INPA 1006 level 1 Midterm UPDATED
ACTUAL Questions and CORRECT
Answers
Parkinson's disease - CORRECT ANSWER - Parkinson's disease is a brain disorder that
leads to shaking, stiffness, and difficulty with walking, balance, and coordination. Parkinson's
symptoms usually begin gradually and get worse over time.
Parkinsons disease- Communication with client - CORRECT ANSWER - Maintain eye
contact
Keep it simple, yes or no questions
If talking about someone else, use names instead of pronouns to clarify
Make it clear when your changing subjects
Be patient
Clear voice
Speak slowly
Be calm
SOLER
Parkinsons disease - Communication with family: - CORRECT ANSWER - Be empathetic
Be understanding
Listen to their questions and concerns
Be patient
Educate family on the disease
Educate family on medications patient takes
Educate family on symptoms and side effects that can happen
Parkinsons disease - Patho - CORRECT ANSWER - Parkinson's disease occurs when
nerve cells, or neurons, in an area of the brain that controls movement become impaired and/or
,die. Normally, these neurons produce an important brain chemical known as dopamine. When
the neurons die or become impaired, they produce less dopamine, which causes the movement
problems of Parkinson's.
What is dopamine? - CORRECT ANSWER - Dopamine is a chemical messenager that
transmits signals between 2 regions of the brain to coordinate activity.
When nerve cells die, dopamine is reduced which leads to paient unable to direct and control
movements
Parkinsons disease - signs & symptoms - CORRECT ANSWER - Tremor (trembling) in
hands, arms, legs, jaw, or head
Stiffness of the limbs and trunk
Slowness of movement
Impaired balance and coordination, sometimes leading to falls
Loss of automatic movements
Speech changes
Writing changes
Parkinsons disease - What specific communication techniques will you use with this patient?
Why? - CORRECT ANSWER - Maintain eye contact
Closed ended questions
If talking about someone else, use names instead of pronouns to clarify
Make it clear when your changing subjects
Be patient
Clear voice
Speak slowly
Be calm
SOLER
Assertive and therapeutic
,To promote a better nurse client relationship
Parkinsons disease- What problems or concerns do you anticipate with this patient? - CORRECT
ANSWER - - Dehydration: medication can cause this, also an unhealthy diet.
- Weakness and confusion: lead to Weakness and confusion because the brain and the organs in
your body receive less blood flow
- Risk of falling: due to dehydration
- Impaired skin integrity
-Decreased Peristalsis
- Muscle stiffness
- Aggression/Depression/Behavioural changes: due to being immobile they will go through many
behavioral changes
- Urinary Tract infections: When the bladder is full, it alerts the brain through nerve cells, and
the brain uses additional nerve cells to tell the muscles to relax and allow the urine to excrete. On
the other hand, the patient may be able to urinate but does not have enough muscle control to
empty all urine from the bladder completely. Thus, Parkinson's disease patients have a hard time
emptying their bladder, creating a breeding ground for bacteria.
Parkinsons disease - What health teaching and health promotion activities do you feel you should
incorporate? - CORRECT ANSWER - -Healthy diet: helps the patient with constipation
because a high fiber diet helps bulk and weight to stools, which softens them and stimulates
bowel movements.
- Exercise: strengthen muscles and improve balance.
- Range of Motion movements: to help keep muscles mobile
-Promote independence: encourage the patient as much as possible to assist in care
-Educate: educate patient regarding disease and disease management
-Educate: educate patient on infection and safety control
-Turn the patient every 2 hours
- Promote independence along with safety measures.
, Physical, occupational, and speech therapies helps with gait and voice disorders, tremors and
rigidity, and decline in mental functions
Parkinsons disease - What professional practice issues do you anticipate developing with this
patient? - CORRECT ANSWER - Responsibility and Accountability: Patient is at risk for
falling so it is the nurse's responsibility to promote safe, competent and ethical care for clients.
They are also responsible for educating the patient and patients family in educating the patient on
their disease
Competency Based Practice: Nurse should have knowledge regarding the disease and how to
handle the patient and their family emotionally and mentally. The nurse should assess the
patients understanding and take other things into consideration such as maintaining privacy
Client Focused: The nurse is to respect patient wishes. They need to promote patient safety since
the patient is at high risk of falling (bed at lowest level, bed rails up, call bell within reach,
promoting correct hygiene). The nurse needs to promote patient centered care. Document the
patient's response to treatment
Ethical Practice: Respect patient's beliefs and values (cultural awareness). Maintain patient
dignity and make sure patient is comfortable with care being provided. Never speak down to the
patient.
Cause of Parkinson's Disease - CORRECT ANSWER - loss of nerve cells in the part of
the brain, called the substantial nigra
Moderate Dementia - CORRECT ANSWER - middle stage of dementia, often the longest
stage of the disease. Brain damage causes a person to have difficulty expressing thoughts and
performing tasks daily.
moderate dementia cause/patho - CORRECT ANSWER - Dementia is caused by damage
to or loss of nerve cells and their connections in the brain
moderate dementia - Communication with client: - CORRECT ANSWER - Maintain eye
contact
ACTUAL Questions and CORRECT
Answers
Parkinson's disease - CORRECT ANSWER - Parkinson's disease is a brain disorder that
leads to shaking, stiffness, and difficulty with walking, balance, and coordination. Parkinson's
symptoms usually begin gradually and get worse over time.
