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“Now, know ye, that we, being willing to encourage the hopeful undertaking of our said loyal and loving subjects…that our royal will and pleasure is, that no person within the said colony, at any time hereafter shall be any wise molested, punished, disquieted, or called in question, for any differences in opinion in matters of religion, and do not actually disturb the civil peace of our said colony; but that all and every person and persons may, from time to time, and at all times hereafter, freely and fully have and enjoy his and their own judgments and consciences, in matters of religious concernments, throughout the tract of land hereafter mentioned.”  –Charter of Rhode IslandProvisions such as those in the colony of Rhode Island would ultimately encourage movement toward which of the following principles in colonial America? 

A 72-year-old gentleman presented with syncope on exertion. He had to walk an extra block this morning to buy milk as the store next door was closed. At the end of the block he felt light-headed and was trying to lean against the wall and the next thing he remembers is lying down on the pavement. He was soon picked up by EMS and brought to the ED. There is no eyewitness to describe the episode. He thinks he passed out for a minute and took a few seconds to figure out where he was. He complains of fatigue and increasing dyspnea on exertion. His exercise tolerance is limited to half a block secondary to shortness of breath. He has orthopnea and paroxysmal nocturnal dyspnea. He has no significant past medical history and the last time he saw a physician was 30 years ago. Rest of the history is not significant. On examination, afebrile, BP 102/72 mm Hg, HR of 98/min, RR of 20/min, and saturating 94% on room air. He has a laceration on the left temporal area from the fall. JVD is elevated to the angle of the jaw, ejection systolic murmur with late peaking in the second right intercostal space radiating to the carotids. Lungs show bilateral basal rales and have mild pedal edema. EKG showed left ventricular hypertrophy, biatrial enlargement, and no ischemic ST-T changes. Chest radiograph is significant for cardiomegaly and pulmonary vascular congestion. Basic metabolic profile is normal, and hematocrit is 36. What is the next best step in the evaluation of this patient with syncope and why?

An 18-year-old adolescent female is brought to the emergency room because she fainted at a concert. She apparently recovered spontaneously, did not exhibit any seizure activity, and has no medical history. Her heart rate is 90 bpm and blood pressure 110/70 mm Hg. Neurologic examination is normal. The pregnancy test is negative. Which of the following is the most appropriate management?

Clark is planning a new group activity, during what step would he determine what is possible (includes i.e. equipment and materials available, the rooms or environments that can be used as settings for groups, and the role of the OT in the setting, the rules of the particular facility)?

FDA approval for tPA for the treatment of acute ischemic stroke is for administration of fibrinolytic therapy within what time from from Last Time Known Well (LTKW)? 

At the egocentric-cooperative level (& above) the pattern and direction of communication should be monitored. 

Restrictions may be present in regards to the entrance criteria into a group that may include:

Which of the following individuals is INCORRECTLY associated with the colony he helped to establish? 

Mayan.png Which of the following letters is correctly paired up with the corresponding empire/people?  

Ross and Burdick developed a five-stage group approach for individuals who had a significant cognitive impairment to mental illness or neurological conditions. The individuals may have been non-verbal, had developmental disabilities, or cognitive deficits and were unable to express themselves or demonstrated appropriate social behavior.  This group was based on principles from: