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A Sample Answer For the Assignment: NURS 6630 ASSESSING AND TREATING PATIENTS WITH SLEEP\/WAKE DISORDERS ASSIGNMENT<\/strong><\/h2>\nTitle: <\/strong> NURS 6630 ASSESSING AND TREATING PATIENTS WITH SLEEP\/WAKE DISORDERS ASSIGNMENT<\/strong><\/h2>\nThe patient, in this case, is a 31-year-old man with insomnia. The condition began six months ago after the sudden death of his wife. He is employed as a forklift operator at a local chemical company, but his health condition has affected his ability to perform his work. The patient claims that he has utilized diphenhydramine for sleeping in the past, but he does not like how he feels the next morning after using the medication. According to the patient’s prior physician’s medical record, he was abusing opiates after injuring his ankle in a skiing accident. The patient\u2019s previous physician prescribed him hydrocodone\/APAP (acetaminophen) for acute pain management after the accident. For four years, the individual has not received a prescription for an opiate analgesic. He points out that he has recently consumed approximately four beers to help him fall asleep. The patient is attentive and aware of the person talking to him, location, time, and incident. He maintains eye contact and is dressed appropriately for the season. All aspects of judgment, insight, and reality contact remain intact. The man also denies any suicidal ideas and is focused on the future.<\/p>\n
Decision One<\/strong><\/h2>\nThe treatment should start with Trazodone 10 mg daily at bedtime. Trazodone has been approved as an effective treatment for insomnia. The medicine is effective in lower doses in treating primary and secondary insomnia. Due to its generic availability, the medication is less expensive than newer insomnia medications. Trazodone can also be an effective sleep aid when taken in lower doses. The other reason for selecting the medication is that it is not addictive compared to other insomnia medications such as benzodiazepine class medication such as Valium and Xanax (Yi et al, 2018). The medication can also help the patient improve slow wave sleep, and the medication also has fewer side effects than most of the other medications used in treating insomnia.<\/p>\n
There are various reasons why Zolpidem was not selected. The medication can result in severe allergic reactions in some patients. The various signs of allergic reaction due to the medication include swelling of the face and difficulty in breathing. The other reason is that the sedative effect of the medication is stronger than the other available options. The medication can also make a patient experience severe dizziness and drowsiness, resulting in falls, accidents, and severe injuries. Considering the nature of the patient’s work, the medication is not a good option because it can result in daytime drowsiness and dizziness, making the patient not conduct his job effectively. The medication can also result in a high level of aggressiveness and extroversion that is abnormal compared to the patient’s usual behavior (Jung, 2018). Considering that the patient has confirmed that he takes alcohol, Zolpidem cannot be used in the treatment process because the patient can experience auditory and visual hallucinations associated with strange behavior due to alcohol toxicity. Hydroxyzine 50mg was also not selected due to various. One of the main reasons is that the medication has a high side effects profile compared to Trazodone. The medication can also lead to daytime sedation, affecting how the patient will perform at work. Hydroxyzine can also result in various side effects such as skin rash, fast heartbeat, difficulty in swallowing, and chest discomfort (Silvestro, 2021).<\/p>\n
From the treatment process, I expect that Trazodone will effectively treat the patient’s condition, and he will be able to sleep well. The patient experience an erection, which will last for approximately 15 minutes as a side effect of the medication. Ethical consideration will positively impact the treatment plan and when communicating with the patient. For instance, every decision and action that I will take will be for the fulfillment of the obligation to provide optimal care to the patient.<\/p>\n
Decision Two<\/strong><\/h2>\nExplaining to the patient that an erection that lasts for approximately 15 minutes that he is experiencing is not priapism and should end over time, and he should continue taking the current dose. I choose this decision because the medication effectively treats insomnia, and the patient has enough sleep at night. Continuing with the current dose is also important because the patient is not experiencing any severe side effects apart from the prolonged erections and priapism due to its adrenergic blocking activity.<\/p>\n
I did not select the decision to discontinue Trazodone and initiate treatment with suvorexant 1o mg at bedtime daily because of various reasons. Trazodone effectively treated the patient’s condition, and the patient did not experience any side effects; hence, changing the medication will negatively impact the treatment process. Initiating treatment with suvorexant is not a good decision. The medication is associated with various side effects such as next-day drowsiness and agitation. There is also limited evidence supporting the safety of using suvorexant in treating insomnia. The medication can cause the patient to become less alert during the day and feel drowsiness, headache, and dizziness. The medication can also result in memory problems or confusion. The patient can experience disturbed sleep as a side effect and have various experiences such as abnormal dreams, nightmares, and hallucinations. The medication can also cause the patient to experience sleep paralysis or even walk in their sleep.<\/p>\n
