GERONTOLOGY CLINICAL CARE PLAN Case Study Mr. M, a 76 year old Hispanic woman has just been admitted to the Dumfries Rehab Nursing Center after undergoing right hip replacement surgery 5 days ago. She has a history of Osteoarthritis, DM II, GERD, Rt Knee replacement surgery 5 years ago. She speaks little English.NKDAMeds--Januvia 100mg daily, Glucophage 1000mg BID, ASA 81mg daily, Calcium 600mg Three times/week, MVI 1 tablet daily, Prilosec 20mg daily.Social--Widow with 10 children, 5 of them in the United states and many grandchildren and great grandchildren, never smoked nor used illicit drugs, occasional alcohol on special occasions; retired housekeeper at age 72, with no pension. Family has raised money for her to be able to able to be in rehab. Patient is on limited social security income. Her husband, who died last year has been the supporting his wife with his own business and had been able to provide health insurance while he was alive. But the business is not doing well at the moment and the children are thinking of closing it down, since no one wants to run it. Design a nursing care plan for the above patient --DO NOT USE PAIN AS YOUR NSG DX --THIS IS INDIVIDUAL WORK; STUDENTS WITH SIMILAR WORK WILL RECEIVE A GRADE OF 0. --PLEASE TAKE YOUR TIME TO USE YOUR CRITICAL THINKING SKILL TO COMPLETE THIS CARE PLAN

Segment Analysis for a Service Company

Charles Schwab Corporation is one of the more innovative brokerage and financial service companies in the United States. The company recently provided information about its major business segments as follows (in millions):

a. The   segment serves the retail customer, you and me. These include brokerage, Internet, and mutual fund services. The   segment includes the same services provided for financial institutions, such as banks, mutual fund managers, insurance companies, and pension plan administrators.

b. Indicate whether the following costs are a “Variable Cost” or a “Fixed Cost” in the “Investor Services”.

1. Commissions to brokers  
2. Fees paid to exchanges for executing trades  
3. Depreciation on brokerage offices  
4. Transaction fees incurred by Schwab mutual funds to purchase and sell shares  
5. Property taxes on brokerage offices  
6. Advertising  
7. Depreciation on brokerage office equipment, such as computers and computer networks  

c. Estimate the contribution margin for each segment, assuming that depreciation represents the majority of fixed costs.

d. If Schwab decided to sell its Advisor Services business to another company, estimate how much operating income would decline under the following assumptions.

Assume the fixed costs that serve the Advisor Services business would not be sold but would be used by the other sector: $ million
Assume the fixed assets were “sold”: $ million

How do you think of this paragraph?

We know that bonds are basically when companies or governments agencies need money to complete their projects, they will issue bonds to investors. The investor may recover the funds and receive the interest at the interest rate set at that time on the bond repayment date. In this world, in order to consider the needs of investors, companies or governments may develop different types of bonds in the market. So, it causes that the type of bonds is various, and they are including corporation bonds, government bonds, zero-coupon bonds, Coupon bonds, long and short-term bonds, and so on. Although it exists so many various types of bonds, their purposes are similar. In addition, we also know that bonds with high-interest rates are risker than bonds with lower interest rates. Therefore, due to the diversity of bonds, investors can consider their own needs to purchase appropriate bonds. For a simple example, the level of the United States government bond is “AAA”, so it means that these bonds are risk-free. In contrast to corporate bonds, investors need not worry about the risk of bankruptcy. Therefore, if investors want to purchase corporate bonds, they should evaluate the firms’ receivables and credit to reduce risk. For another simple instance, if we want to purchase bonds for one year, we can choose to purchase short-term bonds and vice versa. This is the reason why we need these heterogeneous bonds because we can select the most appropriate bonds by our own needs.

1. A researcher wishes to estimate sales per store of the Nikon D5 camera over the past year at a large chain of photography stores throughout the United States. A random and representative sample of stores that sell this camera is to be selected to provide the required estimates. To provide estimates of the population mean sales per store of this model of camera, what minimum number of stores will be necessary to sample under the following conditions?

1. The estimate desired will need to be computed with 95% confidence to within ±25 units when it is felt that the population standard deviation in the number of cameras sold per store is 50 cameras.
2. The estimate desired will now need to be computed with 90% confidence to within ±25 units when it is felt that the population standard deviation in the number of cameras sold per store is 50 cameras.
3. The estimate desired will now need to be computed with 95% confidence to within ±25 units when it is felt that the population standard deviation in the number of cameras sold per store is 65 cameras.
4. The estimate desired will now need to be computed with 95% confidence to within ±35 units when it is felt that the population standard deviation in the number of cameras sold per store is 50 cameras.

In your discussion, be sure to comment on the differences found in the calculation of the minimum sample sizes in the various parts of the above problem. Compare the results of parts b), c) and d) to the result of part a). Explain why there are differences between the minimum sample sizes in the stated parts of the problem. Give reasons for your answers that are other than purely mathematical.

