28. True or False. Under U.S. law, any person who pays taxes can contribute to an IRA, and the contributions are tax-free.

44. True or False. Managers, executives, and lower level employees should all go through the same type of termination process.

49. True or False. If an organization offers leave benefits beyond those required by law, it should never make a declarative statement about this in its handbook

51. Which of the following assessments does not always need to be considered depending on the international assignment?

A. Person-organization fit

B. Personality-job fit

C. Language ability

D. Suitability of immediate family

52. The ERISA Act requires all of the following except:

A. All employees who have worked for more than one year and are over 21 years of age must be offered participation in any company-sponsored retirement plans.

B. Federal vesting rules must be followed, with a maximum vesting period of 100% at five years, or 20% per year from years 3 through 7.

C. Employee retirement accounts must be portable. When the employee changes jobs, their retirement funds can be transferred to their new employer or another qualified investment.

D. Fiduciaries who manage company retirement programs must act under the prudent man concept that says they should use care and diligence when investing retirement funds.

E. All employers must provide some form of employee retirement system for employees who are over the age of 21 and who request retirement accounts.

53. Maria is conducting a job evaluation in her organization by breaking each job down into component skills or abilities. After she completes that task, she will assign points to each skill or ability based on its difficulty. Maria is using the ________ method of job evaluation.

a. job ranking

b. point-factor

c. factor comparison

d. job hierarchy

54. Giorgio intentionally inserted an Internet worm into his company’s computer systems because he received low evaluation scores this period. Giorgio is guilty of:

A. Gross negligence

B. Just cause

C. A mistake

D. Employee resistance to change

E. Serious misconduct

55. Variable pay is:

A. compensation based on the reduction of the company’s variable costs.

B. compensation that varies based on the number of hours an employee works.

C. a payment made to a supplier in multiple installments.

D. compensation awarded on the basis of individual results or performance.

E. a payment made to employees based on willingness to work overtime.

56. John is always working to improve his cultural competence because his organization competes on a global scale with facilities in many different countries and no real “headquarters” in any country. John’s organization is in the ________ stage of corporate globalization.

a. domestic

b. international

c. multinational

d. transnational

57. Signs of potential violence include all but:

A. verbal threats

B. stalking and harassment

C. alcohol and/or drug abuse

D. employee cohesion

E. intentional property damage

58. Carl was dealing with a difficult employee problem. Doubting that he can remain objective in the situation, Carl asks Andrei to help him resolve the situation. It appears Carl is using the _________ ethical approach.

a. Golden Rule

b. four-way test

c. stakeholders’ approach

d. discernment and advice

59. Katrina’s organization is hiring for low-skilled jobs in an industry where unemployment is high and it is easy to find replacement workers. Adopting a(n) ________ organizational philosophy on compensation could allow her to hire plenty of workers.

a. wage compression

b. below-the-market

c. pay for longevity

d. competency-based pay

60. Management suspects it was Ramon who tipped off a safety inspector that one of the managers had hidden chemicals from the lab in the trunk of his car until the inspection was completed. After the inspection, managers began changing Ramon’s schedule and job duties daily. Ramon found that he could not plan for his children to be cared for while he was at work because his work schedule kept changing. Eventually, Ramon quit. It is likely Ramon experienced __________ discharge.

a. wrongful

b. constructive

c. economic

d. express

61. Wynona met an old friend for lunch. During the meal, Wynona mentioned that her company needed some help on their tax reporting. Wynona’s friend said that she was now an accounting consultant and had worked with many local organizations to streamline their tax reports. Wynona gave her a copy of the tax information for the company the next day and showed her friend what the issues were. A week later, Wynona’s friend brought completed copies of the tax forms necessary for Wynona’s company to her office. It would appear that Wynona created a(n) ________ contract when she gave her friend the tax forms.

a. express

b. implied

c. quasi

d. collective

62. ESOPs motivate employees because _______________.

a. employees will get something for nothing

b. employees will act more like owners

c. employees can reduce their work schedule

d. employees can expect higher base pay

63._____ organizations tend to believe that their values and culture are superior to others and they will therefore frequently choose to staff international facilities with home-country managers.

a. Ethocentric

b. Polycentric

c. Regiocentric

d. Geocentric

64. What mechanism is used to ensure that a company investigates any disciplinary action taken fully and fairly and makes sure that the disciplinary action fits the level of the offense?

