Can you identify what are her “real” versus “potential” health risks?

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Essay
As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria Garcia is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get six hours of sleep per night, but that is okay with her. She lives one hour from campus and commutes each day. Use Healthy People 2020 as one reference source: http://www.healthpeople.gov
Healthy People 2020 focuses on various health objectives as discussed in your lesson. Wellness, policy, health promotion and preventing diseases are the primary focuses of this health initiative. Your lesson states “The goals include the following: eradication of preventable disease; reducing health disparities through a determinants of health approach by improving the holistic health of all groups of people; creation of environments to promote good health for all; and promotion of health development across all ages” (Healthy People 2020, 2010).
What would you think being in Maria’s shoes? How would you begin to work on one of Maria’s health risks? Can you identify what are her “real” versus “potential” health risks?Why is Maria’s culture important when obtaining the health assessment?Pick one of Maria’s health risks. What would be one reasonable short term goal for this risk?What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.
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Determine the total amount of payroll checks and purchase requisitions processed per year by the company and each division.

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Subject: Business    / Accounting

Service Department Charges

In divisional income statements prepared for Mills Construction Company, the Payroll Department costs are charged back to user divisions on the basis of the number of payroll checks, and the Purchasing Department costs are charged back on the basis of the number of purchase requisitions. The Payroll Department had expenses of $65,360, and the Purchasing Department had expenses of $29,500 for the year. The following annual data for Residential, Commercial, and Government Contract divisions were obtained from corporate records:
Residential    Commercial    Government
Contract
Sales    $ 617,000        $ 817,000        $ 1,876,000
Number of employees:
Weekly payroll (52 weeks per year)    165        60        65
Monthly payroll    32        43        30
Number of purchase
requisitions per year    2,100        1,500        1,400

a. Determine the total amount of payroll checks and purchase requisitions processed per year by the company and each division.
Residential    Commercial    Government Contract    Total
Number of payroll checks:
Weekly payroll
Monthly payroll
Total
Number of purchase requisitions per year:

b. Using the activity base information in (a), determine the annual amount of payroll and purchasing costs charged back to the Residential, Commercial, and Government Contract divisions from payroll and purchasing services. If required, round your answers to two decimal places. Do not round your interim calculations, round your answers to two decimal places, if required.
Service department charge rates:
Payroll Department    $ per check
Purchasing Department    $ per requisition

Residential    Commercial    Government Contract    Total
Service department charges:
Payroll Department    $    $    $    $
Purchasing Department    $    $    $    $
Total    $    $    $

c. Residential’s service department charge is

than the other two divisions because Residential is a user of service department services. Residential has many employees on a weekly payroll, which translates into a

number of check-issuing transactions.

 

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Review the Marroquin article in this week’s Learning Resources. If you suspect prostate cancer, consider whether or not you would recommend a biopsy.

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Review the Marroquin article in this week’s Learning Resources. If you suspect prostate cancer, consider whether or not you would recommend a biopsy.

urine frequency

Paper details:

Urinary Frequency

Urinary frequency is a genitourinary disorder that presents problems for adults across the lifespan. It can be the result of various systemic disorders such as diabetes, urinary tract infections, enlarged prostates, kidney infections, or prostate cancer. Many of these disorders have very serious implications requiring thorough patient evaluations. When evaluating patients, it is essential to carefully assess the patient’s personal, medical, and family history prior to recommending certain physical exams and diagnostic testing, as sometimes the benefits of these exams do not outweigh the risks. In this Discussion, you examine a case study of a patient presenting with urinary frequency. Based on the provided patient information, how would you diagnose and treat the patient?

Consider the following case study:
A 52-year-old African American male presents to an urgent care center complaining of urinary frequency and nocturia. The symptoms have been present for several months and have increased in frequency over the past week. He has been unable to sleep because of the need to urinate at least hourly all day and night. He does not have a primary care provider and has not seen a doctor in more than 10 years. His father died when he was a child in an automobile accident, and his mother is 79 years old and has hypertension. The patient has no siblings. His social history includes the following: banker by profession, divorced father of two grown children, non-smoker, and occasionally consumes alcohol on weekends only.