Decreasing the current trazodone dose to 25 mg daily at bedtime is also not a good decision because the current dose of the medication was effective in treating the patient’s condition. Dose reduction can only be implemented when the patient is experiencing severe side effects due to the medication or it is too expensive for the patient to purchase the current dose of the medication (Yi et al, 2018). Considering the effectiveness of the current dose of Trazodone, reducing the dose can reduce the medication’s efficiency in treating insomnia or slow down the treatment process. I expect the patient to experience a further decrease in priapism from the treatment approach, and insomnia will also decrease. In this case, ethical consideration will ensure that I avoid causing harm to the patient.<\/p>\n
Decision Three<\/strong><\/h2>\nThe patient should continue with the current dose, and he may split the 50mg tablet into two. Decreasing the dose will help in reducing next-day drowsiness. In order to reduce the side effects of the medication, it is crucial to reduce the current dose to a lower dose considering that the medication is effective and the patient is getting better. Taking a lower dose of Trazodone is proven to be similarly effective than a higher dose, with appreciably fewer adverse effects such as decreased drowsiness and potentially improved quality of life.<\/p>\n
The decision to discontinue Trazodone and initiate treatment with sonata 10 mg administered during bedtime is not good. This is because Trazadone has been effective in managing the patient’s condition. Initiating therapy with sonata 10 mg will is not a good decision considering the patient operates a vehicle in the chemical industry. This is because one of the major side effects of the sonata is lack of coordination which can lead to an accident, especially when an individual is driving. Other side effects of the medication that can reduce the patient’s quality of life include dizziness, drowsiness, and short-term memory loss. Another reason why treatment with sonata should not be initiated is that the medication is habit forming and can lead to dependency and can also be abused (Reeve & Bailes, 2010). Due to its habit-forming characteristics, it is not advisable to use the medication in long-term treatment, and it has not been proven to be effective in treating patients with long-term insomnia. Considering the patient has a history of alcohol consumption, the medication is not the best option and can result in various withdrawal symptoms if the patient suddenly stops using it.<\/p>\n
The decision to discontinue Trazadone and start treatment with hydroxyzine 50 mg at bedtime is also not advisable. Hydroxyzine cannot be clinically significant to the patient considering the medication has a comparatively long half-life of approximately 20 hours (Schiffman et al, 2011). This will result in daytime sedation after sleeping at night. The medication also has a high side effect profile compared to the low side effect profile of Trazodone. Introducing hydroxyzine can also result in other adverse side effects such as Xerostomia and Xerophthalmia.<\/p>\n
From the treatment approach, I expect the patient condition to become better after another four weeks of using the medication. Priapism will also diminish completely, and the level of drowsiness will decrease because the patient will be using a lower dose than the initial dose. Ethical consideration will be crucial in the treatment process and communication with the patient because it will allow me to minimize the medication’s harm to the patient and focus on promoting good health (Haddad, 2018).<\/p>\n
References NURS 6630 ASSESSING AND TREATING PATIENTS WITH SLEEP\/WAKE DISORDERS ASSIGNMENT<\/h2>\n
Haddad, L. M., & Geiger, R. A. (2018). Nursing ethical considerations.<\/p>\n
Jaffer, K. Y., Chang, T., Vanle, B., Dang, J., Steiner, A. J., Loera, N., … & Ishak, W. W. (2017). Trazodone for insomnia: a systematic review.\u00a0Innovations in clinical neuroscience<\/em>,\u00a014<\/em>(7-8), 24.<\/p>\nJung, M. (2018). Zolpidem overdose: a dilemma in mental health.\u00a0The Health Care Manager<\/em>,\u00a037<\/em>(1), 86-89.<\/p>\nReeve, K., & Bailes, B. (2010). Insomnia in adults: Etiology and management.\u00a0The journal for nurse practitioners<\/em>,\u00a06<\/em>(1), 53-60.<\/p>\nSchiffman, J., Davis, M., Pierre, J., & Saunders, C. S. (2011). Hydroxyzine: rational choice for inpatients with insomnia.\u00a0Current Psychiatry<\/em>,\u00a010<\/em>(3), 88-89.<\/p>\nSilvestro, S. (2021). Hydroxyzine (Vistaril): dosage, uses, side effects.\u00a0Drugs<\/em>.<\/p>\nNURS_6630_Week8_Assignment2_Rubric<\/h2>\n
\n\n\n| NURS_6630_Week8_Assignment2_Rubric<\/td>\n<\/tr>\n |