A. The coaching model

B. The seven tests for Just Cause

C. Employee assistance programs

D. The discipline model

E. The code of conduct

65. Macy’s organization provides group health insurance to its employees. According to the ________, the organization must issue a “Summary Plan Description” that describes the plan and how it works in plain language.

a. Consolidated Omnibus Budget Reconciliation Act of 1985

b. Health Insurance Portability and Accountability Act of 1996

c. Employee Retirement Income Security Act of 1974

d. Social Security

66. Jacob’s manager asks him to organize a blood drive for the organization. The manager tells Jacob that if he accepts the assignment, he will be awarded Employee of the Month. Jacob has organized blood drives in the past and knows how much work is involved. He does not doubt that his manager can deliver on the promise of the award. However, Jacob has always thought that the award was silly. According to expectancy theory, Jacob is unmotivated to accept the assignment because _________ is lacking.

a. valence

b. instrumentality

c. expectancy

d. significance

67. Executive compensation in the form of a deferred contribution to the executive’s retirement accounts is one of the most common forms of _________ retirement funds.

A. governed

B. qualified

C. nonqualified

D. challenged

68. When a person does something because they like it, it is interesting and personally satisfying, and they want to do it, they are receiving _______________.

A. Intrinsic rewards

B. External rewards

C. Altruistic rewards

D. Autonomous rewards

E. Extrinsic rewards

69. Alexander did not make many sales this quarter. He considered adding a few fake entries to his quarterly report. However, he decided not to do so when the boss mentioned that the new computer software is designed to catch any inconsistencies. It appears Alexander is at the _________ of moral development.

a. preconventional level

b. conventional level

c. postconventional level

d. neoconventional level

70. OSHA cited a manufacturing company for a __________ violation for exposing workers to unguarded hazardous machinery. An inspection found that the company removed the machine guarding to increase the speed of product output and knowingly permitted workers to operate the machines in this unsafe manner.

a. willful

b. serious

c. other than serious

d. de minimis

71. Melissa’s boss told her to change the numbers on a balance sheet to make things look better for an upcoming board meeting. Melissa does not want to do it, but she really needs the job. She decides to go ahead and make the change. It appears Melissa’s justification for her unethical behavior is ________.

a. Disregard or distortion of consequences

b. I did it for the good of others or the company

c. I was only following orders

d. I’m not as bad as the others

72. Kyle is exhausted from working overtime to get his projects done. His manager asked another employee to help Kyle with his work so that Kyle can work regular hours with no overtime. According to learning theory, this is __________.

a. positive reinforcement

b. negative reinforcement

c. punishment

d. avoidance reinforcement.

73. Type A personalities experience ________________________.

A. the same amount of stress as Type B personalities

B. less stress than Type B personalities

C. more stress than Type B personalities

D. immeasurable stress

74. Acme Global is closing one of its plants immediately and laying off all 200 workers. As part of the closure, Acme Global will give each employee at the plant 60 days of pay and benefits. This will help Acme Global to be in compliance with the _________.

a. Railway Labor Act of 1926

b. National Labor Relations Act of 1935

c. Worker Adjustment and Retraining Notification Act of 1988

d. Labor Management Reporting Disclosure Act of 1959

75. Alfred has requested unpaid leave to care for his wife. She was injured while serving in the Army in Afghanistan. Alfred may be able to take this leave and return to his original job (or an equivalent one) under ________.

