Category: Nursing

  • Eczema unresponsive to treatment

    Eczema unresponsive to treatment

    Patient care hinges in part on adequate and timely information exchange between treating providers. Referral and reply letters are common means by which doctors and nurse practitioners exchange information pertinent to patient care.

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    Ensuring that letters meet the needs of letter recipients saves time for clinicians and patients, reduces unnecessary repetition of diagnostic investigations, and helps to avoid patient dissatisfaction and loss of confidence in medical practitioners.As a Nurse Practitioner (NP) you will need to know the difference between a consultation and a referral for treatment, when ordering and when carrying out consultations or referrals.ConsultationsA consultation is a request for opinion or advice, so that the requestor can manage the patient. A consultation is billed under one of the consultation codes listed in Physicians’ Current Procedural Terminology (CPT) (99241-99245 for outpatient of office consultations). If the NP is the consultant, the NP should document the request for a consultation, the reason for the consult, and the NP’s evaluation and recommendations.When an NP requests a consultation from another provider, the N P should request “consultation” on the referral form, rather than “referring.”
    Referrals:
    A referral is made when the referring provider wants to turn the management of the patient over to the referred-to provider, at least for the current complaint.When a NP refers a patient, the NP should state on the referral form that the NP is “referring the patient for evaluation and treatment.” The referred-to provider will bill an evaluation and management code, rather than a consultation code. 
    Writing Assignment: Consult:
    Write up a consult request and include all key elements.Ms. Perez has been referred to Ms. Wilson FNP-C,APRN, MSN  for consultation regarding eczema unresponsive to treatment in the past six months. Document the evaluation and recommendations for how Ms. Wilson FNP-C,APRN,MSN should deal with the consultation request and bill a consultation code eczema unresponsive to treatment. 
    Writing Assignment: Referral:
     Write up a referral request and include all key elements.As an NP and Ms. Perez primary care provider, you decide to refer her to Dr. Owens a dermatologist for evaluation and treatment regarding eczema unresponsive to treatment in the past six months.1. Document your referral to Dr. Owens2. Document the evaluation and recommendations for how Dr. Owens should deal with the referral and bill a referral code.

    Written Paper (Microsoft Word doc): minimum 2000 words using 6th edition APA formatting  Please review the grading rubric under Course Resources in the Grading Rubric section. eczema unresponsive to treatment.

  • Reflective Practice: Pants on Fire

    Reflective Practice: Pants on Fire

    Read the section titled “Reflective Practice: Pants on Fire” from chapter “Health Policy, Politics, and Professional Ethics” and address the questions below:

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    How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?

    Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?

    Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act? Reflective Practice: Pants on Fire

    Reflective Practice: Pants on Fire

    Sarah Palin is famous for urging her supporters to oppose Democratic plans for health care using the scare tactic of death panels. She said the Democrats plan to reduce health care costs by simply refusing to pay for care:

    And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.

    In fact there was no panel in any version of the health care bills in Congress that judges a person’s level of productivity in society to determine whether they are worthy of health care.

    The truth is that the proposed health bill would have allowed Medicare, for the first time, to pay for optional doctors’ appointments for patients to discuss living wills and other end-of-life issues with their physicians. PolitiFact awarded Palin with the 2009 Lie of the Year for the death panel claim, but the political impact of her statement is hard to overstate. In 2011, the Obama administration even deleted all references to end-of-life planning in a new Medicare regulation when opponents interpreted the move as a back-door effort to allow such planning. So even, in the regulations Palin achieved her goal (Holan, 2009). Reflective Practice: Pants on Fire

  • NURS 6670 Reimbursement Rate Template

    NURS 6670

    Reimbursement Rate Template

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    Type of Service

    eg. -New office visit

    -Established office visit

    -Inpatient hospital

    -individual psychotherapy

    -group psychotherapy (see examples below)

    CPT code

    Private insurer reimbursement rate for PMHNP

    Private insurer reimbursement rate for physicians

    Medicare

    reimbursement rate for PMHNP

    Medicare

    reimbursement rate for physician

     

     

     

     

    NURS 6670 Reimbursement Rate Template

     

     

     

     

     

     

     

    As the PMHNP becomes proficient in diagnosing and treating, it is also important to learn how to bill for your time. The CMS sets up codes to identify the type of service you are providing. You will generally complete this task at the end of the visit as you are documenting the visit with the client. Here are examples of the codes to know:

    CPT Codes for Psychiatric and Psychological Procedures

     

    HMSA recognizes the following service codes for the reporting of psychiatric and psychological services. (See
    Code Books
    for information on how to obtain the books.) NURS 6670 Reimbursement Rate Template.

     

    CPT Code

    Footnote(s)

    Description

    90791

    1

    Psychiatric diagnostic evaluation

    90792

    1,3

    Psychiatric diagnostic evaluation with medical services

    90832

    2

    Psychotherapy, 30 minutes with patient and/or family member

    90833

    2,3

    Psychotherapy, 30 minutes with patient and/or family member when performed with an evaluation and management service

    90834

    4

    Psychotherapy, 45 minutes with patient and/or family member

    90836

    3,4

    Psychotherapy, 45 minutes with patient and/or family member when performed with an evaluation and management service

    90837

    6

    Psychotherapy, 60 minutes with patient and/or family member

    90838

    3,6

    Psychotherapy, 60 minutes with patient and/or family member when performed with an evaluation and management service

    90839

    6

    Psychotherapy for crisis; first 60 minutes

    90840

    2

    each additional 30 minutes

    90846

    4

    Family psychotherapy (without the patient present)

    90847

    4

    Family psychotherapy (conjoint psychotherapy) (with patient present)

    90849

    4

    Multiple-family group psychotherapy

    90853

    4

    Group psychotherapy (other than of a multiple-family group)

    90870

    1, 5

    Electroconvulsive therapy (includes necessary monitoring)

    96101

    1

    Psychological testing (includes psychodiagnostic assessment of personality, psychopathology, emotionality, intellectual abilities, e.g., WAIS-R, Rorschach, MMPI) with interpretation and report, per hour. NURS 6670 Reimbursement Rate Template.

