A nurse is reinforcing teaching to the family of a client who has Parkinson's disease. Which of the following instructions should the nurse include?
Limit the client's physical activity.
Provide the client a cane.
Offer the client 3 large meals a day.
Speak loudly to the client.
The Correct Answer is B
A. Limiting the client's physical activity is not recommended for clients with Parkinson's disease. Physical activity, including exercises to improve strength, balance, and flexibility, is essential to manage symptoms and maintain mobility.
B. Providing the client a cane is appropriate. A cane can help with balance and stability, especially as the client experiences motor symptoms such as rigidity and bradykinesia. It can reduce the risk of falls.
C. Offering the client 3 large meals a day is not ideal. Smaller, more frequent meals are recommended for clients with Parkinson's disease, as they may experience difficulty swallowing, digestion issues, or a reduced appetite.
D. Speaking loudly to the client is not necessary unless the client has difficulty hearing. It is more important to speak clearly and at a normal volume, as clients with Parkinson's disease may have issues with speech (e.g., soft or slurred speech).
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Related Questions
Correct Answer is A
Explanation
A. It must be hard to see your mother so ill and upset is a compassionate and empathetic response that acknowledges the son's distress while validating his feelings. This approach fosters open communication and emotional support, which is important for both the patient and their family.
B. Telling the son to sit quietly with his mother may invalidate his feelings and suggests that the solution is simply to wait for the mother to calm down. It does not acknowledge his emotional distress or provide the necessary support.
C. While offering to comfort the mother is kind, this response does not address the son’s emotional needs. It is important to support the family members as well, not just the patient.
D. "Your mother's crying seems to bother you more than it does her" is dismissive of the son's feelings and could make him feel misunderstood or judged. It does not provide the necessary emotional support for the son.
Correct Answer is D
Explanation
A. Isolation is not typically required for a patient receiving radiation unless there is a specific infection concern. Radiation does not require isolation.
B. While assessing pain is important, the priority at this point is to ensure that the patient understands the treatment process and what to expect, which can help reduce anxiety and improve cooperation during treatment.
C. Padding the bed rails is typically done for patients at risk of seizures or injury. While this might be relevant for some patients with brain tumors, the immediate priority is to educate the patient about the treatment.
D. Teaching the patient what to expect with radiation treatments is the priority. This helps reduce anxiety, ensures informed consent, and prepares the patient for the treatment process. Education about side effects, the procedure, and the expected outcomes is crucial for managing the patient’s experience.
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