Disease test questions
and answers
The nurse is teaching a patient with Parkinson disease (PD) ways to
help reduce tremors during eating. Which recommendation is
appropriate?
Holding a piece of bread in the opposite hand while eating
rationale: To reduce tremors during eating, it can be recommended
that the patient with Parkinson disease (PD) hold a piece of bread in
the opposite hand or use purposeful movement.
A patient with Parkinson disease (PD) is having trouble swallowing
and is referred to a speech therapist. The patient asks, "Why do I
need to see a speech therapist?" Which answer from the nurse is
appropriate?
"A speech therapist will help you with strategies to facilitate
eating."
A patient with Parkinson disease (PD) is unable to communicate
because of a soft voice and poor facial muscle strength. The nurse
should request a referral to which member of the interdisciplinary
team?
Speech therapist
The caregiver of a patient with Parkinson disease tells the nurse
that, as the patient's disability increases, they exhibit more fear,
anxiety, and depression.
Which response by the nurse is appropriate?
"You can help to overcome these barriers by listening to the
patient's fears."
, Which type of therapy has been shown to improve the health-
related quality of life (HRQOL) of the patient with Parkinson
disease?
Dance therapy
rationale: Dance therapy has been shown to be safe and effective in
improving the health-related quality of life (HRQOL) of patients with
Parkinson disease. It can affect HRQOL in as little as 2 weeks and
improve HRQOL in individuals with severe or end-stage neurologic
disorders, with participants reporting significant improvements in
symptoms of anxiety, stress, and depression.
The nurse is conducting a physical assessment for a patient using
the Unified Parkinson's Disease Rating Scale (UPDRS). Which
statement should the nurse recognize as defining the purpose of
this tool?
Used to rate patients in multiple areas
rationale: The Unified Parkinson's Disease Rating Scale (UPDRS)
rates patients with Parkinson disease (PD) in 42 different areas in
the categories of mentation, behavior and mood, activities of daily
living, motor examination, and complications of therapy.
A patient is recently diagnosed with Parkinson disease (PD). Upset
with this diagnosis, the patient asks the nurse, "How did this
happen?" Which statement by the nurse represents the cause of PD?
"The cause of Parkinson disease is unknown."
The nurse is admitting a patient with Parkinson disease (PD). Which
clinical manifestation should the nurse consider consistent with PD
on assessment?
Hand tremors at rest
Which result should the nurse expect of an MRI or a CT scan of the
brain in a patient with Parkinson disease (PD)?
Normal
A patient is taking the decarboxylase inhibitor levodopa to help
control the manifestations of Parkinson disease (PD). The patient is
experiencing brief and sudden-onset periods of manifestations
followed by a return to improved function. What is the cause of this
sudden change in manifestations?