     

    Note:
    All hours of psychological testing done on a single day will be counted as one visit (either inpatient or outpatient as appropriate) toward the patient’s inpatient or outpatient visit maximum. However, payment will be made to the participating provider on a per-hour basis.

    96118

    1

    Neuropsychological testing battery (e.g., Halstead-Reitan, Luria, WAIS-R) with interpretation and report, per hour

     

    Note:
    All hours of psychological testing done on a single day will be counted as one visit (either inpatient or outpatient as appropriate) toward the patient’s inpatient or outpatient visit maximum. However, payment will be made to the participating provider on a per-hour basis.

     

    Links to websites that discuss this:

    https://www.psychiatry.org/psychiatrists/practice/practice-management/coding-reimbursement-medicare-and-medicaid/coding-and-reimbursement

    http://www.mb-guide.org/medical-coding-guidelines.html

    NURS 6670 Reimbursement Rate Template

  • Calculating t-tests for Independent Samples

    Calculating t-tests for Independent Samples Question description

    Calculating 
    t
    -tests for Independent Samples: Hello, help needed on these questions.

    Data Set: 
    Click to use this data set for this assignment

    EXERCISE 31

    Calculating 
    t
    -tests for Independent Samples

    1. Do the example data meet the assumptions for the independent samples 
    t
    -test? Provide a rationale for your answer.

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    2. If calculating by hand, draw the frequency distributions of the dependent variable, wages earned. What is the shape of the distribution? If using SPSS, what is the result of the Shapiro-Wilk test of normality for the dependent variable?

    3. What are the means for two group’s wages earned?

    4. What is the independent samples 
    t
    -test value?

    5. Is the 
    t
    -test significant at 
    a 
    = 0.05? Specify how you arrived at your answer.

    6. If using SPSS, what is the exact likelihood of obtaining a 
    t-
    test value at least as extreme or as close to the one that was actually observed, assuming that the null hypothesis is true?

    7. Which group earned the most money post-treatment? Calculating t-tests for Independent Samples.

    8. Write your interpretation of the results, as you would in an APA-formatted journal.

    9. What do the results indicate regarding the impact of the supported employment voca­tional rehabilitation on wages earned?

    10. Was the sample size adequate to detect significant differences between the two groups in this example? Provide a rationale for your answer.

    EXERCISE 32 

    Calculating 
    t
    -tests for Paired (Dependent) Samples

    Data Set: 
    Click to use this data set for this assignment

    1. Do the data meet the assumptions for the paired samples 
    t
    -test? Provide a rationale for your answer.

    2. If calculating by hand, draw the frequency distributions of the two variables. What are the shapes of the distributions? If using SPSS, what are the results of the Shapiro-Wilk tests of normality for the two variables?

    3. What are the means for the baseline and post-treatment affective distress scores, respectively?

    4. What is the paired samples 
    t
    -test value?

    5. Is the 
    t
    -test significant at α = 0.05? Specify how you arrived at your answer.

    6. If using SPSS, what is the exact likelihood of obtaining a 
    t-
    test value at least as extreme as or as close to the one that was actually observed, assuming that the null hypothesis is true?

    7. On average, did the affective distress scores improve or deteriorate over time? Provide a rationale for your answer. Calculating t-tests for Independent Samples.

    8. Write your interpretation of the results as you would in an APA-formatted journal.

    9. What do the results indicate regarding the impact of the rehabilitation on emotional dis­tress levels?

    10. What are the weaknesses of the design in this example? Calculating t-tests for Independent Samples.

  • Mrs. Klausman assisted living facility Case Study

    Mrs. Klausman assisted living facility Case Study

    Can Mrs. Klausman Stay in Assisted Living?

    Mrs. Klausman is a 92-year-old resident in an assisted living facility. She has a mild cognitive impairment and needs help with bathing and medication administration. Because of progressive arthritis, she is having difficulty eating. The silverware slips out of her hands and falls to the floor so that staff members must keep replacing it. Mrs. Klausman becomes visibly frustrated and embarrassed. The food service manager and the administrator decide to meet with Mrs. Klausman’s daughter and recommend that the family should hire a home care provider to assist Mrs. Klausman at mealtimes. The facility does not have staff resources to feed residents. The resident’s daughter is thinking whether a skilled nursing facility would be more appropriate for her mother.

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    Questions

    1.  Identify and evaluate Mrs. Klausman’s deficit in self-feeding from different perspectives on what long-term care consists of.

    2.  Should Mrs. Klausman be transferred to a skilled nursing facility? Explain.

    3.  Is hiring a homemaker appropriate? Why or why not? What do you suggest? Mrs. Klausman assisted living facility Case Study

    Chapter 1 Case study

    Identify and evaluate Mrs. Klausman’s deficit in self-feeding from different perspectives on what long-term care consists of. Long-term care is associated with physical and/or mental deficits that limit a person’s ability to do regular daily tasks that most humans take for granted. Long -term care services are needed under three circumstances such as the need for assistance in doing tasks of daily living, need for continuity of care after hospitalization, and need for care in specialized environments. There are two standard measures that are available to assess a person’s level of dependency which are the activities of daily living(ADL) and instrumental activities of daily living(IADL). In Mrs. Klausman’s case, she falls under the ADL measure by her level of dependency. Due to her progressive arthritis, she is unable to feed herself and that is one of the daily living activities she needs assistance with. Mrs. Klausman assisted living facility Case Study.

    Should Mrs. Klausman be transferred to a skilled nursing facility? Explain. I think Mrs. Klausman should be transferred to a skilled nursing facility because she has a mild cognitive impairment, she needs help with bathing and medication application, and she also has progressive arthritis which makes it difficult for her to feed herself. Mrs. Klausman assisted living facility Case Study. So, a skilled nursing facility will be good for her and it is adequately equipped to care for someone with complications such as herself.