a. Social Security

b. the Affordable Care Act

c. the Family Medical Leave Act

d. Medicare

76. Under the idea of corporate social responsibility, companies must do the following:

A. provide employees with safe working conditions

B. provide consumers with safe products and services

C. compete fairly with competitors

D. all of the choices are correct

77. What percentage of international assignments fail mainly due to the inability to adapt to cultural differences?

A. 75%

B. 50%

C. 33%

D. 10%

78. Shannon is one of the best appliance repair people in her department. She can quickly disassemble appliances to diagnose and fix problems. However, her manager has noted that when other repair people ask her for help, she hesitates and seems unsure of herself. According to situational management, her manager should use a(n)________ management style to manage Maria’s performance problem.

a. autocratic

b. consultative

c. participative

d. empowerment

79. A mediator is a neutral third party who helps resolve a conflict ______________ to impose a solution to the conflict

A. and has jurisdiction

B. but has no authority

C. and will use consensus

D. and has some authority

80. Which of the following types of PTO is mandatory for U.S. employers?

A. Paid federal holidays

B. Paid annual leave

C. Paid sick leave

D. Paid personal leave

E. There are no mandatory PTO requirements for companies in the U.S.

81. Acme Global matches its employees’ contributions to charities. In other words, if an employee gives $100 to a non-profit agency, Acme Global gives $100 as well. It appears Acme Global is reaching the ________ level of corporate social responsibility.

a. legal

b. ethical

c. benevolent

d. social

82. Samantha’s organization keeps a large amount of raw materials in stock to guard against market fluctuations. It appears the ________ dimension of cultural diversity is high at Samantha’s organization.

a. assertiveness

b. power distance

c. in-group collectivism

d. uncertainty avoidance

83. One of the most common problems in incentive systems design is:

A. creating a set of goals instead of focusing on just one goal at a time.

B. picking an expedient goal that is easy to measure, but doesn’t aim at the company’s strategic goals.

C. designing incentive goals that are capable of being affected by the targeted employee or group of employees.

D. completely separating the incentives from base pay.

E. making the incentive goals difficult to achieve.

84. _______ contain information about the physical and chemical properties of hazardous products.

A. SDS

B. IEDI

C. PCPI

D. FMCS

E. AFUS

85. The first major provision of the FLSA concerns ____________________.

A. underage employees

B. the unskilled workforce

C. new hires

D. the federal minimum wage

86. _____ offer health, education, training, and fitness, weight and lifestyle management, and health risk assessment services to employees.

A. Employee assistance programs

B. Triple option programs

C. Employee caretaker programs

D. Health hybrid programs

E. Employee wellness programs

87. Angeline manages a group of employees who she knows have the ability to perform, but who also feel like their performance doesn’t matter much to the success of the company, and are therefore not concerned with doing a great job. Angeline may want to approach this group using a ______management style to improve their collective performance.

A. Participative

B. Results driven

C. Consultative

D. Empowering

E. Autocratic

88. What percent of employees in a bargaining unit must sign authorization cards for the NLRB to hold a union representation election?

A. 10%

B. 25%

C. 30%

D. 50%

E. 51%

89. At the beginning of the quarter, Marcus sat down with his manager and set three goals for the next three months. The achievement of each goal will depend on Marcus. No one else in his work group can affect the work toward the goal. Which advantage of individual incentives does this illustrate?

a. easy to evaluate employee’s affect on team

b. ability to match rewards to employee desires

c. promotes the link between performance and results

d. may motivate less productive employees to work harder

90. __________ is the right to give orders, enforce obedience, make decisions, and commit resources, toward completing organizational goals.

A. Authority

B. Responsibility

C. Accountability

D. Ethics

91. _____________ is part of expectancy theory.

