This case is a model case, told from the perspective of a staff nurse that illustrates clinical leadership by a staff nurse.

We had a very long-term patient in our medical/surgical ICU who was with us from early October until January 1 when he died. He had amyotrophic lateral sclerosis and a very aggressive, untreatable cancer, but he and his family were not willing to accept his diagnosis, thus kept him as a full code. His mind was intact until the last few days when he developed renal failure.

His wife was very difficult, constantly criticizing our care, constantly “checking him over,” looking for a sheet crease or something to pin his deterioration on. She was so difficult that most nurses gave up trying to even talk to her.

I spoke with my manager, who challenged me to understand her and to have her understand us and his prognosis. I remember telling my manager that I didn't need any more challenges, but I ended up taking it on! I spoke with all his doctors (even those who had “checked off” the case to understand their position[s]), used the social services and case management teams of nurses/social workers. I finally spoke with him alone to see what his end of life decision(s) were and then I spoke with her alone. He and she both wanted to maintain the Full Code status, so then we discussed his probable course. It took many conferences with her but she came to trust me and eventually called me “his favorite nurse.” It taught me that patience is crucial and that was nothing I thought I had in my arsenal!

His room had a small window, but he hadn't been outside in many months other than his transfer from the ambulance from his rehab center to our hospital in October. The respiratory therapist and I decided to take him outside for some sun. We cleared it with the doctors, the charge nurse, and finally with the patient. He was terrified, and I explained we'd bag him while he was outside and then he could see the life outside. He agreed. It was a major undertaking, but he smiled in the slightly overcast day. We bundled him in warm blankets, and he was out there for about 15 minutes, with the wind blowing his hair, and he beamed. His wife was thrilled and asked if we could do it again, so we repeated the adventure the following day with her. That day was sunny, so we stayed out longer. We had four to five trips outside over the next 2 weeks.

His deterioration was substantial after Christmas; his code status was changed to No Code and she asked for a priest to come to give him a final blessing. Eventually, she agreed, on January 1, to take him outside, off the ventilator and allow him to go in peace in the sun where he had enjoyed some last pleasant days. It was a rainy day, but the sun came out for an hour and a half. He breathed for 45 minutes and had his family (real family and hospital family of RNs and “his” respiratory therapist, who had been with me on our first venture outside) around him when he finally passed away. It was one of the most beautiful experiences of my life and one I've learned a lot from!

Case Analysis

This RN showed her leadership in the following ways: She was a visible role model who demonstrated clinical competence and knowledge. She was an effective communicator, engaging other members of the interprofessional team, the patient, and the patient’s family in making decisions about his care. Her care for the patient illustrated her professional values and use of ethical principles, particularly related to patient autonomy and dignity. Her actions illustrate how she functioned as a care coordinator and empowered, motivated, and opened others to new possibilities in caring for a difficult patient. In writing about this experience, she used reflection. This case also illustrates how a nurse manager can empower a staff nurse to become a clinical leader.

How does this case study fit the definition of leadership as a concept presented in your text?

Was the staff nurse acting as a formal or an informal leader?

Sunshine Company is a calendar year accrual-basis taxpayer and is in its first year of operations. Sunshine Company had the following income, expense, and loss items for the current year:

Furthermore, Sunshine’s liabilities (all recourse) increased from $0 on 1/1 to $300,000 on 12/31 of the current year.

Note: Take into consideration how Capital losses are treated for C corporations. Notice how Interest from municipal bonds affect or not your taxable income.

Special deductions may be necessary for dividends.

1. Assume that Sunshine Company is a c corporation. Alvin contributed $60,000 to purchase 60% of the stock while his wife’s best friend, Ann, contributed $40,000 to purchase the remaining 40% of the stock when the corporation was formed this year. Alvin received a $2,400 per month salary ($28,800 in total). Ann doesn’t work for the company so she received no salary. The company distributed some profits at the end of the year by paying out a $55,000 dividend.
   1. Calculate Sunshine Corporation’s taxable income and income tax liability to be reported on Form 1120.
   2. What amount and type of income must Alvin report on his individual Form 1040 tax return?
   3. What amount of Alvin’s income will be subject to self-employment tax?
   4. What is Alvin’s basis in his Sunshine stock at the end of this year?

