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Refusal of treatment
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Refusal of Daily Lunch Invitation
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David's refusal to kill saul
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Module 2: Bottle Refusal
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Refusal steps
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History Final The Railroad: Why were railroads so important for moving west? They fueled westward settlement, spurred the growth of towns, and created massive demand for mass-produced steel and coal, physically connecting rural farmlands to urban factories to build a powerhouse national economy How did they heIp the country change from farming to a factory-based economy? they brought heavy, manufactured factory goods West. The U.S. required unprecedented amounts of steel, iron, coal, and timber. To operate safely and efficiently, they developed professional management hierarchies, advanced accounting, and time zones. Indian Wars: What was the main reason for the fighting between the U.S. government and NativeAmericans in the late 1800s? (Hint: Think about white settlers moving onto their lands). Western expansion . As white settlers and gold prospectors flooded onto Native American lands, the U.S. government forced tribes onto reservations. Forced Change (Assimilation): What was the goal of the Dawes Act? Idea of making civilized land, took away tribe unity What did Indian Boarding Schools force Native American children to do to their culture, hair, and language? to abandon their heritage in a process known as forced assimilation. To become more americanized killing off their culture Big Business & The Gilded Age Rise of Factories: What did the government do (or not do) that allowed giant businesses to grow so fast in the late 1800s? allowed businesses to operate without strict labor, safety, or environmental regulations. The Gilded Age: Why did Mark Twain use the phrase "Gilded Age" to describe this time in history? To describe that while the US was growing and thriving there were many societal issues behind the scenes “Picture perfect front, not back.” What is the difference between a "Captain of Industry" and a "Robber Baron"? Captain of industry (GOOD) Creates jobs, Fair wages, Good working conditions Focus on innovations and new inventions Gives back money to charity, schools, hospitals Robber Baron (BAD) Unfair wages Slows other smaller companies and businesses Buys politicians bribery Famous Bosses&Inventions: Know who Andrew Carnegie(Steel)and John D. Rockefeller (Oil) were. ANDREW CARNEGIE- Scottish American industrialist, made a lot of money in the steel industry, known for giving away money JOHN D ROCKERFELLER- A wealthy American businessman, founded the Standard oil company, became the richest man, using oil. How did electricity change where people could build factories? Electricity liberated factories from needing to be built near bodies of water or coal mines. By utilizing power grids and individual electric motors Unions and Laws: What was the goal of the Interstate Commerce Act? was passed by Congress to regulate the railroad industry, specifically targeting monopolistic practices. Its goal was to ensure fair and reasonable shipping rates, prohibit price discrimination against small businesses and farmers, and establish the Interstate Commerce Commission (ICC) to oversee these operations How did workers use "collective bargaining" to get better rights? Workers utilized collective bargaining through labor unions to negotiate as a unified group with employers over wages, benefits, and working conditions, rather than negotiating individually They would not work until the wage or conditions were raised to be better Immigration: Why did many Americans(Nativists)push back against new immigrants? Many Americans pushed back in fear of losing jobs and getting it taken away from them, because immigrants were willing to do the jobs for less money while they would be doing it for more, hence kicking them out. What was the main goal of the Chinese Exclusion Act? To keep the chinese out because they were taking jobs Mainly stopped them from entering Imperialism (America Expands Overseas) Reasons to Expand: Why did the U.S.want to take over islands and colonies overseas in the late 1800s? The U.S. sought overseas colonies to secure raw materials and new markets for its growing industrial output. Policymakers also desired strategic naval bases Why did some Americans think it was wrong to rule over other people? it directly contradicted the nation's foundational ideals of liberty, democracy, and the "consent of the governed". They believed that subjugating foreign populations violated the core principles of the Declaration of Independence and the Constitution Spanish-American War: How did Yellow Journalism (exaggerated news)and the sinking of the U.S.S.Mainestart a war? Yellow journalism started the war because of exaggeration What lands did the U.S.get after winning? the United States acquired Puerto Rico, Guam, and the Philippines China and Latin America: What was the Open Door Policy,and who were the "Boxers" trying