The nurse is having a conversation with an older adult with Parkinson's disease. What would this patient most likely exhibit during the conversation? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. A low-pitched monotone voice
2. Bubbly, spirited discussion
3. Jumbled words that do not make sense
4. Angry, loud talk
5. Slurring and poor articulation of words
1,5
Rationale 1: Voice amplitude and vocal articulation are affected by the neuromuscular effects of Parkinson's disease. The voice becomes very monotone with progression of the disease. Patients need to be reminded to speak loudly.
Rationale 2: The changes associated with Parkinson's disease may make the patient appear to lack emotion or have a depressed affect.
Rationale 3: Muscular ability may make speech difficult, but the patient will retain cognitive ability, so communication should make sense.
Rationale 4: The voice tends to become muffled and softer.
Rationale 5: Voice amplitude and vocal articulation are affected by the neuromuscular effects of Parkinson's disease.
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A) Dehydration B) Renal failure C) Hyperthermia D) Food poisoning
What strategy should a community health nurse use?
1. Increasing hospital utilization 2. Reducing the need for more healthcare practitioners 3. Eliminating the need for surgery 4. Improving access to care