To prepare:
•Review Part 13 of the Buttaro et al. text in this week’s Learning Resources.
•Review the case study and reflect on the information provided about the patient.
•Think about the personal, medical, and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation.
•Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study.
•Reflect on a possible diagnosis for the patient.
•Review the Marroquin article in this week’s Learning Resources. If you suspect prostate cancer, consider whether or not you would recommend a biopsy.
•Think about potential treatment options for the patient.
Content of paper should have all of the following
1. a description of the history that you need to obtain from the patient in the case study.2. Include a list of questions that you might ask the patient.3. Then, describe types of physical exams 4. diagnostics that might be appropriate for evaluation of the patient.5. Finally, explain a possible diagnosis, 6 potential treatment options for the patient based on this diagnosis and 7 conclusion and introduction
Resources
Readings
•Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby. ?Part 13, “Evaluation and Management of Genitourinary Disorders” (pp. 723–793)

This part explores the pathophysiology, clinical presentation, and management of genitourinary disorders, including incontinence and prostate disorders. It also provides a differential diagnosis for genitourinary disorders.
?Part 14, “Evaluation and Management of Gynecologic Concerns” (pp. 794–886)

This part examines the pathophysiology and clinical presentation of health problems affecting women, and explores intervention and prevention methods for these health concerns.

•Marroquin, J. (2011). To screen or not to screen: Ongoing debate in the early detection of prostate cancer. Clinical Journal of Oncology Nursing, 15(1), 97–98.
Retrieved from the Walden Library databases.

This article analyzes the controversy surrounding prostate cancer screening. The strengths and limitations of prostate cancer screenings are also examined.

Optional Resources
•Drugs.com. (n.d.). Retrieved November 28, 2012, from www.drugs.com
•Institute for Safe Medication Practices. (n.d.). Retrieved November 28, 2012, from http://www.ismp.org/
•WebMD. (2012). Medscape. Retrieved from http://www.medscape.com/

 

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.

.

 

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If you buy some 10-year zero coupon bonds for $400 each today will the bonds meet your return requirements?

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In essence, capital budgeting is the process of:A. Deciding what to do with the firm’s moneyB. Deciding how much capital the firm needsC. Deciding where to get the money for capital investment projectsD. Deciding when to invest in a new projectQuestion 2Which of the following cash flows is an “incremental cash flow” for the purposes of capital budgeting?A. Expenditures on plant and equipment for a new projectB. R& D expenditures for a new project during the last three yearsC. Dividend paymentsD. Reduction of a competitor’s sales as a result of the your company’s introduction of a new productQuestion 3In capital budgeting, the payback period is the:A. Amount of time it takes to receive all the future cash flows from a projectB. Amount of time it takes to pay back any money borrowed to finance the projectC. Amount of time it take for the project to be completedD. Amount if time it takes to recoup the initial investment for the projectQuestion 4The Seattle Corporation has been presented with an investment opportunity which will yield cash flows of $30,000 per year in Years 1 through 4, $35,000 per year in Years 5 through 9, and $40,000 in Year 10. This investment will cost the firm $150,000 today, and the firm’s cost of capital is 10 percent. At what point will the initial investment be paid back?A. at the end of the 4th yearB. at the end of the 5th yearC. at the end of the 6th yearD. at the end of the 7th yearQuestion 5Consider the following income statement and answer the question that follows: Sales (100 units)…………..$200 Variable costs ($.20 ea)……20 Fixed Costs…………………..80 EBIT…………………………..100 Interest Expense…………….30 EBT……………………………70 Income tax…………………..24 Net Income…………………..46 What is the firm’s Breakeven Point in units?A. 1B. 45C. 56D. 2,000Question 6The net present value of an investment is its present value minus its future value.A. trueB. falseQuestion 7If the NPV of a proposed project is positive, the NPV amount represents:A. The amount of profit the firm will make if it adopts the projectB. The amount of cash that the project will produce if adoptedC. The amount of value that will be added to the firm if the project is adoptedD. The project’s expected rate of returnQuestion 8Joe the cut-rate bond dealer has offered to sell you a ten year zero-coupon bond for $300. (Remember, zero-coupon bonds pay their owners $1,000 at maturity and involve no other cash flows other than the purchase price.) If your required rate of return for cut-rate bonds is 20%, what is the NPV of Joe’s deal?A. about $161B. about -$138C. about $700D. about -$200E. about $1096Question 9When using the IRR method to evaluate investments, those with positive IRRs are accepted and those with negative IRRs are rejected.A. trueB. falseQuestion 10You’ve decided to give up playing the stock market and buy some zero-coupon bonds from Joe the cut-rate bond dealer instead. (Remember, zero-coupon bonds because they pay off a known amount, $1,000, at maturity and involve no other cash flows other than the purchase price.) Assume your required rate of return is 12%. If you buy some 10-year zero coupon bonds for $400 each today will the bonds meet your return requirements?A. YesB. NoC. It depends

