During the initial interview with lorraine, a 13-year-old girl being evaluated for oppositional defiant disorder (odd), the pmhnp does not appreciate any of the behavior that has been reported by lorraine’s mother and teachers. lorraine is found to be well groomed, appropriate in her interaction, and says she is not sure why she is there. lorraine says that her parents and teachers say that she is always arguing and breaking the rules, but she does not really understand what the problem is. the pmhnp notes that:

At these trading houses we have kept prices low. we have driven out private traders and those who would make the indians suspicious and fearful of us. in doing so, we have earned the good will of the indians. a letter enclosed shows the effect of this. the indians see the advantage of purchasing from us and request that we establish trading houses among them. in one area this is particularly interesting. the congress must know how much we want to control a large stretch of land on the mississippi river. this would allow us to present as strong of a defense on that side of our territory as on our eastern border. we already control what is below the yazoo river. however, the country between the yazoo river and the ohio river belongs to the chickasaw indians. this tribe refuses to sell its land, but they have recently shown a desire to begin farming. this leads to buying goods and comforts. if we grant these desires, we may be able to secure land on the mississippi. now that trade is expanding among the indian tribes, congress may wish to point our citizens in another direction. the missouri river is not well known to us. it crosses a mild climate and offers a route from the western ocean to the atlantic. an intelligent officer and a team of men might explore the whole route of the river to the western ocean. they could speak with natives, find opportunities for our traders, and return with information after two summers. their arms, tools and gifts for the indians would be the primary costs of the expedition. it would benefit our nation to explore this territory because it offers the only easy way to travel across the continent. the interests of trade give congress the power to approve this expedition. learning more about the geography of our continent is another reason to make this voyage. $2,500 is requested for the purpose of extending trade across the united states. this sum will cover the entire undertaking. what did thomas jefferson suggest congress do in response to the native americans?

Moderate climates are located in regions. a. coastal b. interior c. mountain d. polar select the best answer from the choices provided a b c d

Which of the following is an example of the treatment technique for ocd called exposure and response prevention (erp)? a. callie has a hoarding compulsion. she becomes anxious whenever she has to throw something away; she even keeps stuff that she doesn't need and will never use. her therapist has arranged for callie's unnecessary belongings to be discarded of when she is away from home. b. carrie has an obsessive fear of contamination which has led to compulsive hand washing. her therapist is treating her by making her touch dirty laundry but not allowing her to wash her hands following for increasingly longer periods of time. c. kelly has religious obsessions. she feels that if she doesn't read biblical passages every hour of the day, she will do something evil. her therapist is treating her by having her attend religious services more frequently so that good thoughts will replace the bad ones. d. kerry has an obsessive fear of contamination which has led to compulsive hand washing rituals. her therapist is treating her by forcing her to wash her hands repeatedly, even when she doesn't feel anxious.