QUESTIONS AND CORRECT ANSWERS
What are the key clinical manifestations of Parkinson’s disease that nurses should assess for
during patient evaluation? CORRECT ANSWERS
Parkinson’s disease commonly presents with tremors at rest, muscle rigidity, bradykinesia, and
postural instability. These symptoms progressively worsen and can interfere with daily
functioning. The nurse should observe gait, facial expression, and speed of movements carefully
to identify subtle progression. Early recognition of these signs assists in proper treatment
planning and patient education.
Explain the importance of administering Parkinson’s medications on a strict time schedule.
CORRECT ANSWERS
Parkinson’s medications, especially those affecting dopamine, must be given on time to maintain
stable therapeutic levels. Delays in medication can worsen symptoms such as tremors and
rigidity, affecting the patient’s mobility and safety. A consistent schedule helps prevent “off
periods” where symptoms suddenly return. Nurses play a crucial role in time-sensitive
medication administration to maintain the patient’s quality of life.
Describe the role of levodopa-carbidopa therapy in Parkinson’s disease management. CORRECT
ANSWERS
Levodopa provides the brain with a dopamine precursor, while carbidopa prevents early
breakdown of levodopa before it reaches the brain. This combination enhances dopamine levels,
helping to reduce symptoms like tremors and rigidity. However, long-term use may cause side
effects such as dyskinesia, which nurses must monitor. Patient education on dosage timing and
side effect reporting is essential for safe therapy.
Why is fall prevention a priority nursing intervention for patients with Parkinson’s disease?
CORRECT ANSWERS
Postural instability and slow movements increase the patient’s risk of falling. Falls can cause
fractures, head injuries, and hospitalization, reducing independence. Nurses should implement
, safety measures such as encouraging use of assistive devices and clearing obstacles. Continuous
monitoring and patient education help maintain mobility while preventing accidents.
Discuss how bradykinesia affects daily activities in Parkinson’s patients. CORRECT
ANSWERS
Bradykinesia refers to slowed movement, making tasks such as dressing, eating, and writing
difficult. This symptom can result in frustration and decreased independence. Nurses must allow
extra time for activities and encourage adaptive tools like slip-on clothing. Supportive care
promotes dignity and reduces emotional stress.
Explain the purpose of physical therapy in managing Parkinson’s disease. CORRECT
ANSWERS
Physical therapy helps improve mobility, posture, and overall muscle strength. Regular exercise
can slow the progression of motor symptoms and improve gait stability. Nurses should encourage
adherence to therapy sessions to enhance outcomes. Collaboration with rehabilitation specialists
supports long-term functional independence.
What is the significance of monitoring swallowing ability in patients with Parkinson’s disease?
CORRECT ANSWERS
Parkinson’s disease can weaken the muscles involved in swallowing, increasing the risk of
aspiration. Aspiration may lead to pneumonia, which is a serious complication. The nurse should
observe for coughing during meals, drooling, or difficulty chewing. Early dietary modifications
and speech therapy referral can improve safety.
Discuss how depression may affect patients with Parkinson’s disease. CORRECT
ANSWERS
Depression is common due to both neurochemical changes and the emotional burden of chronic
illness. It may decrease motivation, appetite, and adherence to medication or exercise routines.
Nurses should assess mood regularly and provide emotional support or referrals. Addressing
mental health improves overall well-being and treatment success.