 

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On an aggregate demand and aggregate supply graph, the stagflation of the 1970s

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ECO 102/ ECO 102 Midterm Exam (Score 100%)
1) On an aggregate demand and aggregate supply graph, the stagflation of the 1970s can be represented as a
a. leftward shift of the aggregate supply curve
b. rightward shift of the aggregate supply curve
c. rise in the price level that caused an excess demand for output
d. rightward shift of the aggregate demand curve
e. decrease in the price level that caused an excess supply of output
2) Economic fluctuations (or business cycles)
a. Are changes in the number of business started
b. are fluctuations in the Dow Jones industrial average relative to a long-term growth trend
c. look at the role of business in the hiring resources
d. are fluctuations in the level of economic activity, relative to a long-term growth trend
e. are changes in govt spending that occur over a period of years
3) According to Keynes, “animal spirits”
a. make investment spending unstable
b. make consumption spending unstable
c. make government spending inherently stable
d. guide the economy back to equilibrium after a disruption
e. create the federal government budget deficits that have become so common today
4) The Reagan administration’s 1981 investment tax changes were designed to
a. stimulate aggregate demand and thereby reduce unemployment
b. stimulate aggregate demand and thereby increase economic growth
c. stimulate aggregate supply and thereby increase economic growth
d. decrease aggregate demand in order to reduce inflation
e. increase tax revenues to reduce the federal budget deficit
5) A recession is a period during which
a. employment, production, and income decrease
b. the price level is increasing
c. inventories are falling dramatically
d. the unemployment rate is falling while the price level is rising
e. the government attempts to reduce a budget deficit by reducing taxes and increasing government spending

6) Double counting in the value added approach to GDP refers to
a. corporate income being taxed twice
b. the amount of income taxes paid to states that is taxable by the federal government
c. calculating GDP twice using the income and expenditures methods
d. adding the value of exports to GDP and subtracting the value of imports
e. counting the total value of a final output in addition to the value of the inputs used to make it
7) The GDP price index
a. involves all final goods and services produced in the economy
b. is derived from looking at quantities of goods sold rather than at prices
c. is derived using the prices of only imported and exported goods and services
d. is derived using the implicit prices of goods and services produced by the government
e. involves all goods and services sold in the economy
8) Value added is
a the sum of all income earned by resource suppliers
b. actual investment minus planned investment
c. any payment of income that adds to the domestic spending stream
d. the value of a product minus the cost of materials
e. the increase in the value of a financial asset such as a stock or bond
9) Nominal GDP is measured in
A. current-year prices
B. base-year prices
C. real dollars
D. quantity of goods produced
E. hours of employment
10) Which of the following is an injection into the spending stream?
a. planned investment
b. imports
c. indirect business taxes
d. disposable income
e. interest on savings
11) Seasonal unemployment results from
A. unrealistic expectations about the availability of employment
B. being in the wrong geographical location
C. taking the time to find the best job
D. decreases in demand for labor at certain times of the year
E. periodic increases in business activity

12) a recent college graduate who is still looking for their first job, would be considered as
a. a discouraged worker
b. underemployed
c. overemployed
d. unemployed
e. not in the labor force
13) In the United States
a. the average inflation rate was higher before 1950 than after
b. the average inflation rate was higher after 1950 than before
c. inflation caused no serious problems before World War II
d. inflation caused no serious problems after World War II
e. the implicit price deflator was used to measure inflation before World War II, and the consumer price index has been used since then.
14) Since World War II, the U.S. economy has experienced
a. a decrease in the civilian labor force
b. a decrease in the number of unemployed persons
c. a decrease in the number of employed persons
d. an increase in the labor force
e. a declining unemployment rate as a general trend
15) When the economy is at full employment, what types of unemployment may exist?
a. None
b. structural and frictional
c. seasonal and cyclical
d. frictional, cyclical, and structural
e. cyclical
16) Over the last 100 years, the U.S. labor productivity growth rate experienced its largest declines
a. during the Great Depression
b. in the 1940s
c. during the 1950s
d. during the 1980s
17) The term industrial policy refers to
a. the policy industries develop to promote growth
b. industry policy related to marketing strategies
c. the illegal activity that firms sometimes engage in to reduce competition
d. government policy arrived at enhancing our competitiveness with foreign industry
18) which of the following would not be considered a developed country?
a. Pakistan
b. The US
c. Japan
d. Australia
e. Belgium
19) Which of the following is the best indicator of the standard of living?
a. Nominal GDP
b. Real GDP
c. Real GDP per capita
d. Productivity
e. Productivity per unit of labor
20) Over the last 100 years, U.S. labor productivity grew the fastest
a. During the depression
b. In the 1940s
c. In the first half of the period
d. During the 1960s
e. During the 1980s an increase in the labor force participation rate of women

