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.

Answer and explanation

The correct answer is Choice D.

Choice A rationale

While a local shopping mall might attract a large number of people, it may not be the most effective location for a dental caries prevention program. The program would likely be more successful in a setting where children and their parents regularly go and feel comfortable discussing health-related topics.

Choice B rationale

Hospital emergency departments primarily deal with acute health issues. They may not be the most suitable setting for a preventive program focused on dental health, which is a long-term and ongoing concern.

Choice C rationale

The Women, Infants, and Children (WIC) office provides support to low-income women and young children, including nutrition education and healthy food. While this setting might reach a population that could benefit from a dental caries prevention program, it may not reach all children in the community.

Choice D rationale

A community youth center could be an effective location for a dental caries prevention program. These centers often provide a variety of programs for children and have the

infrastructure to support health education programs. They are also places where children and their parents are likely to feel comfortable and receptive to learning.

Answer and explanation

The correct answer is Choice B.

Choice A rationale

While reinforcing instructions can boost a patient’s self-confidence, it may not be effective for an elderly patient with Parkinson’s disease who is unable to administer ophthalmic medication due to hand tremors. The physical limitation caused by the tremors may not be overcome by further instruction.

Choice B rationale

If a family member is available and willing to administer the medication, this could be an effective solution. The family member can be trained to administer the medication correctly, ensuring the patient receives their necessary treatment.

Choice C rationale

While obtaining a prescription for a visiting nurse to administer the medication twice a day could ensure the patient receives their medication, it may not be the most practical or cost- effective solution. It also depends on the availability of such services in the patient’s area.

Choice D rationale

Documenting the patient’s inability to administer the medication without assistance is important for record-keeping and communicating with other healthcare providers. However, it does not address the immediate issue of ensuring the patient receives their necessary medication.