How effective is the use of first person narrative in The Yellow Wallpaper Essay Example

How effective is the use of first person narrative in The Yellow Wallpaper Essay Example How effective is the use of first person narrative in The Yellow Wallpaper Paper How effective is the use of first person narrative in The Yellow Wallpaper Paper Essay Topic: Literature The Yellow Wallpaper The yellow wallpaper is a story dominated by the protagonist, as she is isolated from the world and society except for the servant girl Jennie and her husband John. The advantages of using first person narrative in this article are the strong emotional and mental link with the protagonist, which can be portrayed much more effectively than any other perspective of the story. Also the point of view on Johns and the other characters, however few, actions and comments are biased to the protagonists thoughts and feelings. The protagonist also has a closer relationship with the audience than if it were in another perspective and the reader had more segregation from the main character. The first person perspective allow the protagonist to collude with the reader, this collusion would not be possible with third person perspective and second person perspective could only give another persons view of the events and with this story they would have had to have been a fly on the wall. The protagonist can make the reader sympathize with her in a way which can portray her as the victim of isolation with the only mental stimulus being the maddening, encompassing visage of the faded and tattered wallpaper that invades her thoughts and cognitions overwhelmingly to such an extent that it destroys all sense reality in her mind. I never saw so much expression in a thing before, and we all know how much expression they have, this quote show her collusion with the reader and the conversing of her, at this stage, fascination with the paper. The protagonist can get the reader involved by sharing secrets that he [John] hates to have me write a word but she still secretly journalises the events until the last couple of days when she seems to be writing the events as the happen, as if part of her obsession is to document her discoveries of the encapsulating wallpaper that enthrals her. A biased opinion can be given by the first person narrative, this opinion shows John to be acting against the will of the protagonist, but because of her social place at the time it was seen as wrong for her to question him so she puts her views on paper you see he does not believe I am sick! And what is one to do? The story cannot portray Johns reasons for her confinement or his banning of writing and any mental exercise. The first person view can show the deterioration of the protagonists mental state as she slides into delusion. At the beginning of the text she admits that there is something wrong I never used to be so sensitive. I think it is due to this nervous condition. But later on she shows here blatant derangement This bed will not move! I tried to lift it and push it until I was lame, and then I got so angry I bit off a little piece at the corner but it hurt my teeth this shows her unthinking and irrational nature, she noticed earlier on that the bed is nailed to the floor. The language of the text alters showing her slowly shifting mental state. The story begins with normal language typical of the era that it was written in but it slowly becomes more erratic and obsessive. The language also becomes more darkly descriptive as her perception changes: It [the wallpaper] sticks horribly and the pattern just enjoys it! All those strangled heads and bulbous eyes and waddling fungus growths just shriek with derision this is a much less bright and colourful portrayal of her environment than before. Before she presents the paper as One of those sprawling, flamboyant patterns committing every artistic sin. this is a less obsessive and much brighter view of the paper. This story of The Yellow Wallpaper would not have the same powerful effect on the reader if it were written from another point of view. The protagonist could not collude with the audience, she could not ask rhetorical questions and she could not make the reader involved with her defiant, secret acts of writing. The reader could not feel as if they were hiding with her and the reader could not be persuaded to take her side on the issues arising from the paper and her confinement. The whole script would be a hollow and boring case study of a seemingly mad woman if it was not told by her, she brings life to the story. The protagonist could not ask but what is one to do? with the same half asking the audience. I think that the effectiveness of the first person perspective in the Yellow Wallpaper is much more involving for the reader and it makes the story seem more real than any other way of writing.

