Practitioner-Board Certified (FNP-BC). This credential is valid for 5 years. You can continue to use this credential by maintaining your license to practice and meeting the renewal requirements in place at the time of your certification renewal. The Accreditation Board for Specialty Nursing Certification accredits this ANCC certification.

The ANCC certification examinations are developed consistent with the technical guidelines recommended by the American Educational Research Association, the American Psychological Association, and the National Council on Measurement in Education (AERA, APA, NCME; 1999). Additionally, the ANCC certification examinations meet accreditation standards of the Accreditation Board for Specialty Nursing Certification(ABSNC) and the National Commission for Certifying Agencies (NCCA). Each examination is developed by ANCC in cooperation with a Content Expert Panel (CEP) composed ofcarefully selected experts in the field. CEPs analyze the professional skills and abilities from role delineationstudies, which provide the evidence for the test content outline (also called the test blueprint).

Test questions or “items” are written by certified nurses and interprofessional content experts in their discipline who have received training by ANCC staff in writing items. The items are then reviewed by the CEP with the ANCC staff and pilot-tested to ensure validity and psychometric quality before being used as scored items on the actual examinations. ANCC adheres to a variety of guidelines during the development of items to ensure that the items are appropriate for the specialty and certification level (e.g., APRN vs. RN). This includes editing and coding items, referencing items to the approved test content outlines and reference books, and screening items for bias and stereotypes. Items for the examinations are selected that reflect the test content outline and item distributions. The validity and reliability of the exams are monitored by ANCC staff. Certification examinations are updated approximately every three to five years.

ANCC reports its examinees test score results as pass or fail. If an examinee fails, the score report includes diagnostic feedback for each of the major content areas covered on the examination.
ANCC examinations are criterion-referenced tests, which means that an examinees performance on the examination is not compared to that of other examinees in determining the examinees pass/fail status.
In a criterion-referenced test, an examinee must achieve a score equal to or greater than the minimum passing score for the examination. The minimum passing score represents the absolute minimum standards that the examinee must achieve to demonstrate the ability to practice the profession safely and competently. With the guidance of a measurement expert (e.g., a psychometrician), a panel of subject matter experts in the nursing specialty sets the minimum passing score for each ANCC examination. In setting the minimum passing score, ANCC uses the Modified Angoff Method, which is well-recognized within the measurement field.
Each test contains between 150 to 175 scored test items plus 25 pilot test items that do not count towards the final score. For specific information on the number of items each test contains, please refer to the test content outline associated with that exam.
Scores on ANCC examinations are reported on a scale with a maximum possible score of 500. To pass the ANCC examination, an examinee must achieve a scale score of 350 or higher. Prior to conversion of an examinees score to this scale, the examinees raw score on the examination is determined, which is simplythe number of test items that the examinee answered correctly (e.g., 105 out of 150). The raw score is then converted to a scale score, using a conversion formula.
For examinees who do not achieve a scale score of at least 350, the score report will show the scale score achieved, “fail” status, and diagnostic feedback for each of the content areas covered by the examination

ANCC Adult Nurse Practitioner
Medical Practitioner outline
Killexams : Medical Practitioner outline - BingNews Search results Killexams : Medical Practitioner outline - BingNews Killexams : Health Workforce Implications For The Rural Emergency Hospital Model

Hospital care has become increasingly difficult to access in rural areas. Since 2005, approximately 183 rural hospitals have closed in the United States. Many hospitals have shuttered their maternity wards, reduced surgical offerings, and shifted to providing more outpatient services. In response to this decline in services and the financial distress of rural hospitals, Congress created the Rural Emergency Hospital (REH) designation via the Consolidated Appropriations Act of 2021. The REH designation is the first new rural provider type since the critical access hospital (CAH) was established in 1997. The REH designation allows small rural hospitals with fewer than 50 beds to convert to institutions that do not provide inpatient care but offer 24-hour emergency services.

