TP is a 48 year old male client admitted to the hospital after having a seizure while attending church. He has a history of seizures and has been taking phenytoin (Dilantin) 100 mg PO TID.

1. What questions will you want to ask the patient/his family?

On further evaluation, TP admits that he sometimes forgets to take his medication because he feels “so great”. His phenytoin level is 5 mcg/mL.

2. His wife asks you what that level means. How would you describe his level in regards to the typical therapeutic range?

3. What education do you need to provide him at this point?

TP is discharged after 3 days with a phenytoin level of 11 mcg/mL. He will be sent home with phenytoin extended release 300mg PO daily. He tells you that part of the reason he is reluctant to take his medication is that when it was originally prescribed, the physician cautioned him that it could easily become toxic in his blood and that he was frightened.

4. How would you address his concerns? What can be done to minimize the risk of excessive blood levels?

5. What other education would you provide him regarding his phenytoin therapy? What does he need to watch for? What can he do to minimize the severity of side effects?

6. What are some general nursing responsibilities regarding care of a patient with seizures?

7. What if TP was a 24 year old female taking oral contraceptives and prescribed phenytoin? What teaching would she need?

For each of the following scenarios, identify the nonverbal message being sent and indicate if the sender and/or receiver should handle the matter differently:

1. While you are talking to a client, she starts drumming her fingers on her desk.
2. You are a new employee attending your first group meeting. When a man arrives after the meeting has started, others stand up to offer him a chair.
3. When you make a suggestion at a group meeting, a colleague rolls her eyes.
4. You need to speak with the internal controller. When you enter his office, you see that he sits with his back to the door, facing the window. He motions you to sit down and continues working for a minute before turning to face you.
5. At a meeting you’ve requested with your boss, she closes the door after you’ve entered and forwards all calls to her assistant.
6. A prospective employee sits facing you. She hunches her shoulders, fiddles with her ring, and bites her lip throughout the interview.
7. You hear there is a new engineer your age down the hall and go to his office to welcome him. While you sit talking to him across his desk, he continually rocks back in his chair and presses his fingers together in a “church steeple” position. He smiles with his mouth but not his eyes.
8. Three days after you have reprimanded an employee, she refuses to look you in the eye when you meet in the corridor. She returns your greeting in a clipped voice.
9. On your work site, a supervisor doesn’t respond when you mention the email you sent about a possible environmental hazard.

Mrs. Jansen is a Roman Catholic Christian 58-year-old schoolteacher. Six weeks ago, she suffered a stroke that left her with severe deficits. Her doctor told her family that due to her injury, she will be unable to walk on her own, feed herself, or be independent from full assistance for the remainder of her life. She remains in the hospital and has not communicated with her family in any way since the stroke. She is breathing on her own but will most likely experience unpredictable bouts of respiratory distress for the rest of her life, requiring future mechanical ventilation. She is receiving nutrients through a feeding tube, which was surgically inserted in her stomach.

Her husband wants the doctor to remove the feeding tube and permit the effects of the stroke to take their natural course. He is sure that this is what his wife would want, especially considering the grim diagnosis. He knows this not only from what she has told him in the past but also because of her free and independent character. He believes that she would not want to live like this. The doctor is not comfortable removing the feeding tube because she believes it to be necessary to sustain life.

Questions to consider in the case study:

• What can you find in the teaching of the Catholic Church to help inform the patient’s caregivers so that they can decide on a course of action?
• Do you think the husband's request is reasonable? What do you think about the doctor's response? Can the feeding tube can be removed, and the sanctity of the patient's life still be recognized?
• What course of action should be taken? If you were the husband how would you proceed?

The living standards data compiled by the late Angus Maddison reveal a pattern in which the material living standards of Western Europe were essentially “flat” from the year 1 CE to 1500 CE, and only start increasing dramatically post-1600 CE. The thesis has been advanced that this rise in Western European material living standards correlates wit the birth and development of Economic Thought/Theory, whereby men explicitly attempted to rationalize the laws governing economic phenomena. Prior to 1700 CE, most of life in Western Europe was organized around the dogma and kerygma of the Catholic Church, the influence of which was increasingly diminishing post-1500 CE. Consider the Biblical passages below from the Holy Bible: • Leviticus 25:37. “You shall not lend him your money at interest, nor give him your food for profit.

