What are the four human practices that lead to harmful effects of the environment

What is one way in which an active listener can confirm understanding of a message?

Arah is eating lunch with friends outside in the commons area of her school. one of sarah’s friends offers to share a marijuana joint with her. what could be the outcome if sarah were caught smoking marijuana at school? nothing will happen because she did not buy the joint. she could be suspended from school. nothing will happen because she is underage. the consequences would be up to sarah’s parents.

One hospital ceo insists on including performance data in the hospital’s annual report. “we do very well on most measures, except for one or two, but we put those in anyway,” she says. “we want to hold ourselves accountable.” does this practice demonstrate effective or ineffective leadership?