Nursing questions free essay sample

The nurse is performing her admission assessment of a patient. When grading arterial pulses, a 1+ pulse indicates: Above normal perfusion. Absent perfusion. Normal perfusion. Diminished perfusion. Murmurs that indicate heart disease are often accompanied by other symptoms such as: Dyspnea on exertion. Subcutaneous emphysema. Thoracic petechiae. Periorbital edema. Which pregnancy-related physiologic change would place the patient with a history of cardiac disease at the greatest risk of developing severe cardiac problems? Decrease heart rate Decreased cardiac output Increased plasma volume Increased blood pressure The priority nursing diagnosis for the patient with cardiomyopathy is: Anxiety related to risk of declining health status. Ineffective individual coping related to fear of debilitating illness Fluid volume excess related to altered compensatory mechanisms. Decreased cardiac output related to reduced myocardial contractility. A patient with thrombophlebitis reached her expected outcomes of care. Her affected leg appears pink and warm. Her pedal pulse is palpable and there is no edema present. We will write a custom essay sample on Nursing questions or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Which step in the nursing process is described above? Planning Implementation Analysis Evaluation An elderly patient may have sustained a basilar skull fracture after slipping and falling on an icy sidewalk. The nurse knows that basilar skull factures: Are the least significant type of skull fracture. May have cause cerebrospinal fluid (CSF) leaks from the nose or ears. Have no characteristic findings. Are always surgically repaired. Which of the following types of drugs might be given to control increased intracranial pressure (ICP)? Barbiturates Carbonic anhydrase inhibitors Anticholinergics Histamine receptor blockers The nurse is teaching family members of a patient with a concussion about the early signs of increased intracranial pressure (ICP). Which of the following would she cite as an early sign of increased ICP? Decreased systolic blood pressure Headache and vomiting Inability to wake the patient with noxious stimuli Dilated pupils that don’t react to light Jessie James is diagnosed with retinal detachment. Which intervention is the most important for this patient? Admitting him to the hospital on strict bed rest Patching both of his eyes Referring him to an ophthalmologist Preparing him for surgery Dr. Bruce Owen, a chemist, sustained a chemical burn to one eye. Which intervention takes priority for a patient with a chemical burn of the eye? Patch the affected eye and call the ophthalmologist. Administer a cycloplegic agent to reduce ciliary spasm. Immediately instill a tropical anesthetic, then irrigate the eye with saline solution. Administer antibiotics to reduce the risk of infection The nurse is assessing a patient and notes a Brudzinski’s sign and Kernig’s sign. These are two classic signs of which of the following disorders? Cerebrovascular accident (CVA) Meningitis Seizure disorder Parkinson’s disease A patient is admitted to the hospital for a brain biopsy. The nurse knows that the most common type of primary brain tumor is: Meningioma. Angioma. Hemangioblastoma. Glioma. The nurse should instruct the patient with Parkinson’s disease to avoid which of the following? Walking in an indoor shopping mall Sitting on the deck on a cool summer evening Walking to the car on a cold winter day Sitting on the beach in the sun on a summer day Gary Jordan suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak. This type of aphasia is known as: Receptive aphasia Expressive aphasia Global aphasia Conduction aphasia Kelly Smith complains that her headaches are occurring more frequently despite medications. Patients with a history of headaches should be taught to avoid: Freshly prepared meats. Citrus fruits. Skim milk Chocolate Immediately following cerebral aneurysm rupture, the patient usually complains of: Photophobia Explosive headache Seizures Hemiparesis Which of the following is a cause of embolic brain injury? Persistent hypertension Subarachnoid hemorrhage Atrial fibrillation Skull fracture Although Ms. Priestly has a spinal cord injury, she can still have sexual intercourse. Discharge teaching should make her aware that: She must remove indwelling urinary catheter prior to intercourse. She can no longer achieve orgasm. Positioning may be awkward. She can still get pregnant. Ivy Hopkins, age 25, suffered a cervical fracture requiring immobilization with halo traction. When caring for the patient in halo traction, the nurse must: Keep a wrench taped to the halo vest for quick removal if cardiopulmonary resuscitation is necessary. Remove the brace once a day to allow the patient to rest. Encourage the patient to use a pillow under the ring. Remove the brace so that the patient can shower. The nurse asks a patient’s husband if he understands why his wife is receiving nimodipine (Nimotop), since she suffered a cerebral aneurysm rupture. Which response by the husband indicates that he understands the drug’s use? â€Å"Nimodipine replaces calcium. † â€Å"Nimodipine promotes growth of blood vessels in the brain. † â€Å"Nimodipine reduces the brain’s demand for oxygen. † â€Å"Nimodipine reduces vasospasm in the brain. † Many men who suffer spinal injuries continue to be sexually active. The teaching plan for a man with a spinal cord injury should include sexually