On June 30, 2022, the Centers for Medicare and Medicaid Services (CMS) released the proposed conditions of participation (CoPs) for REHs. These conditions outline which hospitals are eligible to convert to an REH and what services they are obligated to provide. Under the proposed rule, REHs would have to maintain an annual per-patient average of 24 hours or fewer, provide 24-hour emergency services, and maintain a transfer agreement with a level I or level II trauma center. Additionally, CMS is considering permitting REHs to provide low-risk childbirth-related labor and delivery services accompanied by outpatient surgical services if surgical labor and delivery intervention is necessary.

Rural hospitals that choose to convert to REHs will have to eliminate their acute inpatient services but must maintain a fully staffed emergency department along with laboratory, radiology, and pharmacy services similar to those required in CAHs today. These requirements present a range of workforce challenges for hospitals already facing significant financial distress and located in areas with a limited pool of health care providers. To successfully meet the needs of their communities for emergency and other health care services, REHs will need to be agile in addressing these workforce challenges.

Flexible Staffing

Rural hospitals have long depended on flexible staffing models that rely on a diverse set of providers to meet the needs of the communities they serve. Since 2005, CMS has permitted non-physician practitioners, including physician assistants, nurse practitioners, and clinical nurse specialists, to be the designated providers on-call for emergency services at CAHs. During the COVID-19 public health emergency, CMS waived the requirement that a doctor be physically present at the CAH to provide medical direction. CMS is requesting comments on whether to require a physician or non-physician practitioner to be on site at an REH at all times.

Given the shortage of health care providers in many rural communities, REHs will need to draw upon health care talent from a range of health care employers. Many REHs will likely be affiliated with rural health clinics (RHCs), leveraging these relationships to meet staffing needs. To meet the demand for nursing staff, REHs can collaborate with physician practices and long-term care facilities in their community. These staffing arrangements, less common in urban areas, can help rural communities address provider shortages while improving continuity of care as patients may see the same provider for primary care and emergency services.

Behavioral Health Workforce

REHs, like other rural hospitals, will play a central role in providing behavioral health services in their communities. Patients often obtain these services via primary and emergency care providers due to the stigma associated with accessing behavioral health care in rural areas. While REHs are not allowed to provide acute inpatient psychiatric care, they will be able to provide outpatient care and serve as an originating site for telehealth visits.

REHs can employ clinical psychologists, licensed clinical social workers, and other behavioral health providers to deliver integrated medical and behavioral health care at one location. Recently proposed changes to the Medicare Physician Fee Schedule could provide REHs with greater flexibility, allowing clinical psychologists and licensed clinical social workers to serve as the focal point for behavioral health care delivery. CMS is also considering changes to the physician supervision requirements for licensed professional counselors and licensed marriage and family therapists, making it easier for REHs to employ these providers to deliver behavioral health care.

Colocation And The Importance Of Team-Based Care

With the focus on outpatient care and elimination of the need for inpatient space, many rural hospitals converting to REHs will need physical renovation. While renovations do result in upfront financial costs, they present an opportunity to create physical space for REHs to colocate with a range of health and social care providers, including primary care practices, specialists, and other health and human services organizations. Colocation can help by spreading the cost of facility upkeep and Strengthen care coordination in the community by increasing opportunities for team-based care.

Team-based care models based in rural hospitals have proven to be successful at improving patient outcomes. Having a wide range of health and social care providers physically present at one facility such as an REH could allow for the natural formation of interdisciplinary teams focused on improving patients’ health. Furthermore, this type of workforce transformation addresses the business need for rural hospitals to better align with primary care providers as revenue streams shift toward payment models focused on population health.

Workforce Recruitment And Retention

Hospitals cannot stay open without their staff. As rural hospitals consider converting to REHs, they must consider how to recruit and retain their workforce. Recruiting health professionals for rural hospitals remains challenging given that these facilities often have lower patient volumes and wages compared to urban hospitals. REHs can draw upon local health professions’ training programs and consider starting their own programs to recruit staff and expand available services. REHs can serve as rotation sites for health professions students, which can help attract future health care talent. In addition, REHs could consider starting or participating in physician and nurse residency programs, a proven recruitment tool for rural health care providers.

