Practice Question
A nurse is assessing a client who has Parkinson's disease. Which of the following findings should the nurse expect?
Answer Choices:
Correct Answer:
Hypophonia
Rationale:
🟢Hypophonia (soft, reduced‑volume, often monotone speech) stems from bradykinesia/rigidity affecting laryngeal, respiratory, and articulatory muscles in Parkinson’s disease.
🟢 It accompanies other motor features—rest tremor, rigidity, postural instability—reflecting dopaminergic neuron loss in the substantia nigra pars compacta.
🟢 Communication is impacted by reduced facial expressivity (hypomimia) and micrographia, compounding social withdrawal and caregiver burden.
🟢 Speech‑language therapy—notably LSVT LOUD—can increase vocal loudness and intelligibility; cueing strategies and assistive amplification may help.
🟢 Monitoring for dysphagia is crucial, as bulbar muscle involvement raises aspiration risk and nutrition concerns.
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This question is from RN CONCEPT-BASED ASSESSMENT LEVEL 3 WITH NGN which contains 140 questions.
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From Exam
RN CONCEPT-BASED ASSESSMENT LEVEL 3 WITH NGN
140 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Concept-Based Assessment Level Exam(s)
- Answer Choices: 4