concerns. Which of the following injuries would most likely prevent erection and ejaculation? C5 C7 T4 S4 Cathy Bates, age 36, is a homemaker who frequently forgets to take her carbamazepine (Tegretol). As a result, she has been experiencing seizures. How can the nurse best help the patient remember to take her medication? Tell her take her medication at bedtime. Instruct her to take her medication after one of her favorite television shows. Explain that she should take her medication with breakfast. Tell her to buy an alarm watch to remind her. Richard Barnes was diagnosed with pneumococcal meningitis. What response by the patient indicates that he understands the precautions necessary with this diagnosis? â€Å"I’m so depressed because I can’t have any visitors for a week. † â€Å"Thank goodness, I’ll only be in isolation for 24 hours. † â€Å"The nurse told me that my urine and stool are also sources of meningitis bacteria. † â€Å"The doctor is a good friend of mine and won’t keep me in isolation. An early symptom associated with amyotrophic lateral sclerosis (ALS) includes: Fatigue while talking Change in mental status Numbness of the hands and feet Spontaneous fractures When caring for a patient with esophageal varices, the nurse knows that bleeding in this disorder usually stems from: Esophageal perforation Pulmonary hypertension Portal hypertension Peptic ulcers T iffany Black is diagnosed with type A hepatitis. What special precautions should the nurse take when caring for this patient? Put on a mask and gown before entering the patient’s room. Wear gloves and a gown when removing the patient’s bedpan. Prevent the droplet spread of the organism. Use caution when bringing food to the patient. Discharge instructions for a patient who has been operated on for colorectal cancer include irrigating the colostomy. The nurse knows her teaching is effective when the patient states he’ll contact the doctor if: He experiences abdominal cramping while the irrigant is infusing He has difficulty inserting the irrigation tube into the stoma He expels flatus while the return is running out He’s unable to complete the procedure in 1 hour The nurse explains to the patient who has an abdominal perineal resection that an indwelling urinary catheter must be kept in place for several days afterward because: It prevents urinary tract infection following surgery It prevents urine retention and resulting pressure on the perineal wound It minimizes the risk of wound contamination by the urine It determines whether the surgery caused bladder trauma The first day after, surgery the nurse finds no measurable fecal drainage from a patient’s colostomy stoma. What is the most appropriate nursing intervention? Call the doctor immediately. Obtain an order to irrigate the stoma. Place the patient on bed rest and call the doctor. Continue the current plan of care. If a patient’s GI tract is functioning but he’s unable to take foods by mouth, the preferred method of feeding is: Total parenteral nutrition Peripheral parenteral nutrition Enteral nutrition Oral liquid supplements Which type of solution causes water to shift from the cells into the plasma? Hypertonic Hypotonic Isotonic Alkaline Particles move from an area of greater osmelarity to one of lesser osmolarity through: Active transport Osmosis Diffusion Filtration Which assessment finding indicates dehydration? Tenting of chest skin when pinched Rapid filling of hand veins A pulse that isn’t easily obliterated Neck vein distention Which nursing intervention would most likely lead to a hypo-osmolar state? Performing nasogastric tube irrigation with normal saline solution Weighing the patient daily Administering tap water enema until the return is clear Encouraging the patient with excessive perspiration to dink broth Which assessment finding would indicate an extracellular fluid volume deficit? Bradycardia A central venous pressure of 6 mm Hg Pitting edema An orthostatic blood pressure change A patient with metabolic acidosis has a preexisting problem with the kidneys. Which other organ helps regulate blood pH? Liver Pancreas Lungs heart The nurse considers the patient anuric if the patient; Voids during the nighttime hours Has a urine output of less than 100 ml in 24 hours Has a urine output of at least 100 ml in 2 hours Has pain and burning on urination Which nursing action is appropriate to prevent infection when obtaining a sterile urine specimen from an indwelling urinary catheter? Aspirate urine from the tubing port using a sterile syringe and needle Disconnect the catheter from the tubing and obtain urine Open the drainage bag and pour out some urine Wear sterile gloves when obtaining urine After undergoing a transurethral resection of the prostate to treat benign prostatic hypertrophy, a patient is retuned to the room with continuous bladder irrigation in place. One day later, the patient reports bladder pain. What should the nurse do first? Increase the I. V. flow rate Notify the doctor immediately Assess the irrigation catheter for patency and drainage Administer meperidine (Demerol) as prescribed A patient comes to the hospital complaining of sudden onset of sharp, severe pain originating in the lumbar region and radiating around the side and toward the bladder. The patient also reports nausea and vomiting and appears pale, diaphoretic, and anxious. The doctor tentatively diagnoses renal calculi and orders flat-plate abdominal X-rays. Renal calculi can form anywhere in the urinary tract. What is their most common formation site? Kidney Ureter Bladder Urethra A patient comes to the hospital complaining of severe pain in the right flank, nausea, and vomiting. The doctor tentatively diagnoses right ureter-olithiasis (renal calculi). When planning this patient’s care, the nurse should assign highest priority to which nursing diagnosis? Pain Risk of infection Altered urinary elimination Altered nutrition: less than body requirements The nurse is reviewing the report of a patient’s routine urinalysis. Which of the following values should the nurse consider abnormal? Specific gravity of 1. 