The nurse is having a conversation with an older adult with Parkinson disease. What speech patterns would this patient most likely exhibit during conversation with the nurse?
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
Correct Answer: 1, 5
Voice amplitude and vocal articulation is affected by the neuromuscular effects of Parkinson disease. The voice becomes very monotonous with progression of the disease; patients will exhibit slowed speaking patterns and will have difficulty articulating clearly. Patients will need to be reminded to speak loudly. Muscular ability may make communication difficult, but the patient will retain cognitive ability, so communication should make sense. The patient with Parkinson disease will not have a bubbly spirited discussion, sound angry, or have a loud voice.
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