A woman stumbled into the rural health clinic and explained that ...

[j.rubin]

A woman stumbled into the rural health clinic and explained that she had an incredible headache. She was sweating and began vomiting into the wastebasket by the intake nurse's desk. Which of the following diagnoses should be anticipated by the nurse?
 
  a. Acute adult panic disorder
  b. Acute alcohol intoxication
  c. Acute appendicitis
  d. Acute meningitis
  e. Acute pesticide poisoning

Question 2

A nurse came limping into work with a huge cast on her right leg and asked to have an assignment for a week or two that did not require driving. The nurse said, I never realized how difficult it is to get some places without two good legs.
 
  Now I know how persons with disabilities must feel Which of the following would be the most appropriate response from the nursing supervisor?
  a.
  I'm sure you'll be even more understanding and supportive now.
  b.
  Not really; you'll be out of that cast in a few weeks.
  c.
  What a great opportunity to attend some support groups for people with disabilities and share with us which ones are most helpful.
  d.
  Why don't you just take some sick leave rather than try to work with that leg cast?

[tanna.moeller]

Answer to Question 1

ANS: E
Signs and symptoms of acute pesticide poisoning are fairly clear, and most health providers in rural communities would recognize them. Common symptoms include headache, dizziness, diaphoresis, nausea, and vomiting. If left untreated, those affected may experience a progression of symptoms including dyspnea, bronchospasm, and muscle twitching. Deaths are relatively uncommon, but they do occur. The nurse is reminded that not all farm laborers are men. The symptoms that are being displayed are not typical of acute panic disorder, acute alcohol intoxication, acute appendicitis, or acute meningitis.

Answer to Question 2

ANS: B
Those who have a temporary disability have a very different experience than those who are permanently disabled. Although they may experience frustrations, they view it as a temporary problem and a temporary setback. The other responses address this temporary disability as if it is similar to a permanent disability, which it clearly is not.

[j.rubin]

Excellent

[nothere]

TYSM