Which event in american history had significant impact on educationl atandard nursing?

Answers

Answer 1

Nursing practices during the Civil War advanced the cause of

professional nursing.

Which historical event led to the push for formal nursing education?

In response to historical events like world wars, the Great Depression, and shifting U.S. demographics, American nursing programs underwent significant change over the previous 150 years. The Civil War was the initial turning point that sparked the establishment of formal education for nurses. Most women only provided nursing care to their families at home before the Civil War. Every woman was expected to care for her family. Older women would provide care for neighbors or contacts who were referred by word of mouth because they had extensive family experience and needed to earn a living (Reverby, 1987). Women brought their skills and knowledge from the home to the battlefield as they started to care for the soldiers during the war.

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Related Questions

10. What type of muscle tissue is involuntary, non-striated, and assists with peristalsis?
a. Cardiac
b. Epithelial
C. Skeletal
d. Smooth

Answers

the answer is D. Smooth.
D Is The Answer choose Smooth

The two grains persons with celiac disease can consume are _____.

Answers

Answer:

Corn and Rice

Explanation:

The stage during which the patient functions normally, although the disease processes are well established, is referred to as?

Answers

The stage during which the patient functions normally, although the disease processes are well established, is referred to as subclinical stage.

This stage is generally the incubation period for infectious diseases and for chronic diseases, it is the latency period. For clinical stage, the diseases are not detected through clinical detection and are below the surface while for a clinical disease signs and symptoms are clearly distinct in the patient.

There are generally five stages involved in the history of a disease which are underlying, susceptible, subclinical, clinical, and recovery.

One such example of clinical disease in which the disease processes are well established is diabetes mellitus.

There are three levels of disease prevention: primary prevention in which before health effect occurs, intervention is done; secondary prevention  for which screening is done to identify disease as early as possible and tertiary prevention which is managing to stop or slow it.

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Which choice demonstrates best nursing practice when performing tracheostomy care on a client who is 8 hours post new insertion?

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Using sterile gloves during the procedure is the best choice which can be demonstrated by nurses during practice while performing tracheostomy care on a client who has 8 hours post new insertion.

A hole is drilled into the front of the neck to allow tracheal intubation, and this is known as a tracheostomy. If necessary, the tube can be connected to a ventilator, a mechanical breathing device, and an oxygen supply.

A tracheostomy might have a few difficulties that can occur during or just after the procedure.

Bleeding. There may occasionally be some bleeding from the trachea or the tracheostomy device itself.Lung collapse. The lungs can occasionally become engulfed in air, which makes them collapse inward.

Surgery always carries the risk of serious to mild complications. The majority of the time, it is temporary surgery, but it is not always.

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Your heart rate or pulse should be within your TTZ for at least 20 minutes of exercise if you want to improve your cardiovascular health.

O True
O False

Answers

Answer: A True

Reasoning

Which organization offers a variety of certifications for health informatics careers? american health information management association american health information education association american health information certification association american health information career association

Answers

Answer: A

Explanation:

The organization that offers a variety of certifications for health informatics careers is American Health Information  Management Association [AHIMA].

What is American Health Information  Management Association ?

The business and clinical uses of electronic and paper-based medical information are promoted by the American Health Information Management Association (AHIMA), a professional organization. The organization offers tools and training to health information workers so they can advance their careers.

What credentials does AHIMA provide?

RHIA. Registered Health Information Administrator Exam (RHIA) .RHIT. Registered Health Information Technician Exam (RHIT) .CHPS. Certified in Healthcare Privacy & Security Exam (CHPS) .CHDA. Certified Health Data Analyst Exam (CHDA) .CDIP. Certified Documentation Improvement Practitioner(CDIP) Exam (CDIP)

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The heart has its own special covering, a loose-fitting inextensible sac called the?

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The heart has its special covering, a loose-fitting inextensible sac called the pericardium.

What are functions of pericardium?

The pericardium has several vital roles:

It helps keep your heart fixed in location within your chest cavity.

It stops your heart from overstretching and filling up with blood.

It lubricates your heart to avoid friction with the tissues around it while it beats.

It safeguards your heart from any infections that can spread from surrounding organs like the lungs

The heart is encased in a delicate sac known as the pericardium. It keeps your heart in its proper position within your chest and protects and lubricates it. When the pericardium inflames or fills with fluid, issues may arise. Your heart's condition could worsen as a result of the swelling.