A. Goal-setting

B. Decision-making

C. Negotiation

D. Grievance

92. Since the Acme Global Corporation closed six of its plants last year, employees at the other plants have been feeling a great deal of stress. This type of stress falls into the _______ category of stress causes.

a. personality type

b. organizational culture and change

c. interpersonal relations

d. type of work

93. Executives at Acme Global are concerned that airline workers will go on strike and prevent shipments of products from reaching customers. However, the National Mediation Board is keeping airline management and labor in mediation to avoid a strike. The executives at Acme Global are relieved that the ________ limits the potential for strikes of airline workers.

a. Railway Labor Act of 1926

b. National Labor Relations Act of 1935 (Wagner Act)

c. Labor Management Relations Act of 1947 (Taft-Hartley Act)

d. Labor Management Reporting Disclosure Act of 1959

94. Employee rights under OSHA include all of the following except:

A. refusing to be interviewed by an inspector.

B. having a company representative present during any interview.

C. have working conditions free from unnecessary hazards.

D. file a complaint about hazardous working conditions.

E. reporting hazardous conditions to their supervisor.

95. Harold is paid based on a percentage of the value of the products and services he sells. He is being paid by:

A. bonus

B. base pay

C. value pay

D. commission

E. merit

96. Macy is English and works for a U.S.-based company in England. It appears the company has made a(n) ________ staffing choice.

a. ethnocentric

b. polycentric

c. geocentric

d. domestic

97. Which of the following is NOT a progressive discipline action?

A. oral warning

B. Termination

C. Informal coaching talk

D. Disciplinary suspension

E. Informal written warning

98. When Acme Global asked Tamera to relocate to the company’s newest foreign plant, it paid her a salary equal to what she was making in the United States and gave her an allowance for extra expenses. It appears Acme Global is using the _________ approach to expatriate compensation.

a. balance sheet

b. split-pay

c. negotiation

d. localization

99. A routine component of executive compensation, common “perks” include all of the following except:

A. stock options.

B. use of company cars and aircraft.

C. home security systems.

D. club memberships.

E. tax planning assistance.

100. Erin knows exactly what benefits she will receive when she retires. She has worked for the organization for 20 years and will receive 65 percent of the average of her two highest years of pay. Erin’s retirement plan is a ________ plan.

a. defined benefit

b. defined contribution

c. vesting

d. experience

Read chapter 13-15 fully and for your week eight assignment please: 

 Create 3 fictional scenarios in which an employer would have to deal with any of the following situations of employee poor behavior on the job, Substance Abuse, Sexual Harassment, Fighting, Work Family Conflicts, or Email (or Internet) abuse. For each case, provide details of the type of employer, the history or the worker at that company, the incident which arose, why it was a clear violation of employer policy, what would be the likely result of arbitration of this issue if the employee acknowledged his wrong doing but asked to keep his job. Explain the reasoning for your considered outcome. 

Remember, this is fictional. Create a believable situation, but know that you can have whatever outcome you choose! You may not work in conjunction with any other student to complete this paper.

Submission Instructions: (www.turnitin.com)

Any papers/assignments should at a minimum contain 3-5 pages of content (double spaced), include a properly formatted cover page, and a reference listing page with at least three (3) NEW references properly listed at the end of your work. Providing additional references to your assignments demonstrate your desire to conduct additional research on the topic area and can improve your research skills. 

With all assignments, include properly formatted in-text citations within the body of your work for each of your listed references so the reader can ascertain what is your original thought or ideas and what portion of your work is taken from credible sources to support your work. It is really important to identify work from other sources to ensure that proper credit is provided to researchers in the field.

Submit the weekly written assignment as an MS WORD attachment in .doc, .docx, or .rtf format. A recommended font is Times New Roman (12). DO NOT include discussion board answers with your formally written assignment submission.

Rubric link is below:

http://www.rcampus.com/rubricshowc.cfm?code=B4WAXB&sp=yes

Overview: Peer Review

In the Module 3 Reflection Assignment, you will reflect upon what you have learned about Peer Review Committee processes and Texas Board of Nursing rules as you consider the actions of fictitious nurses and committee members in scenarios. REMEMBER, YOU ARE USING THE TEXAS BOARD OF NURSING RULES, NOT THE STATE YOU LIVE IN. Please use the link provided in the assignment for the Texas BON Rule 217.16.

