Author Question: The nurse observes a client with Parkinson disease having difficulty controlling hand movements. ... (Read 74 times)

haleyc112 · **on:** Jul 23, 2018

The nurse observes a client with Parkinson disease having difficulty controlling hand movements. What did the nurse observe in this client?

Standard Text: Select all that apply.
1. Pill rolling
2. Tremor
3. Stooped posture
4. Lack of arm swing
5. Difficulty bending the arms

Question 2

The nurse is caring for a client in the middle phase of Alzheimer disease. Which symptoms is the client most likely to demonstrate?

Standard Text: Select all that apply.
1. Inability to remember eating breakfast
2. Stating that the year is 1950
3. Staring at bath basin and not sure what to do with a washcloth
4. Weight loss
5. Inability to walk

Dinolord · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2
Rationale 1: Pill rolling is a common behavior in progressive Parkinson disease in which the client rubs the thumb and forefinger together in a circular motion resembling the motion of rolling a tablet between two fingers.
Rationale 2: The hands develop a palsy-like continuous motion or shaking when at rest.
Rationale 3: A stooped posture would not influence the client's ability to control hand movements.
Rationale 4: A lack of arm swing does not influence the client's ability to control hand movements.
Rationale 5: Difficulty bending the arms does not influence the client's ability to control hand movements.
Global Rationale: Pill rolling is a common behavior in progressive Parkinson disease in which the client rubs the thumb and forefinger together in a circular motion resembling the motion of rolling a tablet between two fingers. The hands may also develop a palsy-like continuous motion or shaking when at rest when diagnosed with Parkinson disease. A stooped posture, a lack of arm swing, and difficulty bending the arms would not influence the client's ability to control hand movements.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: In the middle phase of the disease, recent memory loss occurs.
Rationale 2: In the middle phase of the disease, loss of orientation to time can occur.
Rationale 3: In the middle phase of the disease, changes in personal habits and increasing difficulty with self-care can occur.
Rationale 4: Weight loss is not a characteristic of the middle phase of this disease.
Rationale 5: Inability to walk is not a characteristic of the middle phase of this disease.
Global Rationale: In the middle phase of the disease, recent memory loss occurs along with a loss of orientation to time, and changes in personal habits and increasing difficulty with self-care. Weight loss and the inability to walk are not characteristics of the middle phase of this disease.