I need to make an A on this assignment!

Throughout this course, you’ve examined the importance of anticipating financial fluctuations that may impact your organization’s ability to provide services. While financial managers have no time machines or crystal balls, they do have expense forecasts. Expense forecasting is one of the preeminent tools that financial managers can use to prepare their organizations for future fiscal turbulence. In this Assignment, you will examine a scenario and generate a corresponding expense forecast in Excel.

Before pursuing an opportunity or making a major purchase, financial decision makers must first ascertain if the expenditures are justified. Determining whether a new process, system, or purchase will yield worthwhile returns is no easy task. However, managers have a variety of tools to help them decide whether the new expenditure is warranted. Analyzing a venture’s benefit/cost ratio, marginal profit and loss statement, and break-even points enable nurse managers to make educated decisions about how they choose to commit their funds.

Note: For those Assignments in this course that require you to perform calculations you must:
Use the Excel spreadsheet template for the Week 3 assignment
Show all your calculations and formulas in the spreadsheet.
Answer any questions included with the problems (as text in the Excel spreadsheet).
A title and reference page are NOT needed in this assignment. Put your name and assignment at the top of the Excel spreadsheet.

For those not comfortable with the use of Microsoft Excel, this week’s Optional Resources suggest several tutorials.

To prepare:

Review the information in the Week 9 and 10 Learning Resources dealing with expense forecasting, profit and loss, break-even analysis, and benefit and cost ratio analysis. Focus on how they are calculated and how they can be used in decision making.
View the following tutorial videos, provided in this week’s Learning Resources.
Week 10 Application Assignment Tutorial: Benefit Cost Ratio
Week 10 Application Assignment Tutorial: Breakeven Analysis
Week 10 Application Assignment Tutorial: Expense Forecasting
Week 10 Application Assignment Tutorial: Profit and Loss Scenario
Use the Week 10 Application Assignment Template, provided in this week’s Learning Resources, to complete this assignment. Carefully examine the information in each of the scenarios and provide the necessary calculations. Using this information will help you answer the questions. Note: All the scenarios will be submitted as one document. Each scenario will be on a different tab in the spreadsheet.

Expense Forecasting

In this Application Assignment you calculate scenarios focusing on benefit/cost ratio analysis, marginal profit and loss statements, and break-even analysis. For these scenarios, you will utilize the provided figures to perform calculations and then make recommendations about the viability of the investment opportunities

Expense Forecasting Scenario

Your department has performed 20,000 procedures during the first six months (January–June) of 20X1. Spending during that period of time was $210,000 for fixed expense items and $1,200,000 for variable expense items. Of those amounts, $50,000 of fixed expense money was spent on preparing for a Joint Commission survey. Volume is anticipated to be 10% higher in the second half of the year. On November 1st, two new procedure technicians will begin work. The salary and fringe benefit costs for each are $96,000/year. Based on the information provided, prepare an expense forecast for 20X1.

Annualization for Fixed: (Adjusted Total for Year to Date Expense/6) * 12 =Total Annualized Amounts

Annualization for Variable (Adjusted Total for Year to Date Expense/ 20,000) * 40,000 =Total Annualized Amounts.

Financial Analysis Cycle

Marginal Profit and Loss Statement Scenario
You are examining a proposal for a new business opportunity – a new procedure for which demand is expected to be 1,400 units the first year, growing by 600 units a year thereafter. The price charged per procedure is $1,000. The collection rate is anticipated to be 80%. Each procedure consumes $300 of supplies. Salary cost is estimated to cost $540,000 each year, fringe benefits are 25% of salaries, rent for the facility is $55,000/yr and operating cost are $120,000/yr.

Questions:

Develop a marginal profit and loss statement for this business opportunity.
Based on that analysis, should this opportunity be pursued?

Break-Even Analysis Scenario
You can charge $1,075 for a new service. Demand is anticipated to be 8,000 units a year. Your business is able to handle up to 16,500 units annually, so capacity should not be a problem. The average collection rate is 80%. The new service has annual fixed costs of $4,700,000. Variable cost per unit of service is $420.

Question: Use break-even analysis to determine if this new service is financially viable. If the business is not financially viable, what steps could you take to make a case to proceed with implementation? Explain your decision.

