Early manifestations of amyotrophic lateral sclerosis (ALS) and multiple sclerosis (MS) are somewhat similar. Which clinical feature of ALS distinguishes it from MS?

a. Dysarthria
b. Dysphagia
c. Muscle weakness
d. Impairment of respiratory muscles


D
In ALS, progressive muscle atrophy occurs until a flaccid quadriplegia develops. Eventually, the respiratory muscles are involved, and this leads to respiratory compromise.

Nursing

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A woman is terminally ill. Although it has never been discussed in the family or stated outright by her physician, she is growing to believe that she will die because of her illness. Upon which concept will the nurse base therapeutic intervention on?

a. Closed awareness b. Suspected awareness c. Mutual pretense d. Open awareness

Nursing

The nurse is planning time to conduct an educational session with a client. Client education is important because it:

a. requires a physician's order before the nurse can implement a teaching plan. b. is a fiscally responsible intervention that encourages consumers to engage in healthy lifestyle practices. c. must be done in the outpatient setting because acute care nurses do not have time to teach. d. is the responsibility of the primary care physician.

Nursing

The home care nurse is providing care and education to a woman who is pregnant with her first child. The client states, "I have no money or food. I don't know what I should do

I want to provide for my unborn child." The nurse refers the woman to the WIC program and a local food bank. This is an example of what aspect of community-based nursing? A) Assessment B) Planning C) Restoration D) Evaluation

Nursing

The nurse is conducting a group session with incarcerated clients at the state detention center who are living with HIV/AIDS. Appropriate teaching for health maintenance would prioritize which of the following?

A) How to balance proper nutrition in a prison setting B) The importance of maintaining adequate hygiene C) Strategies for limiting high-risk behaviors D) Promoting self-esteem

Nursing