The Ethics Committee of the Podunk CPA Society (an Ethics Charging Authority) received a complaint from Ms. Mildred May, 123 Lovely Lane, Hartsville, Podunk concerning Maurice Jones, CPA of Jones and Jones, CPAs also located in Hartsville. Ms. May owns a Floral Shop in town and states in her complaint that in May of 2017 she decided to change CPAs. From about January of 2014 until May of 2017 Mr. Jones had been preparing monthly reports and filing tax returns for Ms. May. In May of 2017 she hired her nephew (who had just opened his own office,) Mr. Carl Cross to do her accounting and tax services. In her complaint dated June 30, 2017 she alleges that Mr. Jones will not release the appropriate QuickBooks data files to her new accountant, Mr. Cross. In her complaint she states that both she and her nephew have contacted the predecessor CPA several times by phone and e-mail.

You are the investigator assigned to this case and have determined that:

Mr. Jones is a Member of the Podunk CPA Society, but not the AICPA.

Mr. Jones has been contacted by Ms. May and Mr. Cross several times during the period May of 2017 through June 30.

Mr. Jones did return all client source documents (hard copy) and copies of all deliverables-monthly reports (hard-copy) via US Mail on June 15, 2017. He sent everything certified mail and has a receipt.

Ms. May acknowledged receipt of the above, but needs the QuickBooks data files.

Mr. Jones did use QuickBooks to prepare monthly reports for the Floral Shop, but asserts that since he did the work (inputting the data etc.) the data files are his and has not sent them to either Ms. May nor her nephew.

Answer the following questions in well-developed paragraphs

1.            In your opinion which Rule(s) or Section(s) of the AICPA Code of Professional Conduct has Mr. Jones allegedly violated? Please provide direct quotes of the rules or sections (cut and paste) that SPECIFICALLY address this situation including quotation marks and citations from the current AICPA Code of Professional Conduct

2.            Describe your finding (Basically Violation or No Violation) and the reasons for it in a well-developed paragraph. Just to review, your choices are:

No violation

No further action

Expulsion

Suspension

Admonishment

Letter of Corrective Action

Would your sanction include CPE or publication? Explain/expand.

Mackenzie Dell graduated from university six years ago with an undergraduate degree in finance. Although she is satisfied with her current job, her goal is to become aninvestment banker. She feels that an MBA degree would allow her to achieve her goal. After examining schools, she has narrowed her choice to either Maple Leaf University or Stars and Stripes University. Although internships are encouraged by both schools, to get class credit for the internship, no salary can be paid. Other than internships, neither school will allow its students to work while enrolled in its MBA program. Mackenzie currently works at the money management firm of Copper Sachs. Her annual salary at the firm is $68,000 per year, expected to increase at 2.5 percent per year until retirement. She is currently 28 years old and expects to work for 35 more years. Her current job includes a fully paid health insurance plan, and her current average tax rate is 26.5 percent. Mackenzie has a savings account with enough money to cover the entire cost of her MBA program. The Faculty of Management at Maple Leaf University is one of the top MBA programs in the country. The MBA degree requires two years of full-time enrollment at the university. The annual tuition is $55,000, payable at the beginning of each school year. Books and other supplies are estimated to cost $3,000 per year. Mackenzie expects that after graduation from Maple Leaf, she will receive a job offer for about $110,000 per year, with a $15,000 signing bonus. The salary at this job will increase at 4 percent per year. Because of the higher salary, her average income tax rate will increase to 30 percent. The School of Business at Stars and Stripes University began its MBA program 16 years ago and is less well known than Maple Leaf University's Faculty of Management. Stars and Stripes University offers an accelerated, one-year program, with a tuition cost of $85,000 to be paid upon graduation. Books and other supplies for the program are expected to cost $4,500. Mackenzie thinks that she will receive an offer of $90,000 per year upon graduation, with an $18,000 signing bonus. The salary at this job will increase at 3.25 percent per year. Her average tax rate at this level of income will be 28.5 percent. Both schools offer a health insurance plan that will cost $3,000 per year, payable at the beginning of the year. Mackenzie also estimates that room and board expenses will cost $2,000 more per year at both schools than her current expenses, payable at the beginning of each year. The appropriate discount rate is 6.5 percent. 1. What other, perhaps non-quantifiable, factors affect Mackenzie's decision to get an MBA? 2. Assuming all salaries are paid at the end of each year, which is the best option for Mackenzie—from a strictly financial standpoint. 3. Suppose, instead of being able to pay cash for her MBA, Mackenzie must borrow the money. The current borrowing rate is 4.8 percent. How would this affect her decision? It would be great help if excel exhibits could also be provided.

