11/9/25, 10:06 AM NU272 HESI Case Study: Parkinson Disease
NU272 HESI Case Study: Parkinson Disease
complete questions and accurate detailed answers
\verified 100%
Instruct the UAP to go to the nurse's station.
- The nurse needs to remove the UAP from the situation and
then address the issue of verbal client abuse. Supervision by the
nurse of unlicensed assistve personnel is one of the 5 Rights of
What action should the Delegation.
primary nurse take?
Four days after being admitted to the long-term care facility, the
client experiences a choking incident during lunch that requires
his transfer to the medical center. After evaluation by the
healthcare provider and the speech therapist, a percutaneous
Gastrostomy Tube Insertion endoscopic gastrostomy (PEG) tube for enteral formula feedings
is recommended.
The home health nurse visits the client's home weekly. One
Physiological Needs
week after the initial visit, the client shares with the nurse that
he has not had a bowel movement in 3 days.
Assess the client's bowel sounds and check his abdomen for
Which independent nursing
distention.
action should be - The nurse should assess the client prior to taking any further
implemented first? action.
Discuss providing supplemental feedings between meals.
Which intervention should
- As the disease progresses and swallowing becomes more of a
the nurse implement first to
problem,
address the client's weight supplemental feedings become the main source of
loss? nutrition to maintain weight, with meals and other
foods taken as the patient can tolerate.
Two weeks later, the client falls while walking from the
living room to the bathroom, hitting his head on a
coffee table. He is transported to the medical center
A Complication Occurs
and
admitted to the medical floor for head injury
observation and possible transient ischemic attack
(TIA). The wife calls the home health nurse to report
/ 1/1
6
,11/9/25, 10:06 AM NU272 HESI Case Study: Parkinson Disease
what happened.
When the home health nurse visits them in the hospital the next
day, the wife is
crying and tells the nurse that she just can't take care of the client
at home anymore.
Allow the wife to cry and discuss her feelings.
How should the home - The wife is grieving and needs comfort and
health nurse respond emotional support. The nurse should provide a
first? therapeutic environment, offering presence and
support that allows the wife to cry and discuss her
feelings.
Encourage the wife to provide a soft diet with mainly thick liquids.
How should the nurse - Swallowing disorders can be due to poor head control,
respond? tongue tremor, or difficulty shaping food in the mouth.
A soft diet with thickened liquids is easier to swallow.
Demonstrate how to walk with a wide-based stance.
In providing client teaching
related to - The client should be instructed to walk erectly, watch the
horizon, use a wide-
ambulation, which
based stance (feet separated), and swing both arms
instruction should the nurse
from front to back. This walking technique will help
include?
offset the shuffling gait.
Occupational therapist.
Which member of the - After evaluating the client's needs in the home, the
interdisciplinary team can occupational therapist can make recommendations
best assist the client in his regarding adaptive devices and teach the client and his
desire to wife how to improvise so that the client can perform
maintain independence his ADLs. An occupational therapist can
when performing his help the patient with ways to increase self-care
ADLs? measures, including eating and dressing.
The client shares with the home health nurse that he fears
he may become unable to make decisions for himself. He
states that he wants his wife to be able to make decisions for
Legal Issues him. He is worried that his children will try to decide what is
best for him and states that he does not want them making
any decisions about his health care.
/ 2/1
6
, 11/9/25, 10:06 AM NU272 HESI Case Study: Parkinson Disease
Provide the client with information about a Durable Power of
Attorney for Health Care.
- This document is used for listing the person(s) to make
Which action should the health care decisions should a patient become unable to
nurse implement? make informed decisions for self.
Stand directly in front of the client when he is speaking.
- The soft, low-pitched, monotonous speech of a client with
Which intervention will
Parkinson's requires the client to make a conscious effort to
the nurse
speak slowly, with deliberate attention to word
recommend to the wife pronunciation. The client should face the listener, take a few
to address this deep breaths before speaking, speak in short sentences, and
problem? exaggerate the pronunciation of words.
The wife asks the home health nurse what other people do
who have family
members with Parkinson's. She states that she feels so alone
Referral in this. The home health nurse recommends that the wife
attend a support group sponsored by the National Parkinson
Foundation. The wife attends a support group, where the
nurse leader begins by explaining the disease.
A chemical imbalance in the brain leads to movement and
coordination problems.
Which statement by the
- Parkinson's disease is a progressive neurodegenerative
nurse leader best
disease characterized by four cardinal symptoms: tremor,
describes Parkinson's
muscle rigidity, bradykinesia or akinesia (slow movement/no
disease?
movement), and postural instability.
The wife shares with -
the home health nurse
that it is getting harder
and harder to
understand what the
client is trying to say,
even when allowing
more time. This is
increasing the
frustration level for
both the client and his
wife.