002 Urine pH of 3 Absence of protein Absence of glucose A patient with suspected renal insufficiency is scheduled for a comprehensive diagnostic work-up. After the nurse explains the diagnostic tests, the patient asks which part of the kidney â€Å"does the work. Which answer is correct? The glomerulus Bowman’s capsule The nephron The tubular system During a shock state, the renin-angiotensin-aldosterone system exerts which of the following effects on renal function? Decreased urine output, increased reabsorption of sodium and water Decreased urine output, decreased reabsorption of sodium and water Increased urine output, increased reabsorption of sodium and water Increased urine output, decreased reabsorption of sodium and water While assessing a patient who complained of lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis. The nurse suspects: A urinary tract infection Renal calculi An enlarged kidney A distended bladder Gregg Lohan, age 75, is admitted to the medical-surgical floor with weakness and left-sided chest pain. The symptoms have been present for several weeks after a viral illness. Which assessment finding is most symptomatic of pericarditis? Pericardial friction rub Bilateral crackles auscultated at the lung bases Pain unrelieved by a change in position Third heart sound (S3) James King is admitted to the hospital with right-side-heart failure. When assessing him for jugular vein distention, the nurse should position him: Lying on his side with the head of the bed flat. Sitting upright. Flat on his back. Lying on his back with the head of the bed elevated 30 to 45 degrees. The nurse is interviewing a slightly overweight 43-year-old man with mild emphysema and borderline hypertension. He admits to smoking a pack of cigarettes per day. When developing a teaching plan, which of the following should receive highest priority to help decrease respiratory complications? Weight reduction Decreasing salt intake Smoking cessation Decreasing caffeine intake What is the ratio of chest compressions to ventilations when one rescuer performs cardiopulmonary resuscitation (CPR) on an adult? 15:1 15:2 12:1 12:2 When assessing a patient for fluid and electrolyte balance, the nurse is aware that the organs most important in maintaining this balance are the: Pituitary gland and pancreas Liver and gallbladder. Brain stem and heart. Lungs and kidneys. Nursing questions free essay sample The nurse is performing her admission assessment of a patient. When grading arterial pulses, a 1+ pulse indicates: Above normal perfusion. Absent perfusion. Normal perfusion. Diminished perfusion. Murmurs that indicate heart disease are often accompanied by other symptoms such as: Dyspnea on exertion. Subcutaneous emphysema. Thoracic petechiae. Periorbital edema. Which pregnancy-related physiologic change would place the patient with a history of cardiac disease at the greatest risk of developing severe cardiac problems? Decrease heart rate Decreased cardiac output Increased plasma volume Increased blood pressure The priority nursing diagnosis for the patient with cardiomyopathy is: Anxiety related to risk of declining health status. Ineffective individual coping related to fear of debilitating illness Fluid volume excess related to altered compensatory mechanisms. Decreased cardiac output related to reduced myocardial contractility. A patient with thrombophlebitis reached her expected outcomes of care. Her affected leg appears pink and warm. Her pedal pulse is palpable and there is no edema present. We will write a custom essay sample on Nursing questions or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Which step in the nursing process is described above? Planning Implementation Analysis Evaluation An elderly patient may have sustained a basilar skull fracture after slipping and falling on an icy sidewalk. The nurse knows that basilar skull factures: Are the least significant type of skull fracture. May have cause cerebrospinal fluid (CSF) leaks from the nose or ears. Have no characteristic findings. Are always surgically repaired. Which of the following types of drugs might be given to control increased intracranial pressure (ICP)? Barbiturates Carbonic anhydrase inhibitors Anticholinergics Histamine receptor blockers The nurse is teaching family members of a patient with a concussion about the early signs of increased intracranial pressure (ICP). Which of the following would she cite as an early sign of increased ICP? Decreased systolic blood pressure Headache and vomiting Inability to wake the patient with noxious stimuli Dilated pupils that don’t react to light Jessie James is diagnosed with retinal detachment. Which intervention is the most important for this patient? Admitting him to the hospital on strict bed rest Patching both of his eyes Referring him to an ophthalmologist Preparing him for surgery  Dr. Bruce Owen, a