you are the nurse working triage in the emergency department. this afternoon, a woman brings in her
father, K.B., who is 74 years old. the daughter reports that over the past year she has noticed her father has
progressively had problems with his mental capacity. these changes have developed gradually but seem
to be getting worse. at times he is alert and at other times he seems disoriented, depressed, and tearful.
He is forgetting things and doing things out of the ordinary, such as placing the milk in the cupboard and
sugar in the refrigerator. K.B. reports that he has been having memory problems for the past year and
at times has difficulty remembering the names of family members and friends. His neighbor found him
down the street 2 days ago, and K.B. did not know where he was. this morning he thought it was nighttime
and wondered what his daughter was doing at his house. He could not pour his own coffee, and he
seems to be getting more agitated. a review of his past medical history is significant for hypercholesterolemia
and coronary artery disease. He had a myocardial infarction 5 years ago. K.B.'s vital signs today are
all within normal limits.
1. What are some cognitive changes seen in a number of elderly patients?
2. You know that physiologic age-related changes in the elderly can influence cognitive
functioning. Name and discuss one.

3. For each behavior listed, specify whether it is associated with delirium (DL) or dementia (DM).
_____ a. Gradual and insidious onset
_____ b. Hallucinations or delusions
_____ c. A sudden, acute onset of symptoms
_____ d. Progressive functional impairment
_____ e. Inability to perform activities of daily living (ADLs)
_____ f. Incoherent interactions with others
_____ g. Possible wandering behavior
_____ h. Behavioral disorders that often worsen at night

4. Based on the information provided by the daughter, do you think K.B. is showing signs of
delirium or dementia? Explain.
5. You know that there are several types of dementia that result in cognitive changes. List two of
these types of dementia.
6. How can the level or degree of the dementia impairment be determined?
7. A number of diagnostic tests have been ordered for K.B. From the tests listed, which would
be used to diagnose dementia?
______ Mental status examinations
______ Toxicology screen
______ Mini-Mental State Examination
______ Electrocardiogram
______ Electroencephalogram
______ Complete metabolic panel
______ Complete blood count with differential
______ Thyroid function tests
______ Colonoscopy
______ Rapid plasma reagin (RPR) test
______ Serum B12 level
______ Bleeding time
______ Human immunodeficiency virus screening
______ Liver function tests
______ Vision and hearing evaluation
______ Magnetic resonance imaging (MRI)

After review of K.B.'s history and diagnostic test results, K.B. is diagnosed with Alzheimer's dementia. The
physician calls a family conference to discuss the implications with K.B. and his daughter.

8. What neuroanatomic changes are seen in individuals with Alzheimer's disease?
9. List at least three interventions you would plan for K.B.

K.B. is discharged and sees his primary care physician 2 days later. K.B. receives a prescription for donepezil
(Aricept) 5 mg PO per night. As you review the prescription with K.B.'s daughter, she tells you that she is
"excited" because she did not know there were medications that could cure Alzheimer's disease.
10. How do you respond?

Two weeks later, K.B.'s daughter calls the physician's office and states, "I realize that the Aricept will not
cure my dad, but there has been no improvement at all. Are we wasting our money?"
11. What is the best answer for her question?

12. K.B.'s daughter mentions that she has found him out in the front yard and once in the
neighbor's yard. What are some interventions that you can suggest to promote safety
for K.B.?

Write a response commenting on their report and asking a question about the report, including questions about the scientists who performed the research and the organisms under discussion. Please make sure to answer all questions in reply to your report in detail.

1st comment

A brief summary of the ethical concerns surrounding this topic.

