The nurse is assessing an older adult client. Which finding should cause the nurse to suspect the client has Parkinson disease (PD)? (Select all that apply)

Choice A reason: Encouraging the client to talk about the trauma may be therapeutic but is not the priority. Trauma-informed care prioritizes safety to stabilize the client, as discussing trauma without ensuring safety can exacerbate distress, particularly if the client feels vulnerable or unsupported.

Choice B reason: Assessing social and family support is important for long-term recovery but secondary to immediate safety. Trauma-informed care emphasizes creating a secure environment first, as lack of safety can hinder effective support assessment and exacerbate psychological distress from trauma.

Choice C reason: Contacting a social worker to report abuse is necessary if abuse is confirmed, but it is not the initial priority. Ensuring the client’s immediate physical and emotional safety takes precedence, as reporting without safety measures may escalate risk or distress.

Choice D reason: Ensuring the client’s safety is the priority in trauma-informed care, addressing immediate physical and emotional threats. Safety stabilizes the client, reducing stress hormone release (e.g., cortisol) and creating a foundation for trust, enabling further therapeutic interventions like support assessment or trauma discussion.

Choice A reason: Physical therapy focuses on physical rehabilitation through exercises and manual techniques, targeting specific musculoskeletal issues. While beneficial, it is not inherently holistic, as it does not typically address mental, emotional, or spiritual health, which are core to holistic practices, making this choice incorrect.

Choice B reason: Refusing medication is not a holistic practice; it is a personal choice that may stem from beliefs but does not inherently promote holistic health. Holistic practices involve integrative approaches like acupuncture or meditation, not simply avoiding conventional treatments, making this choice incorrect.

Choice C reason: Acupuncture is a holistic practice rooted in traditional Chinese medicine, aiming to balance energy (qi) to promote physical, mental, and emotional well-being. It addresses the whole person by stimulating specific points to regulate energy flow, aligning with holistic principles, making this the correct choice.

Choice D reason: Taking prescribed medicine is part of conventional medical treatment, focusing on specific symptoms or diseases. It does not inherently consider the mind-body-spirit connection central to holistic practices, which aim for integrative health approaches, making this choice incorrect.