    Is hiring a homemaker appropriate? Why or Why not? What do you suggest? A homemaker would not be appropriate because Mrs. Klausman needs more than just assistance during meal-time. She has a mild cognitive impairment which is a mental disorder that is indicated by a person having difficulty remembering, learning new things, concentrating, or making decisions that affect the individual’s everyday life. She would need around the clock care and assistance during meal-time is not enough. If Mrs. Klausman’s daughter decides to get a home-maker, I would suggest she get a skilled nurse from the skilled nursing facility who can assist Mrs. Klausman’s multiple conditions and needs. Mrs. Klausman assisted living facility Case Study

  • World Health Organization’s (WHO) global health agenda

    World Health Organization’s (WHO) global health agenda

    To Prepare:

    Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.

    Select at least one additional country to compare to the U.S. for this Assignment.

    Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected. World Health Organization’s (WHO) global health agenda.

    Review and download the Global Health Comparison Matrix provided in the Resources.

    The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

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    Part 1: Global Health Comparison Matrix

    Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

    Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.

    Explain the strengths and weaknesses of each policy.

    Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.

    Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected. World Health Organization’s (WHO) global health agenda.

    Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.

    Explain how the health policy you selected might impact the role of the nurse in each country.

    Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

    Part 2: A Plan for Social Change

    Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader. World Health Organization’s (WHO) global health agenda.

    In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

    Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.

    Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.

    Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples. World Health Organization’s (WHO) global health agenda

  • Counseling Adolescents Discussion

    Counseling Adolescents Discussion

    Discussion: Counseling Adolescents – The adolescent population is often referred to as “young adults,” but in some ways, this is a misrepresentation. Adolescents are not children, but they are not yet adults either. This transition from childhood to adulthood often poses many unique challenges to working with adolescent clients, particularly in terms of disruptive behavior. In your role, you must overcome these behaviors to effectively counsel clients. Counseling Adolescents Discussion. For this Discussion, as you examine the Disruptive Behaviors media in this week’s Learning Resources, consider how you might assess and treat adolescent clients presenting with disruptive behavior.

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    Learning Objectives: Discussion: Counseling Adolescents

    Students will:

    Assess clients presenting with disruptive behavior

    Analyze therapeutic approaches for treating clients presenting with disruptive behavior

    Evaluate outcomes for clients presenting with disruptive behavior

    To prepare:

    Review this week’s Learning Resources and reflect on the insights they provide.

    View the media, Disruptive Behaviors. Select one of the four case studies and assess the client.

    For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in this week’s Learning Resources.

    Note: To complete this Discussion, you must assess the client, but you are not required to submit a formal Comprehensive Client Assessment. Counseling Adolescents Discussion.

    Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the ”Post to Discussion Question” link and then select ”Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

    By Day 3 of Discussion: Counseling Adolescents

    Post an explanation of your observations of the client in the case study you selected, including behaviors that align to the criteria in DSM-5. Counseling Adolescents Discussion. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature.

    Read a selection of your colleagues’ responses.

    Learning Resources

    Discussion: Counseling Adolescents Required Readings

    Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. Counseling Adolescents Discussion.

    Chapter 17, “Psychotherapy With Children” (pp. 597–624)

    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Discussion: Counseling Adolescents Note: You will access this text from the Walden Library databases.

    Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9(2), 4–8. doi:10.1037/h0100991

    Note: You will access this article from the Walden Library databases.

    Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247–1256. PMID:14566959

    Note: You will access this article from the Walden Library databases. Counseling Adolescents Discussion.

    McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453–464. doi:10.1037/ccp0000081

    Note: You will access this article from the Walden Library databases.

    Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. Psychotherapy, 51(1), 93–103. doi:10.1037/a0030930

    Note: You will access this article from the Walden Library databases.

    Discussion: Counseling Adolescents Required Media

    Laureate Education (Producer). (2013a). Disruptive behaviors – Part 1 [Multimedia file]. Baltimore, MD: Author. Counseling Adolescents Discussion.

    Laureate Education (Producer). (2013a). Disruptive behaviors – Part 2 [Multimedia file]. Baltimore, MD: Author.

    Walker, R. (n.d.). Making child therapy work [Video file]. Mill Valley, CA: Psychotherapy.net.

    Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 95 minutes.

    Optional Resources

    Bruce, T., & Jongsma, A. (2010a). Evidence-based treatment planning for disruptive child and adolescent behavior [Video file]. Mill Valley, CA: Psychotherapy.net.

    Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 63 minutes. Counseling Adolescents Discussion.

  • MCQs for physiology

    MCQs for physiology Question 1

    MCQs for physiology: T F For an MNE to exist, first foreign countries must provide location-specific advantages to attract the company to invest there, second the company must have ownership-specific advantages that counteract its liability of foreignness, third the company must have the organizational capability to leverage its strategic advantages more effectively internally than externally.

    True

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    False

    MCQs for physiology Question 2

    T F An MNE with an ‘international perspective’ will typically be managed as a coordinated federation.

    True

    False

    Question 3

    T F An MNE with a ‘multinational perspective’ will typically be managed as a coordinated federation.

    True

    False

    Question 4

    T F An MNE with a ‘global perspective’ will typically manage its operations centrally.

    True

    False

    MCQs for physiology Question 5

    T F An MNE with a ‘transnational perspective’ will typically be managed as an integrated network.

    True

    False

    Question 6

    T F Emerging motivations for internationalization include the desire to enhance the firm’s competitive position and the desire to develop global scanning capabilities.

