Sheet1 Fall 2018-2019 Assignment 1TVM Solve the following questions by using Excel formula. Show me your data 1-      If you deposit $20,000 in a bank account that pays 15% interest annually, how much will be in your account after 6 years?2-      If you are planning to invest your money today in a secuirty that pay you $5,000,000 in 15 years with rate of return on your investment of 10% annually. How much you should invest? 3-      What's the future value of 7%, 7-year ordinary annuity that pays $500 each year? If this was annuity due, what would its future value be?4-      You borrow $85,000 from a bank, the annual loan payments are $8,273.59 for 15 years. What interest are you being charged?5-      Your father asked you to begin a habit of saving money early in your life. He suggested that you put $6 a day into an envelope. Your grandfather further suggested that you take that money at the end of each year ( after 365 days) and invest it in an online brokerage mutual fund account that has an annual expected return of 9%%.Today you are 18 years old. If you start following your father’s advice today, and continue saving in this way for the rest of your life, how much do you expect to have in the brokerage account when you are 62 years old 6-Find the present value of the following cash flow streams at 8% compounded annually. 7- You have a chance to invest $3,615.14 in a fund that pays fixed payment at the beginning of each period for 4 years. You could earn 6% on your money compounded semiannually. How much you expect to receive at the beginning of each period for the annuity? Running Head: MOTIVATIONAL INTERVIEW 2 Motivational Interview Paper Mary Lou Russo SW 6101-02 Dr. Myra Robinson October 2, 2018 AGENCY/RESPONSILBILITIES Working at Caring Hospice Services is a very rewarding experience. The agency is located in Edison, NJ and I am serving patients in Central and Northern NJ. My supervisor currently has thirty-five patients that are on hospice care. She is expected to see each patient a minimum of twice a week. She conducts initial assessments, routine visits and PRN visits which are visits that are not scheduled. My supervisor is extremely busy but still makes the time to properly instruct me and I am learning so much. PATIENT ASSIGNED One of my patients that has been assigned to me is in the NJ Veteran’s home which is located in Edison, NJ. I will call him GK. GK was assigned to me by my supervisor to help me learn how to work with the veteran community. My responsibilities with GK, include taking him to activities, spending time talking and listening to them. In my initial assessment with him I was surprised that he opened up so much to me. Working with veterans can be a difficult population. GK served in the Navy for four years. He suffers from Depression and Heart Disease. While this is my first t.

1. Sheet1 Fall 2018-2019 Assignment 1TVM Solve the following
questions by using Excel formula. Show me your data 1- If
you deposit $20,000 in a bank account that pays 15% interest
annually, how much will be in your account after 6 years?2-
If you are planning to invest your money today in a secuirty that
pay you $5,000,000 in 15 years with rate of return on your
investment of 10% annually. How much you should invest? 3-
What's the future value of 7%, 7-year ordinary annuity that
pays $500 each year? If this was annuity due, what would its
future value be?4- You borrow $85,000 from a bank, the
annual loan payments are $8,273.59 for 15 years. What interest
are you being charged?5- Your father asked you to begin a
habit of saving money early in your life. He suggested that you
put $6 a day into an envelope. Your grandfather further
suggested that you take that money at the end of each year (
after 365 days) and invest it in an online brokerage mutual fund
account that has an annual expected return of 9%%.Today you
are 18 years old. If you start following your father’s advice
today, and continue saving in this way for the rest of your life,
how much do you expect to have in the brokerage account when
you are 62 years old 6-Find the present value of the following
cash flow streams at 8% compounded annually. 7- You have a
chance to invest $3,615.14 in a fund that pays fixed payment at
the beginning of each period for 4 years. You could earn 6% on
your money compounded semiannually. How much you expect
to receive at the beginning of each period for the annuity?
Running Head: MOTIVATIONAL INTERVIEW
2

2. Motivational Interview Paper
Mary Lou Russo
SW 6101-02
Dr. Myra Robinson
October 2, 2018
AGENCY/RESPONSILBILITIES
Working at Caring Hospice Services is a very rewarding
experience. The agency is located in Edison, NJ and I am
serving patients in Central and Northern NJ. My supervisor
currently has thirty-five patients that are on hospice care. She is
expected to see each patient a minimum of twice a week. She
conducts initial assessments, routine visits and PRN visits
which are visits that are not scheduled. My supervisor is
extremely busy but still makes the time to properly instruct me
and I am learning so much.
PATIENT ASSIGNED
One of my patients that has been assigned to me is in the NJ