Parkinsons disease- Communication with client - CORRECT ANSWER - Maintain eye
contact
Keep it simple, yes or no questions
If talking about someone else, use names instead of pronouns to clarify
Make it clear when your changing subjects
Be patient
Clear voice
Speak slowly
Be calm
SOLER
Parkinsons disease - Communication with family: - CORRECT ANSWER - Be empathetic
Be understanding
Listen to their questions and concerns
Be patient
Educate family on the disease
Educate family on medications patient takes
Educate family on symptoms and side effects that can happen
Parkinsons disease - Patho - CORRECT ANSWER - Parkinson's disease occurs when
nerve cells, or neurons, in an area of the brain that controls movement become impaired and/or
,die. Normally, these neurons produce an important brain chemical known as dopamine. When
the neurons die or become impaired, they produce less dopamine, which causes the movement
problems of Parkinson's.
What is dopamine? - CORRECT ANSWER - Dopamine is a chemical messenager that
transmits signals between 2 regions of the brain to coordinate activity.
When nerve cells die, dopamine is reduced which leads to paient unable to direct and control
movements
Parkinsons disease - signs & symptoms - CORRECT ANSWER - Tremor (trembling) in
hands, arms, legs, jaw, or head
Stiffness of the limbs and trunk
Slowness of movement
Impaired balance and coordination, sometimes leading to falls
Loss of automatic movements
Speech changes
Writing changes
Parkinsons disease - What specific communication techniques will you use with this patient?
Why? - CORRECT ANSWER - Maintain eye contact
Closed ended questions
If talking about someone else, use names instead of pronouns to clarify
Make it clear when your changing subjects
Be patient
Clear voice
Speak slowly
Be calm
SOLER
Assertive and therapeutic
,To promote a better nurse client relationship
Parkinsons disease- What problems or concerns do you anticipate with this patient? - CORRECT
ANSWER - - Dehydration: medication can cause this, also an unhealthy diet.
- Weakness and confusion: lead to Weakness and confusion because the brain and the organs in
your body receive less blood flow
- Risk of falling: due to dehydration
- Impaired skin integrity
-Decreased Peristalsis
- Muscle stiffness
- Aggression/Depression/Behavioural changes: due to being immobile they will go through many
behavioral changes
- Urinary Tract infections: When the bladder is full, it alerts the brain through nerve cells, and
the brain uses additional nerve cells to tell the muscles to relax and allow the urine to excrete. On
the other hand, the patient may be able to urinate but does not have enough muscle control to
empty all urine from the bladder completely. Thus, Parkinson's disease patients have a hard time
emptying their bladder, creating a breeding ground for bacteria.
Parkinsons disease - What health teaching and health promotion activities do you feel you should
incorporate? - CORRECT ANSWER - -Healthy diet: helps the patient with constipation
because a high fiber diet helps bulk and weight to stools, which softens them and stimulates
bowel movements.
- Exercise: strengthen muscles and improve balance.
- Range of Motion movements: to help keep muscles mobile
-Promote independence: encourage the patient as much as possible to assist in care
-Educate: educate patient regarding disease and disease management
-Educate: educate patient on infection and safety control
-Turn the patient every 2 hours
- Promote independence along with safety measures.
, Physical, occupational, and speech therapies helps with gait and voice disorders, tremors and
rigidity, and decline in mental functions
Parkinsons disease - What professional practice issues do you anticipate developing with this
patient? - CORRECT ANSWER - Responsibility and Accountability: Patient is at risk for
falling so it is the nurse's responsibility to promote safe, competent and ethical care for clients.
They are also responsible for educating the patient and patients family in educating the patient on
their disease
Competency Based Practice: Nurse should have knowledge regarding the disease and how to
handle the patient and their family emotionally and mentally. The nurse should assess the
patients understanding and take other things into consideration such as maintaining privacy
Client Focused: The nurse is to respect patient wishes. They need to promote patient safety since
the patient is at high risk of falling (bed at lowest level, bed rails up, call bell within reach,
promoting correct hygiene). The nurse needs to promote patient centered care. Document the
patient's response to treatment
Ethical Practice: Respect patient's beliefs and values (cultural awareness). Maintain patient
dignity and make sure patient is comfortable with care being provided. Never speak down to the
patient.
Cause of Parkinson's Disease - CORRECT ANSWER - loss of nerve cells in the part of
the brain, called the substantial nigra
Moderate Dementia - CORRECT ANSWER - middle stage of dementia, often the longest
stage of the disease. Brain damage causes a person to have difficulty expressing thoughts and
performing tasks daily.
moderate dementia cause/patho - CORRECT ANSWER - Dementia is caused by damage
to or loss of nerve cells and their connections in the brain
moderate dementia - Communication with client: - CORRECT ANSWER - Maintain eye
contact
