a historical event between 1865 and the present day

write about a historical event between 1865 and the present day. Here are some examples (this is not an exhaustive list):
The March on Washington
September 11, 2001
The attack on Pearl Harbor
The ratification of the 19th Amendment
The Cuban Missile Crisis

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Week 3 Discussion: Resilience and Change

Week 3 Discussion: Resilience and Change

Instructions: this is a 2-part assignment:

Part one: discussion board post which has instructions listed below.

Part two: reply to 2 discussions. Those need 1 scholarly reference each.

 

Required reading:

Access to book:

https://www.vitalsource.com/  OR. https://bookshelf.vitalsource.com/#/

book name:  Nursing: Scope and standards of practice

 

Citation: American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed). Silver Spring, MD: Author.

 

Required reading:

  • 21-24

Required Article

Garcia-Izquierdo, M., Meseguer de Pedro, M., Rio-Risqez, I., & Soler Sanchez, I. (2018). Resilience as a moderator of psychological health in situations of chronic stress (burnout) in a sample of hospital nurses. The Journal of Nursing Scholarship, 50(2), 228-236. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=29266720&site=eds-live&scope=site (Links to an external site.)

Required Website

The Joint Commission Center for Transforming Healthcare. April 23, 2012. Creating a Safety Culture [Video file]. Retrieved from https://www.centerfortransforminghealthcare.org/why-work-with-us/video-resources/creating-a-safety-culture (Links to an external site.)

 

 

Weekly lesson attached separately. Cite this as “weekly lesson” and I will fix it when I turn it in.

 

 

Initial Post Instructions

Change is part of our daily healthcare environment. Clinical nursing judgments based on quality and safety, as well as protocols and standards, reflect our patient-centered care values.

  • What steps could you take to develop more resilience in your practice setting?
  • How might you communicate a change in practice to patients and nursing peers?

 

Part two: discussion post replies, will require 1 scholarly source each, please reply to both, if the initial post takes away from the two pages I pay for, shorten it.

 

Follow-Up Posts
Compare your analysis with your peers. Examine how yours are similar and/or different. Build on their posts by providing additional information about the acts that you have not already noted in your own post.

Respond to two peers or one peer and the instructor. Further the dialogue by providing more information and clarification. PLEASE REPLY TO BOTH!

 

Follow up #1: Andrew

Simply put, resilience is the ability to tolerate and overcome adversity (Garcia- Izquierda, et al., 2018). It has become a topic of interest in nursing care as some nurses have an innate ability to tolerate a great deal of stress and shake it off where others do not. This presents on a continuum as opposed to an either/or talent. Resilience can further be defined as a nurse’s ability to adapt, problem-solve, find solutions under adverse conditions (Yu, et al., 2019). There is much that remains unknown about this ability, and a measurement tool still is not in existence. There is inconsistent data regarding personality factors enforcing resilience. While coping skills, self-efficacy, and social support are associated with its presence. Stress, burnout, PTSD, bullying, fatigue, anxiety, depression is associated with its absence (Yu, et al., 2019). What is not clear, is if the presence of resilience is the determining factor of the absence of the negative correlates stated above or if the absence of the negative correlates the determining factor of resilience. While the previous statement sounds naïve as these negative correlates exist in more nursing situations than it doesn’t, resilience is a human trait that needs more study and is not a nursing-specific ability. Resilience relies on the perception of the situation, the perception of the ability to handle the situation, and the interpretation of how this will affect an individual (Bennett, et al., 2018).

One potential measure of resilience on a biopsychosocial level is through stress habituation (Bennett, et al., 2018). Repeated exposure to stress under controlled lab conditions to measure and document resilience training. Evidence-based practice interventions have successfully demonstrated the development of resilient behaviors and with it, improved mental and physical outcomes (Bennett, et al., 2018). A stressful event is a necessary experience for resilience. This directly connects it to the body’s stress response (Bennett, et al., 2018). The activation of the sympathetic nervous system (SNS), releases catecholamines. This giving energy and also resetting the immune system to ensure survival. The stress response also directs interpersonal actions with the goal of maintaining homeostasis through physiologic and behavioral adaptation (Bennett, et al., 2018). In resilient individuals, this stress response turns off once homeostasis is achieved.