Designer babies is the idea of creating babies with disease free and super authentic or smart by using technology to manipulate genetic. In fact, parents can choose to screen embryos created via in vitro fertilization (IVF) for sex or diseases, a process known as pre-implantation genetic diagnosis. It’s reported recently about a method of extracting defective mitochondria, the energy powerhouses of cells, from a woman's egg and replacing them with healthy mitochondria from a donor egg. With new tests, scientist can detect fetal DNA circulating in a woman's blood stream early on in pregnancy, determining sex or catching errors in the number of chromosomes which cause Down syndrome. However, scientists still hesitate to adapt this technique into the reality, especially with sex selection since it can cause a huge problem in sex discrimination against women in society. Additionally, giving parents the ability to choose and control genetic traits of their F1 could potentially affect the bond between the parents and their descendants. According to Murray, he states "one of my concerns is if we let parents think they are actually choosing and controlling [their child's outcome], then we set up all that dynamic of potentially tyrannical expectations over what the child will do or be.”

2. Your own well-supported personal viewpoint on this issue and how you would defend your viewpoint to a person who disagrees with you

Although I like the idea of preventing babies from any type of diseases before they are even born, I disagree with the concept of choosing genetic traits. I think the whole process should be natural and ordinary. We can create babies but we should not control them. We give them lives but we can force them how to live it. This type of manipulations should not be supported because it can lead to other major problems. In fact, in many Asian countries, societies value boys more than girls that leads to sex discrimination against women. Also, this is a very expensive process, so not all of families can afford the technology cost. The most accurate sex-selection methods are the most expensive (tens of thousands of dollars) and often mean you have to undergo invasive infertility treatments and take fertility drugs with potential side effects. As the result, there would be racist among the kids who are chosen better traits than others. There are so many reasons to convince me that the term of designer babies is not human being. We should not hinder the natural process of variation.

2nd comment

Giving parents the ability to select genetic traits for their offspring could damage the relationship they could have with their kids because of the predetermined notions of what they wanna be or who they should be through the DNA selection. Also by choosing and controlling the child's outcome then we set up the dynamic of potentially tyrannical expectations over what the child will do or be.

The ethical concerns would be the damage done to the children by forcing the individual into a predetermined life but deciding his or her Abilities or Mental Capacity... All things that come naturally and almost picked at random would now be like taking your kid to build a bear and deciding what you want from hair to height to every.

I don't think to make sure a child a healthy and removing certain disease traits that get passed down from the child are bad but the damage done to the parent-child relationship could be. Even in today's Era parents have to hate or disdain for their kids for not being what they want. A kid having a different outlook after being biologically altered to fit his or her parent's needs and still deciding to be something else in life could destroy the relationship beyond repair.

Put your name here

Course Title: HSM 543 Health Service Finance Class

Week 6: You Decide Assignment

Professor’s Name:

Scenario

you sat in the CFO chair, studied a real world hospital Accounts Receivable (AR) problem with your team, and came up with a Process Improvement Plan to reduce Days in Accounts Receivable and improve cash flow to you hospital. Well the great news is that your plan worked! This morning your Days in AR stand at 67. Not perfect.... but much better, and you have five payrolls of cash on hand right now. Things are looking up for Community Memorial! And then just before lunch you get a call from the Bill Jacobs, Human Resource Director at Commercial Intertech (CI), the largest employer in the community. Bill says, "I wanted you to hear it from me first. We signed a contract yesterday with MegaPlan Health. They will be the managed care organization for all 4,500 of our employees and their families. About 9,000 patients total. I'm sure that you will want to get a contract with MegaPlan as soon as possible. I noticed that your hospital is not on their Preferred Provider Network (PPN), and I am pretty sure that you will want to be, so that our employees can continue using the facility." By the time you thank Bill for the heads up, the acid is already churning in your stomach. In the hospital world, MegaPlan is known for cut-throat tactics, negotiating steep discounts with hospitals, and fighting every claim the hospital makes. Commercial Intertech has every right to contract with any health insurance provider they like, but now you have a problem. If you cannot get a decent contract with MegaPlan and become part of their Preferred Provider Network (PPN), many local patients may bypass your hospital and go the next closest PPN facility. Delivered to your office this afternoon, by no coincidence, is a contract proposal from MegaPlan. It calls for the hospital to provide a 35% discount from charges to MegaPlan and all of its members. And it includes service pre-authorization requirements which will make life very difficult for your business office. You know from experience that the hospital loses money whenever the discount from charges exceeds 20%.

