Week 2 Case Studies M.T. is an 18-month-old, 20-kg male who presents to the emergency department in status epilepticus, which has continued for approximately 20 minutes. He was brought to the emergency department from a small community via a family vehicle. He has not received any care at this point. The nursing staff has attempted several intravenous line insertions but were unable to gain access. M.T. continues to convulse without interruption. 1. Which of the following would be the most appropriate route of administration for an anticonvulsant to consider for M.T. and why? a) Intramuscular b) Percutaneous c) Subcutaneous d) Rectal 2. Midazolam is a benzodiazepine that can be used effectively for status epilepticus. Which of the following routes of administration has been used effectively for the delivery of midazolam when intravenous access in unobtainable? a) Percutaneous b) Mucosal c) Oral d) Subcutaneous 3. Which of the following is true regarding the percutaneous absorption of medications? a) The absorption of compounds is inversely related to the thickness of the skin b) The absorption of compounds is inversely related to the hydration of the skin c) Body surface area (BSA) is decreased, relative to body mass, in the infant and young child when compared with older children and adults d) The percutaneous administration of medications is reliable and safe in the infant and young child. 4. What are the advantages of utilizing the mucosal route of administration? a) Some medications have very good absorption and systemic effect when administered by nasal spray b) Nasal (mucosal) administration avoids the trauma of intravenous line placement c) Nasal administration of medication is typically less expensive than intravenous administration d) All of the above are advantages of the mucosal route of administration K.F. is a 23-year-old female with a history of acne and bipolar disorder. She currently takes lithium to treat her bipolar disorder and isotretinoin (Accutane) for her acne. She also occasionally takes famotidine for reflux. 1. Should K.F. become pregnant, which of the following would be considered safe for her to continue taking? Why? Why are the others considered unsafe during pregnancy (pregnancy rating, potential adverse fetal and maternal effects)? a) Accutane b) Lithium c) Famotidine 2. One year later, K.F. is seen again in your clinic. Her acne and bipolare medications have been discontinued and she now presents 4 months pregnant with a complaint of pain and rising fever over the last 5 days. Lab tests show gram-negative bacilli and Widal test comes out positive. Which of the following drugs will most likely be administered and why? Why will the other drugs not be administered? a) Ampicillin b) Ciprofloxacin c) Levofloxacin d) Tetracycline R.S. is an 85-year-old female who has congestive heart failure. Over the past 3 months, she has had four hospitalizations. Like many older adults, R.S. is exper.

1. Week 2 Case Studies
M.T. is an 18-month-old, 20-kg male who presents to the
emergency department in status epilepticus, which has
continued for approximately 20 minutes. He was brought to the
emergency department from a small community via a family
vehicle. He has not received any care at this point. The nursing
staff has attempted several intravenous line insertions but were
unable to gain access. M.T. continues to convulse without
interruption.
1. Which of the following would be the most appropriate route
of administration for an anticonvulsant to consider for M.T. and
why?
a) Intramuscular
b) Percutaneous
c) Subcutaneous
d) Rectal
2. Midazolam is a benzodiazepine that can be used effectively
for status epilepticus. Which of the following routes of
administration has been used effectively for the delivery of
midazolam when intravenous access in unobtainable?
a) Percutaneous
b) Mucosal
c) Oral
d) Subcutaneous
3. Which of the following is true regarding the percutaneous

2. absorption of medications?
a) The absorption of compounds is inversely related to the
thickness of the skin
b) The absorption of compounds is inversely related to the
hydration of the skin
c) Body surface area (BSA) is decreased, relative to body mass,
in the infant and young child when compared with older
children and adults
d) The percutaneous administration of medications is reliable
and safe in the infant and young child.
4. What are the advantages of utilizing the mucosal route of
administration?
a) Some medications have very good absorption and systemic
effect when administered by nasal spray
b) Nasal (mucosal) administration avoids the trauma of
intravenous line placement
c) Nasal administration of medication is typically less
expensive than intravenous administration
d) All of the above are advantages of the mucosal route of
administration
K.F. is a 23-year-old female with a history of acne and bipolar
disorder. She currently takes lithium to treat her bipolar
disorder and isotretinoin (Accutane) for her acne. She also
occasionally takes famotidine for reflux.
1. Should K.F. become pregnant, which of the following would

