NCLEX PARKINSON DISEASE WITH
QUESTIONS AND WELL VERIFIED ANSWERS
[ALREADY GRADED A+]
Which symptom for a client with Parkinson disease (PD) is due to the lack of
automatic muscle movement?
A. Diminished voice volume
B. Reduced ability to swallow
C. Alterations in sleep pattern
D. Diminished physical mobility - ANS✔✔--Answer: C
Rationale: Alterations in sleep pattern may occur due to lack of automatic
muscle movement in a client with Parkinson disease. Reducing strenuous
activities near bedtime, limiting intake of caffeine, and providing a glass of milk
before bedtime are all examples of interventions that directly address issues
with sleep pattern. Reduced ability to swallow, diminished voice volume, and
diminished physical mobility are all related to dysfunction of voluntary muscle
movement.
The nurse is assessing an older adult client. Which finding should cause the
nurse to suspect the client has Parkinson disease (PD)? (Select all that apply.)
A. The client has hand tremors at rest.
, B. The client does not remember what he ate for breakfast.
C. The client's blood pressure increases when the client stands up.
D. The client has a slurred speech.
E. The client's facial expression shows no emotion. - ANS✔✔--Answer: A, B,
D, E
Rationale: PD causes slowed movements, including slurred speech. Tremors at
rest are very common in PD and easy to identify. Tremors may occur in the
hands, face, neck, lips, tongue, and jaw. PD causes a frozen, mask-like
expression (lack of affect). The client will not have an expression that is
consistent with the emotions the client is feeling. Memory loss occurs in
Parkinson disease because of the loss of neurons and other changes in the
brain. The client may develop dementia. Postural hypotension, not hypertension,
is a common manifestation in clients with PD. This is caused by damage to the
autonomic nervous system.
Which is the main pathology of Parkinson disease that causes changes in
muscular and sensory function?
A. Reduction of acetylcholine in the brain
B. Reduction of dopamine in the brain
C. Genetic predisposition
D. Presence of Lewy bodies - ANS✔✔--Answer: B
Rationale: The changes in muscular and sensory function in Parkinson disease
(PD) are caused by a decreased amount of dopamine in the brain, which in turn
increases, not reduces, the amount of acetylcholine. The presence of Lewy
bodies (abnormal aggregates of proteins) in the neurons is a characteristic of
PD, but it is unclear whether they are helpful or harmful. Although there is a
genetic link in approximately 15dash25% of cases, it is a risk factor rather than a
cause of PD manifestations.
QUESTIONS AND WELL VERIFIED ANSWERS
[ALREADY GRADED A+]
Which symptom for a client with Parkinson disease (PD) is due to the lack of
automatic muscle movement?
A. Diminished voice volume
B. Reduced ability to swallow
C. Alterations in sleep pattern
D. Diminished physical mobility - ANS✔✔--Answer: C
Rationale: Alterations in sleep pattern may occur due to lack of automatic
muscle movement in a client with Parkinson disease. Reducing strenuous
activities near bedtime, limiting intake of caffeine, and providing a glass of milk
before bedtime are all examples of interventions that directly address issues
with sleep pattern. Reduced ability to swallow, diminished voice volume, and
diminished physical mobility are all related to dysfunction of voluntary muscle
movement.
The nurse is assessing an older adult client. Which finding should cause the
nurse to suspect the client has Parkinson disease (PD)? (Select all that apply.)
A. The client has hand tremors at rest.
, B. The client does not remember what he ate for breakfast.
C. The client's blood pressure increases when the client stands up.
D. The client has a slurred speech.
E. The client's facial expression shows no emotion. - ANS✔✔--Answer: A, B,
D, E
Rationale: PD causes slowed movements, including slurred speech. Tremors at
rest are very common in PD and easy to identify. Tremors may occur in the
hands, face, neck, lips, tongue, and jaw. PD causes a frozen, mask-like
expression (lack of affect). The client will not have an expression that is
consistent with the emotions the client is feeling. Memory loss occurs in
Parkinson disease because of the loss of neurons and other changes in the
brain. The client may develop dementia. Postural hypotension, not hypertension,
is a common manifestation in clients with PD. This is caused by damage to the
autonomic nervous system.
Which is the main pathology of Parkinson disease that causes changes in
muscular and sensory function?
A. Reduction of acetylcholine in the brain
B. Reduction of dopamine in the brain
C. Genetic predisposition
D. Presence of Lewy bodies - ANS✔✔--Answer: B
Rationale: The changes in muscular and sensory function in Parkinson disease
(PD) are caused by a decreased amount of dopamine in the brain, which in turn
increases, not reduces, the amount of acetylcholine. The presence of Lewy
bodies (abnormal aggregates of proteins) in the neurons is a characteristic of
PD, but it is unclear whether they are helpful or harmful. Although there is a
genetic link in approximately 15dash25% of cases, it is a risk factor rather than a
cause of PD manifestations.
