You are taking a patient’s vital signs as part of the admissions process. According to the patient’s chart, no vital signs have been recorded yet on this visit for this man, Mr. Ronald Smith. But the patient insists you are the second person to take these signs, and he is tired of waiting to see the doctor. What might a person with good communication skills say? “Sorry, Ron, but whoever did it last did such a lousy job that they did not write anything down.”

“My apologies, Mr. Smith, but your chart is not showing that information. We will get you in to see the doctor just as soon as we make sure this information is complete.”

“Oh, really? What did they say your blood pressure was? I will just write it down here.”

“Well, you had better get used to waiting, because you are going to be waiting here for awhile. Here’s a magazine.”

Lyme disease is caused by a bacterium transmitted to people by deer ticks. deer ticks are almost never born infected with the bacterium, but they can pick it up from feeding on an infected host in any of the tick's three successive stage of development: larva, nymph, adult. once infected, a tick remains infected through any subsequent developmental stages, but since a tick feeds on only one host in each stage, it follows that . people can be infected only by being bitten by a tick that is either in larval stage or in the nymph stage b. people cannot be infected by a tick that picked up the lyme disease bacterium in the adult stage c. it is not possible for a person to be infected by a tick that is in the nymph stage or by a tick that was infected with the bacterium while in the nymph stage d. people infected with the lyme disease bacterium cannot transmit bacterium to adult deer ticks e. only deer ticks that are adults can transmit the lyme disease bacterium to people