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Code __________ is assigned for two-way communication between the doctor and the emt or other emergency personnel during a transport that involves advanced life support.

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Code 99288 is assigned for two-way communication between the doctor and the emt or other emergency personnel during a transport that involves advanced life support.

What is two-way communication?

Two-way communication is a form of transmission in which both parties involved transmit information. Two-way communication has also been referred to as interpersonal communication.

Code 99288 is assigned for two-way communication between the doctor and the emt or other emergency personnel during a transport that involves advanced life support.

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This language barrier is where informal words and expressions are used in communication:
A. None apply
B. Jargon
C. Slang
D. Dialect

Answers

Answer:

Slang

Explanation:

Hope this helps.

i need help please 10 points

Answers

What do you need help with?
what is it that you need help with

A patient who is at risk for developing a chronic condition because of genetic factors is said to be in which phase of the trajectory model?

Answers

A patient who is at risk for developing a chronic condition because of genetic factors is said to be in pretrajectory phase of the trajectory model.

McCorkle & Pasacreta, 2001- explains eight phases of chronic illness trajectory. Initial or pretrajectory section - happens before any signs and symptoms are present.  Pretrajectory onset phase- happens with the primary onset of signs and symptoms and includes the diagnostic amount.

The term trajectory refers not solely to the pathophysiological method of a patient's chronic illness state, however additionally refers to the full organization of labor done throughout all nurse and patient interactions and refers to the impact of patient care processes on those interactions and also the organization.

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A patient has a cast removed after bone healing takes place. what should the nurse instruct the patient to do after removal?

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After the patient's bones have healed, the cast is taken off. What is the patient to do after removal, per the nurse's instructions?

a. To soften the skin, rub on an emollient lotion.

b. Control swelling with elastic bandages, as recommended.

c. Gradually resume activities and exercise.

What are casts?

Fractures are frequently treated using casts. While the bone heals, casts are used to immobilize broken bones, encourage healing, and lessen discomfort and swelling. They may be applied to an arm or leg following surgery to safeguard the bone and maintain its correct alignment.

After cast removal, skin becomes rough and hence emollient lotion is necessary. The muscles swell and bandages must be used to control swelling. The muscles become stiff and hence activities should be resumed slowly.

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What are some questions the nurse should ask herself before accepting this assignment?

Answers

The nurse must ask herself,

Do you possess the knowledge necessary to treat patients?

Do you have experience with the assigned patient types?

What are questions the nurse should ask herself before accepting this assignment?

The nurse must ask herself;

Do you have the necessary cross-training to care for these patients if this is a "float assignment"?

Is a "buddy system" with staff members who are familiar with the unit in place?

Do you possess the knowledge necessary to treat patients?

Do you have experience with the assigned patient types?

The 4 choices every registered nurse has when given an assignment are

Accept,

Refuse,

Refuse and request peer review,

Accept and file safe harbor.

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Identify two communication barriers that may occur in healthcare. Give an example of how you would work around each barrier to provide excellent care to your patient.

Answers

The communication between the nurse and patient is very important therefore the health care department should proper take care of the communication.

Identify two communication barriers that may occur in healthcare.

Lack of privacy and background noise are the two main barriers which is commonly present in the communication of healthcare between the nurse and patient. The patient ability of communication with the nurse is mostly caused by the background noise and the lack of privacy between the nurse and the patient. The main problem of communication between the patient and nurse can also be the language.

So we can conclude that: The communication between the nurse and patient is very important therefore the health care department should proper take care of the communication.

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Which step of the nursing process does a nurse use when finding blood pressure of 180/75, a heart rate of 90, and a patient complaint of chest pain?

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Assessment is the step of the nursing process does a nurse use when finding blood pressure of 180/75, a heart rate of 90, and a patient complaint of chest pain.

The nursing process functions as a guide to client-centered care with five successive steps. These are assessment, diagnosis, planning, implementation, and analysis.

Assessment is that the first step and involves essential thinking skills and information collection; subjective and objective. Assessments are essential to patient safety as due to lack of nursing assessments will create a patient safety risk.

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The shape of hair is determined in part by the pattern of disulfide bonds in keratin, its major protein. From first to last, arrange the five steps needed to induce permanent curls in hair.

