Andrea is a full-time freshman college student who has excellent SAT scores. She works 30-40 hours a week as a waitress to help pay for her living expenses. She lives alone in an old apartment building, which was recently vandalized. Andrea has had difficulty concentrating on her schoolwork. She says she is lacking motivation to go to work or attend her classes. She also used to enjoy riding her bike from her apartment to the campus to save gas, but no longer feels the need to do this either. Instinct:

Drive:

Arousal:

Incentive:

Maslow’s Hierarchy of Needs:

C= syphilis would be the answer

Smoking damages the respiratory system by inhalation of a foreign substance, that is absorbed and residue is left behind on our lungs sponge like substance. the gas that is inhaled also increase your blood pressure and dilates your blood vessels. also the process of inhaling and exhaling the smoke it causes irritation to the throat and mouth. smoking can cause lung cancer and other respiratory and circulatory diseases. 

20 times a minute is usually the average respritory rate of an adult. additionally the patient is breathing on his own, is clearly maintaining his airway, and is intaking a sufficient amount of air. you shouldn't use a bag valve mask, cpap, or other form of positive pressure ventilation, unless the patient has lost control of his airway, and is not breathing (apneic) or has rapid breathing or slow and shallow respirations. this patient would most likely and should be put on an non-rebreather mask or nrb attached to 100% high flow oxygen at 15 l/min. don't use a nasal cannula, as the amount of oxygen it provides is limited with a rate of 6 l/min.