A 20-Year-Old Female College Student Is Admitted to the Intensive

question 22

Multiple Choice

A 20-year-old female college student is admitted to the intensive care unit from the emergency department. The patient lives in a dormitory at her university and her roommate brought her to the hospital because "she is not acting like herself." The patient was previously healthy to the roommate's knowledge, involved in campus activities, and an excellent student. The RN collects the patient's history of present illness from her roommate. About two weeks prior, the patient began feeling ill. She had nasal congestion and was diagnosed with a sinus infection at the student health clinic. However, the patient reportedly decided against taking the prescribed antibiotics because she did not believe they were necessary. She developed high fevers and one day ago began complaining of a stiff neck. That morning, she was more lethargic, making nonsensical statements, and had a fever of 105°F. Her roommate was frightened by her change in behavior and drove her to the hospital.
-Based upon the patient's clinical presentation and course of illness,what is the most likely diagnosis?  

• A)Septicemia,secondary to sinus infection
• B)Meningitis
• C)Tumor of the cervical spine
• D)Necrotizing encephalitis

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Definitions:

Increase In Forgetting

A rise in the inability to recall or recognize information that was once stored in the memory.

Motivated Forgetting

The subconscious or conscious act of pushing unpleasant thoughts, memories, or feelings out of conscious awareness.

Retrieval Cues

Stimuli or signals that can trigger the memory recall of previously learned information, aiding in the retrieval process from long-term memory.

Context Cues

Environmental or situational indicators that help individuals infer meaning, make predictions, or trigger certain responses or memories.