To retain the existing workforce, REHs should focus on deploying their staff in a way that keeps them happy and patients well. Rural providers often cite their satisfaction with the strong provider-patient relationships in their communities where they know their patients personally. Rural medicine often allows providers to have a broader scope of practice than practicing in an urban community. REHs should play to these strengths, empowering their staff to design initiatives that Strengthen their experience at work while providing whole-person care to patients. Health care workers who feel valued and whose employer cares about their well-being are far more likely to stay.

Looking Forward

Conversion to an REH will be financially costly, and it remains unclear whether the proposed monthly facility payment combined with reimbursement at 105 percent of Medicare will be enough to support both the startup costs and long-term sustainability of REHs. One analysis found that only 68 rural hospitals might convert to an REH out of the nearly 1,700 that will be eligible.

Despite the financial challenges, conversion of a rural hospital to an REH creates an opportunity for rural communities to restructure and retool their health workforce to deliver whole-person care. Rural hospitals have proven effective at providing high-quality emergency care for patients. They can build on their record of achievement by leveraging their workforce to provide expanded primary and behavioral health services to the community.

Author’s Note

Rains’ work is supported by the Health Resources and Services Administration (HRSA) of the Department of Health and Human Services (HHS) under cooperative agreement No. UK6RH32513. The contents are those of the author and do not necessarily represent the official views of, nor an endorsement, by the HRSA, HHS, or the US government. The author is completing a heath policy fellowship in the US House of Representatives.

Mon, 03 Oct 2022 01:06:00 -0500 en text/html
Killexams : Medical professionals outline special flu vaccines for at risk individuals

Updated: 34 minutes ago

Any showers, or wintry mix will lighten up this afternoon and evening.

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They’ll occasionally gust around 40 mph, and could reach 50 mph in Door County.

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While a coating of slushy snow may occur across our part of Wisconsin, heavier amounts are more likely across northern Vilas & Forest Counties and in the U.P. of Michigan.

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The community of Pulaski rallies around the victims.

Wed, 28 Sep 2022 04:05:00 -0500 en text/html
Killexams : Organizations outline solutions to mental health specialist shortage

FORT WAYNE, Ind. (WANE) – Mental Health specialists are looking to find solutions to a shortage of workers nationwide, specifically in Fort Wayne.

It’s a known issue across Indiana and comes as the Indiana Behavioral Health Commission sent their final report to the Indiana General Assembly. The report contains 56 pages including a thorough examination of Indiana’s behavioral health delivery system.

The need for more Behavioral Health and Mental Health specialists is listed, with current challenges, barriers, and possible solutions included. Challenges mentioned include low wages and high caseloads resulting in burnout.

Janel Lane, Co-founder of Courageous Healing Incorporated, can attest to this.

“The demand is at an all time high and people who are entering into the field just hasn’t caught up to the level of need right now,” Lane said, “So there’s a lot of pressure for organizations and agencies to do the best they can to not get a wait list.”

Lane says it has been hard balancing the care of staff while trying to meet the need and demand of clients. She recalls a day that the phone at Courageous Healing rang once every seven minutes, with people wanting to register.

Cheryl Shepherd, Director of Human Resource at Bowen Center, says they are experiencing burn out, larger case loads, and longer wait times.

“We see a lot of people that are mission driven meeting their mission, but they’re also having a lot of issues with burnout and that’s hard to balance sometimes,” Shepherd said.

Lane says there’s a major need for funding support. Now that seeking help for mental health needs is being normalized, she sees more people wanting to enter into the field. That comes with more interns and associate level licensed specialist who insurance will not allow to bill for their services, which discourages them from continuing on.

There are also things that go into obtaining a license such as supervision hours in which interns have to pay out of pocket for. Lane says some people can not afford to do this.