Global Supply Chain Management Essay Example | Topics and Well Written Essays - 2750 words

Global Supply Chain Management - Essay Example Secondly, a high demand for quality and safe products become a challenge to a majority of Supply chains. Normally, the first obstacle and a lack of understanding on how to reduce the costs cause this. Management of supplier relationship could prove imperative in overcoming this challenge. Additionally, outsourcing, regular maintenance of machines as well as forecasting and preparing for customer’s ever-dynamic needs could be helpful. Thirdly, inadequate knowledge of the need to have a supply chain resiliency plan has been identified as the major hurdle for many. Three important relations in this third option include the supplier-customer, top management-supplier, and top management-customer relationships. This paper has extensively handled this topic, and hopefully, it will offer the much-needed solution. Supply chains play a critical role in ensuring that the services needed are delivered to their respective clients. On the other hand, the clients trust this industry to deliv er products and services, which are reliable, safe, and ones that meet the precise need they have. However, the recent horsemeat scandal involving Tesco has cast a shadow of doubt on the supply chains. A debate has since risen on the need to change the way supply chains do business with some calling for transparency on this industry’s operations. While it is easy to criticize an industry whenever a scandal especially one that has to do with health concerns, this paper’s takes a different approach. With an aim to provide a solution to a vital industry whose services are needed, this paper seeks to highlight at least three obstacles the Supply chain has to overcome. To achieve this goal, this paper uses the UK automobile manufacturers, Jaguar as a case study originally named ‘Swallow Sidecar Company’, Jaguar Landrover is UK multinational company headquartered in Whitley.

Wk2 Essay Example | Topics and Well Written Essays - 750 words

Wk2 - Essay Example A case of Zimbabwe, a Southern African country will be used to illustrate how international organizations can continue operating in foreign countries that seemingly have hostile environments. There are certain incidences that may take place in other countries such as socio-political instability but these may not impact negatively on the operations of international business. For instance, Zimbabwe is one of the countries that has experienced social my hem over the past decade due to government policies that have been widely viewed as oppressive to the citizens by different sectors of the whole world. This has impacted on the operations of many businesses but research has shown that this country is not that bad for investment by foreign companies. As such, in 2013, â€Å"the IMF agreed to place Zimbabwe onto a Staff Monitored Programme to help place the economy back onto a recovery path,† (Robertson Economics, 2014). On its own, it seems that the country is still finding it difficult to revive its economy thereby improving the morale as well as social welfare of the majority of the citizens. The situation obtaining on the ground cannot be seen as very bad such that international businesses cannot thrive. The conduct of international businesses is often governed by international law that is specifically concerned with dealing with legal interactions between governments. According to HG.org (2015), â€Å"There are both national laws and international agreements which govern/regulate international business transactions, which include investments, offshore banking, contracts, imports/exports, tariffs, dumping, trade and more.† As such, international organizations are often protected in whatever country they would be operating in such that there is no need for panicking with regards to safety of their businesses. Two examples are discussed below to illustrate how international law can be used to protect international organizations

