1.                  Jossy is 6 year old and is in elementary school.  At her last doctor visit, her measured height was 46 inches and her weight was 60 pounds.  Her pediatrician voiced concern over Jossy’s excessive weight gain over the past year.  Her usual diet consists of sweetened cereal with whole milk and fruit juice for breakfast and a juice drink and crackers for her mid-morning snack.  On school days, Jossy buys her lunch at school; her favorite menu items are pizza and tacos.  Jossy’s mother states that she started a new job this past year, which requires that Jossy attend an after-school program until 6 in the evening.  She receives a snack there, usually an 8 oz box of fruit juice and crackers.  Jossy’s parents report that Jossy is “always hungry” and they will often stop for her favorite chicken nuggets, fries, and soda on late evenings when the family is too tired to cook.  Jossy likes to play video games and has a computer and television in her room.  Her father complains that she spends more time in her room than playing outside.  Jossy’s mother is overweight and her father is of normal weight, although he states he was overweight as a child.  The family has discussed getting more exercise on the weekends but are not sure how to add this to their already busy schedules.

a.       Calculate Jossy’s body mass index (BMI) and use this to evaluate her weight status using the information in Figure 16-10.

b.      From the information in chapter 16, what are some factors that may have contributed to Jossy’s excess weight gain over the past year? 

c.       Considering her age and the information in chapter 16, what would be a reasonable weight management goal for Jossy? 

d.      Using the recommendations in Table 16-7, what strategies would you suggest that Jossy and her parents incorporate into their current lifestyle? 

e.       Based on her usual intake, identify at least 2 or 3 nutrients likely to be deficient in Jossy’s diet.  What major food groups provide these nutrients? 

f.       Assuming her current level of activity, what are Jossy’s estimated daily kcalorie needs according to Table 16-5? 

2.                  Chablis is a 14 year-old female who has been referred to you by her mother and family physician.  Mom is concerned that Chablis is not eating right and her doctor wants you to give Chablis some nutrition advice because she wants to be a vegetarian.  Chablis has heard that red meat contains a lot of fat and she “does not want to get fat.”  A physical exam by her physician shows that Chablis is in the early stage of sexual maturation, she weighs 89 pounds, and she is 5 feet tall.  Chablis is extremely active, spending every afternoon after school playing some kind of sport – basketball, swimming, track, or soccer. 

a.       List at least four questions you would include in your assessment session with Chablis.  Why would you include these questions?

b.      How would you address Chablis’ concern about meat and her desire to be a vegetarian? What are some sources of valid nutrition information you might recommend?

c.       How would you counsel Chablis regarding her desire not to get fat?

d.      What advice would you give Chablis’ parents regarding their interactions related to food?

3.                  Angela has been breastfeeding her baby since he was born seven months ago.  When she and her husband took the baby to the pediatrician for his check-up, they were told that he was anemic.  They were surprised, since they thought that human milk contained all of the nutrients the baby needed for the first year of life.  How can you explain the baby’s anemia?

5.         Compare the nutrient needs on the basis of per pound body weight for a 5 month male old infant (13 pounds) and the 20 year old male adult (160 pounds) for kcalories, protein, vitamin D, vitamin C, calcium, and iron – complete the following chart.  NOTE:  To calculate the per pound amount, divide the nutrient need by the number of pounds of the individual.:

6.         The ‘fountain of youth’ has been a mystery for many centuries.  People used believe if they drank water from the fountain, the aging process would stop.  Ponce de Leon was said to be searching for the fountain when he traveled to what is now Florida in the 16th century.  Today, the fountain is associated with Florida in St. Augustine.  Chase, a history student, maintains that the fountain of youth is not a place or a particular thing, but rather is a combination of diet and lifestyle.  How can Chase justify this claim?

7.         Jamie is interested in helping the elderly and works as a volunteer at a local retirement home.  She has noticed that a number of the residents have decreased appetites and diminished senses of taste and smell.  Also, depression seems to be common among the residents.  How can Jamie explain these observations?

8.         Mildred is a 75-year-old retired school teacher who lives in Florida.  About a year ago, Mildred lost her husband of forty-five years.  Mildred has three children, two of whom live out of state.  Her youngest daughter, Charlene, lives about an hour away.  Mildred has been retired for ten years.

Despite the demands of her teaching career, Mildred always managed to prepare and serve evening meals for her family.  During retirement, she continued this routine of cooking for herself and her late husband Vernon.  Now that she is living alone, Mildred continues to live independently preparing her own meals and doing light housekeeping.  She has realized, however, that it is difficult to cook for only one person.  On the positive side, Mildred is occasionally inspired to cook a creative meal and freeze the leftovers for later use.  In recent months, Mildred has become increasingly passive about cooking and has started skipping some meals.  She especially tends to forgo dinner.  Some days she snacks or eats what is available in her refrigerator.  She has also stopped her only form of exercise, walking on a daily basis. 

