The problem is:
Given the function: [MATH]f(x) = \frac{2x+8}{\sqrt{4x^2-4}}[/MATH].
Find the slope of the tangent line to the function that passes through the point (-1,0) that is not on the graph of the function.
As MarkFL pointed out, the function simplifies to [MATH]f(x) = \frac{x+4}{\sqrt{x^2-1}}[/MATH].
You have found that the derivative is [MATH]f'(x) = \frac{4x+1}{(x^2-1)^{3/2}}[/MATH].
Now we want to find a point [MATH](a, f(a))[/MATH] on the curve such that the tangent line passes through the given point [MATH](-1, 0)[/MATH]. [The problem just points out that this point is not on the graph of the function, which really doesn't matter.]
The slope of the tangent line at [MATH]x=a[/MATH] is [MATH]f'(a)[/MATH]. That is the "m" you want to put into the point-slope form. So, yes, you do want to replace [MATH]x[/MATH] in the derivative with [MATH]a[/MATH]. Then you put the resulting expression for the slope in place of the m in [MATH]y - y_1 = m(x - x_1)[/MATH]. That gives the equation of the tangent line.
Then you want [MATH](-1, 0)[/MATH] to be on this line; so replace x and y in the equation of the tangent line with -1 and 0, respectively.
The result is an equation with one variable, namely a. (It's the equation MarkFL showed you.
Solve this for a. Then you can put that back into the formula for the slope, which will be the answer to the question.
There are other ways to do this (some perhaps a littler cleaner), but we're sticking with this one to avoid complicating things.