Your Role

You are the hospital CFO, trying to solve the managed care problem.

Key Players

Dr. John Evans, Chief of Staff

Katrina Eaton, CEO

Linda Freed, Business Office Manager

Nancy Stritmatter, CNO

Assignment

Given the scenario, your role and the information provided by the key players involved, it is time for you to make a decision.

What will you do? Whose advice makes the most sense to you in this situation, and how will you proceed?

Understanding

Here you are to demonstrate a strong grasp of the problem at hand. Also, demonstrate an understanding of how the course concepts apply to the problem.

Provide at least 3 paragraphs that contain at least 5 sentences.

Analysis

Here, you are to apply original thought to solving the business problem. Also, apply concepts from the course material correctly toward solving the business problem.

Provide at least 3 paragraphs that contain at least 5 sentences.

Execution

Here you are to type your answer clearly and succinctly using strong organization and proper grammar. Use citations correctly

Provide at least 3 paragraphs that contain at least 5 sentences

References

At the top of page 3, provide your references in APA Format. Provide at least 3 references for your paper.

Some of the Course Keys concepts

Financial planning

Strategic Budgeting

Strategic planning

Management and decision making

accounts receivable

Third party payers

Cost shifting

Incremental cost

Working capital

Current assets

current liabilities

financial statements

future trends

Read Case (Pinto) Then, answer following questions and turn these in by the deadline.

Pinto54 In the late 1960s, Ford designed a subcompact, the Pinto, which weighed less than 2,000 pounds and sold for less than $2,000. Anxious to compete with foreign-made subcompacts, Ford brought the car into production in slightly more than 2 years (compared with the usual 3½ years). Given this shorter time frame, styling preceded much of the engineering, thus restricting engineering design more than usual. As a result, it was decided that the best place for the gas tank was between the rear axle and the bumper. The differential housing had exposed bolt heads that could puncture the gas tank if the tank were driven forward against them upon rear impact.
In court, the crash tests were described as follows:55 These prototypes as well as two production Pintos were crash tested by Ford to determine, among other things, the integrity of the fuel system in rear-end accidents. Prototypes struck from the rear with a moving barrier at 21miles-per-hour caused the fuel tank to be driven forward and to be punctured, causing fuel leakage. A production Pinto crash tested at 21miles-per-hour into a fixed barrier caused the fuel tank to be torn from the gas tank and the tank to be punctured by a bolt head on the differential housing. In at least one test, spilled fuel entered the driver s compartment Ford also tested rear impact when rubber bladders were installed in the tank, as well as when the tank was located above rather than behind the rear axle. Both passed the 20-mile-per-hour rear impact tests. Although the federal government was pressing to stiffen regulations on gas tank designs, Ford contented that the Pinto met all applicable federal safety standards at the time. J. C. Echold, director of automotive safety for Ford, issued a study titled Fatalities Associated with Crash Induced Fuel Leakage and Fires. 56 This study claimed that the costs of improving the design ($11 per vehicle) outweighed its social benefits. A memorandum attached to the report described the costs and benefits as follows:
Benefits Savings 180 burn deaths, 180 serious burn injuries, 2,100 burned vehicles Unit cost $200,000 per death, $67,000 per injury, $700 per vehicle Total benefits 180 $200,000 plus 180 $67,000 plus 2100 $700 $49.15 million Costs Sales 11 million cars, 1.5 million light trucks Unit cost $11 per car, $11 per truck Total costs 11,000,000 $11 plus 1,500,000 $11 $137 million