    True

    False

    Question 7

    Which of the following correctly describes the sequential evolution in management thinking with respect to the strategic role of foreign operations in emerging MNEs?

    a. global mentality, multinational mentality, international mentality, transnational mentality.

    b. international mentality, global mentality, transnational mentality, multinational mentality.

    c. multinational mentality, global mentality, international mentality, transnational mentality.

    d. international mentality, multinational mentality, global mentality, transnational mentality.

    e. all of the above

    Question 8

    An MNE is a(n):

    a. import-export company that actively trades in foreign markets.

    b. company that passively manages its substantial foreign direct investment.

    c. import-export company that actively manages its foreign investment portfolio.

    d. company that actively manages substantial foreign direct investment.

    e. All of the above

    Question 9

    Which of the following constitutes a list of foreign entry modes that involve the MNE to make a foreign investment?

    a. Greenfield, acquisition, joint venture and capital participation

    b. Greenfield, acquisition, joint venture and license

    c. Franchising, acquisition, joint venture and capital participation

    d. Greenfield, acquisition, cooperation agreements and capital participation

    e. none of the above

    Question 10

    One motivation behind internationalization is to sustain the firm’s competitive position. To pursue a sustainable competitive position relative to its rivals in the athletic clothing industry, Nike attempts to:

    a. preempt markets, capture global scale, and secure raw materials

    b. capture global scale, access scarce knowledge, and match competitors

    c. match competitors, capture global scale, and preempt markets

    d. exploit factor cost differences, preempt markets, and match competitors

    e. all of the above

    MCQs for physiology Question 11

    _________ suggests that in the first stage innovations are produced in the home developed country; in the second stage they are exported to other similarly developed countries; in the third stage, they start being produced in these developed countries; in the fourth stage they start being produced in low-wage developing countries.

    a. Vernon’s product cycle theory

    b. Johanson and Vahlne’s stages theory

    c. Dunning’s eclectic theory

    d. Levitt’s globalization theory

    e. none of the above

    Question 12

    A franchise, such as McDonald’s, is a _________ mode of foreign entry.

    a. low commitment, low control

    b. low commitment, moderate control

    c. low commitment, high control

    d. moderate commitment, moderate control

    e. none of the above

    Question 13

    A joint venture is a _________ mode of foreign entry.

    a. low commitment, low control

    b. low commitment, moderate control

    c. low commitment, high control

    d. moderate commitment, moderate control

    e. none of the above

    Question 14

    Three prerequisites that must be satisfied before a national firm can transform itself into a multinational firm include:

    a. scale-based advantages, ownership-specific advantages and contractual capabilities.

    b. location-specific advantages, ownership-specific advantages and organizational capabilities.

    c. scale-based advantages, ownership-specific advantages and organizational capabilities.

    d. location-specific advantages, knowledge advantages and organizational capabilities.

    MCQs for physiology Question 15

    Pashpa Co. is a new manufacturer of home appliances. Pashpa wants to go international. Some of the traditional motivations for pursuing internationalization include:

    a. securing key supplies, seeking new markets, and raising global scanning and learning capabilities

    b. securing key supplies, seeking new markets, and improving competitive positioning

    c. securing key supplies, seeking new markets and accessing low-cost factors of production

    d. securing key supplies, improving competitive positioning, and accessing low-cost factors of production

    All of the above

    Question 16

    T F The search for global competitiveness is the major source of conflict between MNEs and host governments.

    True

    False

    Question 17

    T F Worldwide innovation and learning forces that are encountered by MNEs are driven by factor costs.

    True

    False

    Question 18

    T F In the emerging international environment, most industries can be categorized as multinational, global or international.

    True

    False

    Question 19

    T F A multinational industry is characterized by low national responsiveness and high global integration.

    True

    False

    Question 20

    T F An international industry is characterized by low national responsiveness and moderate global integration.

    True

    False

    3 points

    Question 21

    T F The three conflicting environmental forces that MNEs encounter are cross-border integration and coordination, national differentiation and responsiveness, and worldwide innovation and learning.

    True

    False

    Question 22

    What are the main forces that drive MNEs such as Nokia, the mobile communications company, to innovate and learn on a global scale?

    a. Economic and political forces.

    b. Political and social forces.

    c. Social and informational forces.

    d. Technological and informational forces.

    e. none of the above

    Question 23

    A transnational industry is characterized by _____________.

    a. low national responsiveness and low global integration

    b. low national responsiveness and high global integration

    c. high national responsiveness and low global integration

    d. high national responsiveness and high global integration

    e. none of the above

    MCQs for physiology Question 24

    In a transnational industry, MNEs are expected to

    a. collaborate with their competitors to increase the prices of their products.

    b. build the capability to learn from the many environments in which they operate.

    c. acquire their competitors to increase their pool of resources.

    d. decentralize decisions to better respond to local demands.

    e. none of the above

    Question 25

    Philips, a multinational electronics corporation based in the Netherlands and diversified in the consumer electronics, domestic appliance, lighting, medical systems and medical technology industries would encounter the following forces of local responsiveness:

    a. Cultural differences, government demands and economies of scope

    b. Cultural differences, government demands and factor costs

    c. Cultural differences, government demands and local competitors

    d. Cultural differences, government demands and increasingly liberalized trade environments

    e. none of the above

    Question 26

    What are the main forces that motivate MNEs such as Dell Computers to disaggregate their operations and activities to respond to national, regional and local needs and demands?

    a. Social and economic forces.

    b. Social and political forces.

    c. Political and economic forces.

    d. Economic and psychological forces.

    e. None of the above

    Question 27

    The pressures that drive book publishers such as McGraw-Hill to integrate and coordinate their activities across national boundaries are primarily _________.

    a. economic

    b. political

    c. social

    d. organizational

    e. all of the above

    Question 28

    An industry that is characterized by low national responsiveness and high global integration is a(n)

    a. multinational industry.

    b. global industry.

    c. international industry.

    d. transnational industry.

    e. none of the above

    Question 29

    Which global integration and coordination forces would MNEs, such as Hewlett Packard, encounter?

    a. Economies of scale, increasingly liberalized trade environments and government demands

    b. Economies of scope, factor costs and increasingly liberalized trade environments

    c. Economies of scale, expanding spiral of globalization and local competitors

    d. Economies of scale, economies of scope and government demands

    e. none of the above

    Question 30

    An industry that is characterized by moderate national responsiveness and moderate global integration is a(n)

    a. international industry.

    b. global industry.

    c. transnational industry.

    d. multinational industry.

    e. multinational industry.