Carter Louis, a 25-year-old male, the eldest of three siblings in a middle class family, was diagnosed with paranoid schizophrenia. He is currently in an inpatient unit.

His parents and a close relative reported he has been reserved and shy since childhood, rarely initiating a conversation or any activity and hesitant to talk to others. Behavioral changes were noticed by members of the family as he entered adolescence but were taken in a lighter vein and ignored. His irritable nature and antisocial behavior worsened over the years, and recently, he had a violent bust out on a minor financial issue with a neighbor.

There was no history of any complicated trauma, no alcohol or drug dependence, nor physical or psychiatric illness of the mother during pregnancy. His was in school from age four through 19. There are no reports of school phobias or any kind of learning difficulty. He quit his studies in accordance with his parents’ advice. He prefers indoor and solo games, such as video games, rarely indulges in group activities, and does not have very healthy relationships with his younger siblings. His activities are mostly sedentary. He at times regrets not being sent to a more established and well reputed high school.

The mental status examination revealed that his eye contact was not continuous and he moved his eyes suspiciously and furtively. He tried a little hard to change the body postures and lethargic movements of the limbs (particularly) were also noticed. Quantity of speech was reduced, and he became hesitant on expression of some of his views and beliefs. During conversation, there were blank intervals and tangentiality in his train of thoughts, with changes in pitch. Generalizations based on inappropriate or limited information were also present. He was not able to understand and use the concepts easily. His attention and concentration were intact to an extent. Reaction time was normal, and no compulsive acts or habits were present. Orientation to time, place, and person were intact. His insight into the illness was minimal, as he completely attributed it to others around him.

Carter’s dad reported suspicious behavior, and delusions of reference, persecution (such as a relative inflicting him with some mantras), auditory (sounds of people talking about him), and olfactory (poisoning of the air). Hallucinations were also present but were rare. On investigation, it was learned that, in the prodromal state Carter presents nonspecific symptoms like loss of interest, irritability, oversensitivity, lack of appetite, and insomnia. The parents reflected on his non-compliant behavior makes administration of medication difficult for them (who then resort to tricks, such as saying, “These drugs are for your psycho-sexual disorder,” as he once had a hallucination that his genital nerve was being cut).

In addition to the presence of the atypical clinical features, a history of head injury was reported when Carter was 10 years old, when a metal rod pierced his fore brain. Deterioration of psycho-social functioning was observed and reported by the parents.

Questions"

What diagnosis would you give Carter? Please match Carter’s symptoms with the DSM-5 criteria.

What recommendations relative to medications would you make? Name the type of typical or atypical antipsychotic you would prescribe and identify the dosing and administration