\nCriteria<\/strong><\/td>\nRatings<\/strong><\/td>\nPts <\/strong><\/td>\n<\/tr>\n<\/thead>\n\n\n| This criterion is linked to a Learning Outcome Introduction to the case (1 page)Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.<\/td>\n | \n\n\n\n| 10 to >8.0 pts<\/p>\n Excellent Point range: 90\u2013100<\/p>\n The response accurately, clearly, and fully summarizes in detail the case for the Assignment…. The response accurately and clearly explains in detail the specific patient factors that impact decision making when prescribing medication for this patient.<\/td>\n | 8 to >7.0 pts<\/p>\n Good Point range: 80\u201389<\/p>\n The response accurately summarizes the case for the Assignment…. The response accurately explains the specific patient factors that impact decision making with prescribing medication for this patient.<\/td>\n | 7 to >6.0 pts<\/p>\n Fair Point range: 70\u201379<\/p>\n The response inaccurately or vaguely summarizes the case for the Assignment…. The response inaccurately or vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.<\/td>\n | 6 to >0 pts<\/p>\n Poor Point range: 0\u201369<\/p>\n The response inaccurately and vaguely summarizes the case for the Assignment, or is missing…. The response inaccurately and vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n | 10 pts<\/td>\n<\/tr>\n | \n| This criterion is linked to a Learning Outcome Decision #1 (1\u20132 pages)\u2022 Which decision did you select?\u2022 Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.\u2022 Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.\u2022 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).\u2022 Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.<\/td>\n | \n\n\n\n| 20 to >17.0 pts<\/p>\n Excellent Point range: 90\u2013100<\/p>\n The response accurately and clearly explains in detail the decision selected…. The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected…. The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients…. Examples provided fully support the decisions and responses provided.<\/td>\n | 17 to >15.0 pts<\/p>\n Good Point range: 80\u201389<\/p>\n The response accurately explains the decision selected…. The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected…. The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response…. The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response…. The response accurately explains how ethical considerations impact the treatment plan and communication with patients…. Examples provided support the decisions and responses provided.<\/td>\n | 15 to >13.0 pts<\/p>\n Fair Point range: 70\u201379<\/p>\n The response inaccurately or vaguely explains the decision selected…. The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected…. The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response…. The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response…. The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients…. Examples provided may support the decisions and responses provided.<\/td>\n | 13 to >0 pts<\/p>\n Poor Point range: 0\u201369<\/p>\n The response inaccurately and vaguely explains the decision selected…. The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing…. The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing…. The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing…. The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing…. Examples provided do not support the decisions and responses provided, or is missing.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n | 20 pts<\/td>\n<\/tr>\n | \n| This criterion is linked to a Learning Outcome Decision #2 (1\u20132 pages)\u2022 Which decision did you select?\u2022 Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.\u2022 Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.\u2022 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).\u2022 Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.<\/td>\n | \n\n\n\n| 20 to >17.0 pts<\/p>\n Excellent Point range: 90\u2013100<\/p>\n The response accurately and clearly explains in detail the decision selected…. The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected…. The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients…. Examples provided fully support the decisions and responses provided.<\/td>\n | 17 to >15.0 pts<\/p>\n Good Point range: 80\u201389<\/p>\n The response accurately explains the decision selected…. The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected…. The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response…. The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response…. The response accurately explains how ethical considerations impact the treatment plan and communication with patients…. Examples provided support the decisions and responses provided.<\/td>\n | 15 to >13.0 pts<\/p>\n Fair Point range: 70\u201379<\/p>\n The response inaccurately or vaguely explains the decision selected…. The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected…. The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response…. The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response…. The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients…. Examples provided may support the decisions and responses provided.<\/td>\n | 13 to >0 pts<\/p>\n Poor Point range: 0\u201369<\/p>\n The response inaccurately and vaguely explains in detail the decision selected…. The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing…. The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing…. The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing…. The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing…. Examples provided do not support the decisions and responses provided, or is missing.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n | 20 pts<\/td>\n<\/tr>\n | \n| This criterion is linked to a Learning Outcome Decision #3 (1\u20132 pages)\u2022 Which decision did you select?\u2022 Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.\u2022 Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.\u2022 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).\u2022 Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.