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    Ati med surg gerontology proctored exam

    A new nurse in a long-term care facility is caring for a client diagnosed with Parkinson's disease (PD). The nurse should note that which one of the following actions is likely to be observed during the assessment?

    Explanation & Rationale

    A. Resting hand tremors: A classic sign of Parkinson’s disease is a “pill-rolling” resting tremor, which typically diminishes with voluntary movement. This occurs due to dopamine depletion in the basal ganglia, making it one of the most recognizable features during assessment. B. Fast movements: Parkinson’s disease is characterized by bradykinesia, or slowness of movement, rather than fast movements. Patients often struggle to initiate motion, and their overall mobility is reduced. C. Frequent movement: Instead of frequent or excessive movement, Parkinson’s patients typically show decreased motor activity. Movements become slow and difficult to initiate, which contributes to impaired daily functioning. D. Changing facial expression: Parkinson’s disease often causes a “mask-like” facial expression, where facial muscles become stiff and expressionless. Rather than frequent changes, the face typically shows reduced emotional expressiveness.

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