During the nurse's assessment of a client with known Parkinson disease, the onset of which finding would be cause for concern?
1. Masklike expression
2. "Pill-rolling" motion of the fingers
3. Confusion
4. Frequent falls
Correct Answer: 3
Rationale 1: A masklike expression is a typical sign of Parkinson disease.
Rationale 2: Pill-rolling is a typical finding in the client with Parkinson disease.
Rationale 3: Confusion is not a sign typically seen in clients with Parkinson disease and would alert the nurse that further investigation into the cause of the confusion is warranted.
Rationale 4: Frequent falls can occur in the client with Parkinson disease because of postural instability.
Global Rationale: Confusion is not a sign typically seen in clients with Parkinson disease and would alert the nurse that further investigation into the cause of the confusion is warranted. A masklike expression and pill-rolling are typical signs of Parkinson disease. Frequent falls can occur in the client with Parkinson disease because of postural instability.
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