Q. A 54 year-old-man presents with 3-hour onset of dysarthria and some numbness and clumsiness in the left hand. He was at work when he noticed he was dropping items. He tried to ignore the clumsiness and continue working (he just started the job 3 weeks ago and is worried about getting fired). But when a coworker heard him speaking, he was told he sounded drunk. He insisted that he wasn't drinking and explained that his left hand wasn't acting right either. EMS was alerted and he was rushed to the hospital. The ER physician evaluated him as a "stroke alert" and obtained a noncontrast head CT, which was normal. You evaluate the patient prior to additional imaging and now his clumsiness is resolved and he only has minimal speech deficits. You are concerned that the stroke symptoms may fluctuate and are uncertain as to whether or not to administer thrombolytics. The patient is fearful that his clumsiness will return, in which case he wouldn't be able to work and will be fired (he believes). Which of the following is true in the management of this patient?