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The five steps needed to induce permanent curls in hair by keratin are

I.A thiol containing reagent and Heating(gentle)

II. Disulfide bond Breaker for Keratin

III. curling the hair physically

IV.A good oxidizing agent application

V. Disulfide bonds reformer for keratin  to hold the shape

Keratin is a protein that your body produces naturally, and it helps keep your hair, skin and nails healthy and robust. Your body produces keratin naturally, however keratin shampoos and conditioners that contain keratin protein could strengthen your hair and improve its look.

Keratin works by smoothing down the cells that overlap to make your hair strands. The layers of cells, referred to as the hair cuticle, in theory absorb the keratin, leading to hair that appears full and shiny. Keratin conjointly claims to form wavy hair less curly, to straighter in look.

The question is incomplete, for complete question here

The shape of hair is determined in part by the pattern of disulfide bonds in keratin, its major protein. From first to last, arrange the five steps needed to induce permanent curls in hair.

Answers:

1. Keratin's a-helices convert to B-sheets.

2. Keratin's disulfide bonds break.

3. Physically curl the hair.

4. Apply an oxidizing agent.

5. Keratin's disulfide bonds reform to hold shape.

6. Apply a thiol-containing reagent and gentle heat.

7. Keratin's amino acids rearrange into the curled conformation.

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Which sign or symptom is the earliest indication that a patient with a stroke has increased intracranial pressure?

Answers

Restlessness is the earliest indication that a patient with a stroke has increased intracranial pressure.

What are the signs and symptoms of a stroke?

A stroke can result in death occasionally, as well as paralysis, loss of speech, memory, vision, and decreased cognition. To reduce damage to the brain tissue, it is essential that a stroke sufferer receive an examination and appropriate care as soon as possible.

Face, arm or leg suddenly become weak or numb, usually on one side of the body.sudden vision loss or dimness, especially in one eyespeech loss, difficulty comprehending or speaking, or bothsevere headaches that suddenly arises

Sudden spells of unprovoked dizziness or unsteadiness, or sudden episodes of trouble walking, especially when any of the previously listed symptoms are present.

Other less common symptoms of stroke may include sudden nausea or vomiting, fainting, confusion, seizures, or coma.

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Describe what will enhance utilization of drugs that are administered orally, topically, and intravenously to reach target cells and produce a physiological effect.

Answers

Absorption is the process which will enhance utilization of drugs that are administered orally, topically, and intravenously to reach target cells and produce a physiological effect.

To overcome deficiencies of absorption due to drug properties, the dose type could facilitate improve absorption by sterilisation the disintegration and dissolution time, increasing continuance within the bowel, and providing delayed unleash within the lower bowel rather than the abdomen gastrointestinal tract environment..

Various factors govern oral drug absorption as well as drug solubility, membrane porousness, and stability within the alimentary canal setting.

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A public health nurse is assessing the community for health needs, health risks, and environmental problems that may affect health. how can the nurse best obtain this data?

Answers

The nurse can best gather this information by looking at community health statistics in public records.

The easiest way for a nurse to get this information is to search public databases for health statistics on the community, do a windshield survey of the community environment, interview residents, and survey state and federal policymakers.

What does a public health nurse do?

A nursing specialty devoted to public health is public health nursing, commonly referred to as community health nursing.

The primary goals of the work done by public health nurses are always the prevention of illness, accidents, and disability as well as the promotion and maintenance of population health.

What distinguishes a community health nurse from a public health nurse?

Despite serving the same demography, the goals of the two disciplines are different. Community members and individuals who are unable to seek medical attention are treated by public health nurses. To end healthcare disparities, community health nursing engages in lobbying and policy creation.

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is this real or fake?! Do i have a chance? or am i paving waves…

Answers

Answer:

ssdfghj

Explanation:

dfghj

Answer: Yes this is real, ask any question and get

Explanation:

A nurse has completed assessment of a client and is now validating the information gathered and reviewing goals with the client. which phase of the interview process is this?

Answers

The phase of completing assessment of a client and validating the information gathered and reviewing goals with the client by the nurse is the termination phase of the interview process.

What is the termination phase?

The most crucial stage of the relationship is when it ends. The primary goal of this stage is to therapeutically end the termination phase.

In the termination phase, nurses are responsible for the following-

- Present the sufferer with the separating reality.