/ 3/1
6
NU272 HESI Case Study: Parkinson Disease
complete questions and accurate detailed answers
\verified 100%
Instruct the UAP to go to the nurse's station.
- The nurse needs to remove the UAP from the situation and
then address the issue of verbal client abuse. Supervision by the
nurse of unlicensed assistve personnel is one of the 5 Rights of
What action should the Delegation.
primary nurse take?
Four days after being admitted to the long-term care facility, the
client experiences a choking incident during lunch that requires
his transfer to the medical center. After evaluation by the
healthcare provider and the speech therapist, a percutaneous
Gastrostomy Tube Insertion endoscopic gastrostomy (PEG) tube for enteral formula feedings
is recommended.
The home health nurse visits the client's home weekly. One
Physiological Needs
week after the initial visit, the client shares with the nurse that
he has not had a bowel movement in 3 days.
Assess the client's bowel sounds and check his abdomen for
Which independent nursing
distention.
action should be - The nurse should assess the client prior to taking any further
implemented first? action.
Discuss providing supplemental feedings between meals.
Which intervention should
- As the disease progresses and swallowing becomes more of a
the nurse implement first to
problem,
address the client's weight supplemental feedings become the main source of
loss? nutrition to maintain weight, with meals and other
foods taken as the patient can tolerate.
Two weeks later, the client falls while walking from the
living room to the bathroom, hitting his head on a
coffee table. He is transported to the medical center
A Complication Occurs
and
admitted to the medical floor for head injury
observation and possible transient ischemic attack
(TIA). The wife calls the home health nurse to report
/ 1/1
6
,11/9/25, 10:06 AM NU272 HESI Case Study: Parkinson Disease
what happened.
When the home health nurse visits them in the hospital the next
day, the wife is
crying and tells the nurse that she just can't take care of the client
at home anymore.
Allow the wife to cry and discuss her feelings.
How should the home - The wife is grieving and needs comfort and
health nurse respond emotional support. The nurse should provide a
first? therapeutic environment, offering presence and
support that allows the wife to cry and discuss her
feelings.
Encourage the wife to provide a soft diet with mainly thick liquids.
How should the nurse - Swallowing disorders can be due to poor head control,
respond? tongue tremor, or difficulty shaping food in the mouth.
A soft diet with thickened liquids is easier to swallow.
Demonstrate how to walk with a wide-based stance.
In providing client teaching
related to - The client should be instructed to walk erectly, watch the
horizon, use a wide-
ambulation, which
based stance (feet separated), and swing both arms
instruction should the nurse
from front to back. This walking technique will help
include?
offset the shuffling gait.
Occupational therapist.
Which member of the - After evaluating the client's needs in the home, the
interdisciplinary team can occupational therapist can make recommendations
best assist the client in his regarding adaptive devices and teach the client and his
desire to wife how to improvise so that the client can perform
maintain independence his ADLs. An occupational therapist can
when performing his help the patient with ways to increase self-care
ADLs? measures, including eating and dressing.
The client shares with the home health nurse that he fears
he may become unable to make decisions for himself. He
states that he wants his wife to be able to make decisions for
Legal Issues him. He is worried that his children will try to decide what is
best for him and states that he does not want them making
any decisions about his health care.
/ 2/1
6
, 11/9/25, 10:06 AM NU272 HESI Case Study: Parkinson Disease
Provide the client with information about a Durable Power of
Attorney for Health Care.
- This document is used for listing the person(s) to make
Which action should the health care decisions should a patient become unable to
nurse implement? make informed decisions for self.
Stand directly in front of the client when he is speaking.
- The soft, low-pitched, monotonous speech of a client with
Which intervention will
Parkinson's requires the client to make a conscious effort to
the nurse
speak slowly, with deliberate attention to word
recommend to the wife pronunciation. The client should face the listener, take a few
to address this deep breaths before speaking, speak in short sentences, and
problem? exaggerate the pronunciation of words.
The wife asks the home health nurse what other people do
who have family
members with Parkinson's. She states that she feels so alone
Referral in this. The home health nurse recommends that the wife
attend a support group sponsored by the National Parkinson
Foundation. The wife attends a support group, where the
nurse leader begins by explaining the disease.
A chemical imbalance in the brain leads to movement and
coordination problems.
Which statement by the
- Parkinson's disease is a progressive neurodegenerative
nurse leader best
disease characterized by four cardinal symptoms: tremor,
describes Parkinson's
muscle rigidity, bradykinesia or akinesia (slow movement/no
disease?
movement), and postural instability.
The wife shares with -
the home health nurse
that it is getting harder
and harder to
understand what the
client is trying to say,
even when allowing
more time. This is
increasing the
frustration level for
both the client and his
wife.
/ 3/1
6