• Luke 12:15. “And he said unto them, Take heed, and beware of covetousness: for a man’s life consisteth not in the abundance of the things which he possesseth.”’

• Timothy 6:10. “For the love of money is the root of all evil: which while some coveted after, they have erred from the faith, and pierced themselves through with many sorrows”’.

• Philippians 4:19. “But my God shall supply all your need according to his riches in glory by Christ Jesus”.

Explain how, to the extent that Catholic dogma/kerygma was the dominant factor in organizing life in Western Europe, subscription to each of these biblical injunctions could have constituted the Economic Theory by which men understood, and governed over, economic phenomena prior to 1700 CE.

1. In Ancient Egypt in the Old Kingdom, the more important a person was

•Buy a beautiful home in Georgia

•Ride a motorcycle

•Learn to swim

•Road trip across the USA

•Visit all the Caribbean Islands

•Be a Registered Nurse

•Volunteer more

•Reach my goal weight

•Pay off Student Loan Debt

•Learn to play a musical instrument (preferably the organ in church)

Based on the above bucket list: Please answer below questions:

1. How do the wishes/goals on your bucket list relate to your values and identity? How would they help you achieve “ego integrity”? Are some wishes/goals more important in terms of fulfilling ego integrity than others, and if so, why? Discuss specific examples from your bucket list. Describe ego integrity in your response before applying it.

2. What other developmental tasks or conflicts from Erikson’s psychosocial theory are reflected in your wishes/goals? If you haven’t yet resolved some of the tasks from earlier stages in your life or your current stage in life, you might find that you have a wish/goal that relates to fulfillment of the task. You can consider any stage, such as identify vs. role confusion (the task for adolescence), intimacy vs. isolation (the task for young adulthood), and generativity vs. stagnation (the task for middle adulthood). Make sure to relate specific wishes/goals from your bucket list to specific developmental tasks.

3. Do you think you will have the same bucket list a decade from now? What about two decades from now? Why or why not? When answering these questions, assume that your wishes/goals have not yet been fulfilled.

4. Apple and Bob Johnson (both age 45) are married taxpayers who file a joint return. They have a son, John, age 10. During 2018, they had the following receipts:

During 2018, they also have the following payments/contributions:

Please help Johnsons to calculate the following items on their 2019 Form 1040

1. Their AGI
2. Their taxable
3. and the following itemized deductions:

Q33: Which political ideology opposes government regulation on business and the environment?

- liberalism

- conservatism

Q34: Which political ideology is about a belief in extensive government intervention in the economy and progressive taxation?

- liberalism

- conservatism

Q35: Which political ideology is further to the left than the mainstream Democratic Party?

- libertarians

- republicans

- socialists

- moderates

Q36: Which of the following methods will generate a simple random sample for probability sample?

- Standing on the street corner and handing out public opinion surveys to people that pass by.

- surveying the top experts in the field of politics to predict the outcome of an election

- using a random number generator to select people from rolls of registered voters to predict the outcome of the election

- using chain referrals to get more people to interview from the first set of people you interview

Q37: Which of the following is an example of the social desirability effect?

- someone answers an online survey 100 times to try to show the results

- someone misunderstands the meaning of the word "welfare" on a survey

- someone claims to attend church more than the actually do

- someone completes a paper survey but then forgets to mail it in

Q38: In 2016, election pollstors used models of likely voters that left out rural, blue-collar voters who supported Trump. The resulting inaccuracy in their poll results was due to...

- push polls

- selection bias

- the bandwagon effect

- social desirability effects

Q39: The purpose of a push poll is:

- influence public opinion

- create a larger sample

- measure public opinion

- solicit ideas

Q40: A candidate who has momentum (leading in the polls) has an easier time raising campaign funds. This is an example of...

- selection bias

- the bandwagon effect

- political socialization

- social desirability