So what can be done? The report suggests increasing Medicaid rates to support competitive hiring and retention, reducing barriers by expanding universal licensure recognition language to behavioral health licenses, and allowing funds for a student loan repayment program for behavioral health professionals who commit to working in Indiana and serving underserved communities.

Shepherd mentioned that she’d like to see the addition of offering telehealth and telephonic services, as well as reimbursement rates.

“I really think it’s important to increase that reimbursement rate that we’re getting for services we’re providing in order to be able to attract and retain the staff to provide high quality services,” Shepherd said.

Right now, Shepherd and Lane both say their organizations have created systems to work efficiently while meeting current demands. Shepherd says the Bowen Center is focusing on providing staff with the proper care in attempt to control burnout.

“Providing all of the services they need for their own self care, mental health care, and support,” Shepherd said, “Also making sure they have the training and education they need to provide those services, and continuing to recruit and find new talent and find those people who are mission driven that can come alongside and meet that need too.”

Lane says Courageous Healing is implementing a solution they came up with, the six session model which aims to provide brief therapy and trauma centered therapy.

“We tell our therapist to show up fully and authentically which gives them permission to show up and be fully themselves, it helps people trust them and then we get right to work so it doesn’t take three to six sessions to build rapport,” Lane said, “Clients if we’re helping to offset any costs of their counseling they start with six sessions. If they need more they can apply for more, however we aim to make an impact within those six sessions.”

Lane says because of this system, they rarely have a waiting list and are able to get people the help they need quicker.

“We have to stay on our toes and continue to innovate as the problems are changing, needs are changing, demand is changing, COVID changed a lot of things and we have to be flexible in the field,” Lane said.

Wed, 05 Oct 2022 15:37:00 -0500 en-US text/html
Killexams : Shropshire hospitals outline how Future Fit changes will work
Shrewsbury & Telford Hospital NHS Trust has had its say on how the service changes will benefit patients

The Royal Shrewsbury Hospital site will specialise in emergency care. The trust says this will benefit patients through immediate access to medical and surgical specialist teams based at the same location.

NHS bosses say creating one dedicated Emergency Department for Shropshire, Telford & Wrekin will help to ensure that patients are seen more quickly by the most appropriate specialist teams. They say patients will experience a more rapid diagnosis and shorter hospital stays and that there will be an improved patient flow, with shorter patient waiting times, and faster ambulance handover times

The trust says both the Telford and Shrewsbury sites will provide 24-hour urgent care services, providing improved access for the assessment and treatment of a wide range of illness and injuries.

The hospitals’ management team says Telford will benefit from a new enhanced urgent care service, an A&E Local model, staffed by a multi-disciplinary team of health, care and community professionals. They insist this is a significant enhancement of urgent care services in Telford and means around two thirds of patients currently treated at Telford’s A&E department will continue to receive the care they need at their most local hospital.

Women and Children’s inpatient services will be based in Shrewsbury, ensuring higher risk maternity cases and children admitted under the care of specialist paediatricians have immediate access to on-site medical and surgical specialists and other experts at the emergency site.

Both hospital sites will provide a range of assessment and maternity outpatient and scanning services, along with midwife-led birthing units for low-risk births. The trust says that this means that the majority of expectant mothers will continue to receive their antenatal and postnatal care at the site closest to home.

In addition to urgent care services, the trust says both sites will provide a wide range of common services including testing (diagnostics such as X-rays), outpatients appointments and day case chemotherapy.

The trust says the Joint Investment Committee’s decision to approve the Strategic Outline Case (SOC) signals a move to the next stage of creating the model of care which was recommended for implementation by the NHS Independent Reconfiguration Panel and supported by the Secretary of State for Health and Social Care in 2019, following the major Future Fit public consultation.

Work has begun on preparing an Outline Business Case, a more detailed appraisal of each of the options. The third and final stage of the process will be a Full Business Case.