ALSO, THERE ARE 2 PARTS TO THIS ASSIGNMENT. PLEASE MAKE SURE YOU COMPLETE BOTH PARTS.

Refer to your course readings and lectures as you complete the assignment.

Performance Objectives: 

· Apply the Minor Incident Rule to specific incidents.

· Describe the due process protections for a nurse who is peer-reviewed.

Rubric 

Use this rubric to guide your work on the assignment, “Peer Review.”

Task

Accomplished

Proficient

Needs Improvement

Part 1 (a)

 Applying Rule 217.16

   (Total 50 points) 

Lists all the correct 5 criteria, accurately explains application of   criteria clearly. (25 points)

Lists 3 or 4 of the   correct criteria, accurately explains application of these criteria

 (15 points)

Lists 2 applications of criteria.

 10 points)

Incorrectly lists criteria (0   point)

Part   1 (b)

 Reflects upon applications 

   of Rule 217.16

   (Total 25 points) 

Correctly states if nurse should be reported or not reported with 3 substantial sentences. (25 points)

Correctly states if nurse should be reported or not reported with 2 sentences.

 (15 point)

Writes 1 sentence.

 (10 points)

Incorrectly judges whether violations occurred (0 point)

Part   2

Violation of IBPR Rule 217.19 (Total   25 points)

Correctly listed the 4 violations and provides correct explanations (25 points)

Correctly lists 2-3 violations and explanations (15 points)

Lists 1 violation and explanation (10 points)

Incorrectly lists criteria (0 point)

All 5 questions correct (25 points)

4 questions correct (20 points)

3 questions correct (15 points)

2 questions correct (10 points)

1 question correct (5 points)

0 questions correct (0 point)

Part 1: (a) Applying Rule 217.16(h) Minor Incidents

Read the following scenario and then answer the questions that follow:

You are on your hospital’s Peer Review Committee (PRC). You are reviewing Nurse A’s practice. She works on the pediatric unit. In the past, Nurse A has practiced safely without incidents. However, four months ago, Nurse A gave immunizations to five pediatric patients (3 months, 9 months, 2 years, 4 years, and 5 years of age). She used a vial of Hepatitis B vaccine that had been expired for 30 days but still was being stored in the unit refrigerator. She gave the five immunizations within a few minutes of each other, and she got the vial from the refrigerator only once (i.e., She did not take it out and replace it five times). She took responsibility for the errors when she was informed by her unit manager. 

Should Nurse A be reported to the BON?

Let’s review what deems a minor vs. a reportable (NOT minor) incident- 

A minor incident is- 217.16(a)-  as defined under the Texas Nursing Practice Act, Texas Occupations Code §301.401(2), means conduct by a nurse that may be a violation of the Texas Nursing Practice Act or a Board rule but does not indicate the nurse’s continued practice poses a risk of harm to a patient or another person. 

A reportable incident is- 217.16(h)- conduct that falls outside of the definition of a minor incident and must be reported to a PRC or BON.

Apply the Minor Incident Rule to reach and support your decision. This Rule 217.16 can be found at http://www.bon.texas.gov/rr_current/217-16.asp

Use this specific link only- it is the official updated Texas Board of Nursing information. Click on the link and scroll down to the bottom to find the letter (h), where criteria are listed that describes actions that must be reported to the Peer Review Committee or BON.

Criteria. In the first column of the table, list the 5 criteria as it appears in the rule that are essential in determining if an incident is a reportable action. All 5 must be listed for full credit. Then, in the second column, record your explanation as to why or why not the nurse’s actions deem it reportable and therefore harmful to a patient.