chemist, sustained a chemical burn to one eye. Which intervention takes priority for a patient with a chemical burn of the eye? Patch the affected eye and call the ophthalmologist. Administer a cycloplegic agent to reduce ciliary spasm. Immediately instill a tropical anesthetic, then irrigate the eye with saline solution. Administer antibiotics to reduce the risk of infection The nurse is assessing a patient and notes a Brudzinski’s sign and Kernig’s sign. These are two classic signs of which of the following disorders? Cerebrovascular accident (CVA) Meningitis Seizure disorder Parkinson’s disease A patient is admitted to the hospital for a brain biopsy. The nurse knows that the most common type of primary brain tumor is: Meningioma. Angioma. Hemangioblastoma. Glioma. The nurse should instruct the patient with Parkinson’s disease to avoid which of the following? Walking in an indoor shopping mall Sitting on the deck on a cool summer evening Walking to the car on a cold winter day Sitting on the beach in the sun on a summer day Gary Jordan suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak. This type of aphasia is known as: Receptive aphasia Expressive aphasia Global aphasia Conduction aphasia Kelly Smith complains that her headaches are occurring more frequently despite medications. Patients with a history of headaches should be taught to avoid: Freshly prepared meats. Citrus fruits. Skim milk Chocolate Immediately following cerebral aneurysm rupture, the patient usually complains of: Photophobia Explosive headache Seizures Hemiparesis Which of the following is a cause of embolic brain injury? Persistent hypertension Subarachnoid hemorrhage Atrial fibrillation Skull fracture Although Ms. Priestly has a spinal cord injury, she can still have sexual intercourse. Discharge teaching should make her aware that: She must remove indwelling urinary catheter prior to intercourse. She can no longer achieve orgasm. Positioning may be awkward. She can still get pregnant. Ivy Hopkins, age 25, suffered a cervical fracture requiring immobilization with halo traction. When caring for the patient in halo traction, the nurse must: Keep a wrench taped to the halo vest for quick removal if cardiopulmonary resuscitation is necessary. Remove the brace once a day to allow the patient to rest. Encourage the patient to use a pillow under the ring. Remove the brace so that the patient can shower. The nurse asks a patient’s husband if he understands why his wife is receiving nimodipine (Nimotop), since she suffered a cerebral aneurysm rupture. Which response by the husband indicates that he understands the drug’s use? â€Å"Nimodipine replaces calcium. † â€Å"Nimodipine promotes growth of blood vessels in the brain. † â€Å"Nimodipine reduces the brain’s demand for oxygen. † â€Å"Nimodipine reduces vasospasm in the brain. † Many men who suffer spinal injuries continue to be sexually active. The teaching plan for a man with a spinal cord injury should include sexually concerns. Which of the following injuries would most likely prevent erection and ejaculation? C5 C7 T4 S4 Cathy Bates, age 36, is a homemaker who frequently forgets to take her carbamazepine (Tegretol). As a result, she has been experiencing seizures. How can the nurse best help the patient remember to take her medication? Tell her take her medication at bedtime. Instruct her to take her medication after one of her favorite television shows. Explain that she should take her medication with breakfast. Tell her to buy an alarm watch to remind her. Richard Barnes was diagnosed with pneumococcal meningitis. What response by the patient indicates that he understands the precautions necessary with this diagnosis? â€Å"I’m so depressed because I can’t have any visitors for a week. † â€Å"Thank goodness, I’ll only be in isolation for 24 hours. † â€Å"The nurse told me that my urine and stool are also sources of meningitis bacteria. † â€Å"The doctor is a good friend of mine and won’t keep me in isolation. An early symptom associated with amyotrophic lateral sclerosis (ALS) includes: Fatigue while talking Change in mental status Numbness of the hands and feet Spontaneous fractures When caring for a patient with esophageal varices, the nurse knows that bleeding in this disorder usually stems from: Esophageal perforation Pulmonary hypertension Portal hypertension Peptic ulcers Tiffany Black is diagnosed with type A hepatitis. What special precautions should the nurse take when caring for this patient? Put on a mask and gown before entering the patient’s room. Wear gloves and a gown when removing the patient’s bedpan. Prevent the droplet spread of the organism. Use caution when bringing food to the patient. Discharge instructions for a patient who has been operated on for colorectal cancer include irrigating the colostomy. The nurse knows her teaching is effective when the patient states he’ll contact the doctor if: He experiences abdominal cramping while the irrigant is infusing He has difficulty inserting the irrigation tube into the stoma He expels flatus while the return is running out He’s unable to complete the procedure in 1 hour The nurse explains to the patient who has an abdominal perineal resection that an indwelling urinary catheter must be kept in place for several days afterward because: It prevents urinary tract infection following surgery It prevents urine retention and resulting pressure on the perineal wound It minimizes the risk of wound contamination by the urine It determines