3. be considered safe for her to continue taking? Why? Why are
the others considered unsafe during pregnancy (pregnancy
rating, potential adverse fetal and maternal effects)?
a) Accutane
b) Lithium
c) Famotidine
2. One year later, K.F. is seen again in your clinic. Her acne and
bipolare medications have been discontinued and she now
presents 4 months pregnant with a complaint of pain and rising
fever over the last 5 days. Lab tests show gram-negative bacilli
and Widal test comes out positive. Which of the following drugs
will most likely be administered and why? Why will the other
drugs not be administered?
a) Ampicillin
b) Ciprofloxacin
c) Levofloxacin
d) Tetracycline
R.S. is an 85-year-old female who has congestive heart failure.
Over the past 3 months, she has had four hospitalizations. Like
many older adults, R.S. is experiencing difficulty swallowing
and psychologic changes affecting her medication absorption.
1. Which of the following would be an appropriate starting
point for identifying causes for R.S.’’s frequency of
hospitalizations?
a) Simply ask if she is taking her medications as directed

4. b) Assume that her frequent hospitalizations are secondary to
expected changes, which are normal parts of aging
c) Examine all of R.S.’s medication vials to complete an
assessment including pill count for adherence
d) Assume that her frequent hospitalizations are the result of
undertreating her conditions.
2. In determining the most appropriate course of treatment for
R.S., assessing her life expectancy should never be taken into
account. Rather, the same course of treatment should be pursued
without regard for life expectancy. WHY?
a) True
b) False
3. Which of the following best describes a concern that R.S. is
taking OTCs, which may impact her cardiac function?
a) Assume that if R.S. has not discussed her taking OTCs with
her health care providers that this is most likely not an issue
b) Assume because older adults typically do not take OTCs that
this is not an issue with R.S.
c) Because older adults take a significant number of OTCs
without knowledge of their physicians, that R.S.’s use if best
assessed through a home visit and the asking of open-ended
questions
L.L. is a 67-year-old male who has been diagnosed with benign
prostatic hypertrophy (BPH). He is having difficulty with
urination. He is currently on Cozaar 100 mg qd for HTN and his
BP is well controlled. He is taking no other medications. The

5. doctor has recommended medication for his BPH, but he would
like to try an herbal supplement before taking prescription
medication.
1. What herbal supplement should he take?
2 .What is the recommended dosage?
3. What are possible side effects and/or drug interactions of the
herbal supplement?
4. What warnings should you give L.S. before he starts the
herbal supplement?
M.C. is a 54-year-old female who presents with menopausal
symptoms of hot flashes, mood swings, decreased libido and
vaginal dryness. She wishes to try an herbal supplement to
reduce her symptoms, as she is concerned about potential side
effects of prescription medications.
1. What herbal supplement would you recommend?
2. What is the recommended dosage?
3. What are possible side effects and/or drug interactions of the
herbal supplement?
4. What warnings should you give M.C. before she starts the
herbal supplement?
P.K. is a 26-year-old female who presents with depression and
anxiety. She is hesitant to start prescription antidepressants as
she feels their use will negatively affect her libido and sexual
function. She states that she has been taking St. John’s worth
for the past couple of weeks and wishes to know if this
supplement is okay to use.
1. What are possible side effects and/or drug interactions of the
herbal supplement?