Criteria that determine an incident is reportable

Rule 217.16(h)

Explanation of whether or not Nurse A’s actions are minor vs. reportable

Criteria : 

1. 

2. 

3. 

4. 

5. 

Part 1: (b) Report vs. Not Report

Based on the Rule 217.16(h) criteria you listed above, would you report Nurse A to the Board? Please explain why or why not. At least 3 substantial sentences are needed for full credit.:       (Explain below)

Part 2: Applying Rule 217.19 Incident-Based Peer Review 

Read the following scenario and then reflect upon the actions it portrays.:

Last month, the chairperson of your hospital’s Peer Review Committee (PRC) passed you in the hallway and said, “I’m glad I ran into you. You’re going to be peer-reviewed.” The chairperson continued, saying, “Your manager found out that you called the Texas Department of State Health Services two months ago and reported that LVNs were being allowed to do the complete initial assessment on patients. Also, you made some medication errors over the past couple of months. I’ll let you know when the meeting is to occur.” 

You heard nothing more about the PRC meeting. Today, the chairperson came to you and told you that you had been reported to the Texas Board of Nursing. She said, “It was just felt by the work group that you are a troublemaker and lack the skills to practice due to your med errors. I’m also giving you a ‘heads up’ that you are going to be put on suspension for at least three days by your unit manager.”

Applying Rule 217.19, what violations of the rule occurred in the above scenario? 

First, review your learning about incident-based peer review. In the first column of the table, list any 4 criteria from Rule 217.19 that were violated (there are more than 4 to choose from). 

1-

2-

3-

4-

In the second column, explain how each criterion was violated. All 4 boxes must be completed for full credit. Please use the link provided at http://www.bon.texas.gov/rr_current/217-19.asp

Which part of the rule was violated? 

(Subsection number and letter OR descriptive phrase)

(Rule 217.19)

Explanation of violation ( from the 4 criteria above):

1.  

2.  

3.  

4.  

Question 1

A 40-year-old female presents complaining of pain near the midline in the epigastrium. Assuming the pain is caused by a stimulus acting on an abdominal organ, the pain felt is classified as:

a. Visceral
b. Somatic
c. Parietal
d. Referred

Question 2

An 8-week-old male was recently diagnosed with cystic fibrosis. Which of the following digestive alterations would be expected?

a. Insufficient bile production
b. Gastric atrophy
c. Hypersecretion of stomach acid
d. Nutrient malabsorption

Question 3

In alcoholic cirrhosis, hepatocellular damage is caused by:

a. acetaldehyde accumulation.
b. bile toxicity.
c. acidosis.
d. fatty infiltrations.

Question 4

Where does the nurse expect the obstruction to be in a patient with extrahepatic portal hypertension?

a. Sinusoids
b. Bile ducts
c. Hepatic portal vein
d. Hepatic artery

Question 5

Kwashiorkor is a severe dietary deficiency of:

a. fat-soluble vitamins.
b. carbohydrates.
c. protein.
d. calcium and magnesium.

Question 6

A 27-year-old male presents with fever, GI bleeding, hepatomegaly, and transient joint pain. He reports that as a child he received blood transfusions following a motor vehicle accident. He also indicates he was vaccinated against hepatitis B. Which of the following types of hepatitis does the clinician think he most likely has?

a. A
b. B
c. C
d. D

Question 7

Prolonged diarrhea is more serious in children than adults because:

a. children have lower adipose reserves.
b. fluid reserves are lower in children.
c. children have a lower metabolic rate.
d. children are more resistant to antimicrobial therapy.