In non-resilient individuals, this response system has become less adaptive and responds poorly to these circumstances (Bennett, et al., 2018). There is either no activation of the (SNS) or hyperactivation of the (SNS). This dysregulation of the neuroendocrine-immune system has been linked to non-resilient individuals. Several neurotransmitters and neuro-regulators have also been linked to the differences in resilient and non-resilient individuals (Bennett, et al., 2018). Neuropeptide Y (NPY), regulate overactivation of the (SNS). Non-resilient individuals have lower levels of (NPY) and often fail to release it during times of overactivation of the (SNS). Levels of the neuropeptide neurotrophic factor (BDNF) have been associated with enhanced levels of resilience, while serotonin (5-HT) and its transporter (5-HTT) have been linked to enhanced levels of non-resilience (Bennett, 2018). There still remains much to research and understand about resilience, not just on a behavioral level, but a neurochemistry one as well.

Steps to become more resilient in my practice? I think I’ve spent the last six years of my life becoming more resilient at everything. The nursing care arena is just one environment. Resilience can be built in any, then used in another. From where I’m sitting, it’s more about the person and how they’re going to deal with a particular anything, than anything they’re dealing with. I guess, for me at least, its about mindset. If I could even call it that. There are a few things completely unrelated to nursing I believe I’ve learned the most about resilience than anything else. The program and being chronically ill. There just isn’t much out there worth getting me all worked up about. Now, I just don’t. I’m happy, so I know its not apathy, I am still involved so its not indifference. I do the best I can and know enough when I’m over my head to reach out for help. The formula works. Communicate a change in practice to patients and peers is something I don’t think would be an issue. Stay as objective as possible and simply tell them. My opinion about a change is a whole other ballgame and would need due consideration before giving it if I did at all.

Follow up #2: Stacey

Communication is the key component in all that we do. We use verbal communication, written communication,  as well as actions as communication in everything we do as nurses. “The goals for each of us, especially in professional communications, are to always be conscious of both what we intend to communicate and what it may be perceived that we are communicating, and to be articulate, purposeful, and concise” (Ulrich, 2016). When dealing with changes in process, communication is a vital component. It is important to communicate effectively so that the information is conveyed accurately and succinctly with no margin for error. There have been many process changes in the past several months where I currently work. Since I float between three Freestanding EDs, with three different managers, there is always a chance of miscommunication or that one place is doing things just a little bit differently. I will give you an example. When I first started we were having to fill out a secondary slip of paper that went with the original EMTALA form when a patient got transferred. This slip of paper did not go with the patient, it stayed on site. Now, one site is not filling this out anymore. This can be confusing going from one site to another with things not being done the same. This was not conveyed from the manager, I was told by another co-worker. I did go to the manager and verify the information. This can be very frustrating. Most of the time information is passed on through e-mail updates and the managers are good about being on the same page. Having effective and cohesive communication across all departments is important.

With so many changes and updates in healthcare good communication is imperative. Especially no with the COVID-19 pandemic. Things are changing on a day-to-day basis. Where I live all of the schools statewide are closed, including college campuses. The emergency rooms are being overrun with patients and phone calls regarding the virus. Nurses are working longer hours and dealing with higher census everywhere, and it is only going to get worse. The ANA (2015) states that one of the nurse’s competencies is  “maintains communication with interprofessional team and others to facilitate safe transitions and continuity in care delivery”. This is such a critical time for all of us. Burnout is a real possibility. Burnout syndrome is described as “a response to work stress determined by three dimensions: emotional exhaustion, cynicism, and professional inefficacy” (Garcia-Izquierdo, Meseguer de Pedro, Rios-Risquez & Sanchez 2017).  These are all real challenges for the nurse. We work long hours taking care of not only the sick patient, but provide comfort to the family and friends. We are constantly bombarded with other peoples needs. Add on the needs of our own families once we get home (and the added stress of school). This often leads to not having time to care for our own needs. We often don’t realize we are on the verge of burnout until it is too late. Many seasoned nurses have built up resiliency to the constant bombardment of other people’s needs. “Resilience enables positive adjustment of the person and his or her environment, that is, maintenance of good health despite stressing circumstances such as those faced in the day-to-day work environment” (Garcia-Izquierdo, et al., 2017). We need to learn to watch out for our co-workers and ourselves better. We need to think of our co-workers and ourselves as patients and be aware of changes accordingly.