3. Veteran’s home which is located in Edison, NJ. I will call him
GK. GK was assigned to me by my supervisor to help me learn
how to work with the veteran community. My responsibilities
with GK, include taking him to activities, spending time talking
and listening to them. In my initial assessment with him I was
surprised that he opened up so much to me. Working with
veterans can be a difficult population. GK served in the Navy
for four years. He suffers from Depression and Heart Disease.
While this is my first time working with a patient from the
veteran population I could tell right away that he seems to have
a lot of bottled up feelings and normally has a difficult time
opening up to people in general.
VULNERABILITIES
The veteran community in hospice is most certainly a
vulnerable community. Hospice care provides an important
delivery system to better understand veterans at the end of life
(Prince-Paul, M., Peereboom, K., & Daly, B. J. (2016). Close to
642,000 US military veterans die each year (Prince-Paul, M.,
Peereboom, K., & Daly, B. J. (2016). 85% of those veterans do
not receive health services through the Veteran's Administration
(VA) (Prince-Paul, M., Peereboom, K., & Daly, B. J. (2016).
Only 15% of former military actually utilize the VA system for
some healthcare services, such as such as hospice (Prince-Paul,
M., Peereboom, K., & Daly, B. J. (2016).
SW INITIAL ASSESSMENT/SOCIAL HISTORY
The social history of my client is as follows: client is an 84-
year-old Navy veteran. He has six children. Five of his children
live in the New Jersey area. His sixth child lives in Arizona.
client has been a resident of the NJ Veteran’s Memorial Home
for six years. This August he became ill and was put on hospice
services. The client has an issue with regret, his wife divorced
him soon after he left the Navy because he had a history of
being with other women. Despite their issues the two remain
friends to this day. During my interview, the client was pleasant
and conversational. He shared personal feelings with me and
wanted to make sure that I knew that I was one of the few who

4. he really opened up to. The client also expressed feelings for
his ex-wife and stated that he would like to marry her again.
After spending four years in the Navy the client worked for a
trucking company and stayed with that company until
retirement. Out of all of his six children only one comes to visit
him. They are very close. The client has three grandchildren
who live in Arizona and he has never met them. His ex-wife
has visited him three times but he stated that they talk on the
phone often. The client is depressed and plan of care has been
put into place for him.
PSYCHOSOCIAL
GK describes himself as "Irish-American" and said he was
"raised as a Roman Catholic.". He is confined to an electric
wheelchair. He attends church services every Monday at the
VA facility. On the date of this interview, I noticed that he was
attired in Khaki pants and a long-sleeved shirt. The client
appeared to be very alert and oriented. This was why I believe
we had such an informative conversation.
RISK
Then main issue of concern that I have with my client is his
depression. I believe that most of it stems from lack of
relationships with the majority of his children and his ex-wife.
He speaks of regret and wished he could turn back time.
My client’s biggest strength is his warmth and kindness.
The risk that he confronts is his determination determined to
prove his loyalty to his children and ex-wife. I feel that he may
be in for disappointment which will only strengthen his
depression.
GOALS
The ultimate goal that I am setting for GK is to encourage
him to continue to open up. Talk therapy seems benefit him. He
also needs to learn how to let go of the past. While it’s okay for
him to feel remorse, at this stage in his life regrets will only
lead to sadness. My goal will be to establish trust with patient,
facilitate family dialogue and communication and allow the
opportunity for verbalization of feelings

