Which problem statement/nursing diagnosis is most appropriate for a person with Parkinson disease?
a. Risk for falls related to unsteady gait.
b. Ineffective airway clearance related to drooling.
c. Risk for impaired skin integrity related to tremor.
d. Nutrition: less than body requirements related to nausea.
A
Rigidity and impaired balance with the propulsive gait create a risk for falls. The tremor de-creases with voluntary movement, making eating relatively trouble free. Drooling is not a threat for aspiration, and there is no characteristic nausea.
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You notice a patient who seems to be listening to someone, but you do not see anyone else in the room. You interpret this behavior as a(n):
A) Illusion B) Delusion C) Hallucination D) Confabulation
Which of the following is a major developmental task of middle adulthood?
A) Developing intimacy B) Learning to manage conflict C) Re-examining life goals D) Resolving the past
A nurse is admitting a client to home care services, using Medicare as the funding source for the care that will be provided. Which of the following substantiated findings would make a client ineligible for these services?
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