Question 8

A 40-year-old male develops an intestinal obstruction related to protrusion of the intestine through the inguinal ring. This condition is referred to as:

a. Intussusception
b. A volvulus
c. A hernia
d. Adhesions

Question 9

A 60-year-old male presents with GI bleeding and abdominal pain. He reports that he takes NSAIDs daily to prevent heart attack. Tests reveal that he has a peptic ulcer. The most likely cause of this disease is:

a. Increasing subepithelial bicarbonate production
b. Accelerating the H+ (proton) pump in parietal cells
c. Inhibiting mucosal prostaglandin synthesis
d. Stimulating a shunt of mucosal blood flow

Question 10

Acute pancreatitis often manifests with pain to which of the following regions?

a. Right lower quadrant
b. Right upper quadrant
c. Epigastric
d. Suprapubic

Question 11

A 60-year-old male is diagnosed with cancer of the esophagus. Which of the following factors most likely contributed to his disease?

a. Reflux esophagitis
b. Intestinal parasites
c. Ingestion of salty foods
d. Frequent use of antacids

Question 12

The primary complication of enterocolitis associated with Hirschsprung disease is related to which finding?

a. Fecal impaction
b. Pancreatic insufficiency
c. Hyperactive peristalsis
d. Ileal atresia

Question 13

The most common cause of chronic vascular insufficiency among the elderly is:

a. Anemia
b. Aneurysm
c. Lack of nutrition in gut lumen
d. Atherosclerosis

Question 14

The most common clinical manifestation of portal hypertension is _____ bleeding.

a. rectal
b. duodenal
c. esophageal
d. intestinal

Question 15

A 54-year-old male is diagnosed with peptic ulcer disease.This condition is most likely caused by:

a. Hereditary hormonal imbalances with high gastrin levels
b. Breaks in the mucosa and presence of corrosive secretions
c. Decreased vagal activity and vascular engorgement
d. Gastric erosions related to high ammonia levels and bile reflux

Question 16

The cardinal sign of pyloric stenosis caused by ulceration or tumors is:

a. Constipation
b. Diarrhea
c. Vomiting
d. Heartburn

Question 17

A 55-year-old male died in a motor vehicle accident. Autopsy revealed an enlarged liver caused by fatty infiltration, testicular atrophy, and mild jaundice secondary to cirrhosis. The most likely cause of his condition is:

a. Bacterial infection
b. Viral infection
c. Alcoholism
d. Drug overdose

Question 18

Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of:

a. hyperbilirubinemia and jaundice.
b. fluid and electrolyte imbalances.
c. impaired ammonia metabolism.
d. decreased cerebral blood flow.

Question 19

The most common disorder associated with upper GI bleeding is:

a. diverticulosis.
b. hemorrhoids.
c. esophageal varices.
d. cancer.

Question 20

A 3-month-old female develops colicky pain, abdominal distention, and diarrhea after drinking cow’s milk. The best explanation for her symptoms is:

a. Deficiency of bile that stimulates digestive secretions and bowel motility
b. Excess of amylase, which increases the breakdown of starch and causes an osmotic diarrhea
c. Overgrowth of bacteria from undigested fat molecules, which leads to gas formation and de creased bowel motility
d. Excess of undigested lactose in her digestive tract, resulting in increased fluid movement into the digestive lumen and increased bowel motility

Question 21

A 55-year-old female has general symptoms of gallstones but is also jaundiced. IV cholangiography would most likely reveal that the gallstones are obstructing the:

a. Intrahepatic bile canaliculi
b. Gallbladder
c. Cystic duct
d. Common bile duct

Question 22

A 1-week-old female is brought to her pediatrician for abdominal distention and unstable temperature. Physical examination reveals bradycardia and apnea. Tests reveal hypoxic injury to the bowel resulting in bacterial invasion and perforation. This condition is referred to as:

a. Infective enteropathy
b. Necrotizing enterocolitis (NEC)
c. Mucoviscidosis
d. Ileus

Question 23

For the patient experiencing esophageal reflux, the nurse would expect which sphincter to be malfunctioning?

a. Pyloric
b. Lower esophageal
c. Upper esophageal
d. Gastric

Question 24

Cholecystitis is inflammation of the gallbladder wall usually caused by:

a. accumulation of bile in the hepatic duct.
b. obstruction of the cystic duct by a gall-stone.
c. accumulation of fat in the wall of the gallbladder.
d. viral infection of the gallbladder.

