A 74-year-old male with past medical history of hypertension…

A 74-year-old male with past medical history of hypertension and hyperlipidemia. The patient reports with a chief complaint of shortness of breath. On physical exam, you note that the Point of Maximal Impulse (PMI) is shifted laterally on palpation, you auscultate an S4 sound, and the EKG demonstrates Left Ventricular Hypertrophy. You refer this patient to cardiology under a diagnosis code of:

Mai studied abroad for a semester and returned home excited…

Mai studied abroad for a semester and returned home excited to tell her family and friends all about her experiences. Mai experienced a sharp sense of letdown as her family and friends quickly lost interest in her stories. Mai is experiencing which stage of the W-shaped adjustment model?