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
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.
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