to kick out of China? The Open Door Policy (1899) was a U.S. foreign policy stating that all foreign nations should have equal and unhindered trading rights in China. The "Boxers" were members of a secret Chinese society (the Yihetuan) who violently rebelled to expel all Westerners, foreign imperialists, and Christian missionaries from China. Explain the different foreign policies of the presidents: Teddy Roosevelt's "Big Stick" (and theRoosevelt Corollary), William Howard Taft's "Dollar Diplomacy", and Woodrow Wilson's"Moral Diplomacy". TEDDY ROOSEVELT- Theodore Roosevelt operated on the West African proverb, "Speak softly and carry a big stick; you will go far.". His philosophy focused on peaceful negotiation backed by the explicit threat of a powerful military, particularly the U.S. Navy WILLIAM HOWARD TAFT- His policy aimed to "substitute dollars for bullets," using American economic investments to secure diplomatic stability and expand foreign trade WOODROW WILSON - Woodrow Wilson rejected the imperialism of the "Big Stick" and the materialism of "Dollar Diplomacy". His strategy, engineered alongside Secretary of State William Jennings Bryan, aimed to support nations that aligned with American moral values, democracy, and human rights. How did Teddy Roosevelt get the land to build the Panama Canal? After Colombia rejected a U.S. offer to lease the land, Roosevelt dispatched U.S. warships to block Colombian troops, allowing Panama to declare independence in November 1903 The Progressive Era The Goal: What did Progressives believe was threatening democracy and the rights of regular people?(Hint:Think about Big Business). Progressives believed that concentrated corporate power, unchecked monopolies, and corrupt political machines were threatening democracy. They feared this vast wealth allowed Big Business to bypass the democratic process, rig the economy, and exploit regular people Muckrakers: Who were the muckrakers? Muckrakers were investigative journalists of the early 1900’s who exposed misconduct by powerful organizations or people. How did Upton Sinclair's book The Jungle change the way our meat and food are inspected? The animals had to be inspected before slaughter Inspected after slaughter Had to have clean standards Meat had to have a stamp of approval Cannots adulter, no harmful chemicals No misbranding No narcotics Power to the People: How did new voting systems like the initiative,referendum,recall,and direct primary give regular citizens more power in government? Initiative Citizens are adding a proposed law to a ballot.. Citizens became law makers Refederrum State legislatures put a proposed law on the ballot, voters approve or repeal, voters get veto power Recall Voters can remove political officials before their term ends accountability Direct primary shifted the power to choose political candidates from party bosses directly to regular citizens. Presidents &Nature: Who broke or "busted" more trusts:Teddy Roosevelt or William Howard Taft? William Howard Taft did more to regulate monopolies than TR did. He continued a lot of what teddy started. Which president made protecting the environment a national issue? Teddy roosevelt Rights Movements: What was the primary goal of the NAACP? The NAACP stands for National Association for the advancement of colored people. to ensure the political, educational, social, and economic equality of all minority citizens, eliminate race-based discrimination, and ensure the health and well-being of all persons What finally caused women's suffrage(the right to vote) to pass in 1920? Women's suffrage passed in 1920 because decades of tireless grassroots activism and radical protests during the Progressive Era forced President Woodrow Wilson and Congress to act. World War I! Causes of the War: What were the main causes of WWI? (M-A-I-N) Militarism Empires were expensive to build and defend. Each nation wanted stronger armed forces than the enemy which leads to competition. Alliances Secret treaties, Europe was divided by a complex web of mutual defense pacts. The two primary blocks were the Triple Entente (Britain, France, and Russia) and the Triple Alliance (Germany, Austria-Hungary, and Italy). Imperialism European nations had been building empires and extending economic, and political control. Germany competed with France and Great Britain for colonies. Nationalism Extreme patriotism led to many nations believing that their culture and goals were superior. Why was this war so much more destructive than older wars? Industrialized Weaponry: The advent of the Industrial Revolution allowed for the mass production of highly lethal, mechanized weapons. Innovations like quick-firing artillery, heavy machine guns, poison gas, and tanks drastically increased the rate and scale of casualties Trench Warfare and Attrition: The combination of machine guns and defensive fortifications led to vast, stagnant stalemates. Instead of rapid maneuvers, generals resorted to relentless artillery barrages followed by infantry charges across fortified "no man's land", resulting in massive, grinding losses of life with very little territorial gain U.S.Joins the Fight:Why did the U.S.stop being neutral and join the war? (Hint:Look