whether the surgery caused bladder trauma The first day after, surgery the nurse finds no measurable fecal drainage from a patient’s colostomy stoma. What is the most appropriate nursing intervention? Call the doctor immediately. Obtain an order to irrigate the stoma. Place the patient on bed rest and call the doctor. Continue the current plan of care. If a patient’s GI tract is functioning but he’s unable to take foods by mouth, the preferred method of feeding is: Total parenteral nutrition Peripheral parenteral nutrition Enteral nutrition Oral liquid supplements Which type of solution causes water to shift from the cells into the plasma? Hypertonic Hypotonic Isotonic Alkaline Particles move from an area of greater osmelarity to one of lesser osmolarity through: Active transport Osmosis Diffusion Filtration Which assessment finding indicates dehydration? Tenting of chest skin when pinched Rapid filling of hand veins A pulse that isn’t easily obliterated Neck vein distention Which nursing intervention would most likely lead to a hypo-osmolar state? Performing nasogastric tube irrigation with normal saline solution Weighing the patient daily Administering tap water enema until the return is clear Encouraging the patient with excessive perspiration to dink broth Which assessment finding would indicate an extracellular fluid volume deficit? Bradycardia A central venous pressure of 6 mm Hg Pitting edema An orthostatic blood pressure change A patient with metabolic acidosis has a preexisting problem with the kidneys. Which other organ helps regulate blood pH? Liver Pancreas Lungs heart The nurse considers the patient anuric if the patient; Voids during the nighttime hours Has a urine output of less than 100 ml in 24 hours Has a urine output of at least 100 ml in 2 hours Has pain and burning on urination Which nursing action is appropriate to prevent infection when obtaining a sterile urine specimen from an indwelling urinary catheter? Aspirate urine from the tubing port using a sterile syringe and needle Disconnect the catheter from the tubing and obtain urine Open the drainage bag and pour out some urine Wear sterile gloves when obtaining urine After undergoing a transurethral resection of the prostate to treat benign prostatic hypertrophy, a patient is retuned to the room with continuous bladder irrigation in place. One day later, the patient reports bladder pain. What should the nurse do first? Increase the I. V. flow rate Notify the doctor immediately Assess the irrigation catheter for patency and drainage Administer meperidine (Demerol) as prescribed A patient comes to the hospital complaining of sudden onset of sharp, severe pain originating in the lumbar region and radiating around the side and toward the bladder. The patient also reports nausea and vomiting and appears pale, diaphoretic, and anxious. The doctor tentatively diagnoses renal calculi and orders flat-plate abdominal X-rays. Renal calculi can form anywhere in the urinary tract. What is their most common formation site? Kidney Ureter Bladder Urethra A patient comes to the hospital complaining of severe pain in the right flank, nausea, and vomiting. The doctor tentatively diagnoses right ureter-olithiasis (renal calculi). When planning this patient’s care, the nurse should assign highest priority to which nursing diagnosis? Pain Risk of infection Altered urinary elimination Altered nutrition: less than body requirements The nurse is reviewing the report of a patient’s routine urinalysis. Which of the following values should the nurse consider abnormal? Specific gravity of 1. 002 Urine pH of 3 Absence of protein Absence of glucose A patient with suspected renal insufficiency is scheduled for a comprehensive diagnostic work-up. After the nurse explains the diagnostic tests, the patient asks which part of the kidney â€Å"does the work. Which answer is correct? The glomerulus Bowman’s capsule The nephron The tubular system During a shock state, the renin-angiotensin-aldosterone system exerts which of the following effects on renal function? Decreased urine output, increased reabsorption of sodium and water Decreased urine output, decreased reabsorption of sodium and water Increased urine output, increased reabsorption of sodium and water Increased urine output, decreased reabsorption of sodium and water While assessing a patient who complained of lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis. The nurse suspects: A urinary tract infection Renal calculi An enlarged kidney A distended bladder Gregg Lohan, age 75, is admitted to the medical-surgical floor with weakness and left-sided chest pain. The symptoms have been present for several weeks after a viral illness. Which assessment finding is most symptomatic of pericarditis? Pericardial friction rub Bilateral crackles auscultated at the lung bases Pain unrelieved by a change in position Third heart sound (S3) James King is admitted to the hospital with right-side-heart failure. When assessing him for jugular vein distention, the nurse should position him: Lying on his side with the head of the bed flat. Sitting upright. Flat on his back. Lying on his back with the head of the bed elevated 30 to 45 degrees. The nurse is interviewing a slightly overweight 43-year-old man with mild emphysema and borderline hypertension. He admits to smoking a pack of cigarettes per day. When developing a teaching plan, which of the following should receive highest priority to help decrease respiratory complications?

