NS is a 72-year-old woman who immigrated to the United States from Egypt 5 years ago. She is a widow, has five grown children, and follows Islamic doctrine. She lives with her oldest daughter, and a younger daughter and three sons live near her home. NS is currently hospitalized due to a recent cerebral vascular accident. She has left-sided paralysis. The attending physician tells the patient she should go to a rehabilitation unit for three weeks for physical therapy. The oldest daughter is present for the physician? Visit. Both the patient and her daughter appear anxious but do not ask the physician any questions.

Medications Prescribed Warfarin 3mg DQ, check INR every week, Aspirin 81mg, Metoprolol 25mg DQ, Hydrochlorothiazide 12.5mg. , Celexa 10mg QD, The RN develops a discharge teaching plan to address anxiety, medications, safety & depression. Answer the questions below.

1. List the goal of this teaching/coaching plan Anxiety, Medications, Safety & Depression

2. Describe three teaching resources what resources can she use to complete teaching?

3. Identify the teaching strategies that can be used

4. List the specific instructions that may be needed regarding her medication and what adverse reactions to be aware of/and what to do

5. Identify two factors that may negatively influence adherence to the medication and how they can be overcome

6. Describe how to include the family

7. Provide information on how and when she should seek support and help

Perhaps more than any other Western nation, the United States is characterized by labor-management relations based on an adversarial system of bargaining and shop-level negotiations. This requires the existence of strong unions that can hold their own at the bargaining table and can organize an increasing proportion of the nation’s workers. Without the labor movement, the system serves workers only in some industries or fails to offset the power of the owners and managers of capital.

1. But why is the labor movement stagnating? Why has its membership shrunk from almost 30 percent of American wage earners to about 16 percent? And what are the prospects for the future of this social movement?

Shamrock Shades operates in mall kiosks throughout the southwestern United States. Shamrock purchases sunglasses from bulk discounters and sells the sunglasses in the mall kiosks. Shamrock is in the process of budgeting for the coming year and has projected sales of $410,000 for January, $490,000 for February, $650,000 for March, and $690,000 for April. Shamrock’s desired ending inventory is 30 percent of the following month’s cost of goods sold. Cost of goods sold is expected to be 45 percent of sales.

Required:

Compute the required purchases for each month of the first quarter (January–March).

Case Study Scenario: A 58-year-old woman from Mexico was visiting her family in the United States when she fell and fractured her hip, requiring surgical repair. It is her first postoperative day. She does not speak English and her adolescent grandson is staying with her to serve as translator. It is time for the nurse to perform care for the patient and her indwelling urinary catheter.

1. How can the nurse be sensitive to the woman’s privacy without causing embarrassment to the patient or her grandson?
2. Identify the various cultures each patient might belong to, in addition to race/ethnicity.
3. How does this patient's age and developmental stage affect your care of this patient?
4. How does this person's culture or ethnicity affect your care of this patient?
5. Does this person's culture, ethnicity or age have an affect or relationship to the diagnosis?

Click here for the Excel Data File

(a) Use Excel, MegaStat, or MINITAB to fit three trends (linear, quadratic, exponential) to the time series. (A negative value should be indicated by a minus sign. Do not round the intermediate calculations. Round your final answers to 2 decimal places.)

(b) Use each of the three fitted trend equations to make numerical forecasts for the next 3 years. (Round the intermediate calculations to 2 decimal places and round your final answers to 1 decimal place.)

Explain how nations like the United States, which regularly import much more than they export from other nations, and how other nations like China and Japan, which regularly export much more than they import, keep their international accounts “in balance.” Please discuss the various levels at which accounts are tracked. Also, how would you expect the current trends, whereby the US is importing much less petroleum and actually may soon start to export large quantities of petroleum, and where China is seeking to refocus its economy on greater internal consumption and toward less export driven growth, to significantly alter these balances?

Shamrock Shades operates in mall kiosks throughout the southwestern United States. Shamrock purchases sunglasses from bulk discounters and sells the sunglasses in the mall kiosks. Shamrock is in the process of budgeting for the coming year and has projected sales of $360,000 for January, $440,000 for February, $600,000 for March, and $640,000 for April. Shamrock’s desired ending inventory is 55 percent of the following month’s cost of goods sold. Cost of goods sold is expected to be 45 percent of sales.

Required:

Compute the required purchases for each month of the first quarter (January, February and March).

1. Federal law under Title 49 of the United States Code, Chapter 301, Motor Vehicle Safety Standard took effect on January 1, 1968 and required all vehicles (except buses) to be fitted with seat belts in all designated seating positions. While most states have laws requiring seat belt use today, some people still do not “buckle up.” Let’s assume that 90 % of drivers do “buckle up.” If drivers are randomly stopped to check seat belt usage, answer the following questions and show your work. (Use R where necessary)

1. How many drivers do they expect to stop before finding a driver whose seatbelt is not buckled?

2. What is the probability that the second unbelted driver is in the ninth car stopped?

3. What is the probability that of the first 10 drivers, 8 or more are wearing their seatbelts?

4. If they stop 30 cars during the first hour, find the mean and standard deviation of the number of drivers not expected to be wearing seatbelts?

5. If they stop 120 cars during this safety check, what is the probability they find at least 12 drivers not wearing seatbelts?

Problem 4-09 (Algorithmic)

Epsilon Airlines services predominately the eastern and southeastern United States. A vast majority of Epsilon’s customers make reservations through Epsilon’s website, but a small percentage of customers make reservations via phone. Epsilon employs call-center personnel to handle these reservations along with any problems with the website reservation system and for the rebooking of flights for customers if their plans change or their travel is disrupted. Staffing the call center appropriately is a challenge for Epsilon’s management team. Having too many employees on hand is a waste of money, but having too few results in very poor customer service and the potential loss of customers.

Epsilon analysts have estimated the minimum number of call-center employees needed by day of week for the upcoming vacation season (June, July, and the first two weeks of August). These estimates are as follows:

The call-center employees work five consecutive days and then have two consecutive days off. An employee may start work any day of the week. Each call-center employee receives the same salary. Assume that the schedule cycles and ignore start-up and stopping of the schedule. Develop a model that will minimize the total number of call-center employees needed to meet the minimum requirements. Find the optimal solution and determine the total number of call-center employees under the optimal solution. Use a software package LINGO or Excel Solver. If your answer is zero, enter "0".

Let X_i = the number of call center employees who start work on day i (i = 1 = Monday, i = 2 = Tuesday…)

Solution:

Number of excess employees:

Total Number of Employees Under the Optimal Solution=

Assume the following information for question 1:

1.) Does interest rate parity (IRP) hold? Given your answer, does an opportunity for covered interest arbitrage exist for investors residing in either the U.S. or in Mexico? If covered interest arbitrage is possible, explain for whom and then calculate the currency profit (USD or peso) and expected yield (percentage return) on a 1,000,000 ___________ investment (1,000,000 USD or 1,000,000 Mexican pesos).

2.) Assume that the current spot rate for the Canadian dollar is 0.78 USD per CAD. How will this rate adjust according to Purchasing Power Parity (PPP) if Canada experiences a 3 percent inflation rate over the next 12 months while the U.S. experiences a 5 percent inflation rate over the same time period? Hint: calculate the expected spot rate for the CAD one year from now and explain how the spot rate is expected to change.