Developing Reading Habits in Students

Developing Reading Habits in Students Nowadays, most students are less keen on developing their reading habits. Still, to be able to stand on the same ground as other leading countries, this habit should be instilled on the students. Many parties especially the government and teachers are concerned with the students declining reading habits. However, parents are unaware of this problem or choose to turn a blind eye towards it. Parents choose to leave this problem for teachers to handle. The government, teachers, parents and students have their own views on this matter and in this essay I will state and discuss their views so that I can decide for myself who is responsible on how Malaysia could enrich students reading habit. After approximately 11 years in formal education, majority of Malaysian students are able to read efficiently after finishing their secondary education. However, even equipped with literacy skills particularly reading skills, the reading habits of students are still at an unsatisfactory level. The Sunday Star newspaper (8th August, 1999:p2) reports that the poor reading habits among Malaysians was common knowledge but, in true Malaysian fashion, it took an official survey to jolt the education sector that something had to be done fast. There has been a debate on who is responsible for these students who are lacking in reading. Many parties are blaming parents on this matter as they lack the time to teach their children the basics of reading. They are prioritizing more on their career and making money rather than their childrens education. The government is very much concern on this matter. Based on the statistics issued by the National Statistics Department during the year 2002, Malaysian students only read two books a year. Studies in the past have shown that the exam-oriented educational system in Malaysia promotes routine learning and that there needs to be a standard shift in how we view education and about the way we teach (Chitravellu, 1997). The Education Minster, Datuk Najib Tun Razak, has frequently commented in the local media that most students read only to pass exams and do not read for pleasure. He has been instrumental in implementing many projects aimed at improving students reading ability in the country. Reading skills are important throughout our lifespan, particularly as we respond to new demands and changes in jobs and reading for pleasure or recreational has been found to improve reading comprehension, writing style, vocabulary, spelling and grammatical development (Krashen, 1993). The positive an d rewarding effects of recreational reading have been demonstrated in numerous studies (Burgess, 1994; Krashen, 1984, 1993). In other words, it is important that Malaysia must aim to re-evaluate the present education system, not to reverse it or simply oscillate forward and backward within the same unchanging parameters, without ever conducting a critical evaluation of where, how, and why things went wrong. The government must therefore set up an educational re-evaluation or reform program or a national enquiry committee to look seriously into the Malaysian education and develop a set of realistic, practical, and forward-looking ideas for improving the national education system in accordance with the requirements and ideals of Vision 2020. However, the more immediate task is to prepare the future human resource of the nation with the ability and intellectual skills to adapt to the expansion of the Malaysian economy and its globalization. Parents are the most influential people in the life of a child; students normally model the behaviours and attitudes of their parents after constantly observing them since they were in diapers. Logically, if the parents have positive attitudes the child will mimic and model after them. It goes the same if the parents have negative attitudes and behaviours. If the parents themselves do not make reading as a daily activity, they should not expect their child to cultivate reading as a daily activity. In this context, parents should be good role models to the students by including reading as one of their daily activities (Clark, 2007). Other than that, parents should allocate a small percentage of their monthly earnings to purchase books and suitable reading materials for their children. They should also designate a small section in the house specifically for reading. This allows their children to always have a place to read. If the child is still an infant or a toddler, allocate some pe rsonal time with and read a story book together. By the time child is starting his or her formal education, he or she will associate reading with not only for exams but also for pleasure. Parents also can bring their child to the local library and allow them to read books which discuss the topics of their interest. If the child is fond of cars then allow him to read a book regarding the anatomy of a car. By doing so, the child is reading for pleasure and personal interest. This can translate into good academic performance and personal development in the future. Other than parents, the school which is the primary educational institution of the society also has a crucial role to play in improving students reading habits. The school library is one of the usual facilities found in a public school. However, it is not fully utilised by the students. Students will seldom go and read at the school library unless it is for some special reading programme which is conducted once or twice a week by the school. This may be due to the schools library lacking certain attractive factors. The school should allocate some money to ameliorate the facilities of the schools library. Computers should be provided to enable the students to utilise the internet for research and also to locate online reading materials. Air-conditioners should be installed and quality chairs as well as tables should be provided in order to create a conducive reading ambience. The books available should be of variety of genre and topics to capture the many interests of the students. Th e school engender book publishing companies such as McGraw-Hill and Dawama in order to purchase suitable reading materials for the library. The elected student librarians and the teacher-in-charge should make an effort to promote the books available in the library to the student body. Most of the time students have no interest to go to the school library due to the absence of awareness regarding the books available there which may attract their interest (Clark, 2010). Lastly, the only people that can improve the students reading habit are the students themselves. It is futile to assist the students in improving their reading habits if they themselves have no intention of doing so. The student should be aware that reading is one of the primary key to success in the modern world. In our information-saturated globe, knowledge is constantly being updated and upgraded wherein previous information would deem obsolete or impractical. Moreover, with the advent and evolution of the internet, information can be transmitted throughout the whole world in the blink of an eye. Therefore, it is imperative for students to make reading as a pleasurable and continuing habit if he or she wants to stay abreast with the world and have the competitive edge. Students should realise that they will have to read continuously even after finishing their formal education. The knowledge that the students studied when they were sitting for their exams may have undergone signifi cant changes in the next five or ten years. In order to keep abreast with current development, students must read relevant publications. If the students do not hone this habit, they will not have the initiative to constantly read not only to improve their career standing but also for personal development in order to become a better and useful citizen. There are many reasons for the deplorable reading habits of Malaysian students either due to parental, school-related or personal habits. Even so, they are innumerable numbers of ways to improve the current reading habits of students. This requires the amalgamation of the efforts of many authoritative bodies such as the school and the government. Readings is one of the most essential language abilities. I am not implying that the other language skills are of lower standard but much of the knowledge within the society is disseminated through writing. For me, personally, even after just finishing school I still allocate some time to read books concerning my area of interest such as linguistics and novels. I read such books not for passing an exam later on but for reading itself. In conclusion, even though students are still passing exams, their reading habit is not continuous. Reading for pleasure is a far cry for Malaysian students as they are more exams oriented. Both the government and teachers have valid arguments to argue. Parents are the first teachers to children. However, parents fail to nurture their children in this habit while they are young. Thus, resulting in the situation we are nowadays. In my opinion, based on the current reading habit of the Malaysian students, Malaysia has a long way to go before it can compete with a reading and successful society such as Japan.

