A nurse is caring for a client newly diagnosed with Parkinson’s disease.
The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?

What kind of work do you do?

Do you have any family members with Parkinson’s disease?

How much coffee do you drink every day?

When did you have your last physical?

None

Answer and Explanation

The Correct Answer is A

Choice A rationale: Occupational exposure to pesticides, heavy metals, and industrial toxins is a known environmental risk factor for Parkinson’s disease. Work history helps identify neurotoxic exposure linked to disease onset.

Choice B rationale: Family history may suggest genetic predisposition, but idiopathic Parkinson’s is more often linked to environmental factors. Genetics play a role, but exposure history is more actionable during assessment.

Choice C rationale: Coffee intake has been inversely associated with Parkinson’s risk, but it’s not a diagnostic or causative factor. This question does not guide clinical assessment or identify potential exposures.

Choice D rationale: Timing of last physical may inform general health status but does not address etiology or risk factors specific to Parkinson’s disease. It lacks relevance to environmental or occupational exposure.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A rationale

Decreased visual acuity can increase the risk of falls, which are a common cause of head injuries in older adults. Impaired vision can affect balance and coordination, making it more difficult for an individual to navigate their environment safely.
Choice B rationale
While motor vehicle crashes can certainly lead to head injuries, they are not one of the most common causes of head injuries in older adults. Falls are actually the leading cause of head injuries in this population.
Choice C rationale
Polypharmacy, or the use of multiple medications by a patient, is common in older adults and can increase the risk of falls and, consequently, head injuries. Certain medications can cause side effects such as dizziness or confusion, which can lead to falls.
Choice D rationale
Weakness, particularly in the lower body, can increase the risk of falls and subsequent head injuries in older adults. Lower body weakness can affect an individual’s balance and mobility, making falls more likely.
Choice E rationale
Chronic hypertension can lead to a variety of health complications, including an increased risk of falls and head injuries. Hypertension can cause dizziness and balance problems, which can increase the risk of falls.

A. The client should maintain systolic BP between 141 and 145 mm Hg B. The client should maintain systolic BP between 120 and 129 mm Hg C. The client should maintain systolic BP between 130 and 135 mm Hg D. The client should maintain systolic BP between 136 and 140 mm Hg .

Correct Answer is B

Explanation

Choice A rationale
Maintaining systolic BP between 141 and 145 mm Hg is considered high and can increase the risk of stroke.
Choice B rationale

The client should maintain systolic BP between 120 and 129 mm Hg. This is considered a normal blood pressure range and can help reduce the risk of stroke.
Choice C rationale
Maintaining systolic BP between 130 and 135 mm Hg is considered elevated and can increase the risk of stroke.
Choice D rationale
Maintaining systolic BP between 136 and 140 mm Hg is considered high and can increase the risk of stroke.

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A nurse is caring for a client newly diagnosed with Parkinson’s disease. The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?

Nursing Test Bank

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A nurse is caring for a client newly diagnosed with Parkinson’s disease.
The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?