- The nurse and the patient should discuss the patient's feelings, emotions, and associated behavior.

- Analyze the success of therapy and the accomplishment of objectives.

- If necessary, discuss upcoming meeting schedules.

Solutions to issues during the termination phase

Nurses need to be capable of handling the circumstance and cognizant of the patients' feelings.Invite the patient to express his opinions on the ending phase.When planning for a patient's release, nurses can enlist the assistance of the supervisor.

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The nurse is offering a community teaching session on obstructive sleep apnea (osa). which life-threatening occurrences can result from untreated osa? select all that apply.

Answers

Untreated obstructive sleep apnea leads to an episode of apnea and loss of breath and sudden awakening.

What is Obstructive Sleep Apnea?

The most prevalent sleep-related breathing disease, obstructive sleep apnea (OSA), is defined by recurring episodes of whole or partial blockage of the upper airway, which results in diminished or missing breathing during sleep. These events are classified as "apneas" when breathing completely or nearly completely stops, or as "hypopneas" when breathing is just partly reduced.

In either scenario, there may be a drop in blood oxygen, a sleep disturbance, or both. A high rate of apneas or hypopneas while you sleep may prevent you from getting restorative sleep, which, together with issues with blood oxygenation, is thought to have a severe impact on your  quality of life and health.

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A client with a history of depression says that since taking yoga classes, the depressive episodes have decreased. what should the nurse explain about yoga?

Answers

Exercise like yoga help increase the level of Serotonin in the body thus help in elevating the mood of the patient.

What is Serotonin?

A monoamine neurotransmitter is serotonin. It has a complicated and varied biological function that affects several physiological processes, including vomiting and vasoconstriction, as well as mood, cognition, reward, learning, and memory. The digestive tract creates 90% of the serotonin that the body makes.

According to biochemistry, the indoleamine molecule is created by the (rate-limiting) hydroxylation of the five positions on the ring (creating the intermediate 5-hydroxytryptophan), followed by decarboxylation to create serotonin. The enteric nervous system, which is part of the gastrointestinal tract, is where serotonin is first found (GI tract). The raphe nuclei in the brainstem, Merkel cells in the epidermis, pulmonary neuroendocrine cells, and taste receptor cells found in the tongue are all examples of locations in the central nervous system (CNS) where it is also generated.

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Which finding would the nurse identify as normal when assessing the chest of an older adult patient?

Answers

The finding the nurse would find normal during assessing the chest of an older patient is: (1) The patient has an outward curvature noted in the thoracic spine.

Chest is the region of the body between the neck and the abdomen. In scientific language, the chest is also called the thorax. The main organs present ion the chest are: lungs and heart. Therefore, chest is responsible for the oxygen supply and blood circulation of the body.

Outward curvature in the spine is also called 'Kyphosis'. The spine appears rounded due to this curvature. This condition can be very normally seen in older people as they are more prone to develop spine problems.

The question is incomplete, the complete question is:

Which finding would the nurse identify as normal when assessing the chest of an older adult patient?

The patient has an outward curvature noted in the thoracic spine.The respirations are deeper, with 40% increase in the tidal volume.The costal angle is about 50% wider than seen in the younger adult.The anteroposterior diameter is less than the transverse diameter.

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Answer: An outward curvature in the thoracic spine.

Explanation:

Kyphosis is a nature occurrence with the aging of the thoracic spine. It happens to elderly people.

Which health promotion activity will have the greatest impact in the prevention of spinal cord injury?

Answers

Fall prevention strategies will have the greatest impact on the prevention of spinal cord injury.

Spinal cord injury can be any kind of damage to the spinal cord resulting from a trauma like an accident or any chronic disease like cancer. The symptoms of the SCI depend upon the location and severity of the injury. Most severe injuries can affect bowel movements, breathing rate, heart rate, and blood pressure. While mild injuries decrease the voluntary movements of arms or legs.

Primary causes of spinal cord injuries are road accidents, accidental falls, or any type of violence. Improving roads and guiding people toward the behavior can prevent such accidents. Being careful while walking can help reduce the risk to fall and improving mental status can help improve violence.

Spinal cord injuries can lead people to premature deaths. Therefore, it is advised to prevent falls especially to reduce the risks. Also taking care while on the roads and avoiding violence can help people to lead a long and healthy life.

