Carrie is 65 years old. She is experiencing muscular rigidity on one side of her body. At times, Carrie loses her balance and finds it hard to coordinate her body movements. When she visits Dr. Calvin for an examination, he asks her if she has been experiencing tremors. Carrie tells Dr. Calvin that she trembles only when she is not moving. Dr. Calvin examines Carrie's heart rate and notices that it is abnormally low. With what condition will Dr. Calvin most likely diagnose Carrie?
A. Alzheimer's disease
B. Tourette's syndrome
C. Huntington's chorea
D. Parkinson's disease
Answer: D
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The nurse is assessing an older adult who has smoked for the past 47 years and has been diagnosed with chronic obstructive pulmonary disease. Which of the following would the nurse expect to see upon physical examination of the patient?
a. Pallor and hardening of the nail bed b. Jaundice in the nail bed c. An angle greater than 160 degrees be-tween the nail and nail bed d. An angle less than 160 degrees between the nail and nail bed
A client with syphilis did not undergo treatment and has progressed into the tertiary stage of the disorder. Which of the following are the signs and symptoms that the client would exhibit?
A) A highly infectious ulcerated chancre B) Fever, malaise, rash, headache, and sore throat C) No sign or symptom at this stage of the disorder D) Tabes dorsalis, ataxia, and Charcot's joints
Impulse control is part of a plan for a client with borderline personality disorder. Which of the following is particularly important to include?
A) Identification of support sources B) A no-harm contract C) Management of emotions D) Identification of behavior patterns
Which of the following statements made by a nurse practitioner best reflects an understanding of the availability of clinical practice guidelines?
1. "Clinical guidelines are so very helpful in providing the most up-to-date nursing care." 2. "I'm sure we could get a team together and develop a pressure ulcer prevention protocol or search sites for established protocols." 3. "I am particularly impressed by the type 2 diabetic guidelines posted on the Na-tional Guidelines Clearinghouse (NGC) site." 4. "I'm told that for gerontological issues, the Gerontological Nursing Interventions Research Center (GNIRC) is the primary resource site."