5. INTERVENTIONS
GK needs to play to his strengths. He is smart and
charismatic. Deep down I believe he knows that all of this
regretting is not helping him. He is aware that he is dying and is
not shy about talking about it. He has built strong relationships
will other patients, especially his roommate. As far as
interventions go I would like to see him concentrate more on
spending time with them and learning to take each day as it
comes. After carefully reviewing GK’s treatment plan over the
past few weeks, I feel that using a Task Centered Approach
(TCP) is most appropriate. TCP is using a 4-step program that is
similar to what the goal and intervention approach that Caring
Hospice Services uses and it seems to be working well with GK.
The four steps of the Task Centered Approach are: Define the
problem, Establish goals, Work on goals and Review goals.
DIVERSITY/VALUE IMPACT AND ISSUES
GK and I do have some differences with it comes to values
and ethics. He is a republican and a practicing Catholic. He
believes strongly with the second amendment and I believe it
needs tweaking. However, I remained professional with him.
His treatment is not about me. Walking into his room he had a
huge signed poster of our president and first lady. He asked me
to read from the Bible to him. Both of these things would
normally have me storming out of the room, but my job is not
about my politics or religious beliefs. My job is about making
sure my patient is comfortable. I ignored the poster and read
some very beautiful passages to my client. So, in this instance
is was me who had to do the changing and I did so with ease
and pleasure. For that time what was important was my patient.
PROCESS RECORDING
Below is a copy of my process recording with GK:
GK was introduced to me by my Supervisor at the NJ Veterans
Memorial Home located in Edison, NJ. After the introduction
we were left alone to get to know one another. GK was sitting
in the game and entertainment section of the home.

6. SW: So GK what is your favorite part of this room?
GK: I enjoy the piano playing. I love listening to her play.
SW: I can see why you like it so much. Does she play here
often.
GK: Yes, every day. Her name is Barbara.
GK: Started to point to his upper gum section of his mouth and
stated that he was going to have it fixed and that he would be
able to speak better.
SW: Well that’s great but I can understand you just fine.
GK: let’s go outside for a walk.
SW: It is a beautiful day and I would love some fresh air.
GK: Points to the gazebo that is very close to the building. He
states that he loves sitting there.
SW: It’s beautiful out here. I noticed that you are wearing a
Navy hat, thank you for your service GK.
GK: Yes, I was there for 4 years and I started with four stripes
and I got into a lot of fights and only came home with one.
When I came home my mother asked what happened to all the
stripes on my uniform and she was upset with me.
SW: So, I would love to learn more about your family.
GK: I have six children, four are here and two are not.

7. SW: That’s wonderful I come from a family of six kids and big
families are so much fun.
GK: I would like to show you my room and some pictures.
SW: I would love to see your room. I would like you to know
that I have to leave at 4:00pm today.
GK: Here is my room and look at the pictures.
SW: Your family is beautiful.
GK: Yes, I was bad to my wife. I cheated on her and she left
me. I want her to come back.
SW: Let’s focus on something happy.
GK: He reaches over and pulls out a soft leather-bound copy of
the Bible. He states that a dear friend gave it to him.
SW: Would you like me to read a passage to you?
GK: Yes, I would like that.
SW: I read to him and then we said our goodbyes.
Feeling an instant connection with GK. He sometimes has
difficulty speaking but I could tell right away that he was a
warm and friendly person.

8. The music was upbeat and beautiful.
I notice he has trouble finding the words he wants to say. I also
notice that he has trouble speaking them out loud.
GK is in a motorized wheelchair and operates without any
issues.
The level of comfort is increasing.
He is opening up and I can see by the smirk on his face that
these are dear memories for him.

9. I’m not sure what he means by not here. I get the feeling that
they live in another state but I’m sure with time he will share.
This is the first time I shared anything about myself and he
seemed to be delighted that we had things in common.
We sat outside for quite some time and shared a lot of small
talk. This ranged from him liking my shoes to use talking about
our love for the TV show NCIS.
I am really enjoying myself.
He points to all the people and tells me who they are. He also
tells me about his ex-wife Irma who still visits him. He tells
that he’s only talked about her with a few people.
.
He still has strong feeling for his ex-wife and regrets his
marriage failing.
I can tell that he is truly touched by my offer. I notice while I’m

10. reading to him, his eyes are closed and he is smiling.
I believe that maybe this was a good day for GK physically
speaking.
I can completely understand why he enjoys it so much.
He seems to be embarrassed about his inability to speak clearly.
But with reassurance and time he seemed to relax more and not
worry as much.
He seems to be getting comfortable with me and I feel that more
conversation is about to happen.
I am very pleased that he is so welcoming to me.

