Author Question: The nurse observes a patient with Parkinson's disease having difficulty controlling hand movements. ... (Read 71 times)

cnetterville · **on:** Jul 23, 2018

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

1. Pill rolling
2. Tremor
3. Stooped posture
4. Lack of arm swing
5. Difficulty bending the arms

Question 2

A patient is diagnosed with multiple sclerosis. What symptoms will the nurse most likely assess in this patient?

1. Muscle weakness
2. Difficulty maintaining balance
3. Atrophy of the hands and legs
4. Slow shuffling gait
5. Progressive chorea

tennis14576 · **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's disease in which the patient 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 patient's ability to control hand movements.
Rationale 4: A lack of arm swing does not influence the patient's ability to control hand movements.
Rationale 5: Difficulty bending the arms does not influence the patient's ability to control hand movements.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: Muscle weakness is a manifestation of multiple sclerosis.
Rationale 2: Difficulty maintaining balance is a manifestation of multiple sclerosis.
Rationale 3: Atrophy of the hands and legs is not a manifestation of multiple sclerosis.
Rationale 4: A slow shuffling gait is not a manifestation of multiple sclerosis.
Rationale 5: Progressive chorea is not a manifestation of multiple sclerosis.