Question 25

A 6-month-old male infant is brought to the ER after the sudden development of abdominal pain, irritability, and vomiting followed by passing of “currant jelly” stool. Ultrasound reveals intestinal obstruction in which the ileum collapsed through the ileocecal valve and invaginated into the large intestine. This type of obstruction is referred to as:

a. Prolapse
b. Pyloric stenosis
c. Intussusception
d. Imperforation

Question 26

A 22-year-old male underwent brain surgery to remove a tumor. Following surgery, he experienced a peptic ulcer. His ulcer is referred to as a(n) _____ ulcer.

a. Infectious
b. Cushing
c. Ischemic
d. Curling

Question 27

Chronic gastritis is classified according to the:

a. severity.
b. location of lesions.
c. patient’s age.
d. signs and symptoms.

Question 28

Reflux esophagitis is defined as a(n):

a. Immune response to gastroesophageal reflux
b. Inflammatory response to gastroesophageal reflux
c. Congenital anomaly
d. Secretory response to hiatal hernia

Question 29

The cardinal signs of small bowel obstruction are:

a. Vomiting and distention
b. Diarrhea and excessive thirst
c. Dehydration and epigastric pain
d. Abdominal pain and rectal bleeding

Question 30

The nurse assessing the patient with biliary atresia would expect to find which primary clinical manifestation?

a. Anemia
b. Jaundice
c. Hypobilirubinemia
d. Ascites

Question 31

A 20-year-old male was recently diagnosed with lactose intolerance. He eats an ice cream cone and develops diarrhea. His diarrhea can be classified as _____ diarrhea.

a. Motility
b. Hypotonic
c. Secretory
d. Osmotic

Question 32

Which of the following symptoms would help a health care provider distinguish between ulcerative colitis and Crohn disease?

a. Pattern of remission/exacerbations
b. Abdominal pain
c. Malabsorption
d. Diarrhea

Question 33

A 45-year-old male complains of heartburn after eating and difficulty swallowing. He probably has:

a. Pyloric stenosis
b. Hiatal hernia
c. Gastric cancer
d. Achalasia

Question 34

The exocrine portion of the pancreas contains:

a. alpha cells.
b. beta cells.
c. acinar cells.
d. islets of Langerhans.

Question 35

Outbreaks of hepatitis _____ often occur in young children attending day care centers and can be attributed to poor hand washing.

a. A
b. B
c. C
d. D

n this week’s activity you will have an opportunity to play a clinician and diagnose fictitious individuals with mental disorders. Please answer the questions below;

• Susan, a college student, is anxious whenever she must speak. Her anxiety motivates her to prepare meticulously and rehearse material again and again. Is Susan’s reaction normal, or does she have an anxiety disorder? Explain the criteria you used in arriving at your answer.
•  In recent years, several best-selling books have argued that most emotional problems can be traced to an unhappy or traumatic childhood (an abusive or dysfunctional family, “toxic” parents, suppression of the “inner child”). What are two possible benefits of focusing on childhood as the time when emotional problems originate, and what are two possible drawbacks? 
• Some mental health professionals (though not most psychologists) think that PMS should be classified as a mental disorder. Drawing on evidence from Chapter 5 of your textbook and information in Chapter 11, write a paragraph giving some arguments against this position.

This assignment must be submitted in “doc” or “ docx.” format. Additionally, it must be typed, double spaced, Times New Roman font (size 12), one inch margins on all sides. Type the question followed by your answer to the question. A title page is to be included. The title page is to contain the title of the assignment, your name, the instructor’s name, the course title, and the date.All assignments must be submitted in “Blackboard by by clicking on the Assignment link under the appropriate weekly unit and clicking on Browse to attach your work as a .doc or .docx.