 

 

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CASE STUDY ANALYSIS: Service and Story of Netflix

This should be a Marketing focused case study paper. There should be mandatory 5 Sections in the Case Study as given below

1.Introduction: an overview of the study being researched

2. Identification: identify all the critical components and issues that management needs to address in this case study

3. Evaluation: perform the necessary and appropriate quantitative and qualitative analysis pertaining to the issues identified in the case.

4. Recommendations: propose an action plan and set of recommendations based on your analyses addressing the issues you have identified

5. Conclusion: summarize your case study by reinforcing the main points and ideas. Keep in mind that your introduction and your conclusion should have psychological unity.

Important Notes:

a)There are (10) references minimum for required.
b) [No Wikipedia sources allowed]
c)All references must be listed in alphabetical order with hanging indentation and paragraph annotation.
d) Atleast One reference must come from the attached word document case study word file

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Case Study 8 – HR SLO Assessment

Case Study 8

 

You are the HR Director for growing business that manufactures and sells a new children’s toy. The business has been steady over the past three years, but in the last two months you have experienced rapid growth after the business was featured on Shark TankÓ and got a deal with several of the sharks. It is September 2019 and you have been tasked with figuring out hiring for the next 6 months. The business is predicting increased sales for Christmas and you know that you need to hire enough people to fulfill the Christmas rush. Last year you did not have enough people working in the months leading up to Christmas. However, you also cannot afford to keep people if the sales drop significantly after the holidays.

 

Staffing Numbers (FTE)

  Jan Feb Mar April May June July Aug Sept Oct Nov Dec
2018 30 30 30 30 33 33 33 34 34 34 35 35
2019 34 34 33 32 32 31 33 33        

Sales Numbers

  Jan Feb Mar April May June July Aug Sept Oct Nov Dec
2018 $30K $30K $18K $12K $10K $20K $27K $28K $29K $50K $52K $55K
2019 $34K $34K $33K $32K $28K $30K $78K $98K        

 

Using the sales and staffing information provided in the tables, answer the following questions:

 

  1. What are your options for handling a shortage of employees?
  2. What are your options for handling a surplus of employees?
  3. Use the sales and staffing information provided, predict the future staffing needs of the business. Explain the forecasting methods you used to arrive at this outcome.
  4. Based on your answers to the questions above, how will you handle the staffing needs over the next 6 months?

 

 

MEMO ASSIGNMENT:

 

Prepare a 1 page, single-spaced memo that answers the questions above. The formatting should be as follows:

  • Length: 1 page
  • Single-spaced
  • Times New Roman, 12 point font
  • 1 inch margins
  • Make sure your name is on the first page of the memo
  • No cover pages or fancy report covers needed

 

Your recommendations should be formatted as a memo, following the guidelines presented in class lectures. Major section headings should be formatted with bold lettering, left justified, and ended with a period. Sample memos and the lecture slides on memo writing are posted on eLearn.

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Generalized Anxiety Disorder

Formal Paper & Presentation: (30% of Final Grade) Due on Presentation Date (No Emailed or Late Papers Accepted for any reason).
One Paper: 20% of Final Grade One Presentation: 10% of Final Grade