Mildred prefers to live independently but Charlene, her daughter, is concerned about her mother’s change of behavior and knows that her health will decline if her nutrition doesn’t improve.

What advice would you give to Mildred?

What could she do to improve her appetite and motivation to cook?

9.         The elderly may be challenged by chronic health issues as a result of physiologic challenges.  They also may suffer from mental health issues as a consequence of aging.  Discuss the many challenges one might work around to enhance the nutritional status of an elderly client as a healthcare professional.

Quality Patient Care for Professional Issues Paper

                        URINARY TRACT INFECTION          

1.    Describe a clinical topical problem(   Urinary Tract Infection ) based on your observation or involvement of a clinical area that could be improved for quality of patient care by using a modified or changed process, including any of the current process, policies, procedures, or patient care guidelines .

2.    Gather and read at least 5 related articles (at least 6 research papers published in last 5 years) on the topic and include in the reference list.

3.    Identify the causes (or include root cause analyses) and related factors, and summarize the factors and potential solutions for the best patient care.

4.    Identify at least 2-3 related patient care outcome sensitive indicators (specify which one(s) are key indicator(s) and which ones are secondary related outcome indicators) for evaluation.  Identify which indicators are currently included in the national databases, for example, ANA ANCC standard indicators, and include the national average data such as incidence, percent, per thousand patient days etc. 

5.    Develop specific goals, action plans, and steps of evaluation needed for better and improved quality patient care .

6.    Discuss potential barriers, challenges, solutions, and benefits with the change or modification to the care process, and summarize the potential significant improvement for quality patient care .

This paper must be double-spaced with one-inch margins (use 12-point Times New Roman or 11-point Arial).  The paper must be submitted in APA style and format.  The length of paper excluding the title page and the references or appendices is 5 to 7 pages.  Professionalism (do not hand in a paper of only quotes and paraphrases, or “cut and pasted” information from other sources), correct grammar and spelling, and complete sentences are expected.  Include original thoughts and critical thinking following presentation of problems, findings, or current concepts. To paraphrase is to summarize a passage or rearrange the order of a sentence and change words using synonym (check APA manual).  To plagiarize is to present the work of others as if they were his or her own work (check APA manual).  Plagiarism is violation of academic honesty, and could result in failing the course and graduation.   

Safe Assign

Safe Assign is a plagiarism prevention tool that detects unoriginal content in students’ papers by identifying areas of overlap between submitted assignments and existing works. All papers will be submitted through Safe Assign to ensure that no portion of the paper has been plagiarized.

After a paper has been processed, an assessment report will be available that will show the percentage of text in the submitted paper that matches existing sources. This percentage must not exceed 20%. Note: papers exceeding 20% may receive a score of a zero at the discretion of the instruction.

____ 26. The necessity of making adjusting entries relates mostly to the
a. economic entity assumption.
b. time period assumption.
c. going concern assumption.
d. monetary unit assumption.

____ 27. The preparation of closing entries
a. is an optional step in the accounting cycle.
b. results in zero balances in all accounts at the end of the period so that they are ready for the following period’s transactions.
c. is necessary before financial statements can be prepared.
d. results in transferring the balances in all nominal accounts to Retained Earnings.

 
____ 29. Current liabilities are obligations that are reasonably expected to be paid from
    Existing Creation of Other
Current Assets         Current Liabilities
a. No                                 No
b. Yes                               Yes
c. Yes                                No
d. No                                Yes

____ 30. Which of the following errors will cause a trial balance to be out of balance?  The entry to record a payment on account was
a. not posted at all.
b. posted as a debit to Cash and a credit to Accounts Payable.
c. posted as a debit to Cash and a debit to Accounts Payable.
d. posted as a debit to Accounts Receivable and a credit to Cash.

____ 32. The current source(s) of authoritative pronouncements (i.e., “generally accepted accounting principles”) for profit-oriented organizations is(are) the
a. Securities and Exchange Commission.
b. Accounting Principles Board.
c. Financial Accounting Standards Board.
d. both (a) and (c) above.

____ 33. Carey Company’s equipment account increased $400,000 during the period; the related accumulated depreciation increased $30,000. New equipment was purchased at a cost of $700,000 and used equipment was sold at a loss of $20,000. Depreciation expense was $100,000. Proceeds from the sale of the used equipment were
a. $210,000.
b. $250,000.
c. $280,000.
d. $320,000.

