Built-Tight is preparing its master budget for the quarter ended September 30. Budgeted sales

and cash payments for product costs for the quarter follow.

Sales are 20% cash and 80% on credit. All credit sales are collected in the month following the

sale. The June 30 balance sheet includes balances of $15,000 in cash; $45,000 in accounts

receivable; $4,500 in accounts payable; and a $5,000 balance in loans payable. A minimum

cash balance of $15,000 is required. Loans are obtained at the end of any month when a cash

shortage occurs. Interest is 1% per month based on the beginning-of-the-month loan balance

and is paid at each month-end. If an excess balance of cash exists, loans are repaid at the end

of the month. Operating expenses are paid in the month incurred and consist of sales

commissions (10% of sales), office salaries ($4,000 per month), and rent ($6,500 per month).

Prepare a cash budget for each of the months of July, August, and September. (Round

amounts to the dollar.)

Please explain your work in detail and provide in-text citations. Include the initial situation and

the initial assumptions in your answer. At least five (5) references are required among which

one should be the textbook as the source of the data.

 

Module 05 Assignment – Case Study Concept Map and Plan of Care

Module 05 Content

1. Course Competency :
   • Design plans for care specific to the older adult.
   • Consider the scenario below, then follow the instructions underneath it to complete the assignment.

     Mrs. Y
     Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.
     Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.
     The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.
     During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:

   • Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
   • The client is noted to have moderate functional issues and ambulates with a cane.
   • The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
   • Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”
   • Consider Mrs. Y’s current health status and functional decline, then address the following:
   • Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.
   • Concept Map and Plan of Care worksheet

     Concept Map and Plan of Care example

   • Identify three (3) priority nursing diagnoses for Mrs. Y. Consider using the resource below to assist you.
   • eBook: Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care – Chapter 5 Nursing Diagnoses in Alphabetical Order
   • Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
   • “related to (r/t)” — description of the client’s problem
   • “as evidenced by” — description of the client’s symptoms
   • Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
   • Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.
   • Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.
   • Complete the assignment using proper spelling, grammar, and APA.
   •  

PLEASE READ PROPERLY AND LET ME KNOW IF THIS IS DOABLE AND CAN BE DELIVERED ON TIME!

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

PICOT QUESTION 1: Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.

ANSWER TO QUESTION:

Pathology is unique to a medical diagnosis, the emphasis is on the disease. On the other hand, nursing diagnosis focuses on the patient and the reaction to physiology and psychology.

The doctors who make the medical diagnosis come up with such a diagnosis that will cure the medical condition, while the nurses’ diagnosis, thus a nursing diagnosis, focuses on treating such patients. Furthermore, a medical model deals with sickness or medical status. Using a problem-solving technique, the doctor focuses on the defect, or dysfunction, within the patient. The nursing model is not established, but nursing has several practice models/theories that emphasize nursing’s more holistic approach to disease. Finally, a model of nursing deals with the human reaction to real or possible responses, this kind of practice problem looks at the clinical judgment about an individual patient, a family, or a community and how they respond to actual or potential health problems that they are exposed to. A nursing practice problem,therefore, provides nurses with a basis from which they select appropriate. 

On a clinical level, ethical questions arise every day. In a study of the ethical issues encountered by nurses, Ulrich et al. (2010) found that more than 60% of nurses identified patient’s rights, autonomy, and informed consent as frequent or daily problems. Other common issues included advanced care planning, surrogate decision making, end-of-life decision making, and breeches of confidentiality (Ulrich et al., 2007).  Such problems include acute pain, nausea, constipation, self-care deficit,and risk injury among others. For example, the complimentary nurse practice problems ofimpaired verbal communication, interrupted family processes, the risk for falls, and powerlessness provides a general and a more holistic understanding of the impacts of a condition on a particular patient or family. Also, they help direct nursing interventions .

Ulrich, C. M., Taylor, C., Soeken, K., O’Donnell, P., Farrar, A., Danis, M. & Grady, C. (2010). Everyday ethics: Ethical issues and stress in nursing practice. Journal of Advanced Nursing 66(11)

Ulrich, C., O’Donnell, P, Taylor, C., Farrar, A., Danis, M. & Grady, C. (2007). Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Social Science & Medicine

PROFESSOR’S RESPONSE: TOPIC 2

Cinita, Thank you for posting DQ1 Module 2. You discussed strategies that would help a researcher manage and organize qualitative data. References included. Your post was 1 day late. Per GCU policy, 10% deducted from the grade.