One Formal Paper is required in this Course. It must adhere to the Guidelines for Writing Papers (see below). It is worth 20% of your Final Grade. Instructions for the paper are posted under Canvas. Students must submit a print copy of their paper to the Instructor on the date the Student’s Presentation is scheduled. The Presentation is worth 10% of your Final Grade. Papers submitted after that date/time will receive a grade of “0.” No emailed or late papers accepted for any reason as students have ample time to complete this paper. Content of Formal Paper This Formal Paper must clearly reflect your understanding of the specific Disorder you choose to explore.
The following Six Topic Areas must be covered:
# 1. An Overview of the Disorder (must be based on the DSM 5). **
# 2. An Explanation of the specific drugs that may be prescribed for treating the Disorder,
# 3. An Overview of the action and effect of these drugs on the patient and on their Disorder.
# 4. Comment on precautions and considerations that may need to be taken when a physician prescribes these drugs.
# 5. A Brief Explanation of other (non-drug) means for treating the Disorder.
# 6. An Explanation of what you learned about the Disorder as you researched it and prepared your Paper and Presentation.
** To complete #1, Students will have to access and refer to the DSM-5. This publication is available remotely through Psychiatry Online, which is listed on the NHTI Library’s Database’s page under Social Sciences: http://www.nhti.edu/student-resources/research-and-other-resources/databases. The Library also has one hard copy in the Library’s collection. Topics for the Paper/Presentation will be assigned in class. Each topic will be a Disorder found in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition). Important: For this Course, use of the DSM-IV-TR is not acceptable. No duplicate topics will be assigned. Both your Paper and Presentation must clearly reflect your understanding of the assigned Disorder. To help you with your research on #2, #3, and #4 above, go to the Instructions for this Paper in Your Assignments, where you will find a Powerpoint titled: The Quick Guide to Drug & Medication References. Specific slides in this PPT will direct you to various online resources. To complete your research on #6 above, you will have to do your own Research at the NHTI Library, in the Library’s Online Databases, or on the Internet. Information you gather must be reputable and be referenced. Do not use “Wikipedia-type” resources.

Expectations Regarding Papers
The paper should be written in APA format, in a professional style, typed and double-spaced, carefully proofread and edited, and should give evidence of considerable thought and outside reading. You must present the topic in a clear, coherent, logical, and organized way. To write high quality papers, it will be necessary to show evidence that you have researched relevant material on the assigned topic. You are to provide supporting evidence for each of the Six Areas (described above). Your grade will be reflective of your ability to produce both a quality paper and presentation. Students are required to research and present a formal paper that incorporates one’s learning within the context of this course. The paper is to be written in 10/12 point type, double-spaced, and printed on white paper. The written portion of the paper is to be 7-8 pages in length (this length does not count the Cover Page nor the Blank Page at the end of the paper). The paper is to be stapled and not placed in a folder or protective cover. All coursework is expected to follow the American Psychological Association (APA) style documentation.

Important: MLA (Modern Language Association) formatted papers are not acceptable. Points will be deducted for non-APA formatting. Any student who has questions about APA formatting of papers should contact the NHTI Writing Center for assistance.

Paper Presentation/Discussion Each student will be allotted 20 minutes to formally present their topic to the class. Time will be monitored. Students should plan their Presentation so that the Six Areas (described above) are thoroughly covered in the time period. Presentations should be done in a creative way. Any media available in the classroom may be used in the presentation (e.g., Power Points, blackboard, whiteboard, etc.). Posters are acceptable. Each student is to prepare a handout to distribute to everyone else in the class. You Tube videos may used only if discussed with and cleared by the Course Instructor one-week prior to the Presentation (if approved, no YouTube video may last more than 3 minutes; if not approved one week prior to the Presentation, YouTube videos will not be allowed). Any questions about specific media should be discussed with the Instructor. Points will be deducted for incomplete Presentations (i.e., do not cover the Six Areas). There will be no opportunity for students to present their Paper other than the day it is scheduled for presentation. Students who are not in class on the day their Paper and Presentation are due will receive a grade of “0” for the Presentation portion of their grade).

