A spouse expresses frustration when trying to communicate with a client with Parkinson's disease (PD). What can the nurse do to facilitate communication between the client and spouse?
Recommend that the client and spouse learn sign language.
Have the client exaggerate the pronunciation of words.
Suggest the spouse speak in a louder tone of voice.
Suggest communication by writing.
The Correct Answer is D
Choice A reason: Learning sign language can be beneficial but may not be practical or immediately helpful for the client and spouse dealing with communication issues due to PD.
Choice B reason: Exaggerating the pronunciation of words may help some clients with PD, but it can also be tiring and not effective for all, especially if the client has significant speech difficulties.
Choice C reason: Speaking in a louder tone of voice does not necessarily improve communication with a person who has PD, as the issue often lies with the client's ability to speak, not with hearing.
Choice D reason: Writing can be an effective way for clients with PD to communicate, especially if they have difficulty speaking or being understood. It allows for clear communication without the need for verbal articulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A soft diet with thin liquids may be recommended for patients with Parkinson's disease who have difficulty swallowing (dysphagia), but it is not the most appropriate intervention for all patients. Dysphagia is common in Parkinson's disease due to impaired muscle movement, and a soft diet can help prevent choking and aspiration.
Choice B reason: Assessing for orthostatic hypotension is crucial in the care of patients with Parkinson's disease. Orthostatic hypotension is a common non-motor symptom where there is a significant drop in blood pressure upon standing. Normal blood pressure should not drop more than 20 mm Hg systolic or 10 mm Hg diastolic within 2 to 5 minutes of standing². This condition can increase the risk of falls, which is a significant concern in this population.
Choice C reason: Exophthalmos, the bulging of the eyes, is not associated with Parkinson's disease. It is typically related to thyroid eye disease, such as Graves' disease, and would not be a relevant assessment for a Parkinson's patient unless there is a known co-existing thyroid condition.
Choice D reason: Limiting fluids to prevent urinary incontinence is not an appropriate intervention for Parkinson's disease. Adequate hydration is essential, and urinary incontinence should be managed with other strategies, such as bladder training, scheduled toileting, and possibly medication, depending on the cause.
Correct Answer is A
Explanation
Choice A reason: Sodium restriction is a standard intervention in the management of cirrhosis, particularly when there is fluid retention leading to a distended abdomen (ascites) and weight gain.
Choice B reason: Encouraging fluids would not be appropriate for a client with cirrhosis who is already experiencing fluid overload, as indicated by a distended abdomen and weight gain.
Choice C reason: Checking lipase levels is associated with pancreatic function and would not be a direct intervention based on the symptoms of cirrhosis presented.
Choice D reason: Pancrealipase is used to aid digestion in patients with pancreatic insufficiency and is not related to the management of cirrhosis symptoms such as ascites and dyspnea.
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