During an assessment of a 62-year-old man, the nurse notices the patient has a stooped posture, shuffling walk with short steps, flat facial expression, and pill-rolling finger movements. These findings would be consistent with:

Cerebral palsy.

Cerebellar ataxia.

Muscular dystrophy

Parkinsonism.

Answer and Explanation

The Correct Answer is D

A.   Cerebral palsy affects movement and coordination but typically presents with different types of motor impairment and not the specific signs of Parkinsonism.
B.   Ataxia involves a lack of coordination, often affecting gait, but it would not typically involve the specific signs such as pill-rolling tremor or stooped posture.
C.   Muscular dystrophy involves muscle weakness and atrophy but does not typically cause the motor symptoms observed in this patient.
D.   Parkinson's disease is characterized by the classic signs of tremor (pill-rolling), bradykinesia (slow movement), postural instability, and a shuffling gait, which the patient exhibits.

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Correct Answer is A

Explanation

A. Understanding a patient’s health-related beliefs is essential when conducting a cultural health assessment. This includes beliefs about illness, healing practices, and how they perceive the healthcare system.
B. The chief complaint is essential for diagnosis and treatment but does not directly address cultural health considerations.
C. Medical history is important for clinical assessment but does not specifically relate to cultural health beliefs.
D. While family history can be relevant to certain medical conditions, it does not address the cultural aspects of health and care.

A. Brainstem B. Cerebellum C. Extrapyramidal tract D. Thalamus

Correct Answer is C

Explanation

A. The brainstem controls basic life functions but is not primarily responsible for balance.
B. The cerebellum is directly involved in maintaining balance and coordination. Issues with the cerebellum would likely cause unsteadiness and difficulty in maintaining balance.
C. The extrapyramidal system influences motor control but is less directly responsible for balance compared to the cerebellum.
D. The thalamus acts as a relay center for sensory and motor signals but does not specifically control balance.

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During an assessment of a 62-year-old man, the nurse notices the patient has a stooped posture, shuffling walk with short steps, flat facial expression, and pill-rolling finger movements. These findings would be consistent with:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While conducting a cultural health assessment a nurse should include which of the following?

Correct Answer is A

Explanation

A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance. Which area of the brain that is related to these findings would concern the nurse?

Correct Answer is C

Explanation

Which assessment finding(s) for a client with hypothyroidism should the nurse document as abnormal? Select all that apply.

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