Inventory Turnover and days’ sales in inventory

Kroger, Sprouts Farmers Market, Inc., and Whole Foods Markets, Inc. are three grocery chains in the United States. Inventory management is an important aspect of the grocery retail business. Recent balance sheets for these three companies indicated the following merchandise inventory (in millions) information:

a. & b. Determine the inventory turnover and the number of days’ sales in inventory (use 365 days and round to one decimal place) for the three companies. Round all interim calculations to one decimal place. For days' sales in inventory, round final answers to the nearest day, and for inventory turnover, round to two decimal place.

c. The inventory turnover ratios and days’ sales in inventory are for Kroger and Sprouts. Whole Foods has a inventory turnover and a days’ sales in inventory than Kroger and Sprouts. These results suggest that Kroger and Sprouts are efficient than Whole Foods in managing inventory.

d. If Kroger had Whole Foods’ days’ sales in inventory, how much additional cash flow would have been generated from the smaller inventory relative to its actual average inventory position? Round interim calculations to one decimal place and your final answer to the nearest million.
$ million

1. 2011 Pediatric Nutrition Surveillance

The Pediatric Nutrition Surveillance System (PedNSS) is a child-based public health surveillance system that describes the nutritional status of low-income U.S. children who attend federally funded maternal and child health and nutrition programs. PedNSS provides data on the prevalence and trends of nutrition-related indicators. It uses existing data from the following public health programs for nutrition surveillance:

Special Supplemental Nutrition Program for Women, Infants, and Children (WIC);

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program; and

Title V Maternal and Child Health Program (MCH).

Most of the data are from the WIC program that serves children up to age 5.

1. In New Mexico, information was collected on 15,139 children. Of these, 11,627 had been breastfed. What is the prevalence of breastfeeding in this sample?

2. Information was also collected for 1,915 infants on the Navajo Nation. The prevalence of being breastfed for at least six months was 37.1%. How many of these infants had been breastfed for six months?

3. Data on obesity for 3,480,880 children 2 – 5 years of age were also collected nationwide. In this sample, 501,247 were classified as obese using CDC growth charts. What is the prevalence of obesity in this group of children?

4. If data were available for all children 2 – 5 years of age throughout the United States not just those in these public health programs, do you think the prevalence of obesity would be different? Why or why not?

1. An instructor grades exams, 20%; term

paper, 30%; final exam, 50%. A student had grades of

83, 72, and 90, respectively, for exams, term paper, and

final exam. Find the student’s final average. Use the

weighted mean.

2. Stories in the Tallest Buildings The number of

stories in the 13 tallest buildings for two different

cities is listed below. Which set of data is more

variable?

Houston: 75, 71, 64, 56, 53, 55, 47, 55, 52, 50, 50, 50, 47

Pittsburgh: 64, 54, 40, 32, 46, 44, 42, 41, 40, 40, 34, 32, 30

3. Americans spend an average of

3 hours per day online. If the standard deviation is

32 minutes, find the range in which at least 88.89%

of the data will lie. Use Chebyshev’s theorem.

4. The average farm in the United States in

2004 contained 443 acres. The standard deviation is

42 acres. Use Chebyshev’s theorem to find the

minimum percentage of data values that will fall in

the range of 338–548 acres.

5. The average age of senators in

the 108th Congress was 59.5 years. If the standard

deviation was 11.5 years, find the z scores

corresponding to the oldest and youngest senators:

Robert C. Byrd (D, WV), 86, and John Sununu

(R, NH), 40.

      7. Which score indicates the highest relative position?

a. A score of 3.2 on a test with mean 4.6 and

s 1.5

b. A score of 630 on a test with mean 800 and

s 200

c. A score of 43 on a test with _mean 50 and s 5

Assume that the export price of a Toyota Corolla from Osaka, Japan, is ¥2,100,000. The exchange rate is ¥87.59 /$.

The forecast rate of inflation in the United States is 2.1 % per year and in Japan it is 0.0 % per year. Use this data to answer the following questions on exchange rate pass-through.

a. What was the export price for the Corolla at the beginning of the year expressed in U.S. dollars?

b. Assuming purchasing power parity holds, what should be the exchange rate at the end of the year?

c. Assuming 100% exchange rate pass-through, what will be the dollar price of a Corolla at the end of the year?

d. Assuming 75% exchange rate pass-through, what will be the dollar price of a Corolla at the end of the year?

a. What was the export price for the Corolla at the beginning of the year expressed in U.S. dollars?

The export price for the Corolla at the beginning of the year expressed in U.S. dollars is

$__.

(Round to the nearest cent.)

b. Assuming purchasing power parity holds, what should be the exchange rate at the end of the year?

Assuming purchasing power parity holds, the exchange rate be at the end of the year should be

yen¥__ /$.

(Round to two decimal places.)

c. Assuming 100% exchange rate pass-through, what will be the dollar price of a Corolla at the end of the year?

Assuming 100% exchange rate pass-through, the dollar price of a Corolla at the end of the year will be

$__.

(Round to the nearest cent.)

d. Assuming 75% exchange rate pass-through, what will be the dollar price of a Corolla at the end of the year?

Assuming 75% exchange rate pass-through, the dollar price of a Corolla at the end of the year will be

$__.

(Round to the nearest cent.)

Approach this case as if you are heading the compliance department of USA Corp., a small, but growing
U.S. manufacturing interest. To date, the company has not done any international trade and has limited
its purchases and sales to other U.S. entities. The CEO approaches you with her belief that the
corporation can significantly improve its profit if it begins to import a certain raw material (the type
should not be critical to your analysis; but, if it makes it easier for you to approach the problem, feel free
to identify a specific material and explain its importation) from Mexico. In the future, she would like to
consider selling finished product overseas, but currently is only interested in minimizing the cost of
production.
Answer each of the following questions for your boss, including such other information you think is
important and/or necessary for her to make informed decisions. Be sure to explain the conclusions you
reach and why one alternative is better than another. Your boss values knowing why a decision is
correct and looks to your knowledge and expertise to guide her.
1. Identify the key U.S. and international trade laws that apply to the importation of goods to
the United States from Mexico? Do these laws make it “easy” to do business?
2. What types of protective clauses should be included in the purchasing contracts?
3. What are the major risks associated with doing business with a new (unknown) international
supplier? What steps should be taken to ensure a safe transaction?
4. What impact (if any), does the President’s rhetoric about Mexico have on whether this is a
sound business decision?