    Question 31

    T F The diversity of environments in which the MNE operates enables the firm to develop diverse capabilities and experience multiple learning opportunities.

    True

    False

    3 points

    Question 32

    T F An MNE can maximize each of the following objectives independently – global scale efficiency, multinational flexibility and innovation development.

    True

    False

    Question 33

    T F Cost reductions due to scale-economies are static and constant over time and few dynamic benefits are associated with scale economies.

    True

    False

    MCQs for physiology Question 34

    T F Companies using multinational strategies are characterized by asset and capability configurations that are dispersed, interdependent and specialized.

    True

    False

    Question 35

    T F In addition to capturing cost advantages due to national differences in factor endowments, an MNE can also exploit markets by responding to customer needs and commanding higher prices.

    True

    False

    Question 36

    T F Since efficiency, flexibility and learning are conflicting goals, a transnational company should focus on only one of these goals and try to exploit it through the three sources of worldwide competitive advantage – national differences in both input and output markets, scale economies and scope economies.

    True

    False

    Question 37

    In order to secure worldwide competitive advantage, a multinational firm should pursue all of the following objectives, except:

    a. the development of global-scale efficiencies.

    b. the development of multinational flexibility.

    c. the ability to develop innovation.

    d. maximizing market share in all subsidiaries simultaneously.

    e. Such a firm should pursue all of the above objectives

    Question 38

    Which of the following is not a benefit associated with higher production volumes?

    a. exploiting scale economies.

    b. enhancing innovation.

    c. accumulating learning.

    d. taking advantage of the learning curve effect to further reduce production costs.

    e. All of the above are such benefits

    Question 39

    Which of the following describes the strategic orientation of a multinational company?

    a. focused on developing global efficiency, flexibility and worldwide learning capability simultaneously.

    b. focused on exploiting parent company knowledge and capabilities through worldwide diffusion and adaptation.

    c. focused on building cost advantages through centralized, global scale operations.

    d. focused on building flexibility to respond to national differences through strong, resourceful and entrepreneurial national operations.

    e. none of the above

    Question 40

    Which of the following describes the strategic orientation of a transnational company?

    a. focused on building flexibility to respond to national differences through strong, resourceful and entrepreneurial national operations.

    b. focused on developing global efficiency, flexibility and worldwide learning capability simultaneously.

    c. focused on building cost advantages through centralized, global scale operations.

    d. focused on exploiting parent company knowledge and capabilities through worldwide diffusion and adaptation.

    e. all of the above

    Question 41

    At the annual meeting of the board of directors of LabZaws Co., James Wilson, the CEO of the company, was directed to focus primarily on enhancing the firm’s efficiency. How could he achieve this objective?

    a. focus on cost reduction alone.

    b. focus on revenue enhancement alone.

    c. focus on both cost reduction and revenue enhancement.

    d. downsize and outsource many of the firm’s activities.

    e. none of the above

    Question 42

    Lindux Co., intends to enhance its competitive advantage by exploiting the national differences that prevail in the countries that host its subsidiaries. Which of the following is consistent with this intention?

    a. moving the manufacture of labor-intensive components to Vietnam in order to capitalize on the lower cost labor found in Vietnam.

    b. hiring local managers for its foreign subsidiaries rather than employing expatriates.

    c. centralizing the company’s R&D activities in the home country for reasons of strategic security.

    d. using a common distribution channel for multiple products.

    e. all of the above

    MCQs for physiology Question 43

    Which of the following best describes an international company’s asset and capability configuration?

    a. assets and capabilities are decentralized and nationally self-sufficient.

    b. assets and capabilities are centralized and globally scaled.

    c. assets and capabilities are dispersed, interdependent and specialized.

    d. sources of core competences are centralized, while other assets and capabilities are decentralized.

    e. none of the above

    Question 44

    Which of the following best describes a global company’s asset and capability configuration?

    a. assets and capabilities are centralized and globally scaled.

    b. core competences are centralized, while other assets and capabilities are decentralized.

    c. assets and capabilities are dispersed, interdependent and specialized.

    d. assets and capabilities are decentralized and nationally self-sufficient.

    e. none of the above

    Question 45

    Which of the following best describes scope economies?

    a. cost advantage resulting from production, development or distribution in more than one country.

    b. cost advantage resulting from large volume production, development or distribution.

    c. cost advantage resulting from the joint production, development or distribution of more than one product.

    d. cost advantage resulting from the production, development or distribution of very high quality products.

    e. none of the above

    3 points

    Question 46

    T F In a transnational organization, knowledge is developed at the headquarters and transferred to foreign units.

    True

    False

    Question 47

    T F The key strategic capability associated with the coordinated federation organizational model is global-scale efficiency.

    True

    False

    Question 48

    T F In a transnational organization, the asset and capability configuration can be described as dispersed, specialized and interdependent.

    True

    False

    Question 49

    T F Summit Corp. is transitioning from a multinational strategy to a transnational strategy. It would probably be more effective and less costly if the company commenced its accompanying organizational transition by focusing on changing employees’ attitudes and mentalities, than it would be if it led its efforts by engaging in structural change.

    True

    False

    Question 50

    T F In the transnational organization, capable managers situated in the national subsidiaries act as the primary source for sensing and analysing worldwide opportunities and threats.

    True

    False

    Question 51

    T F Companies that pursue a multinational strategy are inclined to adopt the decentralized federation organizational model.

    True

    False

    Question 52

    T F MNEs that adopted a centralized hub organizational model were able to develop competitive advantage through their ability to transfer knowledge and expertise and adapt it to markets worldwide.

    True

    False

    Question 53

    Which of the following strategy-structure pairs cannot be associated?

    a. Coordinated federation and multinational strategy.

    b. Centralized hub and global strategy.

    c. Decentralized federation and multinational strategy.

    d. Integrated network and transnational strategy.

    e. All of the above such pairs can be associated.

