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Ms. Monroe, a 27-year-old woman, presented with a progressive history of gait imbalance, hand incoordination, and “slurred speech.” Her symptoms worsened around her menstrual periods and when she was nervous or fatigued; they had worsened slightly during a pregnancy. During the speech examination, she admitted to an approximately 10-year history of “slurred speech” that did not seem to be worsening. Conversational speech was characterized by occasional irregular articulatory breakdowns. Infrequently, rate was mildly slowed and multisyllabic words were produced with excess and equal stress. Prolonged “ah” was unsteady. Speech AMRs were slow but not noticeably irregular. What do you suspect the prognosis is for her condition?

Hallmark speech characteristics of hypokinetic dysarthria include: (Select all that apply)

What should the clinician consider when assessing and making judgements regarding a patient’s speech intelligibility?

What is the priority nursing action when a new graduate nurse is observed not following the standards of professional practice?

What articulatory abnormalities are heard in this speech sample? (Select all that apply)

Mr. Scott, a 40-year-old millwright, presented with an 8-month history of voice difficulty. His dysphonia began after anterior-approach cervical disk surgery. He could not return to work because his co-workers could not hear him in the noisy work environment. The SLP observed he occasionally coughed and choked after swallowing and had to clear his throat frequently. Speech and oral mechanism examination were normal except for markedly breathy-hoarse voice, moderately decreased loudness, and short phrases. He could sustain “ah” and “z” for only 2 seconds but sustained “s” for 12 seconds. His cough and glottal coup were markedly weak. There was no palatal asymmetry, the palate was mobile, and the gag was normal. What type of dysarthria do you suspect?

The medication administration record shows that a client is to receive Lisinopril (Zestril) 10 mg PO at 9:00 a.m. The available drug is tablets labeled fosinopril (Monopril) 20 mg. What action should the nurse take next?

A client begins taking nifedipine (Procardia), a calcium channel blocker along with a beta blocker, to treat hypertension. The nurse understands that the beta blocker is used to:

In class, we discussed six key skills of Political Savvy that help leaders navigate complex organizations. Choose two of these skills. For each one: Define the skill. Describe a specific moment or action from the case “Managing Xerox’s Multinational Development Center” where John Clendenin relied on this skill.

Under what conditions does using a “matrix” organizational structure make sense for a business? (That is, when would you want to use one?) Describe one advantage and one disadvantage of “dual-reporting” relationships often found in matrix structures.