NUR 3738 Syllabus 8-17-12 Final UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS Fall 2012 COURSE NUMBER NUR 3738 section 049C COURSE TITLE Systems of Care 2: Restoration of Wellness CREDITS 3 PLACEMENT BSN Program: 2nd Semester Upper Division PREREQUISITES NUR 3138 COREQUISITES NUR 3145 Systems of Care 1: Wellness Promotion and Illness Prevention NUR 3129 Pathophysiology and Psychopathology NUR 3069C Health Assessment and Communication Pharmacology for Nursing FACULTY OFFICE PHONE OFFICE HOURS Anna Kelley, MSN, ARNP HPNP-2221 Office: (352) 273-6422 Cell: (352) 494-8053 Monday 9:30am-11:30am & By Appointment Sandra Wolfe Citty, PhD, ARNP Clinical Assistant Professor swolfe@ufl.edu HPNP-3219 Office: (352) 273-6374 Cell: (352) 356-1581 Friday 10:30am-12:30pm Martha (Jo) Snider, EdD, RN, Associate Professor Department Chair, Health Care Environments and Systems snidemj@ufl.edu HPNP-4221 Office: (352) 273-6359 By Appointment Clinical Assistant Professor Course Coordinator alkelley@ufl.edu DEPARTMENT CHAIR NUR 3738 Syllabus 8-17-12 Final Susan Schaffer, PhD, ARNP, FNP-BC sdschaf@ufl.edu HPNP 2229 Office (352) 273-6366 Office Hours: By Appointment JACKSONVILLE CAMPUS DIRECTOR Andrea Gregg, DSN, RN greggac@ufl.edu Jacksonville Campus Office (904) 24-5172 Office Hours: By Appointment COURSE DESCRIPTION The purpose of this course is to examine the knowledge necessary to participate in development of plans of care for clients with common acute and chronic illnesses across the lifespan and for intrapartal women. Emphasis is on principles of safe and effective delivery of care to diverse clients with disease, injury and disability in a variety of settings. Focus is on clients with a medium to high potential for wellness. COURSE OBJECTIVES Upon completion of this course, the student will be able to: 1. Analyze the healthcare needs of clients with selected common acute and chronic illnesses across the lifespan. 2. Incorporate principles and concepts from liberal arts and science and nursing science into plans of care for selected clients. 3. Incorporate the health beliefs, values, attitudes and practices of individuals and families into the development of plans of care. 4. Develop evidence-based plans of care using principles of quality and safety. 5. Analyze interprofessional plans of care for clients with common acute and chronic illnesses across the lifespan. 6. Examine nurse-sensitive indicators that influence utilization of resources in delivery of effective care. COURSE SCHEDULE NUR 3738 Syllabus 8-17-12 Final Day Time Room Monday 8:30-9:20am HPNP- G114 Tuesday 9:35-11:30am HPNP-G114 E-Learning in Sakai is the course management system that you will use for this course. ELearning in Sakai is accessed by using your Gatorlink account name and password at http://lss.at.ufl.edu. There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to helpdesk@ufl.edu. It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications. Course websites are generally made available on the Friday before the first day of classes. ATTENDANCE Students are expected to be present for all scheduled classes, other learning experiences, and examinations. Students who have extraordinary circumstances preventing attendance should explain these circumstances to the course instructor prior to the scheduled class or as soon as possible thereafter. Instructors will then make an effort to accommodate reasonable requests. A grade penalty may be assigned for late assignments, including tests. Make-up exams may not be available in all courses. ACCOMMODATIONS DUE TO DISABILITY Each semester, students are responsible for requesting memorandum from the