A 16-year-old's level of arousal was altered after taking a recreational drug. Physical exam re-vealed a negative Babinski sign, equal and reactive pupils, and roving eye movements
Which of the following diagnoses will the nurse most likely see on the chart?
a. Psychogenic arousal alteration
b. Metabolically induced coma
c. Structurally induced coma
d. Structural arousal alteration
ANS: B
Persons with metabolically induced coma generally retain ocular reflexes even when other signs of brainstem damage are present. Psychogenic arousal activation demonstrates a general psychi-atric disorder. Structurally induced coma is manifested by asymmetric responses. Structural arousal alteration does not have drug use as its etiology.
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