READ THOROUGHLY>> Guidelines for Writing Papers (Be mindful of point deductions) Below are the guidelines for writing your papers. Please follow them accurately. These assignments offer students the opportunity to produce a formal paper such as might be submitted for publication.
1. Paper writing guidelines are to follow the American Psychological Association (APA) guidelines. MLA-formatted (Modern Language Association) papers are not acceptable. >> Points will be deducted for non-APA formatting. For further information about APA Guidelines: Go to
https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html
2. This paper must be 7-8 pages in length, i.e., 7-8 pages of writing. >> Regardless of whatever other points may be deducted, 2 points will be deducted for each page less than this 7-8 page writing requirement. This 7-8 page writing requirement does not include: Title Page, Reference Page, Blank Page at paper’s end.
3. There must also to be a Title Page (which includes your name, date, course, and title of your paper), Reference Page (which includes your references for this paper), plus a Blank Page at paper’s end for comments. None of these three pages count toward the 7-8 page writing requirement. >> 1 point will be deducted for each of these pages not included in the paper.
4. The 7-8 pages of writing required for this paper must be in Times New Roman 10 or 11 point type and double-spaced. Margins are to be one inch (1″) on all four sides of every page. One (1) point will be deducted for either or both of these requirements which are not met.
5. Indent the beginning of each paragraph with 5 spaces. Webster’s New Collegiate Dictionary is the standard spelling reference for use with APA Style.
6. If you abbreviate a term, first spell it out in its entirety, then immediately follow with parentheses that include the initials you are using. Example: New Hampshire Technical Institute (NHTI). In any text following this you need only use the abbreviation.
7. Utilize correct grammatical structure throughout your paper. Respect the concept of non-sexist language. It is recommended that you as well as another person proofread your report. “Spell check” is limited in what it corrects.
8. Information sources must be referenced in your paper. All sources must be reputable sources as would be found in a publishable paper. Ideas clearly not your own must be referenced in your paper. Points will be deducted for not properly referencing information in your paper. The penalty for not properly referencing information may include receiving a “0” on the paper and immediate Administrative Withdrawal from the Course and possibly the student’s academic program if the student is deemed to have plagiarized information. No excuse will accepted for plagiarism. Be mindful of the Plagiarism section in the Syllabus. If you are unsure, visit the NHTI Academic Center for Excellence. http://www.nhti.edu/academics/requirements-policies/plagiarismcheatingpolicy-and-procedures See Academic Honesty below and the Academic Affairs Notices below.

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Healthcare Informatics Competencies

Assignment 1: Self-Assessment and Analysis 

Topic: Healthcare Informatics Competencies

 

As informatics and technology tools continue to emerge and evolve in the healthcare setting, it is becoming increasingly important for healthcare workers to have informatics competencies. The textbook presents domains for informatics competencies (p. 13), and a self-assessment (pp. 15-17).

 

For this assignment, download the self-assessment provided on the assignment 1 self-assessment page, and complete the assessment by scoring yourself on each competency using the scale provided. Once you have taken the self-assessment, write a paper in which you:

 

  1. analyze your level of competency in each of the four domains, and
  2. discuss how you plan to improve your level of competency in each area.
  3. For items you scored yourself as proficient in, discuss how you might help others in your workplace improve their competency in those area(s).

 

Your analysis should be at least one full page in length. Submit the self-assessment form and the analysis to the assignment page.

 

Format your analysis consistent with APA guidelines.

 

When completing your assignment, be sure to follow these additional instructions:

 

  1. Be sure you proofread before submitting your assignment. Your paper must be free of spelling and grammatical errors.

 

  1. Click on APA Formatting Help for guidance on formatting your analysis paper.

 

  1. Complete your analysis in a Word document and upload it to the assignment area, along with the completed assessment PDF document.

 

Grading Rubric

Content

Includes completed self-assessment document. (15)

Includes written analysis of self-assessment. (5)

Points = 20

Critical Thinking

Paper provides an analysis of competency level in each of the four domains. (12)

Discusses a plan for improving competency level in each area/domain. (12)

Discusses how to help others improve competencies in areas of proficiency. (10)

Points = 34

Organization

Content is organized logically. (2)

Paragraph structure is appropriate. (2)

Paper includes introduction and conclusion. (2)

Points = 6

Writing Style

There are no grammatical, punctuation, or spelling errors; appropriate punctuation is used. (4)

Length of paper is consistent with requirements (1 full page). (2)

References are cited appropriately throughout the paper in APA format. (4)

Paper includes running head, header, page numbers, Times New Roman 12-point font, and is double-spaced. (4)

Grammarly report is submitted. (1)

Points = 15

Total Points = 75

 

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Critical Reflection – Environmental Justice & Climate Justice