Thu, 22 Sep 2022 22:00:00 -0500 en text/html
Killexams : Lawmaker, attorney compete for Michigan Senate 18th District seat

KALAMAZOO, MI -- Democrat Kai W. Degraaf is facing Republican Thomas A. Albert in the race for the Michigan Senate 18th District seat.

The two candidates will square off in the upcoming Nov. 8 general election. There are 38 State Senate districts in Michigan, and senators are elected to serve four-year terms.

MLive has partnered with the nonpartisan League of Women Voters to publish a voters guide for candidates across Michigan. Each candidate was asked to outline their stances on a variety of public policy issues listed below. View the full guide at

Albert is a current representative who was first elected to the Michigan House of Representatives in November 2016. He represents the 86th District currently.

Albert’s education includes a bachelor’s degree in political science and history from the University of Michigan and a Master’s of Business Administration from Michigan State University with a concentration in finance, according to his survey responses to the League of Women Voters.

He is a former Marine Corps officer and former investor for the State of Michigan Retirement Systems, according to his survey response on experience and qualifications.

Degraaf said, in his survey responses, he is an attorney. Under education, he lists a diploma from City High School in Grand Rapids in 1976; a bachelor’s degree from the University of Michigan in 1983; and a doctoral degree from Seton Hall University Law School in Newark in 1993.

Degraff said he has no prior experience in political office; 26 years as sole-practitioner attorney; is fluent in five languages; a life working with people of diverse backgrounds from all nation and world; and five years in government contract management.

Below are candidates’ responses to questions from the League of Women Voter Guide survey.

All responses in the voter guide were submitted directly by the candidate and have not been edited by the League of Women Voters, except for necessary cut if a reply exceeded character limitations. Spelling and grammar were not corrected. Publication of candidate statements and opinions is solely in the interest of public service and should NOT be considered as an endorsement. The League never supports or opposes any candidates or political parties.

EDUCATION: What should Michigan do, if anything, to 1) provide an equitable, quality public education for all students and 2) address the shortage of teachers?

Kai W. Degraaf

1) Raise education standards for teachers, parents and students; 2) make it easier for people who already have a college degree to obtain a teacher degree / certification with some additional ed instruction.

Thomas A. Albert

Michigan has made significant investments to ensure equitable funding for all students. Last year, my colleagues and I equalized the per student foundation allowance and this year, we increased it. Additionally, at-risk funding was increased by $223 million and special education reimbursement funding by $246 million. We also appropriated over $1.5 billion to bring sustainability to our broken public school pension system.

Michigan is facing a significant teaching shortage and when we lack quality educators, our children suffer. That’s why I helped create and pass a teacher recruitment and retention plan totaling $580 million.

ECONOMIC SECURITY: What policies do you support to help Michigan residents Strengthen their economic positions?

Kai W. Degraaf

1) Open up student slots in numerous fields in our universities and trade schools, including nursing, medicine, engineering, skilled trades, and farming (help ensure a future with Michigan food) ; 2) Direct housing (rent/mortgage) assistance to struggling families and seniors; 3) Make Michigan a leader in “green jobs” by promoting, fostering and supporting the creation of businesses that help citizens utilize solar, hydrogen and other non-fossil fuel forms of power 4) Michigan should take more of a direct role in supporting students going to college and trade school-- as in, help them pay their tuition 5) Abolish debtor prison

Thomas A. Albert

I believe that the record-high inflation we are experiencing is significantly impacting the economic positions of Michigan residents, and families will continue to struggle until this is addressed. In the House, I have voted in support of substantial tax relief for all Michiganders which unfortunately, the Governor vetoed.

Michigan residents cannot Strengthen their economic positions if our state does not have a strong business environment and workforce. I have supported funding for skilled workforce training and across the board, I believe that the best way for someone to Strengthen their position is through a good paying job.

ELECTIONS: What state policies do you support regarding Michigan elections, campaign funding and voting rights?

