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An older adult is diagnosed with Parkinson’s disease.
What problems should the nurse expect to address in this client’s home health care plan? Select all that apply.

Feeding assistance.

Fragile skin.

Risk for falls.

Chronic pain.

Depression.

Answer and Explanation

Correct Answer : A,B,C,D,E

Answer and explanation

The correct answers are Choices A, B, C, D, and E.

Choice A rationale

Feeding assistance may be necessary for an older adult with Parkinson’s disease due to motor symptoms like tremors or stiffness that can make self-feeding difficult. Special utensils and other dining aids can help these individuals maintain their independence during meals.

Choice B rationale

People with Parkinson’s disease can experience changes in their skin, such as becoming oily or flaky. While the term “fragile skin” is not typically used in the context of Parkinson’s, these individuals may have skin that is more susceptible to damage due to these changes.

Choice C rationale

Parkinson’s disease often leads to motor symptoms such as stiff muscles and balance impairment, which can increase the risk of falls. Therefore, measures to prevent falls should be a key part of the care plan for an older adult with Parkinson’s disease.

Choice D rationale

Chronic pain is twice as common in people with Parkinson’s disease as it is in people without the condition. This pain can be caused by various factors, including muscle stiffness and dystonia (painful muscle spasms), and should be addressed in the client’s care plan.

Choice E rationale

Depression is more common in people with Parkinson’s disease compared to the general population. It’s important to monitor for signs of depression in these individuals and provide appropriate treatment if necessary.

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Correct Answer is B

Explanation

Answer and explanation The correct answer is B. Choice A rationale

Having the 16-month-old child play in another room during breastfeeding might not be feasible or safe, depending on the child’s maturity and the safety of the environment.

Choice B rationale

Reading a book to the 16-month-old child while the mother is breastfeeding the infant can be a practical solution. It allows the mother to attend to both children simultaneously, keeping the older child engaged while tending to the infant.

Choice C rationale

While watching TV might keep the toddler occupied, it’s not the best option. Excessive screen time is not recommended for children at this age.

Choice D rationale

Giving the toddler crayons and paper is a good idea, but it might not keep the child engaged for the entire duration of the breastfeeding.

A. Call a meeting of citizens to inform them of the importance of having their children immunized. B. Partner with a local children’s hospital to set up free immunization clinics in the neighborhood. C. Join a political action group that focuses attention on the issue in the local news media. D. Review current epidemiological population data that might document a low immunization rate.

Correct Answer is D

Explanation

Answer and explanation The correct answer is D. Choice A rationale

While informing citizens about the importance of immunization is a good step, it may not be the most effective initial action. It’s important to first understand the extent of the problem and the specific areas where immunization rates are low.

Choice B rationale

Partnering with a local hospital to set up free immunization clinics is a great initiative. However, without first understanding the specific areas of low immunization and the reasons behind it, this effort might not be targeted effectively.

Choice C rationale

Joining a political action group could help bring attention to the issue, but it might not directly address the problem. The nurse first needs to understand the current situation and the areas of the city where the immunization rates are particularly low.

Choice D rationale

Reviewing current epidemiological population data would provide the nurse with a clear picture of the immunization rates in different sections of the city. This should be the initial step as it would guide subsequent actions, such as setting up immunization clinics in areas where they are most needed.

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An older adult is diagnosed with Parkinson’s disease.What problems should the nurse expect to address in this client’s home health care plan? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The community health nurse suspects that immunization rates in a lower-socioeconomic section of the city are likely below the state health department’s target.What should be the nurse’s initial action to address this health problem?

Correct Answer is D

Explanation

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An older adult is diagnosed with Parkinson’s disease.
What problems should the nurse expect to address in this client’s home health care plan? Select all that apply.