6. 2. What warnings should you give P.K. about the herbal
supplement?
GRAND CANYON UNIVERSITY SCENARIO GENERATOR
Module 7: Course project
Type: Publicly Traded
Size: Large Corporation
Sector: Cellular Service Provider
Funding: Stockholders/market
Stakeholders:
Community
Decision makers:
Managers
Formal organization:
For-profit corporation
Human Resources Department:
Strategic and Transactional
Stage in Organizational Lifecycle:
Maturity
THESE ARE THE GIVEN CONSTRAINTS:
ORGANIZATIONAL BACKGROUND:
Founded in: 1999

7. Dedicated to: The company is striving to continue to expand its
products and services in new industries and international
markets.
There are numerous, yet untapped opportunities, which will
propel the
company into the next phase of development.
Culture Although this is a very large company, we are trying to
maintain a small company feel, in which management is
accessible and
open to communication from all employees. Within each
business unit,
the objective and implementation plans are developed in close
collaboration with employees and managers.
Structure: The executive responsibilities for managing the
company
rest with the CEO, who also serves as chairman of the board.
Each
major business unit is managed by an executive VP, to whom all
country
managers report. Within each geographical location, depending
on size,
there are VPs assigned to each unit of the company, such as
sales,
marketing, HR, customer services, etc. Within these units, each
task
specific sub-unit is managed by a senior director or director,
depending on size. Each director has two or more managers,
product
managers, or project managers, that report to the director.
page 1 / 6

8. Mission statement: Able to be, flexible and allow the
organisations to
respond rapidly to both market and customer needs.
Vision statement: Our vision is to be the best company in the
world--in the eyes of our customers, shareholders, communities,
and
people. We expect and demand the best we have to offer and
aspire to
become the company most admired for its people, partnership,
and
performance.
INTEGRITY: By dealing honestly with our clients, staff,
vendors and
community.
RESPONSIBILITY: By considering the environment in which
we do
business, community views and the common good.
PROFITABILITY: By being aware that an appropriate level of
profit is
necessary to maintain our business and allow our values to
continue to
be observed.
Values statement: In conducting our business, we will realize
our
vision by performing our affairs so that our actions provide
confirmation of the high value we place on:
Present goals: To reduce delivery and distribution time of
products
and services. To reduce the number and frequency of customer
complaints, and to improve the response time of customers

9. inquiries.
Past goals: To reduce employee turnover by 20 percent by
introducing a
new employee assistance program. To improve productivity by
implementing a company-wide training program. To actively
recruit
skilled workers into the organization.
Brief SWOT analysis:
Strengths:
Positive cash flow
Good business reputation
Weaknesses:
Expensive advertising
Experienced management approaching retirement
Insufficiently diversified revenue streams
Products and/or services have not been updated for a long time
Opportunities:
Improving economic outlook
New initiatives to streamline decision making
Threats:
Changing demographics
Vulnerability to recession and business cycles
Unproven relationship between government and private sector
Changing needs and preferences of stakeholders
Expected increases in tenured employees compensation
Changes in regulation, standards, and compliance requirements
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FEEDBACK:
Customer feedback:
Negative comments:59

10. Positive comments:4
Issue resolution:2
Reachability:9
Cancellation:7
Friendliness:7
Product knowledge:8
Overall:5.5
Employee feedback:
Negative comments:85
Positive comments:83
Negative comments:85
Positive comments:83
Issue resolution:0
Reachability:9
Cancellation:5
Friendliness:3
Product knowledge:7
Overall:4.1
RESEARCH USING LibGuides:
Generic http://libguides.gcu.edu
Specific http://libguides.gcu.edu
REFLECT ON:
Question 1: Do organizational goals support the mission,
vision, and
values statements?
Question 2: Does the organizational structure support the
strategic
plan for the organization, communication, decision making,
customer
service, employee engagement and satisfaction, and cross
department
interaction?
Question 3: Are there apparent gaps in skills, talent, or
diversity