    Question 54

    Isatis Co. has successfully transitioned from a global strategy to a transnational strategy. Which of the following describes the likely configuration of assets and capabilities that now most likely prevails at Isatis?

    a. Decentralized and nationally self-sufficient.

    b. Centralized and globally scaled.

    c. Dispersed, specialized, and interdependent.

    d. Core competencies are centralized; other assets and capabilities are decentralized.

    e. None of the above.

    Question 55

    Which of the following is not a core characteristic of the decentralized federation structure?

    a. Most key assets and resources are decentralized.

    b. Subsidiaries are highly autonomous.

    c. Corporate management regards subsidiaries as largely independent national operations.

    d. Reporting and oversight conflicts prevail.

    e. All of the above are core characteristics of such a structure

    Question 56

    Which of the following describes the preferred sequencing of changes associated with implementing the typically more effective emerging change process model?

    a. Change in individual attitudes and mentalities; then, change in interpersonal relationships and processes; and finally, change in the formal structure and responsibilities

    b. Change in the formal structure and responsibilities; then, change in interpersonal relationships and processes; and finally, change in individual attitudes and mentalities

    c. Change in interpersonal relationships and processes; then, change in the formal structure and responsibilities; and finally, change in individual attitudes and mentalities.

    d. Change in individual attitudes and mentalities; then, change in the formal structure and responsibilities; and finally, change in interpersonal relationships and processes.

    e. None of the above

    MCQs for physiology Question 57

    Which of the following is not a core characteristic of the coordinated federation structure?

    a. Most assets and resources are decentralized but well controlled by the headquarters.

    b. Subsidiaries are regarded as key sources of knowledge and expertise.

    c. Subsidiary control exercised by the headquarters is usually quite formal and rigorous.

    d. Corporate managers tend to regard offshore subsidiaries as extensions of domestic operations.

    e. All of the above are core characteristics of such a structure

    Question 58

    Which of the following is not a characteristic of a transnational strategy?

    a. Multiple diverse perspectives are developed and legitimized.

    b. Physical assets and management capabilities are internationally distributed, yet c. interdependent.

    c. Integrative processes are flexible and robust.

    d. Knowledge is developed centrally and adapted locally.

    e. All of the above are characteristics of such a strategy

    Question 59

    Which of the following is not a characteristic of the centralized hub structure?

    a. Most of the key assets and resources are concentrated in the home country.

    b. Tight strategic and operational controls are maintained over the subsidiaries.

    c. Most of the manufacturing and product development is executed by the subsidiaries.

    d. Corporate management regards its subsidiaries as delivery pipelines to the global market.

    e. All of the above are characteristics of such a structure

    Question 60

    Which of the following statements regarding knowledge diffusion is correct?

    a. In a decentralized federation, knowledge is developed in national subsidiaries and diffused throughout the organization

    b. In a centralized hub, knowledge is developed and retained at the center.

    c. In a coordinated federation, knowledge is developed and retained within each unit.

    d. Knowledge diffusion is independent of structure, such that knowledge diffuses in a quite similar manner in all organizational structures.

    e. All of the above.

    Question 61

    Cool-Colas Ltd. is a national beverage manufacturer situated in India. During the past few years, the company has suffered intense competition from major multinationals such as Coca Cola, Nestlé and Pepsi. What can Cool-Colas do to protect its domestic market?

    Question 62

    What is the key lesson behind the metaphor that develops an organizational change model based on a framework related to anatomy, physiology, and psychology?

     

    Physiology assignment-MCQs

    Physiology assignment-MCQs: Question 1 A nurse is working in a women’s hospital where she is caring for a new mother who is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been ordered. The nurse will observe for which of the following?

    A) Bradycardia

    B) Hypertension

    C) Hypotension

    D) Decreased salivation

    Question 2 A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as

    A) common adverse effects of magnesium sulfate

    B) magnesium sulfate toxicity

    C) a hypersensitivity reaction to magnesium sulfate

    D) an idiosyncratic reaction from the magnesium sulfate

    Question 3 A male patient is taking finasteride for BPH.Which of the following will the nurse evaluate at each clinic visit?

    A) Serum cholesterol levels

    B) Bone growth

    C) Hemoglobin levels

    D) Urinary elimination patterns

    Question 4 A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by this patient most likely indicated a need for this drug?

    A) “My urine is extremely concentrated lately and it smells strong.”

    B) “To be honest, I find that I can’t get an erection for the past few months.”

    C) “My urine’s been cloudy for the last little while and it burns when I go to the bathroom.”

    D) “Lately, I have to get up three or four times a night to go to the bathroom.”

    Question 5 After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from

    A) clomiphene

    B) conjugated estrogen

    C) progesterone

    D) mifepristone

    MCQs for physiology Question 6 A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following?

    A) “You might find that your face becomes flushed or you get a headache after you take Viagra.”

    B) “You should take your Viagra at the same time each morning, ideally on an empty stomach.”

    C) “Make sure that you don’t take any other prescription medications while you’re using Viagra.”

    D) “If you get some heart palpitations or dizziness after you take Viagra, know that this is normal and will pass with time.”

    Question 7 A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED?

    A) The patient takes allopurinol for the treatment of gout

    B) The patient has a family history of osteoporosis and has undergone bone density testing

    C) The patient has unstable angina and uses a nitroglycerin patch

    D) The patient often takes ginseng when he gets a common cold

    Question 8 A pregnant patient who has diabetes has been admitted to the hospital to begin labor.Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include

    A) metabolic alkalosis

    B) uterine tachysystole

    C) electrolyte imbalances

    D) water intoxication

    Question 9 A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also

    A) include adequate amounts of vitamin C in the diet

    B) drink at least 6 to 8 oz of milk daily

    C) stop using artificial sweeteners while taking alendronate

    D) perform light-weight exercises and go for walks

    Question 10 A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is?

