T.H. is a 55-year-old man with an 8-month history of progressive muscle weakness. Initially, he tripped over
things and seemed to drop everything. He lost interest in activities because he was always exhausted.
He
sought medical assistance when his speech became slurred and he started to drool. During the initial
evaluation, the physician noted frequent, severe muscle cramps, muscle twitching, and inappropriate,
uncontrollable periods of laughter. After undergoing a series of tests, T.H. was diagnosed with amyo
trophic lateral sclerosis (ALS). He is upset and bewildered about a disease that he has "never even heard
of." You are a home health nurse who is seeing T.H. for the first time.
How would you explain ALS to T.H.?
ALS is a progressive neurodegenerative disease that attacks nerve cells in the brain and the spinal
cord. It is a progressive, fatal disease that causes muscles to gradually weaken and atrophy until they
finally cease to function.
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During an interview, it is correct to do which of the following?
a. Ask for a beverage. b. Shake the interviewer's hand. c. Take things off the interviewer's desk. d. Try not to look at the interviewer.
A group is defined as:
a. interactions between people who gather for a purpose b. a collection of interdependent people c. specific topics or problems discussed d. underlying forces of behavior
Servant approach is about
a. Service and influence b. Influence and skill development c. Service and authoritarianism d. Adaptive and influential leadership
A patient involved in a high-speed motor vehicle accident with sustained multiple injuries and active bleeding is transported to the emergency department by ambulance with immobilization devices in place. There is a high probability of cervical spine and extremities are flaccid. What is the priority assessment for this patient?
A.) Check the mental status using the glasgow coma scale B.) assess the respiratory pattern and ensure a patent airway C.) Observe for intraabdominal bleeding and hemorrhage D.) Assess for loss of motor functioning sensation