Which instruction should the nurse provide to a patient with Parkinson's disease about assisting with activities of daily living (ADLs)? Select all that apply. One, some, or all responses may be correct. $$ \square $$ "Provide clothes that have easy closures or fasteners, such as hook-and-loop fasteners (Velcro)." $$ \square $$ "Pay close attention to mood alterations; they ideally should not happen." $$ \square $$ "Assist the patient with ADLs from an early stage onward." $$ \square $$ "Encourage the patient to participate in hobbies and remain socially involved." $$ \square $$ "Provide the patient with a bath chair and a handheld shower nozzle."

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When providing instructions to a patient with Parkinson's disease about assisting with activities of daily living (ADLs), the following responses are appropriate:

1. **"Provide clothes that have easy closures or fasteners, such as hook-and-loop fasteners (Velcro)."**  
   - This is correct because clothing that is easy to put on and take off can help the patient maintain independence and reduce frustration.

2. **"Pay close attention to mood alterations; they ideally should not happen."**  
   - This statement is misleading. While it is important to monitor mood changes, it is unrealistic to expect that mood alterations will not occur in patients with Parkinson's disease. Therefore, this response is not appropriate.

3. **"Assist the patient with ADLs from an early stage onward."**  
   - This is correct. Early assistance can help the patient maintain their independence for as long as possible and can also help prevent frustration and fatigue.

4. **"Encourage the patient to participate in hobbies and remain socially involved."**  
   - This is correct. Encouraging social interaction and hobbies can improve the patient's quality of life and mental well-being.

5. **"Provide the patient with a bath chair and a handheld shower nozzle."**  
   - This is correct. These aids can enhance safety and independence during bathing, which is an important aspect of ADLs.

Based on the analysis, the correct instructions for the nurse to provide are:

- "Provide clothes that have easy closures or fasteners, such as hook-and-loop fasteners (Velcro)."
- "Assist the patient with ADLs from an early stage onward."
- "Encourage the patient to participate in hobbies and remain socially involved."
- "Provide the patient with a bath chair and a handheld shower nozzle."

The only incorrect instruction is the one regarding mood alterations.
The nurse should provide the following instructions to a patient with Parkinson's disease regarding ADLs: - Provide clothes with easy closures like Velcro. - Assist the patient with ADLs early on. - Encourage participation in hobbies and social activities. - Provide aids like a bath chair and handheld shower nozzle. Mood alterations should be monitored, but they are a natural part of the condition and not something to expect to be avoided.

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