Kai W. Degraaf

Voting should not be complicated. We should not impose onerous id or registration requirements on people who want to exercise their right to vote. With the exception of the office of president of the united states, I do not support term limits. Make campaign funding 100% transparent by maintaining reporting of all donation $$$

Thomas A. Albert

Michigan voters need to be able to trust our voting system and, unfortunately, there are many voters right now that are lacking that trust. I am supportive of policies that ensure Michigan stays up to date as technology changes and that elections are safe and fair. This term, I have voted in favor of legislation to strengthen proof of identification requirements, expand polling place locations, train election challengers, and update our voter file.

I believe Michigan does a fair job at ensuring that campaign funding is transparent and available for anyone to see by requiring detailed financial reports for elected positions.

ENVIRONMENT/ENERGY: What actions or policies do you support to protect Michigan’s water, air and land for current and future generations? What is your position on energy efficiency and renewable energy?

Kai W. Degraaf

1 - Prohibit selling / giving michigan water to any private entity which in turn sells the water to the general public. 2 - require any businesses that take water from michigan lakes and rivers to replenish same with clean water in equal quantities. 3 - spend tax dollars and require polluting businesses to do environmental clean up. 4 - identify and promote alternative means of crop fertilization in order to remedy run-off pollution in rural and farming areas in order to save our lakes, rivers and streams.

Thomas A. Albert

Ensuring safe and sustainable usage of our natural resources is critical to Michigan’s future. This year, I supported a historic infrastructure plan that focused heavily on clean drinking water, wastewater systems, dam safety, broadband, state and local parks, and low carbon energy expansion. I believe that the Biden administration and far-left agenda for a Green New Deal is irresponsible, and it is unrealistic to shift entirely to renewable energy so quickly. Families who are already struggling would be forced to bear the costs of this plan. We have an abundance of natural resources that we should be using responsibly to keep costs low.

SOCIAL JUSTICE: How would you address racial, economic, health and education inequities, including Michigan’s 23% of children and 17% of seniors living in poverty?

Kai W. Degraaf

1) Require that only healthy food is distributed at church pantries, schools and other food depots; this means do not supply state contracts to companies who supply school and nursing homes with things like soda, extra-sugary drinks; non-nutritive non-natural food substances, etc.) 2) Spend more resources on education programs and increase educational standards in low-income areas; spend significant resources on early childhood learning throughout Michigan. 3) Actively promote and fund drop-out prevention programs in junior high schools and high schools; 4) supply extra state tax credits to families who want to take care of their elderly.

Thomas A. Albert

We need to create an environment where people feel they have opportunities available to Strengthen their lives. It’s clear that we will not reduce disparities by furthering government dependency. Government assistance must include clear pathways to independence which is achieved through good paying jobs.

Michigan children have been negatively impacted by school closures as they rely on the stability that comes with being in a classroom. That’s why I was adamant that schools needed to be back in-person. Regarding seniors, they are especially vulnerable to increasing inflationary costs due to their fixed incomes and they need tax relief.

GUNS: What steps, if any, should be taken to curb gun violence in our communities?

Kai W. Degraaf

Require that all gun purchasers clear a criminal / mental health background check.

Thomas A. Albert

Violent criminals that are using guns should be placed behind bars instead of staying on the streets. We need to support local law enforcement and make sure they have the resources they need to keep our streets safe. That’s why I advocated for additional resources for law enforcement in our most recent state budget. The budget included $130 million to be used for recruitment and retention, training, new equipment and community policing efforts.

Senate Districts 18, 19

A map that shows Senate Districts 18 and 19 in Michigan.

Read more:

Kalamazoo school closed temporarily after water main break

Missing Michigan woman, Dee Warner, to be profiled on episode of ID show ‘Disappeared’

Suppression of evidence leads to dismissal of charges against Michigan man in 2004 murder

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Wed, 05 Oct 2022 06:15:00 -0500 en text/html
Killexams : Hillsborough schools step up mental health services as student need rises

Published Oct. 12|Updated Oct. 12

School officials in Hillsborough County are enhancing their mental health outreach efforts in response to alarming numbers of students who are having difficulties.