1. critical reading reflections on the attached two readings, comparing and contrasting them while also applying course themes: colonialism, the right to land ownership by the indigenous, effect on communities, the right of people to control their own resources … etc.
2. In 550- 600 words
3. You will also be asked to illuminate your understanding of the readings through highlight how they relate to the real-world case studies and movements on the ground we explore, examples: (no need to mention all)
• Flood Wall Street (NYC, 2014)
• Warren County, North Carolina (1982), Toxic waste dump – “Environmental Racism” Term Coined in 1982 PCB Landfill Battle in North Carolina Minority communities targeted by both private and Government entities
• Peoples Climate March (NYC, 2014)
• Alberta Tar Sands Resistance – https://www.ienearth.org/what-we-do/tar-sands/

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Define informatics related to the field of healthcare, and discuss how information systems are used, or could be used, to enhance patient care in your facility. Analyze the impact that computerized systems have had on medicine and the delivery of health care

 

  1. Define informatics related to the field of healthcare, and discuss how information systems are used, or could be used, to enhance patient care in your facility. Analyze the impact that computerized systems have had on medicine and the delivery of health care.
  2. Identify different types of health information management professionals. What positions are available to someone who is interested in working in a healthcare informatics role? What kinds of information systems are used by healthcare facilities, and who are they used by?

Respond to one of the following prompts in your main post:

  1. Topic 1: Describe how technology tools are used to enhance or support patient engagement in your place of work. Select a tool discussed in Chapter 13 that you are notcurrently using and discuss how you would implement it in your workplace to better engage and support patient care.
  2. Topic 2: Select a common chronic health issue that you address in your work with patients, and discuss how you would use a specific technology tool to help address it. Indicate how you would use that tool to educate patients and their families about this health issue.

As you compose your main post, be sure to follow these additional instructions:

  1. Compose your answer in approximately 1 paragraph (200 words, 5-6 sentences).
  2. Be sure you proofread before posting. Your paragraph must be free of spelling and grammatical errors.
  3. Click on APA Formatting Help for guidance on citing your sources.
  4. 2 peer review references for each question. Must be within 5 years.

Chapters 1, 2, and 7 of Informatics for Health Professionals by Kathleen Mastrian and Dee McGonigle.

 

 

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On the Shortness of Life

Write a review (summary) of Seneca’s excerpt “On the Shortness of Life” by pointing out the most important ideas (quote) and conclude by formulating your personal opinion about Seneca’s view on morality.

Structure the papers as follows: introduction, content, conclusion where the content is the most substantial part. You must not write “introduction, content, conclusion” just keep in mind this basic template when writing your paper.

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Living in Our state of nature

Required Resources
Read/review the following resources for this activity:

Textbook: Chapter 6, 10, 12 (section: “The Modern Period”)
Lesson
Minimum of 1 scholarly source
Introduction
Social contract theorists say that morality consists of a set of rules governing how people should treat one another that rational beings will agree to accept for their mutual benefit, on the condition that others agree to follow these rules as well.

Hobbes runs the logic like this in the form of a logical syllogism:

We are all self-interested.
Each of us needs to have a peaceful and cooperative social order to pursue our interests.
We need moral rules in order to establish and maintain a cooperative social order.
Therefore, self-interest motivates us to establish moral rules.
Hobbes looked to the past to observe a primitive “State of Nature” in which there is no such thing as morality, and that this self-interested human nature was “nasty, brutish, and short” – a kind of perpetual state of warfare.

Locke disagreed, and set forth the view that the state exists to preserve the natural rights of its citizens. When governments fail in that task, citizens have the right – and sometimes the duty – to withdraw their support and even to rebel. Locke addressed Hobbes’s claim that the state of nature was the state of war, though he attribute this claim to “some men” not to Hobbes. He refuted it by pointing to existing and real historical examples of people in a state of nature. For this purpose he regarded any people who are not subject to a common judge to resolve disputes, people who may legitimately take action themselves to punish wrong doers, as in a state of nature.

Initial Post Instructions
For the initial post, address the following:

Which philosophy do you espouse?
How much authority should be granted to governments (e.g., the right to kill (death penalty/capital punishment/use of deadly force)? How much would you give up in return for safety?
If you side with Hobbes, do you support at any point recourse if the government violates its own contract (if so, you probably have a bit of Locke in your thinking)?

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