The estimate of the number of deaths, injuries, and damage to vehicles was based on statistical studies. The $200,000 for the loss of a human life was based on an NHTSA study, which estimated social costs of a death as follows:57
Component 1971 Costs Future productivity losses Direct $132,000 Indirect 41,300 Medical costs Hospital 700 Other 425 Property damage 1,500 Insurance administration 4,700 Legal and court 3,000 Employer losses 1,000 Victim s pain and suffering 10,000 Funeral 900 Assets (lost consumption) 5,000 Miscellaneous accident cost 200 Total per fatality $200,725
Discuss the appropriateness of using data such as these in Ford s decision regarding whether or not to make a safety improvement in its engineering design. If you believe this is not appropriate, what would you suggest as an alternative? What responsibilities do you think engineers have in situations like this?

1) Are there any factual or conceptual issues in this case? If so, explain what they are.

2) What moral issue (issues) do you see in this case? Be specific.

3) Do you see any impediments to responsible action in this case? If so, identify them and explain how they contributed to the case.

11. Tony and four of his colleagues at the hospital have formed a lottery syndicate where they each contribute $5 a week to buy a ticket in the state lottery. In the last draw their numbers came up. When he was told that the syndicate had won and he would have a share of $50 million, Tony promptly fainted. How can receiving a shock such as this cause a person to faint?

12.​Siegfried experiences a hemorrhage in an artery, and now blood is leaking out of the resulting hole. His blood pressure decreases. Explain the cardiovascular reflex responses that follow to compensate for the drop in blood pressure. (Hint: Drawing a flow chart might help organize the sequence of events).

13.​Sharon "gets the wind knocked out of her" during a skiing accident in which she attempted a jump and landed hard on her feet before tumbling over. She is conscious but breathing is labored, and she complains of pain and shortness of breath. The first aid-trained ski patrolman that comes to her aid determines that Sharon has no broken bones, nor is CNS injury likely. He places tiny tubes at her nostrils that blow air (with higher than normal percentage of oxygen) into her nose then places her on the snowmobile, and takes her to the first aid tent. Why is Sharon's breathing labored? How does the high-oxygen air help her condition?

14.​Ralph is taking SCUBA diving classes and is confused as to why he should not hold his breath under water while ascending—his instructor told him he must exhale continuously. What would you tell him?

15.​A 30 year old computer programmer has had asthma for 15 years. When she lies down at night she has spells of wheezing and coughing. She has found that she can sleep better sitting nearly upright. Upon examination her doctor finds that she has an enlarged thorax. Her lungs are overinflated on X ray. The results of the examination and pulmonary function tests are shown in the table.

After she was given a bronchodilator, her vital capacity increased to 3650 ml.

What is her minute volume?

Why is there a change in vital capacity with bronchodilators?

16.​What other values are abnormal and why?

Marco tried to hide at the bottom of a swimming hole by breathing in and out through 2 feet of garden hose, which greatly increases his anatomic dead space. What happens to the following parameters in the arterial blood and why?

17.​PCO2​​​​

18.​PO2​​​​

19.​Bicarbonate ion​​

20.​pH​​​​

21.​Which of the following has the greatest effect on the ability of blood to transport oxygen?

A. Capacity of the blood to dissolve oxygen

B. Amount of hemoglobin in the blood

C. pH of plasma

D. CO2 content of red blood cells

E. Temperature of the blood

22.​​Premature babies frequently need to be put on a respirator to help them breathe. Why does this become a necessary treatment for many premature babies?

23.​ ​Air flow in the respiratory system and blood flow in the cardiovascular system have many similarities; name three.

24.​Erythropoietin (EPO) is a hormone produced by the kidneys and released in response to hypoxia to promote the maturation of RBCs. During the 1980s, a human recombinant form of EPO (rHuEPO) became available. Explain the advantages and dangers of administering someone rHuEPO to increase oxygen-carrying capacity of blood.