<\/td>\n | \n\n\n\n| 20 to >17.0 pts<\/p>\n Excellent Point range: 90\u2013100<\/p>\n The response accurately and clearly explains in detail the decision selected…. The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected…. The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients…. Examples provided fully support the decisions and responses provided.<\/td>\n | 17 to >15.0 pts<\/p>\n Good Point range: 80\u201389<\/p>\n The response accurately explains the decision selected…. The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected…. The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response…. The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response…. The response accurately explains how ethical considerations impact the treatment plan and communication with patients…. Examples provided support the decisions and responses provided.<\/td>\n | 15 to >13.0 pts<\/p>\n Fair Point range: 70\u201379<\/p>\n The response inaccurately or vaguely explains the decision selected…. The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected…. The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response…. The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response…. The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients…. Examples provided may support the decisions and responses provided.<\/td>\n | 13 to >0 pts<\/p>\n Poor Point range: 0\u201369<\/p>\n The response inaccurately and vaguely explains in detail the decision selected…. The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing…. The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing…. The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing…. The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing…. Examples provided do not support the decisions and responses provided, or is missing.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n | 20 pts<\/td>\n<\/tr>\n | \n| This criterion is linked to a Learning Outcome Conclusion (1 page)\u2022 Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.<\/td>\n | \n\n\n\n| 15 to >13.0 pts<\/p>\n Excellent Point range: 90\u2013100<\/p>\n The response accurately and clearly summarizes in detail the recommendations on the treatment options selected for this patient…. The response accurately and clearly explains a justification for the recommendations provided, including clinically relevant resources that fully support the recommendations provided.<\/td>\n | 13 to >11.0 pts<\/p>\n Good Point range: 80\u201389<\/p>\n The response accurately summarizes the recommendations on the treatment options selected for this patient…. The response accurately explains a justification for the recommendation provided, including clinically relevant resources that support the recommendations provided.<\/td>\n | 11 to >10.0 pts<\/p>\n Fair Point range: 70\u201379<\/p>\n The response inaccurately or vaguely summarizes the recommendations on the treatment options selected for this patient…. The response inaccurately or vaguely explains a justification for the recommendations provided, including clinically relevant resources that inaccurately or vaguely support the recommendations provided.<\/td>\n | 10 to >0 pts<\/p>\n Poor Point range: 0\u201369<\/p>\n The response inaccurately and vaguely summarizes the recommendations on the treatment options selected for this patient, or is missing…. The response inaccurately and vaguely explains a justification for the recommendations provided, including clinically relevant resources that do not support the recommendations provided, or is missing.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n | 15 pts<\/td>\n<\/tr>\n | \n| This criterion is linked to a Learning Outcome Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused\u2014neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.<\/td>\n | \n\n\n\n| 5 to >4.0 pts<\/p>\n Excellent Point range: 90\u2013100<\/p>\n Paragraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.<\/td>\n | 4 to >3.5 pts<\/p>\n Good Point range: 80\u201389<\/p>\n Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time….Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.<\/td>\n | 3.5 to >3.0 pts<\/p>\n Fair Point range: 70\u201379<\/p>\n Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%\u201379% of the time…. Purpose, introduction, and conclusion of the assignment is vague or off topic.<\/td>\n | 3 to >0 pts<\/p>\n Poor Point range: 0\u201369<\/p>\n Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time…. No purpose statement, introduction, or conclusion were provided.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n | 5 pts<\/td>\n<\/tr>\n | \n| This criterion is linked to a Learning Outcome Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation<\/td>\n | \n\n\n\n| 5 to >4.0 pts<\/p>\n Excellent Point range: 90\u2013100<\/p>\n Uses correct grammar, spelling, and punctuation with no errors.<\/td>\n | 4 to >3.5 pts<\/p>\n Good Point range: 80\u201389<\/p>\n Contains a few (1 or 2) grammar, spelling, and punctuation errors.<\/td>\n | 3.5 to >3.0 pts<\/p>\n Fair Point range: 70\u201379<\/p>\n Contains several (3 or 4) grammar, spelling, and punctuation errors.<\/td>\n | 3 to >0 pts<\/p>\n Poor Point range: 0\u201369<\/p>\n Contains many (\u2265 5) grammar, spelling, and punctuation errors that interfere with the reader\u2019s understanding.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n | 5 pts<\/td>\n<\/tr>\n | \n| This criterion is linked to a Learning Outcome Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing,\u00a0margins, indentations, page numbers, parenthetical\/in-text citations, and reference list.<\/td>\n | \n | | | | | | | | | | |
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