closely at the Zimmermann Note). Many Americans felt that the U.S. should fight alongside the U.K. and France, and the German submarine sent a Great Britain ship with many Americans on it. Then 2 years later after a worsening relationship we joined and made a secret attempt to turn Mexico against us. The Homefront: What did the Selective Service Act do? Required all men between 21-30 to register for the draft. How did regular Americans support the war effort at home (Liberty Bonds,saving food/energy,Daylight Savings Time)? directly purchasing war bonds, rationing staples like food and fuel, planting Victory Gardens, and observing Daylight Saving Time Free Speech: What did the Sedition Act do to people who spoke out or wrote bad things about the government during the war? Targeted U.S. citizens, including journalists who criticized the act of provoking rebellion. The Peace Treaty: What was Woodrow Wilson's plan for peace called? The fourteen points League of nations is part of the fourteen points Why did the U.S. does the Senate refuse to sign the Treaty of Versailles and refuse to join the League of Nations? constitutional concerns over surrendering Congress's war-making power, a strong desire to avoid permanent foreign entanglements, and bitter partisan clashes between President Woodrow Wilson The Amendments:13-19th Amendments! From the progressive era 16-19th 2 Questions 13th Amendment (1865): Abolished slavery and involuntary servitude nationwide, except as a punishment for a crime. 14th Amendment (1868): Defined national citizenship and guaranteed all citizens "equal protection of the laws". 15th Amendment (1870): Prohibited the government from denying a citizen the right to vote based on race, color, or previous condition of servitude. 16th Amendment (1913): Authorized the federal government to collect an income tax. 17th Amendment (1913): Established the direct election of U.S. senators by popular vote, replacing selection by state legislatures. 18th Amendment (1919): Prohibited the manufacture, sale, or transportation of intoxicating liquors, launching the era of Prohibition. 19th Amendment (1920): Granted women the right to vote in all local, state, and federal elections Geography: There will be a WORLD MAP on the exam.Think about our Imperialism and WWI units. Imperialism (Late 19th - Early 20th Century) The Scramble for Africa: Pay close attention to the continent of Africa as you will likely need to identify which European powers colonized which regions. Focus on the massive territorial claims of Great Britain and France, as well as Germany's attempts to expand its empire. Asia and the Pacific: Be prepared to locate territories like India, Indochina (French), and the Philippines. You should also identify the emerging imperial power of Japan in East Asia. ⚔️ World War I Europe (1914-1918) Allied Powers: Locate Great Britain, France, Russia, and later the United States and Italy. Central Powers: Identify the core nations of Germany, Austria-Hungary, the Ottoman Empire, and Bulgaria. The Western Front: Be ready to map the border between France and Germany where the most intense trench warfare took place. The Eastern Front: Locate the border regions between Germany, Austria-Hungary, and Russia. The Spark: Find the city of Sarajevo (in Bosnia) on the map, where Archduke Franz Ferdinand was assassinated, igniting the war
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refuser (weigeren)
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Reusing PPE
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Refuge Cocktail Builds
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exam 1 Fidelity means to..... Correct 10 / 10 Do GOOD Do No HARM KEEP your promiseRight Answer 2) Non-Maleficence means to..... Non-Maleficence means to..... Correct 10 / 10 Do GOOD Do NO HARMRight Answer Keep your promise 3) Veracity means to....... Veracity means to....... Correct 10 / 10 Tell the TRUTHRight Answer Do NO HARM Allow resident to make their own medical decisions 4) As the CMA, it is LEGAL to take phone orders from a physician, physician’s assistant, advanced practice registered nurse (APRN), dentist, or pharmacist. As the CMA, it is LEGAL to take phone orders from a physician, physician’s assistant, advanced practice registered nurse (APRN), dentist, or pharmacist. Correct 10 / 10 True False Right Answer 5) As the CMA, it is ILLEGAL to give medication by any route that involves puncturing the skin (parental medication), such as intramuscular or subcutaneous injections or through intravenous lines. As the CMA, it is ILLEGAL to give medication by any route that involves puncturing the skin (parental medication), such as intramuscular or subcutaneous injections or through intravenous lines. Correct 10 / 10 True Right Answer False 6) As The Certified Medication Aide, it is LEGAL to refuse to perform a task the medication aide has not been trained to do or does not feel competent to perform. As The Certified Medication Aide, it is LEGAL to refuse to perform a task the medication aide has not been trained to do or does not feel competent to perform. Correct 10 / 10 True Right Answer False 7) As the CMA, it is ILLEGAL to perform certain procedures EVEN if you