Setting

Large urban city family practice clinic which employs physicians and nurse practitioners

Today is another busy in your family practice clinic You note your next visit is a work in for ear pain The patients are a set of four year old twins The entire family has been coming to the clinic for years which is probably why they were worked in despite your full schedule You review the chart before entering the room to familiarize yourself with these patients

When you enter the room you note a Caucasian woman who appears to be about 40 years old She is well groomed and appropriately dressed for the weather There are also two boys who appear to be about 4 years old who are sitting on the exam table playing games on their tablets and chatting to each other

You introduce yourself as you always do and ask what brings them to the clinic today

The mother states “Tommy woke up in the middle of the night saying his ear hurt so badly it woke him up He says it hurts to touch Paddy has had a cold for a few and been talking about his ears popping and feeling stuffy I thought it was just the cold He woke up this morning and said his ear really hurts too He also feels warm to meâ€

HPI

Mom describes the boys as overall healthy and active 4-year-old children Their older sister just got over a cold The rest of the family has been well but Mom noticed she has a sore throat this morning and asks if you can look at her too as long as they are here Her throat has hurt since yesterday, and hurts worse when she swallows She has not eaten or drank anything because it hurts too much

PMH

Paddy: age 4 Full-term pregnancy, NSVD twin gestation 5 pounds 2 ounces No hospitalizations NKDA Daily medication – chewable children’s multivitamin with iron

Tommy: age 4 Full-term pregnancy, NSVD twin gestation 5 pounds 4 ounces No hospitalizations NKDA Daily medication – chewable children’s multivitamin with iron

Mary (mom): denied past illness or injuries Hospitalized x 2 for childbirth, no surgeries NKDA Drinks alcohol socially, denies tobacco or illicit drug use Sleeps 6-7 hours/night No current medications Takes a daily multivitamin and a B complex vitamin

Social

Paddy and Tommy live with both their parents, Mary and Patrick, and two older siblings They are in a half day K4 program and Mom states they are doing well and like going to school Mary’s parents also live with the family and care for the children after school They have 2 dogs and a cat Patrick and Mary’s father John Foley both smoke, but not in the house

Discussion Part One (Please answer the questions separately for each patient)

What further questions do you have forMary at this visit? Use OLDCARTS to guide your questions Link the questions to your differential diagnoses What is your differential diagnosis list for this visit thus far with rationale? Each differential diagnosis should include a one sentence pathophysiology statement supported by the scholarly literature or the textbook Link the patient’s presenting symptoms with your differential diagnoses along with rationale Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order? What further questions do you have forPaddy at this visit?? Use your OLDCARTS to guide your questions Link the questions to your differential diagnoses What is your differential diagnosis list for this visit thus far with rationale? Each differential diagnosis should include a one sentence pathophysiology statement supported by the scholarly literature or the textbook Link the patient’s presenting symptoms with your differential diagnoses along with rationale Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order? What further questions do you have forTommy at this visit?? Use your OLDCARTS to guide your questions Link the questions to your differential diagnoses What is your differential diagnosis list for this visit thus far with rationale? Each differential diagnosis should include a one sentence pathophysiology statement supported by the scholarly literature or the textbook Link the patient’s presenting symptoms with your differential diagnoses along with rationale Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?

11. ____________ reflects the various traits and tendencies that describe how people act, with commonly studied traits including extraversion, conscientiousness, and agreeableness.

a)         Job satisfaction

b)         Personality

12. The primary outcomes of interest to OB researchers are:

a)         Job performance and organizational commitment

b)         Team processes and team characteristics

13. The effective management of organizational behavior can help a company become more profitable because:

a)         Good people are a valuable resource.

b)         Poorly managed companies will not survive in the long run.

14. _________ describes the statistical relationship between 2 variables and can be positive or negative and range from 0 to + or – 1.

a)         Correlation

b)         Scientific data

15. Which of the following mechanisms captures shared knowledge about the rules, norms, and values that shape employee attitudes and behaviors?

a)         Job performance

b)         Organizational culture

16. Which of the following individual mechanisms captures the energetic forces that drive employees' work efforts?

a)         Motivation

b)         Stress

17. _____ is the view the individual has of himself or herself as a physical, social, and spiritual or moral being.

a)         Self-concept

b)         Cognition

18. Many employees at Harley-Davidson factories have had the company logo tattooed on themselves. This example is an indication of ____.

a)         Low self-esteem

b)         Strong organizational identification

19. Personality testing as a tool for making decisions about hiring, training, and promotion is ____.

a)         Rare

b)         Commonplace

20. A person's needs remain unchanged over his or her lifetime.

a)         True

b)         False

21. Jackson is a line worker for the local clothing manufacturer. Even though he does not possess an official title or a private office, Jackson is more than willing to give his complete dedication to assisting the organization in achieving its mission of producing a quality product. This willingness to pursue an organizational goal is a demonstration of _____________.

            A)motivation

            B)positive reinforcement

            C)goal commitment

            D)goal setting

            

22. Sandy Bennett is employed at Stained Glass, Inc. She has been assigned the task of creating 400 perfect bottles per hour. The maximum every achieved by any employee in the history of the firm was 25. This virtually unachievable goal that she has been assigned has been designed to encourage the employees to “do things differently” rather than in the usual fashion. This is called _________.

            A)stretch targets

            B)intrinsic factors

            C)hygiene factors

            D)none of the above

23. Which of the following is/are suggested for a successful management by objectives program?

            A)Establish a time frame for achievement

            B)Establish performance targets

            C)Prioritize goals

            D)All of the above

24.  Which theory of motivation starts with an assumption that employees are rational?

            A)Goal setting theory

            B)Expectancy theory

            C)Reinforcement theory

            D)Herzberg's Two-Factor theory

25. The desired “performance” of skill acquisition is attributable to ___________.

            A)expectancy theory

            B)reinforcement theory

            C)skill-based pay programs

            D)none of the above

Only ABCD is fine. Thank you.

In Robert Louis Stevenson’s The Strange Case of Dr. Jekyll and Mr. Hyde, explain victorian culture and duality of humankind.

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