A 60-Year-Old Man Is Admitted for End-Stage Heart Failure and Is

question 526

Multiple Choice

A 60-year-old man is admitted for end-stage heart failure and is being considered for a left ventricular assistance device (LVAD) as a bridge to cardiac transplantation.  The patient has a history of 3 myocardial infarctions and a low ejection fraction secondary to ischemic cardiomyopathy.  He is informed that when an LVAD is used for this purpose the recipient must meet eligibility criteria for transplantation.  He has no other medical conditions and appears to meet the medical criteria for LVAD and heart transplant.  The patient has a history of major depressive disorder and attempted suicide in his late 20s.  He also has a history of alcohol abuse.  He has no current depressive symptoms and states that he has not used alcohol "to excess" in the past 6 months.  The patient lives alone and has no close family except for a niece who visits occasionally.  He has been homeless in the past but not recently.  Mental status examination shows the patient to be cognitively intact; his stated mood is "scared" and his affect is full range and appropriate.  His thought process is linear and his thought content shows no delusions.  The patient has no hallucinations or suicidal ideation.  Based on these findings, which of the following statements is most accurate regarding the determination of this patient's eligibility for heart transplantation?

• A)Eligibility determination requires further evaluation of alcohol use and psychosocial supports
• B)The patient is an appropriate candidate provided he receives alcohol abuse treatment
• C)The patient is an appropriate candidate provided he takes antidepressant medication
• D)These findings cannot be considered in the decision to offer this patient a transplant
• E)These findings exclude the patient from transplantation

Understand the significance of market and product modifications in achieving marketing success.

Grasp the concept of marketing strategies aimed at altering product characteristics for better customer value and enhanced sales.

Understand the legal implications of undisclosed and unregistered mortgages in property transactions.

Analyze the rights and obligations of parties involved in mortgage transactions.

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Definitions:

Political Response Continuum

A range of strategies or actions that an organization can take in response to political events, policies, or pressures, from highly reactive to highly proactive.

Watch and Wait

A strategy where action is delayed, allowing for time to observe and decide the best course of action based on further developments.

Corporate Misconduct

Actions by companies or their representatives that are illegal or unethical, which can harm the reputation and performance of the business.

Personal Responsibility

An individual's obligation to ensure their actions, decisions, and behaviors uphold personal and societal standards.