    A) Injury, Risk to the fetus related to adverse effects of maternal drug therapy

    B) Injury, Risk to the patient related to failure to receive needed drug therapy

    C) Anxiety related to perceived danger of drug therapy to fetus or infant

    D) Noncompliance with Drug Therapy

    Question 11 The nurse practitioner has recommended that a breast-feeding woman take her prescribed medications just before her infant takes his longest nap of the day. The woman does not understand and asks the nurse to explain. The nurse will tell the woman that the recommendation was made to

    A) increase the blood concentrations of the drug in the breast-feeding infant

    B) reduce neonatal drug exposure

    C) reduce the half-life of the drug

    D) evaluate the drug’s potential adverse effects on the neonate

    MCQs for physiology Question 12 A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to

    A) take an antiemetic or antidiarrheal for adverse GI effects

    B) use an alternative form of birth control, if taking an oral contraceptive

    C) use an aspirin for relief of minor discomforts

    D) take the drug with food

    Question 13 A pregnant patient asks the nurse what over-the-counter medication she can take for recurring headaches. The nurse should recommend

    A) aspirin

    B) advil

    C) tylenol

    D) motrin

    Question 14 A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with

    A) a high-pitched cry

    B) microcephaly.

    C) an electrolyte imbalance

    D) thrombocytopenia

    Question 15 A 68-year-old man is being treated for benign prostatic hypertrophy (BPH) and began treatment with finasteride (Proscar) 3 months ago. When planning the care of this patient, what desired outcome should the nurse prioritize?

    A) The patient will remain free of sexual side effects related to drug therapy

    B) The patient will experience complete bladder emptying

    C) The patient will remain free of urethral pain

    D) The patient will not experience hematuria

    Question 16 A male patient with a medical background tells the nurse that he is not satisfied with the oral synthetic testosterone that has been prescribed for him and he would like to try a natural form of oral testosterone. Which of the following would be an appropriate response by the nurse?

    A) “Natural testosterone undergoes a high first-pass effect and is not used orally.”

    B) “Natural testosterone poses a higher risk of gynecomastia.”

    C) “Natural testosterone undergoes a short first-past effect and is less extensively metabolized than what has been prescribed for you.”

    D) “Natural testosterone would be more effective for you.”

    Question 17 A nurse is caring for a patient who is at 28 weeks’ gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize?

    A) Maternal body temperature

    B) Fetal heart rate (FHR)

    C) Correct fetal position

    D) Fetal blood pressure

    MCQs for physiology Question 18 A nurse is working with a patient in the clinic who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The patient wants to do everything he can to promote effectiveness of the drug. The nurse will instruct him to

    A) avoid taking the drug with a high-protein meal

    B) avoid taking the drug with a high-fat meal

    C) drink plenty of fluids

    D) take a double dose of the drug

    Question 19 A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication

    A) that will be provided in pill form and which may cause lightheadedness

    B) that will be administered as a weekly IM injection in an outpatient setting

    C) that may be prescribed as a patch and which may cause dry mouth

    D) that can be inhaled and that may cause occasional heart palpitations

    Question 20 A nurse is discussing with a 58-year-old male patient the causes of erectile dysfunction in men over 50 years of age. Which of the following will the nurse inform the patient is the primary physical cause of erectile dysfunction of men in this age group?

    A) Emotional stress

    B) Atherosclerosis of the penile artery

    C) Diabetes mellitus

    D) Decrease in testosterone levels

    Question 21 A nurse is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is

    A) whether the pregnant woman uses illegal substances

    B) whether the pregnant woman has health insurance

    C) the pregnant woman’s exercise habits

    D) the pregnant woman’s dietary habits

    Question 22 A man has a demonstrated history of androgen deficiency and the consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient’s erectile dysfunction (ED)?

    A) Sildenafil (Viagra)

    B) Tamsulosin (Flomax)

    C) Exogenous testosterone

    D) Tadalafil (Cialis)

    Question 23 Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen?

    A) Cholestatic jaundice

    B) Amenorrhea

    C) Headaches and chest pain

    D) Breast tenderness

    Question 24 A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is pregnant. During the initial assessment, the nurse learns that the patient is currently taking medications for diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the following medications?

    A) Insulin

    B) Ibuprofen (Advil)

    C) Phenytoin (Dilantin)

    D) Furosemide (Lasix)

    Question 25 A woman is receiving prolonged drug therapy during her complicated pregnancy, and it may pose a risk to both the mother and the fetus. The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse should make sure

    A) that serum levels of the drug are being monitored

    B) that the FDA is informed that the woman is receiving drug therapy

    C) to check the drug’s FDA pregnancy category to determine safety

    D) that only nonpharmacologic alternatives are being used

    Question 26 A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman?

    A) “It’s good to measure your heart rate before you take your Detrol each day, and withhold it if your heart rate is below 60 beats/minute.”

    B) “You’ll probably need to stop taking your hormone replacement therapy when you’re taking Detrol.”

    C) “You’ll likely find that you have scant amounts of blood in your urine for the first few days, but this is not unusual or problematic.”

    D) “You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued.”

    Question 27 The nurse has established peripheral IV access and begun an infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient’s physician to order magnesium sulfate for this patient?

    A) Decreased level of consciousness with a sudden onset

    B) The presence of rales and rhonchi and oxygen saturation less than or equal to 80% on room air

    C) Maternal bradycardia accompanied by a prolonged QT interval

    D) Systolic blood pressure readings in excess of 190 mmHg

    Question 28 The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during

    A) breast-feeding of the neonate

    B) the first 2 months of pregnancy.

    C) the two to 3 weeks prior to delivery

    D) the second trimester

    MCQs for physiology Question 29 Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to

    A) stand or sit upright for at least 30 minutes after taking alendronate..

    B) avoid drinking water with the drug

    C) lift weights in the gym at least five times a week

    D) take calcium and vitamin D supplements

    Question 30 A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects of the drug, the nurse will instruct the patient to do which of the following?

    A) Drink a lot of water

    B) Limit fluid intake

    C) Take the medication at bedtime

    D) Increase the protein in her diet

    Question 31 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following?

    A) Chronic diarrhea

    B) Dental hygiene practices

    C) Headaches

    D) Diet

    Question 32 Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects?