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classify the food items that are found around your locality in to 3 categories as those that assist growth those provide energy and those that protect the body​

Answers

Answer: Cow assist the growth of the other plants, Sunflowers help with energy, And Corn helps protect the body with its proteins.

Explanation:

The nurse is caring for the client with respiratory alkalosis and renal compensation. the nurse determines this diagnosis was based on which diagnostic findings?

Answers

Decreased PCO₂ and HCO₃, and increased pH are the main symptoms of respiratory alkalosis.

A reduction in HCO₃ reabsorption occurs as part of the renal response to pulmonary alkalosis. In some combined acid-base illnesses, the blood pH may be within the normal range. When the PCO₂ and blood HCO₃- concentration are flowing in the opposing directions, a mixed acid-base disturbance is present.The most common acid-base disorder is respiratory alkalosis, which can happen during a typical pregnancy and when living at a high altitude.2,20,21 It is also the most frequent acid-base anomaly in critically ill patients, and it is a poor prognostic indicator, especially if Paco₂ is below 20 to 25 mm Hg (2.7 to 3.3 kP). It can occur as a solitary disorder or as a component of mixed disturbances. Acute episodes of hyperventilation that are accompanied by fear or anxiety are what define the hyperventilation syndrome.

Therefore, decreased PCO₂ and HCO₃, and increased pH needs to be checked.

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Modified True or false Write true if the sentence is correct and write the correct
Answer if tje sentence is false



thailand acquired significant influences in their music from Chinese Music regarding musical elements and principles. GAMELAN ENSEMBLE from thailand comprises percussion and wind instruments that preform ay diffremt events in thailand​

Answers

Answer:

False

Explanation:

Thailand acquired music from other regions like Europe and America.

Ez 30 points
give Examples of 2 smooth and skeletal muscles. give the cardiac muscle only one example

Answers

Your shoulder muscles, hamstring muscles and abdominal muscles are all examples of skeletal muscles. The cardiac muscle is the muscle of the heart. Smooth muscle is found in the walls of hollow organs, including the stomach, intestines, bladder and uterus.

What health science professional helps individuals participate in tasks and activities that they want or need to perform as part of their daily lives?

Answers

Occupational therapy (OT) is a branch of allied health that focuses on treating conditions that affect a patient's capacity for performing daily tasks on the physical, mental, developmental, and emotional levels.

What is occupational therapy (OT)?

An international career in healthcare is occupational therapy. Developing, regaining, or maintaining the worthwhile activities.

Through the therapeutic utilization of daily activities, occupational therapists treat patients who are injured, ill, or incapacitated.

They assist these individuals in acquiring, regaining, maintaining, and improving the abilities required for working and daily living.

Therefore, occupational therapy helps individuals participate in tasks and activities that they want or need to perform as part of their daily lives.

