NUR.,2520.,-.,Unit.,III.,-.,Chronic.,Neurologic.,Problems
A.,65.,year-
old.,woman.,was.,just.,diagnosed.,with.,Parkinson's.,disease..,The.,priority.,nurs
ing.,intervention.,is
a..,searching.,the.,internet.,for.,educational.,videos
b..,evaluating.,the.,home.,for.,environmental.,safety
c..,promoting.,physical.,exercise.,and.,a.,well-balanced.,diet
d..,designing.,an.,exercise.,program.,to.,strengthen.,and.,stretch.,specific.,muscl
es.,-.,correct.,answer.,✔ ✔ c..,promoting.,physical.,exercise.,and.,a.,well-
balanced.,diet
Rationale:.,Promotion.,of.,physical.,exercise.,and.,a.,well-
balanced.,diet.,are.,major.,concerns.,of.,nursing.,care.,for.,patients.,with.,Parkins
on's.,disease.
The.,nurse.,is.,reinforcing.,teaching.,with.,a.,newly.,diagnosed.,patient.,with.,am
yotrophic.,lateral.,sclerosis..,Which.,statement.,would.,be.,appropriate.,to.,incl
ude.,in.,the.,teaching?
a..,ALS.,results.,from.,an.,excess.,chemical.,in.,the.,brain,.,and.,the.,symptoms.,ca
n.,be.,controlled.,with.,medication
, b..,Even.,though.,the.,symptoms.,you.,are.,experiencing.,are.,severe,.,most.,peop
le.,recover.,with.,treatment
c..,You.,need.,to.,consider.,advance.,directives.,now,.,since.,you.,will.,lose.,cogni
tive.,function.,as.,the.,disease.,progresses
d..,This.,is.,a.,progressing.,disease.,that.,eventually.,results.,in.,permanent.,paral
ysis,.,though.,you.,will.,not.,lose.,any.,cognitive.,function.,-.,correct.,answer.,✔
✔
d..,This.,is.,a.,progressing.,disease.,that.,eventually.,results.,in.,permanent.,par
alysis,.,though.,you.,will.,not.,lose.,any.,cognitive.,function
Rationale:.,The.,disease.,results.,in.,destruction.,of.,the.,motor.,neurons.,in.,the.,b
rainstem.,and.,spinal.,cord,.,causing.,gradual.,paralysis..,Cognitive.,function.,is.
,maintained..,Because.,there.,is.,no.,cure.,for.,amyotrophic.,lateral.,sclerosis.,(A
LS),.,collaborative.,care.,is.,palliative.,and.,based.,on.,symptom.,relief..,Death.,u
sually.,occurs.,within.,3-6.,years.,after.,diagnosis.
The.,nurse.,is.,caring.,for.,a.,group.,of.,patients.,on.,a.,medical.,unit..,After.,receivi
ng.,report,.,which.,patient.,should.,the.,nurse.,see.,first?
a..,A.,42-year-
old.,patient.,with.,multiple.,sclerosis.,who.,was.,admitted.,with.,sepsis
b..,A.,72-year-
old.,patient.,with.,Parkinson's.,disease.,who.,has.,aspiration.,pneumonia
c..,A.,38-year-
old.,patient.,with.,myasthenia.,gravis.,who.,declined.,prescribed.,medications
A.,65.,year-
old.,woman.,was.,just.,diagnosed.,with.,Parkinson's.,disease..,The.,priority.,nurs
ing.,intervention.,is
a..,searching.,the.,internet.,for.,educational.,videos
b..,evaluating.,the.,home.,for.,environmental.,safety
c..,promoting.,physical.,exercise.,and.,a.,well-balanced.,diet
d..,designing.,an.,exercise.,program.,to.,strengthen.,and.,stretch.,specific.,muscl
es.,-.,correct.,answer.,✔ ✔ c..,promoting.,physical.,exercise.,and.,a.,well-
balanced.,diet
Rationale:.,Promotion.,of.,physical.,exercise.,and.,a.,well-
balanced.,diet.,are.,major.,concerns.,of.,nursing.,care.,for.,patients.,with.,Parkins
on's.,disease.
The.,nurse.,is.,reinforcing.,teaching.,with.,a.,newly.,diagnosed.,patient.,with.,am
yotrophic.,lateral.,sclerosis..,Which.,statement.,would.,be.,appropriate.,to.,incl
ude.,in.,the.,teaching?
a..,ALS.,results.,from.,an.,excess.,chemical.,in.,the.,brain,.,and.,the.,symptoms.,ca
n.,be.,controlled.,with.,medication
, b..,Even.,though.,the.,symptoms.,you.,are.,experiencing.,are.,severe,.,most.,peop
le.,recover.,with.,treatment
c..,You.,need.,to.,consider.,advance.,directives.,now,.,since.,you.,will.,lose.,cogni
tive.,function.,as.,the.,disease.,progresses
d..,This.,is.,a.,progressing.,disease.,that.,eventually.,results.,in.,permanent.,paral
ysis,.,though.,you.,will.,not.,lose.,any.,cognitive.,function.,-.,correct.,answer.,✔
✔
d..,This.,is.,a.,progressing.,disease.,that.,eventually.,results.,in.,permanent.,par
alysis,.,though.,you.,will.,not.,lose.,any.,cognitive.,function
Rationale:.,The.,disease.,results.,in.,destruction.,of.,the.,motor.,neurons.,in.,the.,b
rainstem.,and.,spinal.,cord,.,causing.,gradual.,paralysis..,Cognitive.,function.,is.
,maintained..,Because.,there.,is.,no.,cure.,for.,amyotrophic.,lateral.,sclerosis.,(A
LS),.,collaborative.,care.,is.,palliative.,and.,based.,on.,symptom.,relief..,Death.,u
sually.,occurs.,within.,3-6.,years.,after.,diagnosis.
The.,nurse.,is.,caring.,for.,a.,group.,of.,patients.,on.,a.,medical.,unit..,After.,receivi
ng.,report,.,which.,patient.,should.,the.,nurse.,see.,first?
a..,A.,42-year-
old.,patient.,with.,multiple.,sclerosis.,who.,was.,admitted.,with.,sepsis
b..,A.,72-year-
old.,patient.,with.,Parkinson's.,disease.,who.,has.,aspiration.,pneumonia
c..,A.,38-year-
old.,patient.,with.,myasthenia.,gravis.,who.,declined.,prescribed.,medications