    A) Low blood pressure

    B) Vaginal burning

    C) Increased heart rate

    D) Reduced desire for sexual activity

    Question 33 A male patient is trying to decide if he should use finasteride (Proscar) to treat benign prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which of the following as a risk associated with finasteride therapy?

    A) Excess fluid volume related to potential effects of drug therapy

    B) Hypercalcemia related to drug therapy, immobility, and breast cancer

    C) Sexual dysfunction related to erectile dysfunction

    D) Prostatic neoplasia

    Question 34 A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following?

    A) Lack of secondary sexual characteristics

    B) Cardiovascular complications

    C) Early epiphyseal closure

    D) Decreased libido

    Question 35 A nurse is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs?

    A) Acetaminophen

    B) Salicylates

    C) Furosemide

    D) Digoxin

    Question 36 A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following?

    A) Decreased heart rate

    B) Increased serum drug levels of etoposide

    C) Elevated prothrombin time

    D) Lower liver enzymes

    Question 37 A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following?

    A) Cardiotoxicity

    B) Constipation

    C) Neurotoxicity

    D) Asthma

    Question 38 A nurse is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman’s care provider to prescribe a bisphosphonate?

    A) Height in the lowest quartile of the population and a history of joint pain

    B) Low bone density and a family history of osteoporosis

    C) Complaints of cold intolerance, recurrent constipation, and evidence of diverticular disease

    D) Labile moods and short-term memory deficits

    Question 39 A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because

    A) there is a 40% increase in blood volume during pregnancy

    B) the mother’s heart rate is 10 to 15 beats per minute faster during pregnancy

    C) drugs compete with the hormones of pregnancy for albumin-binding sites

    D) hemodilution of plasma albumin occurs

    Question 40 A 36-year-old woman with a history of dysmenorrhea has begun treatment with progesterone, which she will be receiving by the intramuscular route. The nurse participating in the woman’s care should prioritize which of the following potential nursing diagnoses?

    A) Incontinence, Functional, related to neurosensory and musculoskeletal changes

    B) Fluid Volume Deficit related to metabolic changes secondary to drug therapy

    C) Confusion, Chronic, related to CNS changes resulting from adverse drug effects

    D) Risk for Injury related to loss of vision or thrombotic events MCQs for physiology

  • SCOT approach application

    SCOT approach application assignment is Due: Tuesday October 29 before 5pm

    This assignment requires that you apply the SCOT approach to analyze the social construction and demise of the 
    Electric Vehicle 1
     as depicted in the documentary 
    Who Killed the Electric Car?

    Answer the following four questions:

    What is a relevant social group? What are the RSGs involved in the story told by the documentary? 
    (10pts
    : 
    4pts 
    for definition,
     6pts 
    for application
    )

    What is interpretive flexibility? How did each RSG interpret the EV1? 
    (15pts
    : 
    4pts 
    for definition,
     11pts 
    for application
    )

    What is a technological frame? Identify the main (identifiable) elements of each RSG’s TF. 
    (20pts
    : 
    4pts 
    for definition,
     16pts 
    for application
    )

    What is the 
    documentary
     reminding us about the concept of closure? 
    (5pts
    : 
    3pts 
    for

    definition,
     2pts 
    for application
    )

    BUY A PLAGIARISM-FREE PAPER HERE

    SCOT approach application

    Note
    : define these concepts 
    in your own words
    , supplemented by (brief and properly cited) quotes from the required readings (or from Bijker’s 
    Of Bicycles, Bakelites, and Bulbs
    ). You may refer to class notes and discussions as well.

    BONUS QUESTION! 
    How many technological determinists does it take to change a light bulb? 
    (1 pt)

    Writing format requirements
    : Papers should be approximately 4-6 pages long, double-spaced and paginated (excluding the cover page), with 1-inch margins, using 12 pt font.

    Guidelines and further instructions
    :
     (
    Note
    : marks will be taken off if basic writing and referencing requirements are not met)

     

    #
     Answer directly and use simple, clear, precise language.

     

    #
     No bibliography is needed: simply provide appropriate citations and consistent

    referencing (use either footnotes, endnotes, or APA style referencing). SCOT approach application.

     

    #
     No external source material is needed. However, you must give complete references for any outside source used.

     

    # 
    Your paper should include a cover page stating your name, student number, course title and number, the name of the professor, and the submission date.

     

    #
     Papers should be stapled (not in folders, duotangs, binders, etc.). Do not use plastic or any other kind of cover.

     

    #
     Although you will not be graded on grammar, spelling and punctuation, do not forget to spell-check your paper.

    Papers will be submitted directly on Brightspace. 
    More information to come.

    Late penalty
    : A late penalty of 2 marks per day (out of 50), including weekends, will be deducted for late papers. Papers submitted after 
    11:30 on Thursday November 8
     will not be accepted.

    In the event of a medical emergency or other serious problem, an extension to the assignment may be granted but only if I am contacted prior to the deadline.

    Plagiarism
    : Since the purpose of the assignment is to assess your understanding and elicit a response in your own words, using somebody else’s words (from books, periodicals, newspapers, journal articles, internet sources, etc.)SCOT approach application without proper acknowledgment of the original source and presenting them as being one’s own original analysis, or having someone else write papers or buying papers from a professional writer or friend, will entail more serious consequences. Do not take any risk: if you use anyone else’s words, cite them properly in both the text and bibliography.

    Voilà! Do not hesitate to drop into my office if you would like to discuss your SCOT approach application assignment.

  • Time Management Assessment Test

    Time Management Assessment Test

    Time management paper

    Write a 3 to 4 pages top Microsoft Word document which includes the following topics:

    Research about Time Management Assessment and what it is for you. Explain your time management self-assessment information after doing the 
    Time Management Assessment Test at
    : http://literacynet.org/icans/chapter03/timemgmt.html

    Explain some leadership theories and identify one leadership theory which you feel best describes your leadership style.

    Includes a comparison between leadership and management.

    Includes a suggestion on how to apply this week’s concepts (being a nurse leader, theories, time management skills and importance of nursing organizations) to the work environment. Time Management Assessment Test