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Other Questions
how did the choice of the earliest civilizations to settle near waterways affect their civilizations? Who advocated the early attempt to develop an international trade theory in response to the practice of mercantilism? Consider a sample of gas that contains 775 moles of smokestack gas. how many molecules of so2 are contained in this sample? 2.04 x 10 12 can you solve this for me A contaminat is found in solution at a level of 3/500%. What fraction of the solution isnthis? the inverse demand function of a group of consumers for a given type of widgets is given by the following expression: the is the president's principal forum for considering national security policy matters with his senior national security advisors and cabinet officials. please refer to the image First StepsTHE LANDINGAs the lander hit, Maria drew a jagged breath, and her chest muscles clenched tight with anxiety. Captain Curran, the group leader, turned around and smiled at Maria and her five friends. All right, he said with forced joviality. Who wants to be the first of the generations born in space to set foot on a real planet?Maria waited for someone else to speak or raise their hand. Next to her, Allen just stared at the floor of the lander muttering, Not me, not me.She glanced at Lily, who Maria had always known to be fearless, but Lily bit her lip and turned away. Javier looked positively gray, and the twins buried their faces in their hands. Someone would have to be first. Maria closed her eyes and took a few meditative breaths, waiting for someone else to volunteer, but the lander was silent. FINDING COURAGEThe radio crackled to life. Lander one, this is Mothership, do you copy?Yes, Captain Curran answered. Weve landed safely and are waiting to exit the lander, but theres just a littledisagreementover which pioneer wants to be the first to set foot on our new home.Tell them theres plenty for everyone to see, and theyre going to love it out there, the voice on the radio responded. I wish it were me instead of you; I miss the feel of real air on my face.Captain Curran flipped off the microphone. You six have lived your entire lives in space, and its a great privilege to be the first of your generation to see a new planet. The others are watching; if youre afraid, theyll be afraid. Cant any of you find the courage to set an example?Maria shifted uncomfortably in her seat and thought of her parents; they had traveled across the galaxy to find their family a new home, with clean air and good soil, and she knew this planet was for them. Ill do it, Captain, she mumbled as she slipped out of her harness and rose out of her seat. Maria couldnt shake the feeling of trepidation as she stood and watched the doors of the lander slide open.A NEW WORLDA burst of air hit Maria in the face. She scrunched up her nose as an unfamiliar assortment of odors hit her nostrils. Some smelled sweet, some disgusting, and some were just strange. There were never strange smells on the ship; everything was always the same there. What was it going to be like to live where things changed? The rest of the children gathered around the opening as she climbed down the ladder, and Maria tried to smile as she met their worried eyes. Then, suddenly, something crunched underneath her boots; she was standing on the surface of the planet, and it felt nothing like the smooth metallic halls that shed known all her life.Without letting go of the ladder, she turned around to look at the world around the lander. The soil was full of shapes and textures; there were some small, grainy pieces, then larger clumps that she could break with the toe of her boot. One piece was hard and smooth, and she let go of the ladder to pick it up. Captain, she called, I think Ive found a rock!The air was moving, and long, thin, green things bowed and danced. Grasses, Maria whispered to herself, remembering the videos in her science lessons. She let go of the ladder and took soft, slow steps and realized her arms and legs felt like they were full of lead. Natural gravity, she whispered to herself. She started to walk a little more quickly, getting used to the new sensation. She was doing what others had previously thought impossibletaking steps on a new world.A creature with gossamer wings landed on her nose, and she crossed her eyes trying to get a good look at it. Something small and furry scurried across her feet as she spun in a slow circle. Inspired, she ran as fast as she could across the foreign soil; shed never seen somewhere so big, and it was thrilling. Suddenly, a deep, low sound echoed around her. Thats the call of a hornbeast, Captain Curran shouted from the bottom of the ladder. Maria glanced back and saw that he was helping her friends take tentative first steps in the new world. Walk to your left a little, and there should be a streamflowing water on the ground; they often go there to drink, the explorers say.She started to run in that direction and then paused. Hurry up! she yelled, unable to contain her enthusiasm. Our new home is extraordinary!QuestionIn First Steps, which theme is developed by Marias volunteering to leave the lander?Some things cannot be learned in school.Some things cannot be learned in school.It takes courage to be the first to try something new.It takes courage to be the first to try something new.Taking unnecessary risks is foolish.Taking unnecessary risks is foolish.Great tasks can be accomplished by working as a team. What types of risk does a new business owner face? what is the value of youth participating in volunteer work Is it possible for completely opposite adaptations to be most advantageous in different situations/for different species? use the tortoise and the hare as an example (scientifically). Why is it important to scientists for a hypothesis to be testable? How would the experiment differ if it were not? What is an example of each type? Write 3-5 sentences the managers of a car-detailing shop have decided to utilize the hawthorne effect to increase productivity, which means using cameras to film employees at work in order to isolate the parts of a job. It is difficult for molecules to pass through the phospholipid bilayer because. when a health-care professional uses a stethoscope for auscultation, the bell is used for high-pitched sounds such as bowel, lung, and normal heart sounds. a control unit consists of a central processing unit (cpu) with an arithmetic logic unit (alu) and registers. Read the passage from "Your Everyday Zombie" by Christie Wilcox.The tale above is just one of many real-life horror stories experienced by animals everyday. In all of the cases I'm about to present, once the host is infected, they are theliving dead. They have no hope of recovery, no chance for redemption. They willperform their acts as needed by their parasitic puppet master, and only once theirbodies have served their function will the zombie be released into the sweet arms ofeternity.What type of figurative language is used in the phrase parasitic puppet master?OsimileOallusionO personificationOeuphemism Write a program noonsnooze.java that takes an integer command-line argument snooze and prints the time of day (using a 12-hour clock) that is snooze minutes after 12:00pm (noon). (-5.2)(-7.8) what is it