PROFESSOR’S RESPONSE TOPIC 3″:

Cinita, Thank you for posting DQ1 Module 3. Examples of experimental and nonexperimental research design presented. Level of control for reach research included in post. References included. Good job

 

Read the following case studies and answer the questions. Be sure to use the appropriate legal terminology that you learned this week.

Case Study 1

Steve and Bill go out drinking. After Steve has had so many drinks that Bill knows (or should know) that Steve is very intoxicated, Steve says to Bill, “I’ll sell you my house for $100,000.” Bill accepts. The fair market value of Steve’s house is $100,000. Will Steve be able to void this transaction? Why or why not?

Case Study 2

Steve writes a letter to Bill one day saying, “I will sell you my house for $100,000.” Completely unbeknownst to Bill, at the time Steve wrote the letter he was utterly intoxicated. The fair market value for the house is $100,000. Will Steve have to sell his house to Bill? Why or why not?

Case Study 3

Mary, a longtime law professor, has been entering into quite a few contracts in recent months. One of those contracts was for the purchase of a riding lawn mower. Unbeknownst to the sales clerk who entered Mary into the contract, Mary is suffering from Alzheimer’s, but has not been deemed incompetent by the state. On the day of delivery, the sales clerk delivers the lawn mower to Mary’s apartment. Mary is surprised by the delivery of the mower and has no recollection of ordering it. The clerk shows her the contract. Is this contract voidable and why?

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

7-1 One Discussion: Open Forum

An analysis of the evidence related to the offender of a crime may provide insight into the general nature of the crime (type of crime, motivations, etc.), the offender’s knowledge of the location of the crime, the risk level for the offender, victim selection, and the relationship between the victim and offender.

In this Open Forum Discussion, you continue your conversation about the case, focusing on concepts related to the offender.

• Review the evidence of the criminal report from the offender’s perspective.
• What are your initial thoughts of the offender that impact your analysis of the offense?
• What other things would you like to know about the offender?
• As you reviewed the evidence concerning the offender, what other issues are surfacing/presenting?

7-2 Second 2 Assignment: Investigating a Crime: Phase II – Concepts Related to the Offender

The final part of Phase II is the analysis of the offender. As with victimology, criminal investigative analysis of the offender is evaluated in three stages:

• Pre-Offense – All information providing insight on such things as:
  • Planning
  • Knowledge of victim
  • Knowledge of crime scene location
• Offense – All information providing insight on such things as:
  • Offender risk level
  • Offender actions during offense
  • Nature of the offense (motive, aggression, etc.)
    • Behaviors related to M.O.
    • Behaviors suggesting psychological needs
  • Relationship to victim
• Post-Offense – In homicides, actions by offender can sometimes provide insight into:
  • Motivations
  • Offender/victim relationship
  • Consciousness of guilt

To prepare for this assignment:

• Review the criminal report from the perspective of the offender.

In a 2- to 3-page analysis of the offender:

• Pre-offense behavior
• Offense behavior
• Post-offense behavior
• Risk level
• Motive
• Intent
• Premeditation
• Aggression
• Victim selection

Support your conclusion with references to specific evidence.

Here is some Required Readings

Turvey, B. E. (2012). Criminal profiling: An introduction to behavioral evidence analysis (4th ed.). San Diego, CA: Academic Press.

• Chapter 13, “Interpreting Motive” (pp. 311–330)
• Chapter 14, “Case Linkage: Offender Modus Operandi and Signature” (pp. 331–360)
• Chapter 17, “Inferring Offender Characteristics” (pp. 403–446)
• Chapter 19, “Sex Crimes” (pp. 481–506)
• Chapter 20, “Domestic Homicide” (pp. 507–520)

Miller, L. (2014). Serial killers: Development, dynamics, and forensics. Aggression and Violent Behavior, 19(1), 12–22. doi:10.1016/j.avb.2013.11.003

Pakkanen, T., Zappalà, A., Bosco, D., Berti, A., & Santtila, P. (2015). Can hard-to-solve one-off homicides be distinguished from serial homicides? Differences in offense behaviors and victim characteristics. Journal of Criminal Psychology, 5(3), 216–232.

Trojan, C., & Salfati, G. (2016). Criminal history of homicide offenders: A multi-dimensional analysis of criminal specialization. Journal of Criminal Psychology, 6(1), 28–41.