LAST QUESTION!!

a.​Take your pulse.

b.​Assuming that your SV is 70 ml and 1 ml of blood weighs 1g, calculate how long it would take your heart to pump your body weight in blood. (NB: 2.2 lbs = 1 kg).

Ethics of Exporting Used Batteries

Lead is a highly toxic metal, and lead in this case relates to exporting used batteries to Mexico. Elevated levels of lead in the human body have been associated with damage to many organs and body tissues, including the heart, bones, intestines, kidneys, and reproductive and nervous systems. High lead exposure in young children is particularly worrying. It can result in lower intelligence and learning disabilities, impaired hearing, reduced attention span, hyperactivity, and antisocial behavior. It is not surprising then that exposure to lead has been highly regulated in developed nations. In the United States, the Environmental Protection Agency (EPA) has mandated tough rules designed to limit lead pollution. One consequence of these rules has been to increase the cost of recycling lead batteries. These rules, however, do not prohibit companies from exporting used batteries to other nations where standards are lower and enforcement is lax.

A study conducted by the reporters from the New York Times found that about 20 percent of used vehicle batteries and industrial batteries in the United States are exported to Mexico, tripling this form of export in just five years. The lead in these batteries is then extracted and resold on commodities markets. It is a booming business. Lead scrap prices stood at $0.73 a pound in July 2015, up from $0.05 a decade earlier. Recycling in Mexico is also a dirty business. While Mexico does have some regulations for smelting and recycling lead, the laws are weak by American standards, allowing plants to release about 20 times as much as their American equivalents. To make matters worse, enforcement is lax due to the lack of funds for quality control. For example, a government study in Mexico found that 19 out of 20 recycling plants did not have proper authorization for importing dangerous waste, including lead batteries.

At some recycling plants in Mexico, used batteries are dismantled by people wielding hammers and their lead smelted in furnaces whose smokestacks vent into the open air. Point in case, a sample of soil collected from a schoolyard next to one of the recycling plants showed a lead level of 2,000 parts per million, five times the limit for children’s play areas in the United States, as set by the EPA. The New York Times reporters documented several cases of children living close to this plant who had elevated levels of lead in their bodies. One four-month-old had 24.8 micrograms of lead per deciliter of blood, almost two and a half times as much as the level typically associated with serious mental retardation.

The value chain for used batteries and this form of lead exports is also done by intermediaries in the United States who buy up old batteries and then ship them across the border to the cheapest processors, typically a Mexican company. Some large multinationals are also in this business, however, although they mostly try to adhere to stricter standards and regulations. For example, one large U.S. battery company, Exide Technologies, has five recycling plants in the United States and it does no recycling in Mexico. According to an Exide official, it was not in the company’s best interest to skirt regulations. Another large U.S. battery manufacturer, Johnson Controls, does ship a significant number of batteries to Mexico, but it has its own recycling plants in Mexico as well. Johnson Controls states that its Mexican facilities abide by the stricter U.S. regulations, rather than the Mexican standards. Its recycling operations in Mexico are also well below current U.S. standards for employee blood levels and substantially better than average.

1.Which country’s regulations should apply to a company—the stricter regulations or the country’s regulations in which operations are taking place? What happens if all multinational corporations focus on countries with the least strict standards?

2. With more than 200 countries in the world, is it realistic to expect ethical guidelines to be established across all countries or even within industries across countries? Is one person’s or one company’s ethics likely to be similar to other people’s or companies’ ethics?

.

Tom Brady is the relatively new controller of the Body and Bath Division of New Scotland Drugs (NSD). He completed his CPA designation three years earlier (at a major auditing firm in Moncton) and has worked at the Body and Bath Division for the past six months). The move to Halifax was a major decision for Tom, but he is getting used to the climate and the new firm.

The Body and Bath Division (BPD) is located in Halifax, which is also the headquarters of NSD. This location gives NSD excellent access to distribution networks across North America while enjoying very low operating costs. (Wages and occupancy costs in Halifax are 40–60% lower than metropolitan centres like Vancouver or Toronto.)