____ 34. Which of the following would not be included in the operating activities section of a statement of cash flows?
a. Cash inflows from returns on loans (i.e., interest)
b. Cash inflows from returns on equity securities (i.e., dividends)
c. Cash outflows to governments for taxes
d. Cash outflows to reacquire treasury stock

____ 35. Which of the following combinations presents correct examples of liquidity, profitability, and solvency ratios, respectively?
Liquidity Profitability Solvency
a. Inventory turnover Inventory turnover Times interest earned
b. Current ratio Inventory turnover Debt to total assets
c. Receivables turnover Return on assets Times interest earned
d. Quick ratio Payout ratio Return on assets

____ 36. The concept of “significant influence” must be satisfied before which accounting method can be used by an investor?
a. Cost
b. Equity
c. Consolidated financial statements
d. All of the above

____ 37. Which of the following pairs of terms in the area of financial statement analysis are synonymous?
a. Ratio – Trend
b. Horizontal – Trend
c. Vertical – Ratio
d. Horizontal – Ratio

____ 38. Which of the following statements is true?
a. Trading securities are debt securities that the investor has the intent to hold to maturity.
b. Trading securities are securities bought and held primarily for sale in the near term.
c. Trading securities are securities that may be sold in the future.
d. Trading securities are reported at cost in the balance sheet.

____ 39. Dividends received are credited to what account under the equity method and cost method, respectively?
Equity Method Cost Method
a. Stock Investments Dividend Revenue
b. Dividend Revenue Dividend Revenue
c. Stock Investments Stock Investments
d. Dividend Revenue Stock Investments

____ 40. In accounting for available-for-sale securities, the Unrealized Loss – Equity account should be classified as a
a. liability on the balance sheet.
b. loss on the income statement.
c. deduction in the stockholders’ equity section of the balance sheet.
d. contra asset on the balance sheet.

____ 41. Nott Corporation has the following stock outstanding:
6% Preferred, $100 Par $2,000,000
Common Stock, $50 Par 4,000,000
No dividends were paid the previous 2 years. If Nott declares $600,000 of dividends in the current year, how much will common stockholders receive if the preferred stock is cumulative?
a. $240,000
b. $360,000
c. $480,000
d. $160,000

____ 42. The statement of cash flows is a(n)
a. required supplemental financial statement.
b. required basic financial statement.
c. optional basic financial statement.
d. optional supplementary statement.

____ 43. The directors of Caldwell Corp. are trying to decide whether they should issue par or no par stock. They are considering three alternatives for their new stock, which they are assuming will be issued at $8 per share. The alternatives are: (A) $5 par value, (B) no par with a $1 stated value, and (C) no par, no stated value. If 90,000 shares are issued, what amount will be credited to the common stock account in each of these cases?
     (A)                  (B)                 (C)
a. $90,000         $450,000         $720,000
b. $90,000         $720,000         $720,000
c. $720,000       $720,000          $720,000
d. $450,000       $90,000           $720,000

____ 44. Rifkin Corp. reacquired 40,000 shares of its $2 par common stock at a cost of $13 per share on April 30, 2003. The stock was originally issued at $11 per share. On January 10, 2003, the 40,000 shares were sold at $16 per share. The sales entry should include a credit to Paid-in Capital from Treasury Stock for
a. $0.
b. $80,000.
c. $120,000.
d. $560,000.

____ 45. What is the effect on total paid-in capital of a stock dividend and a stock split, respectively?
Stock Dividend Stock Split
a. Increase No effect
b. No effect No effect
c. Decrease No effect
d. Decrease Decrease

____ 46. Which of the following should be classified as an extraordinary item?
a. Effects of major casualties not infrequent in the area
b. Write-off of a significant amount of receivables
c. Loss from the expropriation of facilities by a foreign government
d. Losses due to a bitter, lengthy labor strike

____ 47. Gannon Company changed from the straight-line method to the double-declining-balance method of depreciation during 2003 for equipment purchased for $500,000 on January 1, 2001. The equipment has an estimated 5-year life with no salvage. Gannon’s tax rate is 40%. Gannon should report depreciation expense and a cumulative effect of change in accounting principle in 2003 of
   Depreciation Expense              Cumulative Effect
a. $72,000                                   $72,000
b. $48,000                                   $48,000
c. $43,200                                   $69,867
d. $72,000                                  $120,000

____ 48. A Discount on Bonds Payable account
a. is a contra account to Bonds Payable.
b. will cause interest expense to be less than cash interest payable.
c. is increased over the life of the bond until it equals the bond’s face value.
d. is an adjunct account to Bonds Payable.

____ 49. In order to be considered extraordinary, an item must be
a. frequent and uninsured.
b. unusual and uninsured.
c. uninsured and infrequent.
d. infrequent and unusual.

____ 50. If the market rate of interest is lower than the stated rate, bonds will sell at an amount
a. equal to face value.
b. not determinable from the given information.
c. lower than face value.
d. higher than face value.