Abraham Van Helsing Essay

Innocence, chastity, purity, and married life are just a few things that made up the ‘image’ of the nineteenth century Victorian woman. During this time, it was greatly looked down upon if a woman chose to stay single, as she would be pitied and dubbed a â€Å"whore†. Lucy Westenra is one of the main characters in the novel, Dracula by Bram Stoker. Lucy is a beautiful young lady whose innocence and virtuous being draws three suitors to her. Although, this portrayed innocence is not the only thing that is drawing these men towards her. Lucy has a sexual appeal to her personality, much different than her best friend Mina Murray and the typical Victorian woman. This sense of sexual desire will eventually lead her right into the dangerous and evil arms of Count Dracula. The Count only has the ability to attack willing victims, which is why the sexually driven Victorian woman, Lucy Westenra is the first character to become victimized by Dracula’s deadly spell. Count Dracula was an evil, lustful vampire who wanted nothing but power and control. He lived in an Eastern European country called, Transylvania. The Count preyed on any individual who would make him feel in control and powerful of the situation. This is why Lucy Westenra was targeted and made Dracula’s first victim. The first peculiar account Lucy and Mina experience was when they see a Russian ship wrecked near the shore and hear that the there was no life aboard and the captain had died holding a crucifix in his hands. Soon after the account, Lucy started mysteriously sleep walking many night in a row into the grave yard near her home. One night, Mina had awoken the Rowatt 3 find Lucy missing and not in her bed, she then found her outside with a creature with beaming red eyes hunched over her. Mina tried to save her friend but by the time she got over there, the creature was gone. In the morning Mina had found strange dots on Lucy’s neck and after struggling for weeks Lucy became deathly sick and started to change before everyone’s eyes. Unknowingly, she was transforming into a super natural and dangerous form of herself while dead and lying in a cold grave. â€Å"Indeed, it is not only Lucy and Mina who are dramatically transformed in the draining, but Dracula himself, whose transformations are much more varied and complex than those of his victims.† (Pg. 238, Viragh) Count Dracula had stripped this woman of her innocence and virtue by changing her to an evil vampire just like him. Dracula now had control over Lucy but only because she was willing to let him control her. In the nineteenth century, straying away from who a woman is supposed to be according to the Roman Catholic Church is heresy. A woman was never to be with more than one man, but was to be married and completely faithful to her partner. This century was ruled by â€Å"the belief that an individual’s sex and sexuality form the most basic core of their identity, potentiality, social/political standing, and freedom† (Pg. 1, Ridgway) Lucy Westenra had a completely different mindset as she expressed in a letter to her dear friend Mina. â€Å"Why can’t they let a girl marry three men, or as many as want her, and save all this trouble?† (Pg. 66, Stoker) After Lucy states these words in her letter, she immediately admits to her thoughts and actions being heresy. Just because she confessed Rowatt 4 to this sin against the church and her beliefs does not simply alleviate Lucy’s sexual desire. This difference between Lucy and other nineteenth century virtuous women was not just a phase of rebellion, it was psychological. Lucy is fully aware that she is desired by many men and she lets that get into her head, essentially she is feeding off the attention. This vulnerability and openness is why Lucy Westenra is Count Dracula’s first and easiest target. The first time the Count starts to get into Lucy’s head is after her and Mina see the wrecked boat upon shore, containing the containers of dirt. These were Dracula’s sleeping quarters. This fact was not known by the women at the time, but soon after this event is when Lucy starts to sleep walk. This sleep walking is not a coincidence but is psychologically connected to her sinful desires of lustfulness. Count Dracula only has the power the attack willing victims, which could only mean Lucy knew in her subconscious what she was doing by going out to the cemetery at nights. This spell Dracula puts on Lucy is the same spell he put on the three women who now life in Dracula Castle with him. These women were just as innocent and virtuous as Lucy was and are now sex crazed and evil just as the Count is. This â€Å"spell† was a way to undermine women so that Dracula would feel powerful and controlling over them. In essence, Lucy Westenra was a seemingly virtuous nineteenth century Victorian woman who actually had underlying sexual desires. These desires made Lucy vulnerable to Count Dracula, who was consumed with gaining control over his victims. Because of her lustful manor, Lucy was drawn to the attack of Dracula and fell under his deep spell. From then on there was no turning back. Works Cited Stoker, Bram. Dracula. 1897. New York: Oxford University Press, 1990. Viragh, Attila. â€Å"Can The Vampire Speak? Dracula As Discourse On Cultural Extinction.† English Literature In Transition, 1880-1920 56.2 (2013): 231-245. MLA International Bibliography. Web. 25 Sept. 2013. Ridgway, Stephan. â€Å"Victorian Sexuality† in â€Å"Sexuality and Modernity† originally written as a lecture for Sociology at Sydney University, 1996. Isis Creations. Web. 12 Nov. 2010.

