A nurse is caring for a client newly diagnosed with Parkinson’s disease.
The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?
What kind of work do you do?
Do you have any family members with Parkinson’s disease?
How much coffee do you drink every day?
When did you have your last physical?
When did you have your last physical?
The Correct Answer is B
Choice A rationale
While the type of work a person does can potentially expose them to risk factors for Parkinson’s disease (such as pesticides or heavy metals), it is not the most important question to ask a newly diagnosed patient. Occupational exposure is only one of many potential risk factors for Parkinson’s disease.
Choice B rationale
Family history is a significant risk factor for Parkinson’s disease. A person with a close relative (such as a parent or sibling) who has Parkinson’s disease is at a higher risk of developing the disease themselves. Therefore, asking about family history can provide important information about the patient’s risk profile.
Choice C rationale
While some studies have suggested that caffeine intake may be associated with a lower risk of Parkinson’s disease, the evidence is not conclusive. Therefore, asking about coffee consumption is not the most important question when assessing a newly diagnosed patient.
Choice D rationale
While regular physical check-ups are important for overall health, asking about the timing of the last physical is not the most important question for a newly diagnosed Parkinson’s patient. The focus should be on understanding the patient’s symptoms, family history, and potential exposure to known risk factors for Parkinson’s disease.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While improved rehabilitation outcomes and temporary behavior changes can occur after a neurological injury, they are not typically considered psychosocial changes. Psychosocial changes often involve alterations in the way individuals perceive, interact with, and navigate their social environments.
Choice B rationale
Improved mood stability and temper control are not typically associated with the aftermath of a neurological injury. In fact, individuals may experience mood swings, irritability, and difficulties with emotional regulation.
Choice C rationale
Changes to social cognition and challenges to inhibitory control are indeed possible psychosocial changes a client might have after sustaining a neurological injury. Social cognition involves understanding and interpreting social cues, which can be affected by brain injury.
Challenges to inhibitory control can lead to impulsive behavior and difficulties in social situations.
Choice D rationale
While a sense of purpose, improved motivation, and stable relationships can be part of a successful recovery process, they are not typically direct outcomes of a neurological injury. In
fact, relationships may be strained and motivation can be affected due to the physical and emotional challenges associated with such an injury.
Correct Answer is D
Explanation
Choice A rationale
Regulation of the amount of carbon dioxide exhaled can affect cerebral blood flow, but it does not directly maintain cerebral perfusion pressure constant.
Choice B rationale
Catecholamines circulating throughout the body can affect blood pressure and heart rate, but they do not directly maintain cerebral perfusion pressure constant.
Choice C rationale
How much blood is pumped from the heart, also known as cardiac output, can affect cerebral perfusion pressure. However, it does not directly maintain cerebral perfusion pressure constant.
Choice D rationale
Regulation of constriction and dilation of blood vessels in the brain, also known as cerebral autoregulation, is a key mechanism that maintains cerebral perfusion pressure constant. When pressure autoregulation is impaired, cerebral blood flow becomes dependent on cerebral perfusion pressure.
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