Can employers determine your social class by looking at your resume

Can employers determine your social class by looking at your resume This is a strange question, and one you may not have ever asked yourself when submitting a resume to prospective employers. Sure, you assume employers will size you up based on experience and college education. However, recent research has come out that suggests there is an additional factor that comes into play when employers are navigating through resumes: social class. You might ask how employers can find out about something that isn’t explicitly mentioned on a resume. Lauren Rivera, Professor at the Kellogg School of Management and contributor to Harvard Business Review, set out to answer this exact question. She analyzed  the country’s top law firms and came to a hypothesis: Everything else being held equal, people from elite backgrounds are more likely to get interviews than their less privileged counterparts. Every year, thousands of students apply for internships at these law firms. Their resumes are virtually equal. They have a good GPAs, great experience, an d are on law review. Who gets the interview? That’s where Lauren’s research gets interesting.Despite the fact that we would like to think people earn opportunities based on their own merit and hard work, it appears this isn’t always the case. Based on prior research in the December  2016 issue of American Sociology Review, Lauren found that hiring in top professional services is indeed skewed towards higher class candidates. She conducted a field experiment using the resume audit method, which involves assigning different criteria to resumes and sending them out to employers to see the probability of the candidate being called back for an interview.The question you may be asking is a good one: how do you identify social class on a resume? The answer is via extracurricular activities. Here is a breakdown of Lauren’s resume items that she used in this field test:Can you identify which student is from a wealthier social class? Obviously, sailing, polo, and classical music are indicators of someone who has enjoyed a more privileged upbringing, whereas someone who is on track and field is less likely to be of that background. The important thing to note here is that all educational and work-related components are virtually the same. The candidates are equally qualified.This is where the results get interesting.  Lauren found that employers highly favored higher-class men compared to the 3 other groups (higher-class women, lower-class women, lower-class men). Why did this happen? To explore the issue further, Lauren and her team conducted a follow-up experiment where they interviewed 210 additional attorneys from around the country, asking each attorney to evaluate the same resumes they used in their experiment. The results showed that they favored interviewing higher-class men above all other candidates.The interesting thing about this follow-up study is that Lauren and her team were able to find out why. The attorneys saw higher-cla ss candidates of either gender as being bitter fits for the culture and clientele of large law firms. Interestingly enough, even though higher-class women were seen as good fits, they were rejected because the attorneys believed they would be the least committed to the job of any group. They cited family as being the primary reason a higher-class woman would ditch the job. Overall, the attorneys just didn’t want to take the risk.These findings tell us that despite our national myth of â€Å"hard work pays off,† there are additional factors that come into play. The social class people grow up in can greatly determine what kind of jobs and salaries they are able to obtain. While there is no simple solution to inherent bias favoring affluent men, steps can be taken to mitigate the bias as much as possible. Getting rid of the requirement to list extracurriculars and reducing names to initials are just a few of the important first steps that could make a huge difference whe n resumes are being screened- and could eventually give everyone a truly equal opportunity.

The laboratory diagnosis, monitoring and management of the diabetic Essay

The laboratory diagnosis, monitoring and management of the diabetic patient - Essay Example This disorder is known as hyperglycemia. Many other metabolic abnormalities occur, notably an increase in ketone bodies in the blood when there is severe lack of insulin (Jacobs, 1996). Glucose measurement in an accredited laboratory should be the rationale of ant diagnosis of diabetes. In the laboratory, glucose tolerance test is not norm ally required in regular clinical practice. It can only be carried out if uncertainty exists in younger patients, or to find out an exact diagnosis in pregnancy. For, results that can be counted on, glucose tolerance tests should be carried out in the morning after an overnight fast, with the patient being required to sit calmly and not smoking. In addition, the patient should have normal meals for the previous three days and should not have been dieting. Inaccurate results may be achieved if the patient has been ill recently or has had prolonged bed rest (Fine, 2008). During glucose tolerance test, blood glucose concentrations are determined and are measured fasting and then one and two hours after a drink of 75g of glucose in a volume of waster, approximately 250-350ml. it is recommended that the water be flavored, for example, with pure lemon juice. Further, urine tests should be carried out before the glucose drink and at one and two hours. According to WHO, ADA, and diabetes UK, the criteria for the diagnosis of diabetes states that: symptoms of diabetes plus casual venous plasma glucose11.1mmol/1. They define casual as any time of the day without regard to time since the last meal was taken. Some of the classic symptoms include polyuria, polydipsia, and unexplained weight loss. Secondly, fasting plasma glucose should be or whole blood. Fasting is defined as no calorie intake for at least eight hours. Another criterion for diagnosis is: 2 hour plasma glucose during oral glucose tolerance test using 75g

Demand in Health Care Essay Example | Topics and Well Written Essays - 500 words