are taught to do so and deemed competent by a supervising licensed nurse. As the CMA, it is ILLEGAL to perform certain procedures EVEN if you are taught to do so and deemed competent by a supervising licensed nurse. Incorrect 0 / 10 True False Right Answer 8) As the CMA, you LEGALLY work directly under which person(s)? As the CMA, you LEGALLY work directly under which person(s)? Correct 10 / 10 Doctor LPN or RNRight Answer Director of Nursing 9) As a CMA it is IMPORTANT to know which of the following when it comes to attitudes and responsibilities? As a CMA it is IMPORTANT to know which of the following when it comes to attitudes and responsibilities? Correct 10 / 10 Know yourself and your attitude towards medicationsRight Answer Be able to Identify your residentsRight Answer Know your resident's normal behaviorRight Answer Recognize residents as individualsRight Answer 10) As the Medication Aide, it is important to know what is expected of you. As a result, you must be familiar with your job description. As the Medication Aide, it is important to know what is expected of you. As a result, you must be familiar with your job description
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Unit 5. Reuse and recycle
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REFUGE
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Philosophy Exam 1 ⸻ Sigmund Freud (Psychoanalysis) 1. Id – Ego – Superego Freud explains personality as a system of three interacting structures that are in constant conflict. * Id The id is entirely unconscious and represents instinctual drives such as aggression, hunger, and sexual desire. It operates on the pleasure principle, meaning it demands immediate satisfaction without considering reality, morality, or consequences. It is irrational and purely driven by biological impulses. * Ego The ego develops to mediate between the id and external reality. It operates on the reality principle, meaning it tries to satisfy instinctual desires in realistic and socially acceptable ways. It uses reasoning, planning, and delayed gratification. It is partly conscious and responsible for decision-making. * Superego The superego represents internalized moral values and social rules learned from parents and society. It judges behaviour and produces feelings of guilt or pride depending on whether actions align with moral standards. It often conflicts with the id by imposing strict moral constraints. Key idea: personality results from the continuous tension between instinct (id), reality (ego), and morality (superego). ⸻ 2. Defence Mechanisms Defence mechanisms are unconscious psychological strategies used by the ego to reduce anxiety caused by conflict between the id, superego, and reality. They distort perception in order to protect the individual from psychological discomfort. * Repression Unacceptable thoughts or memories are pushed into the unconscious and become inaccessible, although they may still influence behaviour indirectly. * Denial The individual refuses to accept a painful or threatening reality. * Projection The person attributes their own unacceptable feelings or impulses to others. * Displacement Emotional impulses are redirected from the original source to a safer target. * Rationalization The individual creates false but logical explanations for behaviour in order to avoid guilt or anxiety. * Reaction Formation An unacceptable impulse is transformed into its opposite behaviour. * Regression Under stress, the individual returns to earlier, more childish patterns of behaviour. * Sublimation Unacceptable impulses are transformed into socially acceptable or productive activities. * Intellectualization Emotional situations are dealt with through abstract or logical thinking to avoid confronting feelings. * Compensation The individual develops strengths in one area to make up for weaknesses in another. * Identification The person adopts the traits or behaviours of another individual to reduce anxiety or increase self-esteem. * Undoing The person attempts to symbolically cancel out unacceptable thoughts or actions through corrective behaviour. Key idea: defence mechanisms are automatic, unconscious, and protect the ego by distorting reality. ⸻ 3. Psychosexual Stages Freud argues that personality develops through stages where psychic energy (libido) is focused on different parts of the body. Fixation at a stage can influence adult personality. * Oral stage (0–1): pleasure through feeding; fixation may lead to dependence or oral habits. * Anal stage (1–3): focus on control and toilet training; fixation may lead to orderliness or messiness. * Phallic stage (3–6): development of gender identity and early moral awareness; family dynamics are central. * Latency stage (6–puberty): sexual energy is dormant; focus on learning and social development. * Genital stage (puberty onward): mature sexuality and adult relationships. Key idea: early childhood experiences strongly shape adult personality. ⸻ René Descartes 1. Dualism Descartes argues that reality is composed of two fundamentally different substances: * Mind (res cogitans): non-physical substance responsible for thinking, consciousness, reasoning, and doubt. * Body (res extensa): physical