EDAPT - PARKINSON'S WITH COMPLETE
ANSWERS AND RATIONALE
Which assessment findings should cause the nurse to complete a focused
assessment for additional clinical manifestations of Parkinson's disease (PD)
in a new client? Select that all apply.
Bradykinesia
Hallucinations
Muscle rigidity
Tremors at rest
Decreased urine output - Correct Answer- Bradykinesia
Muscle rigidity
Tremors at rest
The common manifestations for Parkinson's disease (PD) are tremors
at rest, muscle rigidity, and bradykinesia. These movements have to
do with the neurotransmitter imbalance that occurs with the disease.
Hallucinations and decreased urine output are not common
manifestations of PD.
A nurse is caring for a client with Parkinson's disease (PD). Which class of
medications does the nurse anticipate administering to the client?
a) Monoamine oxidase inhibitor (MAOI)
b) Cholinergic
c) Beta blocker
d) Dopaminergic - Correct Answer-Dopaminergic
The goal of this drug therapy is to correct the neurotransmitter imbalance
that is associated with the development of PD. This is achieved by using
dopaminergic medications, that increase the effectiveness of dopamine,
an important neurotransmitter that is part of the imbalance associated
with PD.
What member of a facility's interdisciplinary team would be best suited to
assist a client with Parkinson's disease (PD) in maintaining their
independence with activities of daily living (ADLs)?
a) Occupational therapist
b) Physical therapist
c) Case manager
d) Nutritionist - Correct Answer-Occupational therapist
Occupational therapy is focused on helping clients retain their
independence through the use of assistive devices (such as specialty
silverware or toothbrushes) with activities of daily living. Physical therapy
is more focused on mobility and safe transferring and positioning of
, clients. Nutritionists will be helpful with clients with PD, as malnutrition is
a real risk for this population.
Which intervention should the nurse anticipate for George's immediate plan
of care?
a) Obtain electrocardiogram (ECG)
b) Magnetic resonance imaging (MRI)
c) Draw blood for cultures
d) Thorough history and physical assessment - Correct Answer-Thorough
history and physical assessment
It seems that George is exhibiting classic manifestations of Parkinson's
disease (PD). Since there is no single diagnostic test or exam available for
PD, diagnosis is made off of a thorough history and physical assessment,
including neurologic exam, discussion of family history, and current
medications. The other prescriptions are not appropriate for George's
presentation at this time.
Sharon asks the nurse what other manifestations to expect now that George
has a confirmed diagnosis of early Parkinson's disease. Which response is
best? Select all that apply.
Rigidity
No swinging of the arms when walking
Dysphagia
Diarrhea
Bradykinesia
Hypertension - Correct Answer- Rigidity
No swinging of the arms when walking
Dysphagia
Bradykinesia
Akinesia, or the absence or loss of control of voluntary muscle
movements, is what causes the dysphagia and lack of arm swinging
when walking. Bradykinesia is a common manifestation of PD, as well
as rigidity. Remember, PD is a "TRAP" (tremors, rigidity, akinesia,
postural instability)—the client is trapped in their own bodies and
cannot move the way in which they would like to.
George, a 72-year-old former engineer, is at the healthcare professional's
office for a yearly check-up with his wife Sharon. George has new onset
complains about hand tremors at rest. Sharon also mentions to the
healthcare provider that George's affect seems slower, and his movements
less purposeful. While George is resting in bed, the nurse notices that Sharon
is in the corner of the room upset. Sharon says tearfully, "I just do not know
how I can take care of George by myself now with his new diagnosis. I am so
scared he will get hurt."
Which of the following will be the best action by the nurse?
ANSWERS AND RATIONALE
Which assessment findings should cause the nurse to complete a focused
assessment for additional clinical manifestations of Parkinson's disease (PD)
in a new client? Select that all apply.
Bradykinesia
Hallucinations
Muscle rigidity
Tremors at rest
Decreased urine output - Correct Answer- Bradykinesia
Muscle rigidity
Tremors at rest
The common manifestations for Parkinson's disease (PD) are tremors
at rest, muscle rigidity, and bradykinesia. These movements have to
do with the neurotransmitter imbalance that occurs with the disease.
Hallucinations and decreased urine output are not common
manifestations of PD.
A nurse is caring for a client with Parkinson's disease (PD). Which class of
medications does the nurse anticipate administering to the client?
a) Monoamine oxidase inhibitor (MAOI)
b) Cholinergic
c) Beta blocker
d) Dopaminergic - Correct Answer-Dopaminergic
The goal of this drug therapy is to correct the neurotransmitter imbalance
that is associated with the development of PD. This is achieved by using
dopaminergic medications, that increase the effectiveness of dopamine,
an important neurotransmitter that is part of the imbalance associated
with PD.
What member of a facility's interdisciplinary team would be best suited to
assist a client with Parkinson's disease (PD) in maintaining their
independence with activities of daily living (ADLs)?
a) Occupational therapist
b) Physical therapist
c) Case manager
d) Nutritionist - Correct Answer-Occupational therapist
Occupational therapy is focused on helping clients retain their
independence through the use of assistive devices (such as specialty
silverware or toothbrushes) with activities of daily living. Physical therapy
is more focused on mobility and safe transferring and positioning of
, clients. Nutritionists will be helpful with clients with PD, as malnutrition is
a real risk for this population.
Which intervention should the nurse anticipate for George's immediate plan
of care?
a) Obtain electrocardiogram (ECG)
b) Magnetic resonance imaging (MRI)
c) Draw blood for cultures
d) Thorough history and physical assessment - Correct Answer-Thorough
history and physical assessment
It seems that George is exhibiting classic manifestations of Parkinson's
disease (PD). Since there is no single diagnostic test or exam available for
PD, diagnosis is made off of a thorough history and physical assessment,
including neurologic exam, discussion of family history, and current
medications. The other prescriptions are not appropriate for George's
presentation at this time.
Sharon asks the nurse what other manifestations to expect now that George
has a confirmed diagnosis of early Parkinson's disease. Which response is
best? Select all that apply.
Rigidity
No swinging of the arms when walking
Dysphagia
Diarrhea
Bradykinesia
Hypertension - Correct Answer- Rigidity
No swinging of the arms when walking
Dysphagia
Bradykinesia
Akinesia, or the absence or loss of control of voluntary muscle
movements, is what causes the dysphagia and lack of arm swinging
when walking. Bradykinesia is a common manifestation of PD, as well
as rigidity. Remember, PD is a "TRAP" (tremors, rigidity, akinesia,
postural instability)—the client is trapped in their own bodies and
cannot move the way in which they would like to.
George, a 72-year-old former engineer, is at the healthcare professional's
office for a yearly check-up with his wife Sharon. George has new onset
complains about hand tremors at rest. Sharon also mentions to the
healthcare provider that George's affect seems slower, and his movements
less purposeful. While George is resting in bed, the nurse notices that Sharon
is in the corner of the room upset. Sharon says tearfully, "I just do not know
how I can take care of George by myself now with his new diagnosis. I am so
scared he will get hurt."
Which of the following will be the best action by the nurse?
