The patient with newly diagnosed Parkinson's disease states, "I just don't think I can handle having Parkinson's disease." What is the nurse's best first response?
"You sound overwhelmed. Can you please tell me more?"
"What do you think will be the hardest thing to handle?"
"The entire healthcare team will help you manage the disease."
"I am sure you can. A lot of other people do."
The Correct Answer is A
Choice A reason: This response acknowledges the patient's feelings and invites further discussion, which can help the nurse understand the patient's concerns and provide appropriate support.
Choice B reason: Asking about specific challenges can be helpful, but it might be too direct for an initial response when the patient is expressing a general sense of being overwhelmed.
Choice C reason: While it's true that the healthcare team will provide support, this response may not address the patient's immediate emotional needs and concerns.
Choice D reason: This response might seem dismissive of the patient's concerns and does not acknowledge the difficulty of adjusting to a chronic illness like Parkinson's disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A thyroidectomy, which is the surgical removal of the thyroid gland, directly leads to hypothyroidism because the body can no longer produce thyroid hormones. This client is at the greatest risk of developing hypothyroidism.
Choice B reason: While exposure to certain chemicals in pesticides can be a risk factor for thyroid dysfunction, it does not pose as immediate a risk as the removal of the thyroid gland itself.
Choice C reason: Thyroid nodules can be associated with thyroid dysfunction, but not all nodules result in hypothyroidism, and many are benign and asymptomatic.
Choice D reason: Vomiting secondary to influenza is not directly related to the development of hypothyroidism.
Correct Answer is B
Explanation
Choice A reason: Tachycardia, or rapid heart rate, is typically a symptom of an overdose of levothyroxine, not an underdose.
Choice B reason: Intolerance to cold is a common symptom of hypothyroidism, which occurs when the thyroid hormone levels are too low, indicating that the levothyroxine dose may be insufficient.
Choice C reason: Weight loss is more commonly associated with hyperthyroidism or an excessive dose of levothyroxine.
Choice D reason: Fine tremors of fingers and hands are also more indicative of hyperthyroidism or too high a dose of levothyroxine.
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