Nursing questions Essay

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. 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?

Payment Systems of Tnb - 723 Words

PAYMENT SYSTEMS AND WORKING HOURS In order to attract workers and to retain the best performers, employers need to have a compensation system that will achieve these objectives. Furthermore, employers need to comply, with the relevant law which relate to payment systems and hours of work. Payment systems and quantum of payment play a significant role not only for individual employers, but also at the level of society. WAGE AND PAYMENT SYSTEMS In return of their work, the employees of TNB are paid agreed amounts of remuneration. Typically, employers also provide some payments to motivate workers to maximize their output. Thus, a remuneration or compensation package consists of several elements, usually a combination of basic pay,†¦show more content†¦WORKING HOURS Restrictions on working hours established by the Employment Act and SLOs NORMAL OFFICE HOURS Sunday to Thursday | 8.00 am – 5.00 pm | Friday and Saturday | Off day | SHIFT HOURS- three shift system Shift / Day | | Shift I | 8.00 a.m. – 4.00 p.m. | Shift II | 4.00 p.m. – 12 a.m. | Shift III | 12 a.m. – 8 a.m. | OVERTIME Overtime hours are restricted by law to protect the health of the worker. The normal hours of work is permitted up to a maximum of 104 hours per month. Overtime work cannot be made compulsory except in certain circumstance and in certain industries (the essential services) such as TNB. An employee who works overtime hours are rewarded at maximum rate of RM 9 per hours. BENEFITS AND REWARDS We understand the importance of attracting and retaining the best people. In addition to competitive salaries, we offer a number of benefits as well as incentives aimed at recognising and rewarding high performance. We support aspiring employees through development programs and opportunities - whether by moving up through the company, or by expanding their skills and experience. 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