11. in the leadership team or staff?
Question 4: From a review of the information provided, what
areas
are in need of further development?
DELIVERABLES:
PART 1: Strategic HRM Proposal
This assignment is about both the design and execution of
human
resources management strategies. Create a report that addresses
systematically and strategically the aspects of managing the
organization's human assets, and what really needs to be done to
implement these policies. Write from the perspective of a
manager who
makes a proposal to the company management. Address the
human
resources topics outlined below, from a strategic perspective.
Short-term and long-term unit goals (SMART format):
-- Specific: What will be accomplished? What actions will you
take?
page 3 / 6
-- Measurable: What data will measure the goal? (How much?
How many?
How well?)
-- Achievable: Is the goal doable? Do you have the necessary
skills
and resources?
-- Relevant: How does the goal align with broader goals? Why
is the
result important?
-- Time-based: What is the time frame for accomplishing the

12. goal?
Unit organizational development strategies, addressing:
-- Objectives
-- Approach
-- Expected benefits
-- Strategic focus
-- Milestones in the organizational development roadmap
PART 2: Hiring Plan and Compensation Package Proposal
In this assignment you will consider strategic issues in staffing,
succession, compensation, and diversity management. Assume
the role of
a manager within your chosen organization and create a report
to the
management team, which addresses the most critical aspects of
hiring
and succession in the organization. Address all the topics
outlined
below.
Describe the main components of the hiring/succession plan
(manager's
role) addressing:
-- Candidates evaluation
-- Training
-- Key positions
-- Access to records
-- Interest assessment
Describe the main components of the recruitment plan (HR role)
including the following sections:
-- Needs assessment
-- General and specific recruitment
-- Goals, strategy, and action steps
-- Methods of recruitment
-- Budget (summary of main items)
-- Recruitement resources

13. -- New employee orientation and training
Describe the main components of the compensation plan: salary
study
and incentive plan (compensation committee role), addressing
-- The compensation philosophy
-- Pay policy regarding hiring, promotion, and merit
-- Pay range alignment with external market analysis
-- Communication of pay policies to employees
-- Consistency
Describe the main components of the diversity management
policy,
addressing:
-- Recognition and respect for the individual differences
-- Maintaining a positive workplace environment
PART 3: Performance Management Cycle
page 4 / 6
In this assignment, you will address the performance
management cycle
(PMC). Effective performance management aligns the efforts of
supervisors and employees with organizational objectives,
promotes
consistency in performance assessments, and motivates
employees.
Assume the role of a manager within your chosen organization
and
create a PMC plan that addresses management by objectives,
individual
development plan, training, feedback, and salary administration.
Address the topics below in the context of your chosen
organization.
Management by Objectives(MBO) plan (cascade goals from unit

14. to
individual), including:
-- Institutional goals
-- Individual goals
-- Periodic performance reviews
-- End-of-year appraisal sessions
Individual development plans (IDP for one employee of your
choice),
including:
-- Position description
-- Unit organizational chart
-- Employee career goal
-- Supervisor expectations
-- Outcomes/Results from previous IDP year
-- Timelines and milestones for next IDP year
-- Employee comments
Unit training and development needs, addressing:
-- Goals and objectives
-- Timeline
-- Budget
Feedback (for two employees -- one performing and one
struggling),
addressing:
-- Performance metrics (3-5)
-- Type of review (formal, informal) and frequency
-- Objective of review/feedback (e.g., motivation,
compensation,
promotion, disciplinary, etc.)
Short description of possible corrective actions
Short description of possible recognitions and rewards
Promotion/succession planning activities
Evaluation and salary administration, addressing:
-- A review of salaries across the organization
-- Starting salaries and progression
PART 4: Reflective Summary of Strategic HRM

15. -- Write a reflective summary (750 to 1000 words). Consider
your
Scenario Generator Report and the previous three assignments.
Assume
the role of a unit manager who is evaluating the last year and
looking
ahead to the next year.
-- Connect your experience with the assignments to the course
objectives.
-- Synthesize the various elements of your Scenario Generator
Report
and the previous three assignments in a manner that
demonstrates
page 5 / 6
mastery of essential concepts and principles.
-- Include any recommendations you have for increasing
organizational
effectiveness, discuss sucesses and areas of improvemenet.
-- Your paper should demonstrate critical and creative thinking.
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