INPA #1 UPDATED ACTUAL Questions and CORRECT Answers

INPA #1 UPDATED ACTUAL Questions
and CORRECT Answers
Definition of Parkinson's - CORRECT ANSWER - Progressive neurological disorder
causing degeneration of neurons causing decreased amount dopamine in the brain


Parkinson's: correlation to other diagnoses - CORRECT ANSWER - Connection to
schizophrenia (high dopamine)
- Hallucinations


Parkinson's: Risk factors - CORRECT ANSWER - Falling
Choking


Parkinson's: how to diagnose - CORRECT ANSWER - -Nothing can definitely diagnose
-Combination of neurological exam, response to dopamine therapies
-DaTscan to measure brain dopamine sys.
-Blood tests,
-Genetic testing,
-Diagnostic imaging / scanning (CT , MRI, PET)
-Eliminating other disorders : ie) brain tumors


Parkinson's: cause - CORRECT ANSWER - -Neurons in the brain gradually break down
or die
-Dopamine levels decrease
causes irregular brain activity,
-The messages are not able to reach muscles


Parkinson's: signs and symptoms - CORRECT ANSWER - Difficulty initiating
movements

, "Pill rolling" tremor in hand
Postural instability (stooped posture)
Parksonian gait (shuffled walk, small steps)
Loss of facial expressions
Dysphagia / dysphagia
Poor fine motor control


Parkinson's treatment - CORRECT ANSWER - -There's no cure, but there's treatments
that can improve symptoms
-Certain medications can help reduce the symptoms of parkinson's
-(Carbidopa-levodopa)
-Deep brain stimulation (DBS)
-Surgically inserts thin metal wires into brain with electrical pulses to brain to reduce the
symptoms
-Physiotherapy


parkinson's nursing interventions - CORRECT ANSWER - Performing ROM to improve
mobility
Assisting in ADL
Assistance in feeding and bathing
Education:
(drug therapies management)
(Support groups)
(Resources)
Extra time
Swallowing exercises
Speech therapy


Parkinson's: Interdisciplinary action - CORRECT ANSWER - Speech language