Benefit/Cost Ratio Analysis Scenario
You are considering the acquisition of a new piece of equipment with a useful life of five years. This new technology will make your clinical operation more efficient and allow for a reduction of 10 FTEs. The equipment purchase price is $4,500,000 plus 10% installation fee. The purchase price includes service for the first year, an item that has an annual cost of $10,000. There is a potential for additional volume of 150,000 units in the first year, growing by 30,000 each year thereafter. The price charged per unit is $15.00 with a 50% collection rate. The staff being eliminated are paid $12.50 per hour. The fringe benefits rate is 20%. The hurdle rate is 7.5%.

Questions: After reviewing Dr. Ward’s Video and the calculations below, please answer the following questions:

What is meant by benefit/cost ratio, average payback period and ROI and why are the all important to understand when purchasing new equipment?
Based on this information, would you pursue this opportunity?
Explain your decision in 250-500 words in the text box below.

UNIT 5

Topic: Tactical Planning

Strategic Planning: Strategy Map

Details:

The Strategic Planning: SWOT Analysis assignment completed in Topic 4 helped you identify a strategic goal within your sphere of influence. This assignment asks you to visually represent the cause-and-effect relationship among goals, operations, and stakeholders. In addition, this assignment seeks to examine the impact on various operational processes within the selected organization

According to your Management textbook, a strategy map “is a visual representation of the key drivers of an organization’s success, showing the cause-and-effect relationship among goals and plans.” Refer to Exhibit 7.4 in the textbook. A strategy map seeks to align organizational goals into strategy and provide clear direction for the organization.

Review the mission statement of your selected organization. Prior to creating a strategy map, identify your stakeholders. Complete a stakeholder analysis to identify and prioritize the various stakeholders. Refer to the “Stakeholder Analysis” resource from Mindtools and complete all steps.

Based on your strategic goal, create a strategy map using Microsoft Word, Microsoft PowerPoint, Microsoft Visio, or other software. Include only the required perspectives (financial, customer, internal, and learning and growth) that pertain to the strategic goal in your map. The cause-and-effect relationships are described by connecting arrows.

APA format is not required, but solid academic writing is expected.

RESOURCES

Textbook

1. Management

Read Chapter 11 in Management. Review Chapters 7 and 8.

http://gcumedia.com/digital-resources/cengage/2013/management_ebook_11e.php

Electronic Resource

1. Business Model Innovation in Practice

Read “Business Model Innovation in Practice,” by Euchner and Ganguly, from Research Technology Management (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ofs&AN=99206628&site=eds-live&scope=site

2. Stakeholder Analysis 

Read “Stakeholder Analysis,” located on the Mind Tools website. In addition, view the video “Stakeholder Analysis Video: Stakeholder Management and Power Interest Grid Example” that accompanies the article.

https://www.mindtools.com/pages/article/newPPM_07.htm

3. Strategy Mapping Overview

Watch “Strategy Mapping Overview,” by Knowles (2013), located on the YouTube website.

https://www.youtube.com/watch?v=8l6PgjxZ_I4

e-Library Resource

1. Business Ethics and the Development of Intellectual Capital

Read “Business Ethics and the Development of Intellectual Capital,” by Su, from Journal of Business Ethics (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ofs&AN=93596469&site=eds-live&scope=site

2. Corporate Social Responsibility: A Real Options Approach to the Challenge of Financial Sustainability

Read “Corporate Social Responsibility: A Real Options Approach to the Challenge of Financial Sustainability,” by Bosch-Badia, Montilor-Serrats, and Tarrazon-Rodon, from PLoS One (2015).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102969920&site=eds-live&scope=site

3. Innovation Agendas: The Ambiguity of Value Creation

Read “Innovation Agendas: The Ambiguity of Value Creation,” by Daniel and Klein, from Prometheus (2014)

https://lopes-idm-oclc-org.library.gcu.edu:2443/login?url=http://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=true&db=ehh&AN=99282937&site=ehost-live&scope=site

4. Intellectual Capital Approach to Modern Management Through the Perspective of a Company’s Value Added

Read “Intellectual Capital Approach to Modern Management Through the Perspective of a Company’s Value Added,” by Survilate, Tamosiuniene, and Shatrevich, from Business: Theory and Practice (2015).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=102124106&site=eds-live&scope=site

5. Stakeholder Analysis 

Read “Stakeholder Analysis,” by Gilstein, from Salem Press Encyclopedia (2013).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=90558473&site=eds-live&scope=site

Select a practice theory or model using: Application to Pragmatic Adequacy Discussion.