The O’Rourke family lives on a small farm in Iowa and comprises David, aged 30; his wife, Mary, aged 29; and two children: Bridget, aged 7, and Michael, aged 6. Both David and Mary are second-generation Irish. Before purchasing their farm 5 years ago, David sold farm equipment in Ohio. The O’Rourkes are Catholic; Mary converted to Catholicism when they married. David, who works long hours outdoors, is concerned about profitability from his corn crop because of the unpredictable size of the harvest, and thus, his income varies depending on the weather. Mary did not work outside the home because she wanted to be with their children until they started school. However, because both children are now school age, Mary has discussed with David the possibility of working part time to supplement the family income. He would prefer that she stay at home, but Mary is anxious to return to the workforce and believes the timing is right. Both David and Mary are happy with just two children and do not desire more. They use the rhythm method for family planning. Eating a healthy breakfast is important to the O’Rourkes. Because eggs are readily available on the farm, they have fried eggs with potato bread and juice at least four times a week. Their main meal in the evening usually includes meat, potatoes, and a vegetable. David enjoys a glass of beer with dinner. David has been a little edgy lately because of his concerns about the corn crop. He admits to having some minor chest pain, which he attributes to indigestion. His last visit to a physician was before their marriage. Mary knows David is concerned about finances and believes it would help if she had a job. Bridget and Michael spend a lot of time outside playing and doing some minor chores for their parents. Both children enjoy school and are looking forward to returning in the fall. Bridget is starting to show concern over her appearance. She does not like her red hair and all the freckles on her face. Her teacher has noted that Bridget has trouble reading and may need glasses. Michael wants to be a farmer like his Dad but worries about his Dad being tired at night. The O’Rourkes have not taken a vacation since they were married. They go to the state fair in the summer, which is the extent of their trips away from home. They are active in the church and attend services every Sunday. 1.Describe the O’Rourke family structure in terms of individual roles. 2.Identify two potential health problems related to the O’Rourke’s dietary practices. 3.Identify potential health-risk factors for the O’Rourkes as a family unit and for each family member. 4.Explain the relationship between risk factors and ethnicity specific to the O’Rourke family and their Irish heritage. 5.Describe culturally competent health-promotion strategies for the identified risk factors for the O’Rourke family. 6.Describe the O’Rourke family’s fertility practices. Are they congruent with their Irish background and religious beliefs?

Ariel Sunnyvale graduated from university six years ago with an undergraduate degree in finance. Although she is satisfied with her current job, her goal is to become an investment banker. She feels that an MBA degree would allow her to achieve her goal. After examining schools, she has narrowed her choice to either Northern University or Southern University. Although internships are encouraged by both schools, to get class credit for the internship, no salary can be paid. Other than internships, neither school will allow its students to work while enrolled in its MBA program. Ariel currently works at the money management firm of Greyson Partners. Her annual salary at the firm is $64,000 per year, expected to increase at 2.75 percent per year until retirement. She is currently 30 years old and expects to work for 37 more years. Her current job includes a fully paid health insurance plan, and her current average tax rate is 25 percent. Ariel has a savings account with enough money to cover the entire cost of her MBA program. The Faculty of Management at Northern University is one of the top MBA programs in the country. The MBA degree requires two years of full-time enrollment at the university. The annual tuition is $50,000, payable at the beginning of each school year. Books and other supplies are estimated to cost $3,000 per year. Ariel expects that after graduation from Northern, she will receive a job offer for about $88,000 per year, with a $5,000 signing bonus. The salary at this job will increase at 3 percent per year. Because of the higher salary, her average income tax rate will increase to 27 percent. The School of Business at Southern University began its MBA program 16 years ago and is less well known than Northern University's Faculty of Management. Southern University offers an accelerated, one-year program, with a tuition cost of $80,000 to be paid upon graduation. Books and other supplies for the program are expected to cost $4,500. Ariel thinks that she will receive an offer of $100,000 per year upon graduation, with an $15,000 signing bonus. The salary at this job will increase at 3.5 percent per year. Her average tax rate at this level of income will be 28.5 percent. Both schools offer a health insurance plan that will cost $3,000 per year, payable at the beginning of the year. Ariel also estimates that room and board expenses will cost $2,000 more per year at both schools than her current expenses, payable at the beginning of each year. The appropriate discount rate is 6.5 percent.

1. What other, perhaps non-quantifiable, factors affect Ariel's decision to get an MBA?

2. Assuming all salaries are paid at the end of each year, which is the best option for Ariel—from a strictly financial standpoint.

3. Suppose, instead of being able to pay cash for her MBA, Ariel must borrow the money. The current borrowing rate is 3.75 percent. How would this affect her decision?