Demand in Health Care - Essay Example People, particularly those suffering from life threatening diseases, need treatment. Regardless of how much it costs or whether a patient can afford it with his income, the treatment is imperative. Demand is different. There are choices involved in decisions to buy services. For instance, a patient with an eye problem decides to forego an expensive eye surgery and opt to use eye glasses instead. The cost of the operation forces the patient to use a much cheaper alternative since the condition can also be remedied, at least up to a point that the condition does not lead to permanent blindness or some fatal complication. The previous example demonstrates the so-called demand curve. According to Getzen, "the demand curve shows how many patients are willing to buy at a current price and also at other potential prices" (p.27). The model, which shows a downward slope, depicts how more people are inclined to purchase goods and services as its cost drops down. Here, it is clear that purchase decisions or demands are determined by the price. But price, in purely economic terms, is not the only factor involved in demand. The manner by this variable factor in peoples decisions is also driven by the concept of scarcity and value, which is determined by the quantity and quality of and need for the product or service. In my experience, demand always figure prominently in peoples healthcare decisions. Patients are often free to choose from different doctors according to cost, value and even cultural considerations. This is because there is no scarcity of professionals. Elastic demand could emerge in this situation. Doctors could lower their prices so that demand is stimulated. However, the choice is constrained for those doctors with rare specializations such as those in rare genetic diseases. This is also true for anesthesiologists who do not have any close substitutes (Feldstein, 2011, p.29). There are areas wherein these specialists form a group, monopolizing

How does online banking affect the banking industry Dissertation

How does online banking affect the banking industry - Dissertation Example Introduction of ATMs, partially alleviated the problems, and ATMs proved successful in load reduction as well as cutting transaction cost. Advent of internet provided another window of opportunities for the banks to expand their customer reach by providing limited set of internet based banking capabilities to full-fledged virtual banks. This has been extended by further proliferation of PDAs and mobile phones, wherein mobile banking is gaining its foothold as a prominent channel. This paper analyses the progress of online banking since its inception, specifically on the aspects of service quality, security and risk factors from the online banking customer perspective. Based on our study of the decade of online banking, it can be logically concluded that online banking is becoming the number one choice for today’s banking customer in all demographics. ... Occasionally, a customer would phone a bank representative of choice, for financial information (balance in account, check clearance, status of money transfer etc.). Prior to internet/web, ATMs allowed the customer a flexibility of executing certain banking transactions (mainly balance checking, cash withdrawal). Subsequent to that, some banks introduced so called PC banking, where an application installed in customer’s PC established a secured connection with an application running in the bank to perform transactions. Early in 1981, when internet became prevalent at home, some of the banks in US with a large customer base, tried introducing a few facilities to its customers, wherein the customer could perform a few activities, by signing up to additional services from its bank. Some banks charged the customer for these transactions, and these mainly included value-added services to the customer at lesser cost. (E.g. Availability of Dow Jones Retrieval/News Service at a much l esser cost provided by CitiBank). Ubiquity of internet, and customers need for mobility, banks and financial institutions were forced to adopt current technology as a basis for providing its customer, online banking services, available at the reach of the customers’ personal computers, at home, at workplace, or anywhere a customer has access to his/her bank and account. The trend continued with advent and following rapid progress in online technology, from internet banking to mobile banking. Another reason for this shift in service offering on the part of the bank is also due to the fact that customer base for banks and volume of transactions saw

Relationship Between Social Policy And Welfare

Relationship Between Social Policy And Welfare Social policy may be described in two ways. Primarily, social policy is seen to have a direct impact on individuals and groups of people. Secondly, Social policy is an academic subject to be researched. Social Policy may be defined as the developing and implementing measures to combat social problems in society, and to the academic study of these measures and their broader social context (Alcock, Erskine, and May, 2002:240). Baldock, Manning, and Bickerstaff (2007: xxi.) describe a social policy as the states deliberate involvement to redistribute resources amongst its citizens so as to achieve a welfare objective. Social policies affect a wide range of people, whether it is at an individual level or regards to communities. According to Spicker (2008:1) social policies have to concentrate on several issues including housing, health, education, social security and employment. The development of Social policies and their implementation have a direct impact on the social welfare of everyone in the society. Social welfare refers to the various social arrangements that are in place to meet the needs of individuals and groups in society, with the hope to tackle social problems. According to Fitzpatrick (2001:5) social policy aims to maximize welfare and minimize diswelfare and he states that there are six main perspectives on welfare: happiness, security, preferences, needs, desert, and relative comparisons. There are numerous texts that exist around the issue of policy formation and its contested relationship with the effects of the policies implementation on the welfare of those it aims to target. This essay aims to provide an overview of the evolution of social policy, legislation and practice in relation to child welfare in Irleand. Relation to an Aspect of Irish Policy Hill and Hupe stated that Implemenation inevitably takes different shapes and forms in different cultures and institutional settings(2006:2). This section of the essay will examine some of the relationship between social policy and child welfare in Ireland from the 1940s up to the present day. Children Allowance and Health Care: Perphaps one of the most signisifcant social policy developments regarding child welfare was in introduction of Childrens Allowance in 1944. However, the initial implemention of the Act included serveral discrepancies, thus it did not benefit the welfare of all the communitiy. For example, initially the payment was only availabe to families with three or more children. Means testing meant that many families were elimanted from the possible social welfare they deserved. Simliarly, in 1950, Noel Browne introduced the Mother and Child Scheme. He hoped that this would overcome many of the elements that infringed the rights of people in regards to the Childrens allowance. However, both the Catholic church and the medical profession opposed hes scheme in fear that state run and free medical care would go against their hierachy. With Browns later resignation,the hope of his scheme being fully implented collapsed. Burke (2005:29) stated that the controversy over the mother and child scheme h as profound effecs on the developement of social policy in this country. The power struggle between the church and the state most definelty lead to diswelfare among citizens. Mandatory