Discuss the effects of diet, exercise, and drug therapy with the client. A 58-year-old man has recently been diagnosed with type two diabetes.Your patient tells you his grandson has Type 1 diabetes. Discuss how you as the nurse can help your patient understand the differences between Type 1 and Type 2 Diabetes.

How is consumer behavior defined in marketing? Please provide 2 variables that influence consumer behavior. Further, in your discussions please address the issue of whether or not we can reduce the explanation of human behavior to any narrowly circumscribed and simplistic model?

Mary is a 48-year-old woman with severe rheumatoid arthritis. Her pain is no longer controlled by aspirin and her physician ordered 5 mg prednisone three times a day. Over the next 4 weeks, Mary’s symptoms were markedly improved and she became more mobile again. She also noted that for the first time in years she felt “really good.” Her appetite increased, she was no longer fatigued, and her outlook on life was markedly improved. At her follow-up visit, Mary had gained 9 pounds: she had slight edema in both ankles, and her blood pressure was 150/92 mmHg. An inflamed, oozing lesion was found on her right hand, which she stated became infected a few weeks ago after she cut her hand. The physician decided that Mary was past her crisis and that the prednisone should be tapered to 5 mg/day over a 4 week period.

1. What effects did the prednisone have on the process at work in Mary’s joints and what effects did the corticosteroids have on the rest of her body?
2. What teaching points should be included in a plan of care for Mary?

Nando’s: Three ingredients for global success accreditation Since stepping down as group CEO of Nando’s four years ago, Robert Brozin now looks after the “culture and soul” of the brand. The business has grown from a single restaurant in Rosettenville, Johannesburg, in 1987 to a global business with 1 100 restaurants in 23 countries today. Speaking at the Investec Business Matters conference in March, Brozin shared insight on how he and Fernando Duarte, later joined by Dick Enthoven, broke into the restaurant industry. “I realise how little we actually knew, and we didn’t realise how tough the journey was going to be,” he recalls. Brozin says the team loves that the brand emanates from South Africa. “The kick that I get from people around the world, is that they can’t believe we [Nando’s] could be African. To me, it shows that South Africa can truly be world-class.” Brozin says that in SA, you have to expect the unexpected. With that knowledge, the group worked to exceed expectations with “surprises and delights”, which aided the brand’s global expansion.

Over the years, the brand has stuck to its core values: pride, passion, courage, integrity and family. Business partner Enthoven shared these values, and the partnership has been key in scaling up the business. Brozin says that it’s important to have supportive, long-term partnerships. Three goals led to the restaurant’s success, according to Brozin: We wanted to have fun (and make money) “When we started out, we had no money, but we had a lot of fun,” says Brozin. Striking a balance between the two proved challenging. Instead of letting money dictate to their business, they found business drivers that maximised value generated. By doing things for the right reasons, money ultimately “found” them.

We changed the way the world thinks about chicken Initially, Portuguese flame-grilled peri-peri chicken only existed in small family operations in the south of Johannesburg, Mozambique and Angola, says Brozin. The market was dominated by KFC. Given their limited capital, they decided to build the brand through 30-second TV adverts designed by ad agency Hunt Lascaris (now TBWA Africa). “The ads defined and created the brand character of Nando’s,” he says. Nando’s has become a social commentary brand in SA. “We can say what other people are thinking.”

The goal of the advertising is to get customers to the stores, and to make people remember and think about the brand. It was important for the advertising to push boundaries. “One of the threats of getting bigger is that you become cosier and scared to move,” Brozin says. The “bravest” ad they did was ‘Mugabe − Last Dictator Standing’. This gave the brand its first taste of social media, as the clip received 2.5m hits on YouTube, he says. However, when expanding internationally, it was not possible to translate the same branding strategy to the rest of the world. They had to think differently.

“Beautiful store design” is what built the brand overseas. We wanted to change people’s lives When you change people’s lives, the energy and power that comes back to the organisation is incredible, says Brozin. Business needs a sense of purpose and for Nando’s this meant investing R80m into building a head office in Lorentzville near Johannesburg’s CBD to bring people back into the city to rejuvenate it. Brozin says that this is part of looking at things differently, “being part of a solution and not being part of a problem”.

Nando’s has also implemented social projects that “resonate with the soul of the brand”. These include art projects where contemporary art by local artists is displayed in restaurants worldwide. Other projects include work in Africa to fight malaria.

QUESTION 4 [20 Marks]

Variable demand is a challenge to service providers since services are perishable. With the foregoing statement in mind and with reference to holiday resort of your choice, discuss distinctive marketing challenges posed by services and how management can mitigate the impact on quality of service delivered.

QUESTION 5 [20 Marks]

Pricing policy not only influences the company’s sales and revenues but also reflects the image of the brand. Critically analyse Apple’s pricing policy in this context.

Hyperthyroidism and hypothyroidism produce significant signs and symptoms in clients.

1. Describe the physiologic effects of thyroid hormone.
2. Compare and contrast the two disorders.
3. Both conditions can be treated with medications that help the body to achieve a more normal level of thyroid hormones.
4. Discuss medications used for hyperthyroidism and the therapeutic effects.
5. Discuss medications used for hypothyroidism and the therapeutic effects.
6. As part of the nursing process, assessment of subjective and objective data provides very important information regarding the client.
7. Discuss the possible assessments and treatments for myxedema.
8. Discuss the possible assessments and treatments for a client experiencing thyroid storm.