A patient with amyotrophic lateral sclerosis (ALS) is being visited by the Home Health Nurse. The nurse is creating a care plan for this patient. What nursing diagnosis is appropriate for a patient with this condition?
A) Chronic confusion
B) Impaired urinary elimination
C) Impaired verbal communication
D) Bowel incontinence
Ans: B
Feedback: Impaired communication is an appropriate nursing diagnosis, as the voice in patients with ALS assumes a nasal sound, and articulation becomes so disrupted that speech is unintelligible. Intellectual function is not impaired in patients with ALS. Usually, the anal and bladder sphincters are intact because the spinal nerves that control muscles of the rectum and urinary bladder are not affected.
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