I selected the following practice theory/model: Empowerment in School Nursing Practice: A Grounded Theory Approach.

Then using Fawcett’s framework for theory evaluation (as discussed in Peterson & Bredow, 2016, p. 43), discuss to what extent your selected practice theory or model meets the criterion of pragmatic adequacy (that is, how well the theory or model can be utilized in real-life situations, particularly clinical practice) by addressing the following:

1. State the theory or model you chose and the reason(s) for your choice.

2. Describe the practice theory or model and define the main concepts of this theory.

Include the references list, and use APA formatting for all components.

Turnitin Assignment.

FNU Physical Assessment in Health Care Quiz 5

Question

Question 1

Which nodes are also called Virchow nodes?

a. Internal mammary
b. Anterior axillary
c. Deep cervical
d. Supraclavicular
Question 2

To palpate the inguinal nodes, you should have the patient:

a. bend over a table and cough
b. lie supine, with the knees slightly flexed
c. lie supine, with the legs extended
d. stand with the back extended
Question 3

Which risk factor is least likely to result in someone contracting HIV infection?

a. Prostitution
b. Hemophilia
c. Intravenous drug use
d. Working with AIDS patients
Question 4

Which of the following organs does not have lymphatic vessels?

a. Brain
b. Kidneys
c. Liver
d. Lungs
Question 5

Which disorder is characterized by a single node that is chronically enlarged and nontender in a patient with no other symptoms?

a. Retropharyngeal abscess
b. Streptococcal pharyngitis
c. Mononucleosis
d. Toxoplasmosis
Question 6

Transillumination is performed during an examination of the lymphatic system to:

a. detect lymphatic pulsation
b. distinguish nodes from cysts
c. evaluate nodal contours
d. observe erythematous lesions
Question 7

Serum sickness is usually characterized first by the appearance of:

a. diffuse lymph node enlargement
b. joint pain
c. urticaria
d. fever
Question 8

The most important clue to the diagnosis of immunodeficiency disease in a child is:

a. family history
b. illness in siblings
c. previous hospitalizations
d. serious recurring infections
Question 9

Which of the following conditions will stimulate lymph node enlargement? (Select all that apply.)

a. Graves diseaseb

b. Lymphangiomac

c. Esophageal refluxd

d. Parotid swelling

Question 10

The nurse tells her patient with lymphadenopathy not to rub the swollen lymph node because this would result in:

a. spreading the infection
b. enlarging the node
c. slowing the lymphatic drainage
d. making the node more fibrotic

Question 11

The harder and more discrete a node, the more likely that there is a(n):

a. innocent cause
b. infection
c. malignancy
d. metabolic disease

Question 12

Tender nodes associated with cat scratch disease are usually found in which area?

a. Epitrochlear area
b. Popliteal area
c. Axilla
d. Inguinal area

Question 13

To find the infection site associated with acute lymphangitis, the examiner should look ________ to the inflammation.

a. proximal
b. distal
c. contralateral
d. anterior

Question 14

Which landmark is the dividing line between the anterior and posterior cervical triangles?

a. Clavicle
b. Cervical spine
c. Sternocleidomastoid
d. Sternum

Question 15

Which disorder is a dysfunction of cell-mediated immunity?

a. Acute idiopathic polyneuritis
b. Acquired immunodeficiency syndrome
c. Epstein-Barr virus (EBV) mononucleosis
d. Systemic lupus erythematosus (SLE)

Question 16

When examining lymph nodes near a joint in the arm or leg, which of the following maneuvers is likely to facilitate the examination?

a. Extension of the extremity
b. Circumduction of the extremity
c. Flexion of the extremity
d. Rotation of the extremity

Question 17

The most common causes of acute suppurative lymphadenitis are:

a. HIV and herpes zoster
b. Haemophilus influenzae and adenovirus
c. herpes simplex types 1 and 2
d. streptococcal and staphylococcal organisms

Question 18

What is the most frequent cause of edema of the lower extremities?

a. Deficiency of vitamins and minerals
b. Excessive walking or running
c. Prolonged sitting or standing
d. Use of table salt

Question 19

Which of the following findings indicates that the examiner is assessing a blood vessel rather than a lymph node?