Jimmy and Jane Have Goals Jimmy Johnson is 25 years old. He and his wife Jane have two children, Emmitt and Patricia, ages 2 and 4 respectively. Jimmy wants to retire in 40 years and build boats. He would like a nice retirement home with some land on a peaceful lake in the mountains of Georgia. Jimmy believes that to purchase a home and lot in 40 years would cost $300,000 in today’s prices. In forty years Jimmy also believes he and Patricia can live comfortably on $50,000 a year in today's dollar terms. Realizing that retirement is only 40 years away, and that he still had two children to raise and put through college, Jimmy thought he had better start saving for his retirement dreams. Also, Patricia is only 14 years away from college, and before Patricia finishes, Emmitt will be ready for school in 16 years. Currently Jimmy has $25,000 in an emergency money market account earning 2.0% interest compounded daily. His desire is to never have to use those emergency funds and that they will become a part of his estate. He also owns his own home that has a market value of $225,000 and a mortgage of $150,000. The 5.0% mortgage has 27 years remaining and his monthly payments are $1126 for principal and interest alone. Jimmy’s annual salary is $60,000. His employer puts an additional $3,000 into a 401(k) retirement plan. This retirement amount currently equals $9,000 and it is invested in a stock mutual fund, which has been earning an annual rate of return of 8.0%.

With the current level of the federal debt, Jimmy is not counting on receiving any funds from social security at his retirement. With all of the concern about college tuition increasing over the years, Jimmy believes that the children will have to go to the local junior college for their first two years and then a state school for their last two years. The cost to attend the local junior college is $5,000 per year today, and the cost to attend a state school is $15,000 per year today. Inflation will have a great impact on Jimmy’s future retirement and college plans for his children. Based on what he has read and heard on the news, Jimmy believes that inflation will average 3.0% per year for the next 40 years; however, the cost of a college education will increase by 5.0% per year for the junior college and state schools. Also, with the desirability of vacation homes, the house and property in Georgia will probably increase at a rate of 5.0% per year, while his current home will increase in value at a rate of 3.0% per year. Jimmy hopes that his annual salary will increase by at least 4.0% per year. Note: For each of the computations completed below, answers can be stated to the nearest dollar.

Assuming that Jimmy has no money set aside for his children’s college at this time, approximately how much will he have to save per month for Emmitt’s education, for Patricia’s education, if he earns 7.0% on the invested funds and the balance of education funds stays invested through the end of college. (Note that this question is a two-step process for each of Emmitt and Patricia’s education.)

I am not sure how to approach this. You are managing a bake sale for a club at your school. It’s being held each weekend in the fall that the football team has a home game. This year, there will be five home games. The club sells cookies in packages of two dozen. The selling price per package is $8.65. The packaging material costs $.11 (11 cents) per package. You pay the regular kitchen staff a direct labor cost for mixing and baking at $10.50 per hour. Baking utensils and supplies for the entire season will cost $500 (excluding the direct costs of cookies) . Before each game, the cookies are prepared in a school kitchen for a fixed rental fee of $90 per session and clean-up labor is paid a fixed total of $50 per session. You estimate that 500 packages of cookies will be baked for each sale and that 96% of them will be sold. Alumni volunteers, who receive no compensation, sell half of the packages and students, who receive a commission of $.15 per package, sell the other half. You plan to run an advertisement in the school newspaper before all five games and each advertisement costs $200. You are to: 1) Go to the internet and find a cookie recipe. Your recipe must have at least 5 ingredients. 2) Research the prices of the cookie ingredients at a local supermarket, warehouse or online grocer. Do NOT change the recipe. To convert the recipe quantities, you can use an online conversion calculator. There are several available so use your favorite search engine. 3) Develop a budget for the five bake sales. Give the amounts per each sale and the budget in total. You are free to develop any format for the budget. I encourage you to develop a format that is most useful to you. Make sure your budget is complete in that it includes both expected income and expected expenses with a bottom line expected net income. Use your imagination when it comes to the direct labor calculation. Your kitchen can be large and full of commercial ovens. 4) Analyze the club’s fundraising effort in written format. 5) Make suggestions for next year’s bake sale manager, including those suggestions that would improve the bottom line with approximations of how much the bottom line will improve.
You will submit in your packet:  Title page with name of student who completed the analysis. Be sure to acknowledge those students who you worked with.  Your recipe including quantity and cost of the ingredients along with the source of the prices and directions for baking.  Your budget. Be sure that all items are labeled to make it understandable.  Your analysis, unique to each student, which should be at 2-3 pages in length. You might begin with an overview of the project, then analyze the results, and finally suggest alternative courses of action that would improve on the success of the project. Write as if you are providing this packet to your club faculty advisor and also to the next year’s bake sale manager. Specifically use their names in the report.  Have fun, be creative and include any additional items.