Reporting of Child Abuse: Society has a challenging task of protecting children. Societies need to employ several ways in which they can achieve this, for example, social, economic, moral, legal and environmental. In the mid 1990s, The Law Reform Commission recommended the introduction of mandatory reporting of child abuse. The matter of mandatory reporting is one of complexity which has implications not only for childrens welfare but also families, workers and the state. One of the main advantages of the implemenation of such a system was the hope that it would empower proffesionals to report abuse. Above all else it was prodicted that this would secure consistency and would provide a basis for better statistical evidence. However, disadvantages included the danger of over reporting of cases using scarce resources. There was great variety of options about the mandatory reporting of child abuse. Many argued for an immediate introduction of mandatory reporting of child abuse as it was seen as a means of protecting children( ACT Legislative Assembly: nd) and their welfare. However, others believed it would divert the already scarce resources from programs that delivered assistance to families and at risk children. For example, Lipsky (1980) beleived that scarcity of resources leads to street- level bureaucracies being consistently criticized for their inability to implement policies which are related to the areas they work in thus leading to diswelfare in many cases. After much debate, the government decided against the introduction of mandatory reporting on the basis that it was not in the childrens best interests and welfare. The scarcity of resources combined with the complex relationship between proffesionals and clients made it unrealistic. Legislative Framework Governing the Implementation of Childcare Policy: The Children Act of 1908 and the Health Act 1953 and 1957 were replaced by the Child Care Act 1991 and the Children Act 2001 as the primary statutory framework for the care and control of children in Ireland. Among many provisions, the main aim of the Act according to O Sullivan (2009:251) is the placing of a statutory duty on health boards to promote the welfare of children who are not receiving adequate care and protection. In the period following the passing of the childrens act in 1991, many attempts were made to standardise procedures and practises in the area of childcare services. For exmaple, the Report of the Killkenny Incest Enquiry in 1993 evidently highlighted that guidelines were not being used and many workers were not even aware of there existence. However, in 1995, new guidelines on The Notification of Suspected Cases of Child Abuse Between Healthboards and Gardai were issued and aimed at standardising the cases between the two agencies. This was a step forward for ma ximising the welfare of children. In 1999, in the Publication of Children First; National Guidelines for the Protection and Welfare of Children were introduced to improve proffesional practise and thus improving the welfare of children. It highlighted the importance of consistency between policies and procedures. Unlike guidelines before it, Children First was built upon a set of principles which included participation by parents/carers and children in conferences and the development of child protection plans. These guidelines were valuable as they provided a framework for practise, meaning that proffessionals are accountable for their actions. In 2002, Buckley made a warning of the dangers of an over regulated system, as she believed it may lead to discretion and therapeutical skills being replaced by adminstrative management and regulation. In 2003 The Social Services Inspectorate was asked to monitor the implementation of the guidelines, however, while some aspect of the report were postivie,it was concluded that the progress in realtion to Garda/health board cooperation, the child protection committees and planning for family support services was inadequate O Sullivan (2009:257) Confusion surrounding the implementation of this policy still exists. Conculsion: This essay has attempted to summarise and give a critical analysis of certain social policy in Ireland and their relationship with childrens Welfare. As illustrated in the above examples, the in most cases policies may be developed with the hope to benefit and increase the welfare of children but unless they are implemented correctly the policies may lead to diswelfare.

Ethics in the Automotive Repair Industry Essay -- Automobiles Transpor

Ethics in the Automotive Repair Industry â€Å"Another memorable encounter took place in San Antonio, when I pulled into a transmission repair shop. The owner test-drove the Olds with me in the pasenger seat. As we climbed a hill, the car seemed to be straining. I looked down and noted that he had one foot on the gas and the other on the brake. ‘boy, it ain't got no power at all in second gear,’ he said. ‘It's real obvious the clutches are burnt.’ His solution: rebuild the transmission for $395 to $495, ‘depending on if I can save the torque converter.’ † –totse.com A small example of the kind of things mechanics will try to do to turn a profit and swindle customers. This is just one of many stories of repair scams. The automotive industry is a legendary ethical battlefield, with mechanics and repairs shops known to try to make an extra buck or two by selling customers parts they don’t know they don’t need and overcharging them for it, and wary customers trying to balance their budget, it goes back and forth. In the end however the winner is usually the mechanic. This ethical quagmire brings us to the very roots of ethical decision making. Why is it so easy to cheat the customers in the automotive repair industry? The car is a complex machine and most people don’t even know the basics of how it works and so they can easily be taken advantage of. Although, because this is such a common occurrence people are wary of it, however, it is still very hard to determine when you are being cheated or not. During the summer last year I worked in an auto repair garage. I was not doing the complicated repairs by any means, I did more apprentice type work, helping the mechanics to do their jobs and some simple basic jobs on my o... ...isions when a customer walks through the door. Works Cited â€Å"Auto Repair Scams: An Investigation† totse.com . Online. 1 Mar. 2003. http://www.totse.com/en/bad_ideas/scams_and_rip_offs/autoscam.html. Norman, Rich. â€Å"The Truth About the Auto Repair Industry† Ford Festiva. Online. (2001) Feb 28 2003. http://www.fordfestiva.com/service/repairshops2.htm. â€Å"Auto Repair Secrets† CarInfo.com. Online. (2001). Technews Corp. 1 Mar 2003. http://www.carinfo.com/repair2.html. Honeycut, Earl D.; Glassman, Myron; Zugelder, Michael T.; and Karande, Kiram â€Å"Determinates of Ethical Behavior: A Study of Autosales People.† Journal of Business Ethics. 1.32 (July 2001) : 69-74. Eskeldson, Mark. What Auto Mechanics Don’t Want You to Know. New York: McGraw Hill. 1999. â€Å"How Car Engines Work† How Stuff Works.com. Online. 1Mar2003. http://auto.howstuffworks.com/engine.htm