 

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Discuss and explain the concept of “greening the supply chain”

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Discuss and explain the concept of “greening the supply chain”

Question
Discuss and explain the concept of “greening the supply chain”. An answer must be presented in complete sentences, written inthird person and include at least on in text citation (APA). The answer length must be a minimum of250 words.

Discuss and explain the concept of “greening the supply chain”

 

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describe how this miscommunication could have been prevented.

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As nurses, we often work with physicians or other healthcare team members whose native language is not English. In fact, some of you may have interviewed a non-native English speaker for your Course Project.Share an example of miscommunication that has occurred as a result of this disparity.Reflect on your new-found knowledge of transcultural nursing, and describe how this miscommunication could have been prevented.

 

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Determine the organizational culture Examine the ethical climate of the organization

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simplesimon

Assignment 3: Ethical Climate Survey

Due Week 9 and worth 300 points

A study by the U.S. Sentencing Commission recognized the importance of organizational culture and its impact on an organization’s commitment to ethical conduct and compliance with the law (LRN, 2006). Imagine that a business of your choosing is concerned about recent ethical breaches by its employees. The business has hired you as a consultant to evaluate the current ethical climate of the organization. The leadership has requested that you to develop a comprehensive survey that the business can use to determine the ethical climate of the organization. Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

In preparation for this assignment, read the article titled “Measuring Your Organization’s Climate for Ethics: The Survey Approach”. Also, for tips on writing effective survey questions read the article titled, “Writing Good Survey Questions”, located at https://www.surveymonkey.com/mp/writing-survey-questions/.

Write a four to six (4-6) page paper in which you:

Provide a brief (one [1] paragraph) description of the organization for which you are providing consulting services. Recommend key steps that the organization can take to create a strong culture. Develop an introduction paragraph to the survey explaining the tie between organizational culture and ethical conduct. Designate at least two (2) groups within the organization who will take the survey, and provide a rationale as to why these two (2) groups should complete the survey. Develop a one (1) paragraph invitation to participate in the survey explaining the purpose and intended use of the survey. Develop criteria for conducting the ethical climate survey of the organization. The criteria should identify: Who the target audience is; The method by which the you will administer the survey; Instructions for participants on accessing and completing the survey. Construct at least three (3) sample questions that address each of the following areas (12 questions total). At least two (2) of the twelve (12) questions should require an open-ended response. Determine the organizational culture Examine the ethical climate of the organization Examine the impact of existing ethics training program(s) Determine the overall satisfaction of employees with the management on leading the organization in an ethical manner Write a concluding paragraph that summarizes the intent, the purpose, and expected impact of conducting the ethical climate survey. Use at least three (3) quality academic references in this assignment. You may include the resource(s) provided in the assignment. Note: Wikipedia does not qualify as an academic resource.

 

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This week, you focused on bipolar disorder

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This week, you focused on bipolar disorder and the related diagnoses of cyclothymia and schizoaffective disorder. Bipolar disorder can be difficult to diagnose since people typically come for treatment when they are experiencing depression and not when they are experiencing a manic episode. Some people do not wish to be treated when they are going through the highs of a manic episode. While exploring these concepts, share your answers to the following questions:What are some aspects of a manic episode that might lead a person to be resistant toward treatment? Is it possible that someone can experience a manic episode and maintain a productive lifestyle without seeking professional help? Why or why not? How do the symptoms of bipolar disorder differ in children and adolescents from adults? How are the symptoms of bipolar disorder similar to those of other disorders in children, a problem that might create confusion for diagnosing? Do you think physicians and mental health professionals do an adequate job distinguishing bipolar disorders from other disorders in children? Why or why not?

 

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Find and join the following online communities: General community Interest-based social network Affinity community

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Find and join the following online communities: General community Interest-based social network Affinity community Create a 2- to 3-page document for grading that includes: The website URLs of the three communities you joined, specifically showing your individual page A discussion of the benefits of each of the communities and how you intend to utilize these communities going forward Submit your assignment to the Assignment Files tab above

 

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