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1. 1. For women aged 18-24, systolic blood pressures are normally distributed with a mean of 114.8 mm Hg and a standard deviation of 13.1 mm Hg (based on data from the National Health Survey). Hypertension is commonly defined as a systolic blood pressure above 140 mm Hg.

1. If a woman between the ages of 18 and 24 is randomly selected, find the probability that her systolic blood pressure is greater than 140.
2. If 4 women in that age bracket are randomly selected, find the probability that their mean systolic blood pressure is greater than 140.
3. Given that part b) involves a sample size that is not larger than 30, why can the central limit theorem be used?
4. If a physician is given a report stating that 4 women have a mean systolic blood pressure below 140, can she conclude that none of these women has hypertension?

2. The population mean for commute time is 25.1 minutes and the standard deviation is 10.2 minutes in Aurora, CO.

a) Based on a sample size of 35 individuals, determine the two-sided 90% confidence interval for the distribution of commute times for this population.

b) The sample that we selected above has a mean commute time of 35 minutes. Based on our confidence interval, does the sample of individuals appear to be representative of the population? Why or why not?

2. We want to determine whether UCCS students who are successful in getting into grad school have higher GRE scores compared to all UCCS students who took the GRE exam. We select a random sample (n=20) of successful grad school applicants from UCCS. Based on our sample, the mean is 550 and the standard deviation is 60. The population mean for all UCCS students who took the exam was 480. GRE scores are normally distributed.    

a) What would be the 2-sided 99% confidence interval?

b) Based on the 99% confidence interval, do successful grad school applicants appear to have a higher average score on the GRE exam compared to all UCCS students who took the exam? Why or why not?

3. In an effort to determine whether exposure to high lead levels has an effect on blood pressure in young children, blood-pressure measurements were taken on 30 children aged 5-6 years living in a specific community exposed to high lead levels. For these children, the mean diastolic blood pressure was found to be 66.2 mm Hg with standard deviation 7.9 mm Hg. From a nationwide study, we know that the mean diastolic blood pressure is 58.2 mm Hg for 5- to 6-year old children. We will assume that exposure to lead will have either no effect or cause an increase in blood pressure. Determine a one-sided 95% confidence interval for diastolic blood pressure among 5- to 6-year-old children in this community based on the observed 30 children. Based on this confidence interval, does it appear that children who are exposed to lead have higher blood pressure?

Case Study 1

Staria is a seventeen-year-old girl who has been brought to your outpatient treatment center by her mother. Staria has been suspended from high school on two occasions over the past six weeks for fighting and disorderly conduct. She has a history of recurrent detention and classroom dismissals for similar, though less severe, behavior at her previous high school. On the last occasion, she and another student were engaged in an altercation in the hallway. When security was called in, it was discovered that Staria had a pint of vodka and a small quantity of marijuana in her locker. At the time, it was noticed that Starina seemed intoxicated. She later tested positive for marijuana.

You meet Staria and her mother and learn that Staria stole alcohol and marijuana from her father's stash and that he was outraged by the discovery. Staria blames her parents for her school dismissal and feels she is being blamed and scapegoated by her parents. According to her, her parents are the ones who need counseling. She also reports that her grandfather recently passed away due to cirrhosis. Her mother states that Staria has a twin sister, who never uses drugs, cigarettes, or alcohol and that Staria should be more like her sister.