Note that you do not need to complete Form 1120, but this form and related schedules will be a useful guide in completing this portion of the assignment.

IMPORTANT - All information is provided, form 1120 is a tool that might help you solve the problem. The related schedules that are linked to form 1120 are useful as well, but not entirely necessary to solve the exercise. Form 1120 can be found on IRS official site.

Please Show Calculations:

1. The table below provides the grade categories along with the number of students obtaining a particular grade in the last five years in a difficult English course at a Caribbean University.

Based on the data, what is the probability that a currently enrolled randomly selected student will obtain an A?

a. 0

b. 0.16

c. 0.09

2. The random variable X denotes the number of times students at a certain university visit their Facebook page in a day. The table below gives the probability distribution of X

If a student from the university is randomly selected, what is the probability that he or she visits Facebook more than 3 times a day?

a. 0.361

b. 0.25

c. 0.639

3. The random variable X represents the number of 500ml bottles of water drank by a sample of men in a particular day while Y represents the same information for women. The probability distributions of X and Y are given below.

Based on the data, which of the following is true?

a. The average man drinks about 1,375ml of water a day

b. Men generally drink more water than women.

c. The average woman drinks about 105ml more water per day than the average man.

4. The table below provides the grade categories along with the number of students obtaining a particular grade in the last five years in a difficult English course at a Caribbean University.

Based on the data, what is the probability that a currently enrolled randomly selected student will obtain a C or a D?

a. 0.29

b. 0.37

c. 0.66

5. Which of the following is a discrete random quantitative variable

a. X = the number of books in the bag of your best friend

b. X = the number of phones owned by a randomly selected taxi driver

c. X = the amount of money in the wallet of a randomly selected USC student

Disney raises theme park ticket prices, again. You've got to pay more to play in the Magic Kingdom, because Walt Disney just raised its ticket prices again, breaking the $100 mark. A one-day ticket to the Walt Disney World Resort's flagship theme park, the Magic Kingdom, now costs $105, up from $99. Prices had been jacked up by $4 just last year. The price of admission applies to anyone 10 years and older entering the Orlando-area theme park. Younger children, aged 3 to 9, pay $99 to enter the Magic Kingdom, compared to $94 last year. Prices also increased for the other Disney World theme parks -- EPCOT, the Animal Kingdom Park and Hollywood Studios -- to $97 for visitors aged 10 and older, compared to $94 last year. Children aged 3 to 10 now pay $91 for a single-day ticket to those parks, compared to $88 last year. The price hikes seem to be working for parent company Walt Disney World Resorts, which reported a 7% increase in revenue year-over-year, largely from its parks. "Increased guest spending was primarily due to higher average ticket prices for admissions at our theme parks," Walt Disney Company (DIS) said in a financial report. A Disney spokeswoman said the "vast majority" of visitors buy the multi-day passes, which can knock the price down to $96 per day for a two-day ticket, or $63 per day for a five-day ticket. She also said that a ticket for a single day at Walt Disney World buys 16 hours of entertainment.

1. What is the price of a one-day ticket to the Magic Kingdom?

2. Given the income elasticity of demand how do we know if a trip to Disney World is a normal good or an inferior good?

3. The news article tells us that with ticket prices rising, revenue is increasing. What does this tell us about the price elasticity of demand of a trip to Disney World?

Plot the differences in unemployment rate of the US and Canada. What can explain(s) the differences in unemployment rate of the US and Canada?

In your well-informed opinion, should the US pursue a free trade approach, or should the US regulate trade? Why?

Explain Homeostasis as it applies to the Nervous System and how it acts to protects us and keeps us safe especially the Reflex Arc.

Why have we not seen a US-based terrorist organization established with the goal to see the US end its’ war?

The trial balance of Sporting House, Inc. shows a $50,000 outstanding balance in Accounts Receivable at the end of 2016. During 2017, 60% of the total credit sales of $2 million was collected, and no receivables were written off as uncollectible. The company estimated that 1.5% of the credit sales would be uncollectible. During 2018, the account of Larry Johnson, who owed $600, was judged to be uncollectible and was written off. At the end of 2018, the amount previously written off was collected in full from Mr. Johnson.

1) Prepare the journal entry needed at 12/31/17.

2) Prepare the journal entry for the write-off of Johnson’s account.

3) Prepare the journal entry for the collection from Johnson.