Disability Resource Center to notify faculty of their requested individual accommodations. This should be done at the start of the semester. COUNSELING AND STUDENT HEALTH Students may occasionally have personal issues that arise on the course of pursuing higher education or that may interfere with their academic performance. If you find yourself facing problems affecting your coursework, you are encouraged to talk with an instructor and to seek confidential assistance at the University of Florida Counseling Center, 352-392-1575, or Student Mental Health Services, 352-392-1171. Visit their web sites for more information: http://www.counsel.ufl.edu/ or http://www.health.ufl.edu/shcc/smhs/index.htm#urgent STUDENT HANDBOOK NUR 3738 Syllabus 8-17-12 Final Students are to refer to the College of Nursing Student Handbook for information about University & College of Nursing policies, Academic Honesty, and professional behavior. TOPICAL OUTLINE I. General Approach Use of the problem solving process to develop interdisciplinary plans of care. A. Application of concepts to exemplars across the lifespan B. Nursing interventions that are developed based on identified nursing problems and utilize evidence based guidelines and standards of care 1. CONCEPTS to be introduced in this EXAMPLES OF ASSOCIATED course: For each concept provide NURSING PROBLEMS definition, background/theories, assessment tools, nurse sensitive indicators, and evidence-based standards of care. CONCEPTS ROLE Parent/infant attachment, sick role TISSUE INTEGRITY Surgical wounds, pressure ulcers, infection COMFORT Acute pain OXYGENATION Dyspnea PERFUSION Hemorrhage, deep vein thrombosis SLEEP Insomnia AFFECT Sadness, Bereavement COGNITION Confusion STRESS Anxiety PERCEPTION Hearing and visual impairment METABOLISM Obesity, hyper/hypoglycemia, nausea and vomiting, fluid and electrolyte imbalance 2. CONCEPTS to be reviewed in this course: For each concept provide assessment tools, nurse sensitive indicators, and evidence-based standards of care. CONCEPTS EXAMPLES OF ASSOCIATED NURSING PROBLEMS Safety Falls, Medication Errors Nutrition Malabsorption, Malnutrition Elimination Diarrhea, constipation, incontinence, ileus 3. EXEMPLARS: For each exemplar, tie to related concepts, identify specific nursing problems and specific nursing interventions across the life span where applicable (eg. Monitoring, medications and their administration, teaching, interdisciplinary collaboration, therapeutic communication and comfort measures) NUR 3738 Syllabus 8-17-12 Final a. Intrapartal woman/fetus/newborn b. Patient requiring perioperative care c. Patients with: 1) pneumonia/asthma 2) angina/congenital heart disease 3) depression/delirium/sick role/ bereavement 4) diabetes 5) fractures/immobility 6) irritable bowel syndrome TEACHING METHODS Lecture, small group discussions, and electronic sources LEARNING ACTIVITIES Participation in large and small group activities, class presentations, selected readings and electronic sources EVALUATION METHODS/COURSE GRADE CALCULATION Evaluation will be based on four (3) multiple-choice exams and four (4) On-Line EVOLVE HESI RN Practice Tests: Examinations Date/Time/Location # of Questions % of Final Grade Room # Exam 1 60 Questions 30% As scheduled 60 Questions 30% As scheduled 40% As scheduled Tuesday September 25, 2012 CG 28 Computer Lab 9:30-11:00 Exam 2 Monday October 29, 2012 CG 28 Computer Lab 10:0011:30 Final Exam – Cumulative 100 Questions NUR 3738 Syllabus 8-17-12 Final Wednesday December 12, 2012 CG 28 Computer Lab 1-3pm Online (4) EVOLVE RN Practice Tests: Maternity Assignment Exam NUR3738 – Due Friday 9/21/12 Medical-Surgical