After teaching the wife of a client who has Parkinson disease, the nurse assesses the wife's understanding. Which statement by the client's wife indicates she correctly understands changes associated with this disease?
a. "His masklike face makes it difficult to communicate, so I will use a white board."
b. "He should not socialize outside of the house due to uncontrollable drooling."
c. "This disease is associated with anxiety causing increased perspiration."
d. "He may have trouble chewing, so I will offer bite-sized portions."
ANS: D
Because chewing and swallowing can be problematic, small frequent meals and a supplement are better for meeting the client's nutritional needs. A masklike face and drooling are common in clients with Parkinson disease. The client should be encouraged to continue to socialize and communicate as normally as possible. The wife should understand that the client's masklike face can be misinterpreted and additional time may be needed for the client to communicate with her or others. Excessive perspiration is also common in clients with Parkinson disease and is associated with the autonomic nervous system's response.
You might also like to view...
A client with an eating disorder is trying to develop new coping skills. The process the nurse can use to help family members as they support the client is to:
1. Assist the family to explore their own coping strategies. 2. Encourage the family to avoid discussing their feelings about the client's illness. 3. Assist the family to challenge the client's behavior. 4. Teach the family how to manipulate the client's environment to avoid problem situations.
Technology tools have the capability to assist in the creation of consumer-centric health care information
Which of the following describe how health care information can be specifically customized or tailored for each individual patient? Select all that apply. 1. Data are collected from individual consumers regarding their health care characteristics and behaviors and a health profile is created. 2. Health care information containing the best-evidence practices must be available in an electronically retrievable format. 3. Information technology allows the patients records to be viewed by anyone with a username and password. 4. A process is established for easily sending the message (practitioner) and receiving the message (consumer) in a way that is clear to each individual. 5. A set of decision-making rules created from the information collected from the consumer is used to craft tailored messages to fit the consumer's specific needs.
A nurse instructs a patient taking a drug that inhibits the action of a monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of:
a. hypotensive shock. b. hypertensive crisis. c. cardiac dysrhythmia. d. cardiogenic shock.
What should the nurse do to promote patient understanding and security in the health care setting?
a. Restrain the patient as necessary. b. Explain all procedures to the patient. c. Allow the patient more time alone. d. Restrict activity as much as possible.