Case Study 2

George is a civil service employee who has been struggling with his drinking problem for years. He has tried to control his alcohol use and has made many attempts to refrain. Lately, he has been drinking more frequently to feel the same effect; he even drinks before he goes to work. His family has a history of alcoholism. Although George is aware of the genetic origins concept, he feels embarrassed and struggles to identify himself as an alcoholic. He compares himself with others who drink far more than he does, and in his perception, this rationalizes that he is not that bad.
George continues to drink despite the adverse consequences on his health and sociocultural relationships. In the past three years, he has experienced the following consequences:

One arrest for driving under the influence (DUI)

Loss of a job

Mood swings

Fights and arguments with family members over his drinking

Frequent inability to stop drinking

Blackouts

Need for increasing amounts of alcohol in order to get high

George's present employer asks him to attend Alcoholics Anonymous meetings. George responds, "I am not like those people. I am not that bad."

Using the DSM-V criterion, diagnose Staria and George. Explain the diagnosis by incorporating discussion over the concepts of addiction (i.e., withdrawal, tolerance, physical dependence, comorbidity, and psychological dependence). Be sure to explain the selected diagnosis.

The models for substance use can be categorized as physiological and psychological. Within each of these general categories, however, are different specialized foci. Review the Theories of Alcoholism document, as well as conduct research to determine which model(s) aid in understanding what is happening with Staria and George.

Case # 3: Ms. A

Ms. A is a 27 y.o. computer analyst employed at Intel, Inc. She is unmarried, has no children and has been in a significant relationship with a female partner, Tina, for 5 years.   Tina and Ms. A live together in a home they own in Albuquerque.

For the past 9 months, Ms. A has been experiencing consistent and regular shakiness, sweating, shortness of breath and an exaggerated startle response. In addition, she experiences significant, unfocused worry and anxiety. Ms. A has tried to control the “worry” but to no avail. Ms. A comes to you, a Licensed Independent Social Worker in private practice, as she believes she is on the verge of having a “nervous breakdown”.

While conducting the biopsychosocial history, Ms. A advises you she has always been a “worrier”. In high school she displayed perfectionistic tendencies, often worried she would be late to school, was very compliant and had excessive concern about her school performance. Additionally, Ms. A reports regularly feeling inadequate and avoidant of people or situations for fear of being rejected or criticized. These characteristics continued through college and have become increasingly more prevalent, impacting her performance at work as well as her relationship with Tina.

Currently, Ms. A is anxious about most situations and experiences this most every day of the week. Sundays tend to be worse for her as she is thinking about returning to work on Monday.   Ms. A reports she is frequently irritable and agitated with co-workers and Tina. Since her worries have intensified, she has not been able to sleep due to restlessness, is chronically tired and fatigued, has trouble concentrating and generally feels “on edge”. Her work performance has declined as she is not able to meet deadlines and frequently misses meetings. Her boss has expressed concern and urged Ms. A to seek assistance.

You note these symptoms have been present during the last 9 months. Ms. A has seen her primary care physician who indicated Ms. A is in good health. Additional history you obtain indicates no use/abuse of substances.

While exploring Ms. A’s sense of inadequacy, you discover this has been a pervasive pattern beginning in late adolescence. One of the reasons Ms. A became a computer analyst was to avoid working in “teams” which would require a great deal of interpersonal contact and interactions. She has few friends and rarely socializes for fear of being unaccepted and spurned. Ms. A’s preoccupation with being criticized or rebuffed is emotionally debilitating. Developing her relationship with Tina was extremely difficult. Ms. A felt inferior to her and attempted to sabotage the relationship several times. Only after Tina “proved” she loved Ms. A did Ms. A allow a relationship to develop. Presently, Ms. A is concerned about her relationship as Tina is regularly frustrated with Ms. A’s constant worry, feelings of inadequacy, reluctance to socialize or doing things Tina likes, such as snowboarding and cycling.

Based on the above vignette for Case #3, list the principal diagnosis/diagnoses (including any and all appropriate subtypes and specifiers)