Assignment Exam NUR3738 – Due Friday 10/19/12 Each test is Pass-Fail. https://evolve.else vier.com/cs/Satelli te/StudentHome? Audience=Student Must score 74% or above on each test to PASS. May be taken multiple times. Pediatrics Assignment Exam NUR3738 – Due Friday 11/16/12 Psychiatric-Mental Health Assignment Exam NUR3738 – Due Wednesday 12/5/12 Final Grade Each exam will close at 11:59pm on the due date 100% _____________________________________ The final exam is cumulative and MUST be taken at the scheduled date/time. Missed exams will not be made up. The % weight of a missed exam will be added to the % weight of the cumulative final exam. You MUST notify Professor Kelley IN ADVANCE if you are going to miss an exam. Failure to notify Professor Kelley may result in a 0% for that missed exam. NO drinks or food allowed in computer testing sites. All backpacks (books, study materials, etc.), caps/hats, pagers (turned off), and cell phones (turned off) are to be placed in the front of the exam or exam review room or in the storage space provided in testing areas.. Exam review sessions will be offered: EXAM 1 Monday October 1, 2012 Room TBA NUR 3738 Syllabus 8-17-12 Final Test Review 3:00-4:00pm EXAM 2 Test Review Monday November 5, 2012 3:00-4:00pm Room TBA Exam reviews will be offered in group sessions only, not on an individual basis, unless requested by faculty. If you wish to review the exam, you must attend the above scheduled group exam review. No taking of notes or recording devices will be allowed at exam review sessions. All exams are property of UF CON and may not be shared between/among students according to the UF Honor Code. GRADING SCALE/QUALITY POINTS A 95-100 (4.0) C A93-94 (3.67) CB+ 91- 92 (3.33) D+ B 84-90 (3.0) D B82-83 (2.67) DC+ 80-81 (2.33) E 74-79* (2.0) 72-73 (1.67) 70-71 (1.33) 64-69 (1.0) 62-63 (0.67) 61 or below (0.0) * 74 is the minimal passing grade For more information on grades and grading policies, please refer to University’s grading policies: https://catalog.ufl.edu/ugrad/current/regulations/info/grades.aspx REQUIRED TEXTBOOKS Berman, A. & Snyder, S. (2012). Kozier & Erb’s Fundamentals of Nursing: Concepts, process, and practice (9th ed.). Boston: Pearson. Evolve RN Practice Tests: HESI RN Practice Test, Version 3.0 ISBN # 9780323068673 Ignatavicus, D., & Workman, M.L. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed.). St. Louis, MO: Saunders. NUR 3738 Syllabus 8-17-12 Final ISBN # 978-1-4160-3762-0 Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010). Maternal child nursing care (4th ed.). Maryland Heights, MO: Mosby. ISBN # 978-0-323-05720-2 Perry, A. G & Potter, P. A. (2010). Clinical nursing skills & techniques. (7th ed.). St. Louis: Mosby/Elsevier. Townsend, M.C. (2011). Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice (5th ed.). Philadelphia: FA Davis. ISBN # 13: 978-0-8036-2338-5 WEEKLY CLASS SCHEDULE Additional readings and activities may be assigned for each of the content areas as identified later in the semester per the weekly schedule. Note: Text are as follows unless stated otherwise: Lewis= Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L., & Camera, I. (2011). Medical-surgical nursing: Assessment and Management of Clinical Problems. (8th ed.). Maryland Heights: Mosby. P&P = Potter,P., & Perry, A. (2010). Clinical Nursing Skills and Techniques (7th ed). St. Louis: Mosby. P,H,L&W = Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010). Maternal child nursing care (4th ed.). Maryland Heights, MO: Mosby. Townsend = Townsend, M.C. (2011). Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice (5th ed.). Philadelphia: FA Davis. BKS = Berman, A., Kozier, B., & Snyder, S. (2010). The Kozier & Erb’s Fundamentals of Nursing: Concepts, Process and Practice. (9th ed.). Boston, MA: Pearson NUR 3738 Syllabus 8-17-12 Final DATE TOPIC/EVALUATION Monday 8/27/12 0830-0920 HPNP G114 NUR 3738 Overview Professor Kelley Orientation to Course Introduction of Faculty Faculty Introduction to Concepts ________ Tuesday 8/28/12 0935-1130 HPNP G114 Monday 9/3/12 Labor Day Holiday NO CLASS Tuesday 9/4/12 0935-1130 HPNP G114 Safety/Tissue Integrity/Vulnerability Peri-operative and postoperative care Care of the patient post C-Section LABOR DAY HOLIDAY Comfort: Acute Pain Management Oxygenation/Perfusion /Comfort Uncomplicated Intrapartum Care Principles of fetal monitoring Labor and Birth Processes ASSIGNMENTS/READINGS FACULTY UF CON Concept Chart Professor Kelley _______________________________ Peri-operative Care: Lewis: Chapters 18, 19, 20 ______________ Professor Kelley NO CLASS Comfort: Acute Pain: Lewis: chapter 10 P,H,L,W: chapter 16, 35 Professor Kelley P, H, L & W: Chapter 17 pages 422439 and Chapter 15 pages 376-393. Professor Kelley Monday 9/10/12 0830-920 HPNP G114 Oxygenation/Perfusion /Comfort CONTINUED Uncomplicated Intrapartum Care Principles of fetal monitoring Labor and Birth Processes P, H, L & W: Chapter 17 pages 422439 and Chapter 15 pages 376-393. Professor Kelley Tuesday Comfort/Safety P, H, L, & W: Chapter 18 pages 440- Professor Kelley NUR 3738 Syllabus 8-17-12 Final 9/11/12 0935-1130 HPNPG114 Uncomplicated Intrapartum Care Nursing Care During Labor and Birth Promoting comfort in Labor 485 Monday 9/17/12 0830-0920 HPNPG114 Role Sick Role Family response to illness Townsend, p. 453-4 table Professor Snider Tuesday 9/18/12 0830-1025 HPNPG114 NOTE TIME CHANGE FOR THIS CLASS Friday 9/21/12 Safety/Sexuality/Role Uncomplicated Postpartum Care P, H ,L, &W Chapter 20 pages 525-532 and Chapter 21 pates 533-553. Professor Kelley Safety/Vulnerability/Sexuality Role: Parent/Infant Attachment Uncomplicated Newborn Care P, H, L, & W: Chapter 22 pages 554575 and Chapter 25 pages 643-677. Review: Chapter 24 pages 609-642 and Chapter 26 pages 678-705. EVOLVE RN Practice Test: Maternity Nursing Due Maternity Assignment Exam NUR3738 Monday 9/24/12 0830-0920 HPNPG114 Sleep Sleep disturbances(Insomnia) Tuesday P, H, L, & W: Chapter 16 pages 394421 Professor Kelley Townsend, p. 257, 679 Review physiology of sleep Lewis: Chapter 9 Maternity Assignment Exam NUR3738 EVOLVE exam site will CLOSE on 9/21/12 at 11:59pm Professor Snider NUR 3738 Syllabus 8-17-12 Final 9/25/12 EXAM 1 CG 28 Testing Center 0930-1100 EXAM 1 COMMUNICORE TESTING CENTER CG-28 9:30AM-11:00AM 60 QUESTIONS Monday 10/1/12 0830-0920 HPNP G114 Oxygenation/Perfusion/Comfort Nursing care and management of clients with problems with oxygenation/ Perfusion P,H,L,W: Chapter 48 Lewis: Ch. 32 (assessment) NUR 3738 Exam 1 Test Review 1500-1600 Room TBA Tuesday 10/2/12 0935-1130 HPNPG114 Oxygenation/Perfusion/Comfort Nursing care and management of clients with problems with oxygenation/ Perfusion Acute arterial ischemia – Lewis p. 880881 Venous Thromboembolism/DVT – Lewis p. 882-890 Hypertension – Lewis p.738-759 Professor Kelley Oxygenation/Comfort Nursing care of clients with oxygenation/gas exchange problems across the lifespan. Lewis - chapter 26 (assessment) Epistaxis: Lewis - p. 520-521 Allergic Rhinitis: Lewis - p. 521-523 Acute viral rhinitis: Lewis - p. 523524 Influenza: Lewis - p. 524-525 Sinusitis: Lewis - p. 525-527 Acute Pharyngitis: Lewis - p. 527-528 Professor Kelley Oxygenation/Role/Comfort Laryngectomy/Head & Neck Cancer: Professor Kelley Monday Professor Citty CAD and ASHD – Lewis p. 761-771 Chronic Stable