Answer:
Primary economic activity
Explanation:
Jamestown Virginia was the strongest in the 1700s
1) i know only one industrial revolution that started in England
2) railroad made trading and transportation easier
The nurse should assess the efforts that the family has made to deal with their current situation.
The referral should be made if the family has done all the possible efforts possible but still unable to resolve the problem. Usually when the family said "we're at the end of the rope" , or "we don't know what to do anymore" could be taken as an indicator

Alfonso's average speed was 400 meters per minute.