a. A bruit
b. Inflammation
c. Tenderness
d. Redness

Question 20

Which nodes are most often associated with inflammation?

a. Shotty
b. Movable
c. Fixed
d. Tender

Question 21

Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies?

a. Left mainstem bronchus
b. Terminal bronchioles
c. Right mainstem bronchus
d. Respiratory bronchioles

Question 22

While auscultating the lung fields, you note that the patient’s voice sound is intensified, the voice has a nasal quality, and e’s sound like a’s. This describes:

a. resonance
b. bronchophony
c. pectoriloquy
d. egophony

Question 23

You are documenting a rash between the eighth and ninth ribs on the lateral border.This intercostal space will be documented in terms of the:

a. rib immediately above it
b. rib immediately below it
c. number of centimeters it is positioned below the clavicle
d. number of inches it is positioned below the clavicle

Question 24

Which chest structure contains all the thoracic viscera except the lungs?

a. Manubrium
b. Mediastinum
c. Sternum
d. Xiphoid

Question 25

Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by:

a. percussing all lung fields
b. auscultating the lung bases
c. determining tactile fremitus
d.estimating diaphragmatic excursion

Question 26

When the umbilical cord is cut:

a. blood flows through the infants lungs more vigorously.
b. lungs fill with air
c. closure of the foramen ovale occurs
d. closure of the ductus arteriosus occurs

Question 27

Which of the following are signs and symptoms of atelectasis?

a. Diminished chest wall movement
b. Tachypnea
c. Bradypnea
d. Trachea deviated ipsilaterally
Question 28

Which type of apnea requires immediate action?

a. Primary apnea
b. Secondary apnea
c. Sleep apnea
d. Periodic apnea of the newborn

Question 29

To distinguish between a respiratory friction rub and cardiac friction rub, ask the patient to:

a. hold the breath
b. lean forward
c. say “99” while you palpate the anterior chest
d. identify the location of the pain

Question 30

When auscultating the apex of the lung, you should listen at a point:

a. even with the second rib
b. 4 cm above the first rib
c. higher on the right side
d. on the convex diaphragm surface

Question 31

Your trauma patient has no auscultated breath sounds in the right lung field. You can hear adequate sounds on the left side. A likely cause of this abnormality could be that the patient:

a. has a closed head injury
b. has fluid in the pleural space
c. is moaning and in severe pain
d. is receiving high-flow oxygen

Question 32

Which condition requires immediate emergency intervention?

a. Patient with pleuritic pain without dyspnea
b. Patient with fever and a productive cough
c. Patient with tachypnea but no chest retractions
d. Patient with absent breath sounds and dull percussion tones

Question 33

Which site of chest wall retractions indicates a more severe obstruction in the asthmatic patient?

a. Lower chest
b. Along the anterior axillary line
c. Above the clavicles
d. At the nipple line

Question 34

With consolidation in the lung tissue, the breath sounds are louder and easier to hear, whereas healthy lung tissue produces softer sounds. This is because:

a. consolidation echoes in the chest
b. consolidation is a poor conductor of sound
c. air-filled lung sounds are from smaller spaces
d. air-filled lung tissue is an insulator of sound

Question 35

Which term would you use to document a respiratory rate more than 20 breaths/min in an adult?

a. Dyspnea
b. Orthopnea
c. Platypnea
d. Tachypnea

Question 36

Which finding suggests a minor structural variation?

a. Barrel chest
b. Clubbed fingers
c. Pectus carinatum
d. Chest wall retractions

Question 37

Which symptom is the most significant indicator of asthma and should be identified in the health history?

a. Wheezing
b. Paroxysmal dyspnea
c. Coexistent skin conditions
d. Chest pain

Question 38

To distinguish crackles from rhonchi, you should auscultate the lungs:

a. before and after the patient coughs
b. first at the lung base and then at the apex
c. with the patient inhaling and then exhaling
d. with the patient recumbent and then sitting

Question 39

Which of the following is an expected finding in newborns?

a. Mottling of the thorax
b. Sternal retractions
c. Cough
d. Sneezing

Question 40

You would expect to document the presence of a pleural friction rub for a patient being treated for:

a. pneumonia
b. atelectasis
c. pleurisy
d. emphysema

Use the practice problem and a qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. In a 1000-1,250-word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turninit.

NRS-433V-RS-Research-Critique-Guidelines.docx