Angina – Lewis p. 771777 MI/ACS – Lewis – p. 777-793 HF - Lewis p. 797-814 NUR 3738 Syllabus 8-17-12 Final 10/8/12 0830-0920 HPNP G114 Nursing care of clients with oxygenation/gas exchange problems across the lifespan. Lewis - p. 535-543 Pneumonia: Lewis - p. 546-553 COPD: Lewis - p. 610-631 Lung cancer: Lewis - p. 560-566 Tuesday 10/9/12 0935-1130 G-114 Oxygenation/Comfort Nursing care of clients with oxygenation/gas exchange problems across the lifespan. Common childhood respiratory problems: P,H,L,W: chapter 46 Asthma: Lewis - p. 588-609 CF: Lewis - p. 631-635 RSV: P,H,L & W: Pages 1321-1324 Professor Curtis Monday 10/15/12 0830-0920 HPNP G114 Metabolism/Nutrition Fluid & Electrolytes Fluid & Electrolytes: Lewis Chapter 17 (p. 301-320) Professor Kelley Tuesday 10/16/12 0830-1025 HPNP G114 NOTE TIME CHANGE FOR THIS CLASS Oxygenation/Perfusion Nursing care & management of problems related to oxygenation/perfusion in children. Congenital heart defects – acyanotic and cyanotic – P,H,L,W: Ch. 48 Professor Curtis Friday 10/19/12 EVOLVE RN Practice Test: Medical/Surgical Nursing Due Monday Affect Medical/Surgical Assignment Exam NUR3738 Townsend, Chapters 15 and 17 Medical/Surgical Assignment Exam NUR3738 EVOLVE exam site will CLOSE on 10/19/12 at 11:59pm Professor Snider NUR 3738 Syllabus 8-17-12 Final 10/22/12 0830-0920 HPNP G114 Depression Major depression Anxiety Defense Mechanisms Panic attack/disorder Separation anxiety Tuesday 10/23/12 0935-1130 HPNP G114 Tissue Integrity/Vulnerability Wound Management/Wound Care/Nutrition Wounds, Infections, Inflammation Nursing care and management of skin integrity and prevention of pressure ulcers Nursing care of common Infection/Inflammations in clients across the lifespan Monday 10/29/12 EXAM 2 CG-28 10:0011:30am Tuesday 10/30/12 0935-1130 HPNP G114 Monday EXAM 2 P,H,L,W: p. 1632-1661 Professor Kelley Lewis: chapter 23 (assessment) Lewis chapter 24 – Nursing management of integumentary problems Please complete the following two training NDNQI modules related to pressure ulcers. • Module One: Pressure Ulcers and Staging • Module Two: Other Wound Types and Skin Injuries Website: https://www.nursingquality.org/ndnqip ressureulcertraining/default.aspx COMMUNICORE TESTING CENTER CG-28 Mobility Nursing care of clients with mobility issues across the lifespan Lewis: chapter 62 (assessment) Cognition Townsend, p. 325-328, 370, 412-413 as 10:00-11:30AM 60 QUESTIONS Professor Curtis P,H,L,W: p. 1676-1703 Immobilized child Traumatic injury Developmental dysplasia of the hip Scoliosis – Lewis: p. 1576 Fractures, cast care, traction – P,H,L,W p. 1676-1703 & Lewis: p. 1590-1611 Amputation – Lewis: p. 1611-1614 Professor Snider NUR 3738 Syllabus 8-17-12 Final 11/5/12 0830-0920 HPNP G114 Neurological Issues/Confusion Delirium in hospitalized patients Delusions Problems of cognition table Townsend, p. 234-242, all of Chapter 12. NUR 3738 Exam 2 Test Review 1500-1600 Room TBA Tuesday 11/6/12 0935-1130 HPNP G114 Metabolism/Regulation/ Nutrition/Role Nursing care and management of clients with endocrine and metabolic imbalances Lewis chapter 48 (endocrine assessment) Professor Kelley Nursing care and management of clients with endocrine imbalance Diabetes Mellitus: Lewis - p. 1218-1254 P,H,L,W - p. 1616-1631 Nursing care and management of clients with metabolic imbalance Osteoporosis – Lewis p. 1634-1637 Monday 11/12/12 Veteran’s Day Holiday NO CLASS Tuesday 11/13/12 0935-1130 HPNP G114 VETERAN’S DAY HOLIDAY Perception Visual/auditory/touch disturbances Nursing care and management of visual and hearing impairments across the lifespan NO CLASS Lewis – chapter 21 (nursing assessment visual and auditory systems) Professor Mangueira Lewis – chapter. 