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During a Routine Physical Examination, a Middle-Aged Female Client Reports

question 27

Multiple Choice

During a routine physical examination, a middle-aged female client reports concern about weight gain over the past 2 years despite not having made any significant changes in diet or exercise patterns. Which factor may be responsible for the reported changes in the client's weight?


Definitions:

Spoils System

A practice where a political party, after winning an election, gives government jobs to its supporters, friends, and relatives as a reward for working toward victory, and as an incentive to keep working for the party.

Civil Service

Employment in public sector organizations, typically within government, where appointments and promotions are determined by merit and qualifications rather than political affiliation.

Office of Personnel Management

A U.S. federal agency that manages the civil service of the federal government, overseeing hiring and qualifications for government jobs.

Pendleton Act

A federal law enacted in 1883 that established that government jobs should be awarded based on merit rather than political affiliation, significantly reforming the civil service system in the United States.

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