substance that occupies space and follows mechanical laws. Although distinct, mind and body interact, creating the mind–body problem of how two different substances can influence each other. Key idea: humans are composed of both mental and physical substances that are fundamentally different. ⸻ 2. Rationalism Rationalism is the view that reason is the primary source of knowledge, more reliable than sensory experience. Descartes argues that the senses can deceive us through illusions and dreams, so knowledge must be based on clear and distinct ideas produced by reason. He uses methodic doubt, systematically doubting all uncertain beliefs until reaching something absolutely certain. Key idea: reliable knowledge must come from reason rather than the senses. ⸻ 3. Cogito: “I think therefore I am” Descartes establishes that even radical doubt proves existence. If he is doubting, he must be thinking; if he is thinking, he must exist as a thinking being. Key idea: the act of thinking guarantees the existence of the self. ⸻ Plato 1. Ideal Society Plato’s political philosophy divides society into three classes corresponding to parts of the human soul: * Rulers (philosopher-kings): guided by reason and wisdom; they govern society. * Guardians: guided by courage; they protect and defend the state. * Producers: guided by desire; they provide material goods and services. Justice occurs when each class performs its proper function without interfering in the roles of others. Key idea: social justice is harmony through specialization and proper role distribution. ⸻ 2. Theory of Forms Plato distinguishes between two levels of reality: * The physical world: constantly changing, imperfect, and perceived through the senses. * The world of Forms: eternal, perfect, and unchanging essences such as Beauty, Justice, and Equality. Physical objects are imperfect copies of these perfect Forms. Key idea: true knowledge is knowledge of eternal Forms, not sensory appearances. ⸻ 3. Allegory of the Cave Plato describes prisoners chained in a cave who see only shadows and believe them to be reality. One prisoner escapes and discovers the real world illuminated by the sun, which represents truth. When he returns, the others reject him. Key idea: education is the process of moving from illusion to truth, which is difficult and often resisted. ⸻ Francis Bacon 1. Four Idols of the Mind Bacon identifies four sources of systematic error in human thinking: * Idols of the Tribe: universal human biases in perception and reasoning. * Idols of the Cave: individual biases shaped by personal experience and education. * Idols of the Marketplace: errors caused by language and communication. * Idols of the Theatre: blind acceptance of philosophical systems and traditions. Key idea: human reasoning is naturally flawed and must be corrected through scientific method. ⸻ 2. Empiricism Empiricism is the theory that knowledge comes from sensory experience and observation. Bacon argues that scientific knowledge must be based on experimentation, data collection, and systematic observation rather than pure reasoning. Key idea: knowledge is grounded in experience, not abstract speculation. ⸻ 3. Induction vs Deduction Induction is reasoning from specific observations to general laws. Deduction is reasoning from general principles to specific conclusions. Bacon emphasizes induction as the foundation of scientific knowledge because it is based on empirical evidence. Key idea: science progresses by building general laws from observed facts. ⸻ Friedrich Nietzsche 1. “God is Dead” Nietzsche argues that modern science and secular thinking have undermined the authority of traditional religion as a source of meaning and morality. This leads to a cultural crisis in which old values collapse without being replaced. Key idea: the loss of religious authority creates a crisis of meaning. ⸻ 2. Nihilism Passive nihilism refers to despair and the belief that life has no meaning. Active nihilism refers to the rejection of old values in order to create new ones. Key idea: nihilism represents both the breakdown of meaning and the possibility of creating new values. ⸻ 3. Übermensch The Übermensch is the ideal individual who creates their own values, rejects conformity, embraces life fully, and overcomes traditional moral systems. Key idea: humans must move beyond inherited values and become creators of meaning. ⸻ Charles Darwin 1. Natural Selection Evolution occurs through natural selection. Individuals within a species vary, and those with advantageous traits are more likely to survive and reproduce. Over time, these traits become more common in the population. Key idea: evolution is driven by survival advantage rather than purposeful design. ⸻ 2. Morality (Evolutionary view) Darwin argues that morality is not divine but evolved through natural processes. Humans developed social instincts such as empathy and cooperation because these traits improved survival within groups. Key idea: morality is a product of biological and social evolution
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Refuge Vocab
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Français - Refus Global
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