22 – visual & auditory problems Visual impairment in children: P,H,L,W p. 1184-1198 Hearing impairment in children: P,H,L,W 1186-1191 Hearing-impaired patients – P,H,L,W p. 570 Friday 11/16/12 EVOLVE RN Practice Test: Pediatric Assignment Exam NUR3738 Pediatric Assignment Exam NUR3738 NUR 3738 Syllabus 8-17-12 Final EVOLVE exam site will CLOSE on 11/16/12 at 11:59pm Pediatric Nursing Due Monday 11/19/12 0830-0920 HPNP G114 Urinary Elimination: Lewis: chapter 45 (urinary assessment) Urinary incontinence: Lewis p. 11461151 UTI: Lewis p. 1127-1129 Acute pyleonephritis: Lewis p. 11271129 Acute glomerulonephritis: Lewis p. 1131-1133 Urinary tract calculi: Lewis p. 11351141 Polycystic Kidney Disease: Lewis p. 1142-1143 UTI & urinary disorders in children: P,H,L,W: p. 1526-1534 Bladder scan: P&P: p. 880-881 Professor Kelley Elimination Nursing care and management of clients with issues relating to elimination Bowel elimination Diarrhea Constipation Ileus incontinence Bowel Elimination: •Irritable bowel syndrome – Lewis: p. 1018 •Herniation – Lewis: p. 1048 •Colorectal cancer– Lewis: p.10351046 •Ostomy management – Lewis: p. 1039-1046 •Intestinal obstruction – Lewis: p. 1029-1034 •Abdominal trauma – Lewis: p. 10181020 •Hemorrhoids – Lewis: p. 1052-1053 Professor Kelley Stress Spiritual distress Review physiology of stress Townsend, p. 736-741; all of Chapter 1 Dr. Snider Elimination Nursing care and management of clients with issues relating to elimination Tuesday 11/20/12 0830-1025 HPNP G114 NOTE TIME CHANGE FOR THIS CLASS Monday 11/26/12 Urinary elimination incontinence NUR 3738 Syllabus 8-17-12 Final 0830-0920 HPNP G114 Bereavement Grief School/behavioral problems Irritable bowel syndrome “the sensitive gut Review p. 454-462 Lewis Chapter 8 Tuesday 11/27/12 0935-1130 HPNP G114 Nutrition/Metabolism Digestion Nausea/Vomiting Malnutrition Nursing care & management of common problems relating to Nutrition and digestion Lewis – ch. 39 (Nutrition/GI assessment) Malnutrition/Obesity - Lewis: ch. 41 GERD – Lewis: p. 971-975 Hiatal Hernia – Lewis: p. 975-977 Gastritis – Lewis: p. 985 Cholecystitis/cholelithiasis – Lewis: p. 1095-1100 Special diets - Lewis: p. 923 Nutritional support – Lewis: p. 931940 Nursing care and management of clients with common nutrition/digestion problems. Professor Kelley Nausea and vomiting – Lewis p. 963968 Monday 12/3/12 0830-0920 HPNP G114 Tuesday 12/4/12 Perception Stigma – mental illness and other disabilities Hallucinations Illusions Readings to be assigned Professor Snider Sexuality Women’s Health Female problems – Lewis Chapter 54 P,H,L & W: Chapter 6 pages 86-127 Professor Kelley NUR 3738 Syllabus 8-17-12 Final 0935-1130 HPNP G114 Men’s Health Sexually Transmitted Infections Nursing care and management of common female reproductive problems Nursing care and management of common male reproductive problems Male problems: Lewis ch. 55 Prostate disorders: BPH Testicular disorders: Hydrocele, spermatocele, varicocele Common malignancies: Prostate Cancer, Testicular Cancer STDs – Lewis - chapter 53 Nursing care and management of clients with sexually transmitted infections Wed 12/5/12 Classes End Wed 12/12/12 FINAL EXAM CG 28 Testing Center 1-3pm Approved: EVOLVE RN Practice Test: Psychiatric/Mental Health Nursing Due Psychiatric/Mental Health Assignment Exam NUR3738 Psychiatric/Mental Health Assignment Exam NUR3738 EVOLVE exam site will CLOSE on 12/5/12 at 11:59pm FINAL EXAM COMMUNICORE TESTING CENTER CG-28 1:00-3:00PM Academic Affairs Committee: General Faculty: UF Curriculum Committee: 09/09; 02/12 09/09; 03/12 10/09; 04/12 100 QUESTIONS