The district on Wednesday announced two new and related measures: a centralized information source on Clever, the web platform students use for their classes, and brochures on key courses that will be displayed in all middle and high schools.

District staff created the materials, for grades 6 through 12, in consultation with a student advisory committee. Surveys and committee members told them anxiety was an overriding issue, as well as peer and social conflicts.

Despite the availability of 850 counselors, social workers and school psychologists, students were not always coming forward to get help, officials said.

“Students access information differently than we do these days,” said Maggie Dean, a student services quality assurance manager. “So that’s why we’ve pivoted. We wanted to be visible with paper, QR codes, as well as on that electronic media. We wanted to make sure that students are connected.”

The brochures, printed in English and Spanish, were funded by Hailey’s Voice of Hope, a nonprofit organization that was established by a family who lost a teen to mental illness. They cover mental illness, stress, bullying, sexual harassment and suicide prevention.

The website information system, called Hillsborough Assist, was created with existing district resources.

In the last academic year, schools screened more than 20,000 students for assistance, superintendent Addison Davis said. That works out to roughly 1 in 10 students in the district.

Of those, 17,500 needed additional services, often outside the schools, Davis said. About 200 expressed serious feelings that they would harm themselves.

It is difficult to know the degree to which student mental health is deteriorating, as public awareness has prompted more children and adults to speak out. Statistical measurements are also difficult because COVID-19 kept many students home the previous two school years.

But the numbers were high enough to sharpen schools’ focus on the issue.

School violence in recent years has also been a call to action. State law now calls for threat assessment teams in all Florida schools. More than 1,100 Hillsborough school employees have been trained in threat assessment, and 12,000 have been trained in youth mental health first aid.

Davis said it is clear that COVID-19 was a contributing factor to problems such as anxiety and social isolation.

But, he said, “our community is now contending with a new pandemic, which is our children’s mental health.”

Wed, 12 Oct 2022 11:14:00 -0500 en text/html
Killexams : Medical professionals outline special flu vaccines for at risk individuals

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Killexams : Medical professionals outline special flu vaccines for at risk individuals

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The playoff race isn’t until Sunday but coming to the Speedway in Vegas is an experience race fans like to enjoy all weekend long.

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Killexams : Medical professionals outline special flu vaccines for at risk individuals

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The fashion highlighted people of all shapes and sizes, giving them all a chance to walk the runway in Dillards’ Fall line.

Updated: Oct. 15, 2022 at 6:00 PM EDT

The event was on Oct. 15 from 9 a.m. to 4 p.m. in Exhibition Halls A and B on the second floor.

Updated: Oct. 14, 2022 at 11:00 PM EDT

More than 500 light poles rendered useless because someone has been stealing the high grade copper wiring inside.

Updated: Oct. 14, 2022 at 11:00 PM EDT

The federal reserve has tried raising interest rates to stop inflation. But are their methods working?

Updated: Oct. 14, 2022 at 6:30 PM EDT

Under the deflection program, mental health calls are diverted away from LMPD and forwarded to crisis triage workers (CTWs) who are stationed in the 911 call center.

Wed, 28 Sep 2022 04:05:00 -0500 en text/html
Killexams : Medical professionals outline special flu vaccines for at risk individuals

Charles Roop has a look at some of the top tech stories from the week of Oct. 10-16, 2022.

Meteorologist Charles Roop has the details on the upcoming rain chances and cooler air.

Updated: Oct. 15, 2022 at 11:33 AM EDT

Updated: Oct. 15, 2022 at 10:32 AM EDT

The weekend will be nice, but cooler weather is forecast to be on the way mid to late next week. Meteorologist Charles Roop has the details.

Updated: Oct. 14, 2022 at 6:00 PM EDT

FSU says this is one of the biggest events in the business school’s 72-year history.

Wed, 28 Sep 2022 04:05:00 -0500 en text/html
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