At the request of the division’s long-time president, Belinda Belichick, Brady developed a proposal for a new product to be called Vital Hair. This product is a cream to be rubbed on the scalp to restore hair growth. The fixed costs associated with the development, production, and marketing of Vital Hair are $25,000,000. The majority of these costs are associated with the human trials needed to get federal health approval for this type of product. Due to the nature of the product, it has to be monitored by a doctor. Each customer will pay a doctor $98 per monthly treatment, of which $68 is paid to NSD. Brady estimates NSD’s variable costs per treatment to be $28.50. Included in this is $9.25 for potential product litigation costs. Brady did some research on this type of product, and while most of the data came from the United States, he noticed that there is an increasing trend in Canada for consumers to take companies to court for the slightest issue with a product.

Belinda Belichick and Brady are scheduled to make a presentation to the NSD executive committee on the expected profitability of Vital Hair. After reading Brady’s report, Belichick called him to her office. Belichick was livid at Brady for including the $9.25 estimate. She argued that it is imperative to get the R&D funds approved (and quickly) and that any number that increases the breakeven point reduces the likelihood of the Vital Hair project being approved. She notes that NSD has had few successful lawsuits against it, in contrast to some recent “horrendous” experiences of competitors with breast implant products. Moreover, she was furious that Brady put the $9.25 amount in writing. “How do we know there will be any litigation problem?” She suggested that Brady redo the report excluding the $9.25 litigation risk cost estimate. “Put it on the whiteboard in the executive committee room, if you insist, but don’t put it in the report sent to the committee before the meeting. You can personally raise the issue at the executive committee meeting and have a full and frank discussion.”

Brady took Belichick’s “advice.” He changed the report’s variable cost to $19.25 per treatment. Although he felt uneasy about the changes, he was comforted by the fact that he would flag the $9.25 amount to the executive committee in his forthcoming oral presentation.

One month later, Belichick walks into Brady’s office. She is in a buoyant mood and announces she has just come back from an executive committee meeting that approved the Vital Hair proposal. Brady asks why he was not invited to the meeting. Belichick says the meeting was held in Toronto, and she decided to save the division money by going alone. She then says to Brady, “It is now time to get behind the new venture and help make it the success the committee and the team members believe it will be.”

Required

1.            What is the breakeven point (in units of monthly treatments) when NSD’s variable costs (a) include the $9.25 estimate and (b) exclude the $9.25 estimate for potential product litigation costs?

2.            Should Brady have excluded the $9.25 estimate in his report to the executive committee of NSD? Explain your answer.

3.            What should Brady do in response to Belichick’s decision to make the presentation on her own? What options does he have? As a CPA what are his responsibilities?

A Disastrous Development project

In 2004, Marin country in California decided to replace its ageing financial management, payroll, and Human Resources systems with a modern SAP enterprise resources planning system. The country solicited proposals from various companies to act as software consultants on the implementation. Thirteen companies, including oracle, PeopleSoft, and SAP, submitted proposals. In April 2005 the country selected Deloitte consulting based on the firms representations concerning its in- depth knowledge of SAP systems and the extensive experience of its consultants.

From 2005 to 2009, Marin Country paid increasing consulting fees to Deloitte as its staff grappled with serious fiscal problems. Essentially, the staff could not program the SAP system to perform even routine financial functions such as payroll and accounts receivable. A grand jury probe concluded that the system had cost taxpayers $28.6 million as of April 2009.

At that time, Marin Country voted to stop the ongoing SAP project acknowledging that it had wasted some $30 million on software and related implementation services from Deloitte.

The Marin Country information systems and technology group conclude that fixing the Deloitte-instlled SAP system would cost nearly 25 percent more over a 10 year period than implementing a new system.