11. While it is somewhat difficult for him to get the words out I am
able to understand him just fine.
He has a warm smile on his face while speaking about his
children. They make him very happy.
Use of self is not something that I do often. In this situation I
felt that it helped him open up to me.
We have connected and he is in a very good mood. I could tell
that he was getting a little tired.
We have bonded and built a relationship of trust.
I need to work with him on focusing on the good memories and
let him know that regretting things that happened so long ago

12. will not help him.
I left after reading to him. He was in good spirits and I wish I
could leave every patient feeling this way.
MOTIVATIONAL COMPETENCIES
The three motivational competencies I could have used are as
follows:
1st. Competency: Drive and energy: Question - Give me some
examples of tasks where you put off taking immediate action.
Why (New Leaf Search, 2018)?
2nd. Competency: Initiative and innovation: Question - Tell me
about a time in your life that you worked on a project that
required you to come up with a lot of new ideas (New Leaf
Search, 2018)?
3rd. Competency: Self-motivation: Question - Tell me about a
time when you felt that it was just too difficult to get anything
done? Why? What did you do? How (New Leaf Search, 2018)?
VULNERABLE POPULATIONS AND SOCIAL JUSTICE
The main change project I would like to focus on is removing
barriers to mental health care for veterans ("American Public
Health Association", 2014). Trauma and mental health rates are
excessively high among our veterans ("American Public Health
Association", 2014). Reentry into civilian populations leaves
our veterans in very vulnerable situations ("American Public
Health Association", 2014). Congress and the Department of
Veterans affairs need to be made more aware of the seriousness
of this issue. ("American Public Health Association", 2014).
Veterans need easier access to mental health care.
Environmental and Economic Justice
The Department of VA Affairs in an independent agency that
reports directly to the president ("Department of Veterans

13. Affairs Environmental Justice", 2014). In 2012 the department
organized a committee in which their main goal was to enhance
environmental justice for veterans ("Department of Veterans
Affairs Environmental Justice", 2014). In 2013 the committee
set forth three goals in their mission to ensure environment
justice for all veterans. The first goal was to identify VA
programs and to address all policies and activities ("Department
of Veterans Affairs Environmental Justice", 2014). The second
goal was to ensure that information to these programs were
readily available ("Department of Veterans Affairs
Environmental Justice", 2014). The third and final goal was to
find areas that needed improvement ("Department of Veterans
Affairs Environmental Justice", 2014). These goals are intended
to improve the state of environment justice for veterans across
the country ("Department of Veterans Affairs Environmental
Justice", 2014).
There are three Veteran Memorial Homes in New Jersey.
These homes are available to wartime veterans who were
honorably discharged, their spouses, and Gold Star parents.
("Military.com", 2018). Veterans are expected to pay for these
services and payment is set according to income
("Military.com", 2018). New Jersey Veterans receive benefits
for what is called a catastrophic entitlement, which is someone
that is permanently disabled due to a wartime injury. the amount
given is $62.50 a month ("Military.com", 2018). As far as
veterans in New Jersey receiving economic justice, it seems we
have much work to do.
References
American Public Health Association (2014). Retrieved from

14. https://www.apha.org/policies-and-advocacy/public-health-
policy-statements/policy-database/2015/01/28/14/51/removing-
barriers-to-mental-health-services-for-veterans
Department of Veterans Affairs Environmental Justice
(2014). Retrieved from
https://www.energy.va.gov/docs/VA_EnvironmentalJusticeImpl
ementationReport2013.pdf
Kumar, G. (2011). pubmed. Retrieved from
https://www.ncbi.nlm.nih.gov/pubmed/20543162
Military.com(2018). Retrieved from
https://www.military.com/benefits/veteran-state-benefits/new-
jersey-state-veterans-benefits.html
New Leaf Search. (2018). Motivational
Competencies. Retrieved from
http://www.newleafsearch.com/cbi-questions-motivational-
competencies-page-762/
Prince-Paul, M., Peereboom, K., & Daly, B. J. (2016).
Confronting Mortality: Narratives of Military Veterans Enrolled
in Home Hospice Care. Journal of Hospice and Palliative
Nursing : JHPN : The Official Journal of the Hospice and
Palliative Nurses Association, 18(3), 219–226.
http://doi.org/10.1097/NJH.0000000000000250