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 D
Explanation
Choice A reason: Hyperglycemia is not typically a nonmotor symptom of Parkinson's disease. It is more commonly associated with metabolic conditions such as diabetes.
Choice B reason: Hypertension is not a nonmotor symptom specific to Parkinson's disease, although it can be present in many other conditions.
Choice C reason: Diarrhea is not commonly a nonmotor symptom of Parkinson's disease. Gastrointestinal symptoms like constipation are more prevalent.
Choice D reason: Depression is a recognized nonmotor symptom of Parkinson's disease. It can significantly affect the quality of life and is often underdiagnosed in these patients.
Correct Answer is A
Explanation
Choice A reason: In sepsis, inflammatory mediators cause vasodilation and increased capillary permeability, leading to fluid leaking out of the vascular space, resulting in hypotension.
Choice B reason: Platelet aggregation and thrombus formation can occur in sepsis but are more related to disseminated intravascular coagulation (DIC) rather than directly causing hypotension.
Choice C reason: Decreased blood glucose and oliguria can be consequences of sepsis but are not the primary pathophysiological processes responsible for hypotension.
Choice D reason: Hypoxemia and anaerobic metabolism may result from the effects of sepsis on the body, including hypotension, but they are not the direct cause of hypotension.
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