In 2010, Marin country filed a complaint alleging that Deloitte's representations were fraudulent. The complaint accused Deloitte of using the country SAP project as a training ground to provide young consultant with public sector SAP experience, at the country's expense. It further charged that Deloitte intentionally failed to disclose its lack of SAP and public sector skills; withheld information about critical project risks: falsely represented to the country that SAP system was ready to "go live" as originally planned: conducted inadequate testing; and concealed the fact that ist had failed to perform necessary testing , thereby ensuring that system defects would remain hidden prior to the go-live date.Finally, the country maintained that, although it had paid substantial consulting fees to Deloitte, the system continued to have crippling problems.

Deloitte filed a counterclaim over the country failure to pay more than $550000 in fees and interest. The company maintained that it had fulfilled all of its obligations under the contract, as evidenced by the fact that all of Deloitte's work was approved by the country officials who were responsible for overseeing the project.

In December 2010, Marin Country sued Deloitte and two SAP subsidiaries, alleging that Deloitte had "engaged in a pattern of racketeering activity designed to designed to defraud the country of more than $20 million, The country lawsuit also names as defendant Ernest Culver, a former country employee who served as director on the SAP project. The country alleged that Culver interviewed for jobs at Deloitte and SAP, where he now works in SAP's public services division, It further claimed that during the SAP project, Culver "was approving Deloitte's deficient work on the project, approving payment, and causing Marin Country to enter into new contracts with Deloitte and SAP public services, Inc.

In late December 2011, a judge ruled that Marin Country failed to allege sufficient facts to bring a racketeering claim against SAP under the terms of the federal Racketeer Influenced and corrupt organisations Act ( RICO). However, he also ruled that Marin Country could fly an amended complaint. The judge further found that Marin Country hd alleged sufficient facts to bring a "plausible" bribery claim against SAP with aspect to Culver. Finally, the judge denied SAP's motion to dismiss claims against against its SAP America division.

In mid January 2012, Marin Country filed an amended complaint in federal court related to its actions against SAP, Deloitte Consulting, and Ernest Culver. The president of. the Main Country Board of supervisors stated that the board is committed to ensuring accountability for its taxpayers.

1- debate the lawsuit from the point of view of Deloitte and SAP.

2- Debate the lawsuit from the point of view of Marin Country.

QUESTION 15

In 2017, a company employee received an option to purchase the company's stock at $45 per share. If the stock is trading at $40 a share in 2019, the employee will most likely

2 points   

QUESTION 16

Jeff owns and manages a small electronics repair store. He determines the time required by his employees to complete each task assigned by him. When employees complete the repairs in less time, they receive an amount of pay equal to that time determined by him. In this scenario, Jeff is using a

QUESTION 10

During an organizing campaign, which of the following occurs when union representatives make contact with employees, present their message about the union, and invite them to sign an authorization card?

2 points   

QUESTION 11

During contract negotiations, the union representing the teachers in District 46 is calling for a strike if the union's demands aren't met by the end of the week. A new school board member is worried about school shutting down and suggests directing the negotiators to accept the union's demands. A more experienced board member says the teachers also have reasons for not wanting to strike. Which of the following would be one of the most likely reasons for teachers not wanting to strike?

2 points   

QUESTION 12

East Bay Hospital was concerned about rising costs for patients who have surgery for joint replacement. It tried rewarding staff in any quarter they met targets for lower use of supplies, but costs continued to rise. An investigation showed that one source of costs was the readmission of patients who experienced infections after surgery. The human resource department proposed setting up a gainsharing program with an effectiveness measure related to reducing infections. Which statement about gainsharing best supports this recommendation?

2 points   

QUESTION 13

Gabriela, an HR manager, and her staff devote long hours to planning and running a "benefits fair," where employees can view displays and ask questions about the various parts of the company's benefits package. The following week, the marketing manager asks if the effort was worthwhile. Gabriela says it was. What is the most likely reason for Gabriela's opinion?