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Weathering the Storm: Living With Parkinson's Disease

doi: 10.1097/CNJ.0b013e3182148f2b
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Weathering the Storm: Living With Parkinson's Disease


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  • Read the article on pages 76–82.
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The author has disclosed that she has no financial relationships related to this article.

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General Purpose Statement

To familiarize nurses with Parkinson's disease (PD), treatment, and a study designed to explore the experiences of patients living with PD.

Learning Objectives

After reading this article and taking this test, the nurse will be able to:

  1. Identify the etiology, assessment, and treatment of PD.
  2. Outline the methodology, results, and implications of the study.

1. The primary risk factor for PD is

a. smoking.

b. alcohol use.

c. female gender.

d. older age.

2. Symptoms of PD result from insufficient

a. sodium.

b. potassium.

c. calcium.

d. dopamine.

3. All are cardinal signs of PD except

a. increased voluntary movement.

b. rigidity.

c. resting tremor.

d. postural instability.

4. Freezing results in difficulty

a. stopping movements.

b. starting or continuing movements.

c. with memory.

d. with concentration.

5. Patients who are independent but have postural imbalance are classified in which stage of PD?

a. Stage I

b. Stage II

c. Stage III

d. Stage IV

6. Diagnosis of PD is based on

a. clinical findings and response to treatment.

b. brain biopsy.

c. brain CT.

d. brain MRI.

7. Which drug has been the mainstay of treatment for PD?

a. carbidopa

b. levodopa

c. benserazide

d. prolopa

8. Treatment goals for PD are aimed at alleviating symptoms and

a. reducing medication side effects.

b. slowing the progression of the disease.

c. maintaining independent function.

d. providing palliative care.

9. Which research design was used for this study?

a. reflective

b. observational

c. biographic

d. ethnographic

10. Research has shown that life expectancy for people with PD is

a. shorter, related to illness complications.

b. comparable to those without PD.

c. depends on how quickly the disease progresses.

d. related to their stage of disability.

11. The metaphor "sailing the seas in the eye of the storm" represents

a. the illness experience of people with PD.

b. day-to-day living with PD.

c. the healthcare challenges of PD.

d. the lifestyle challenges of PD.

12. Which statement is correct about how participants described a typical day?

a. Each day was predictable.

b. The disease progressed slowly each day.

c. The disease progressed quickly each day.

d. There was no typical day.

13. Which theme described the "traveler's voyage?"

a. sailing the seas

b. the eye of the storm

c. reconstruction of the self

d. daily negotiations in the midst of uncertainty

14. The study found reconstructing the identity of the self in patients with PD required

a. attending support groups.

b. communicating with family.

c. educating themselves about the disease.

d. releasing aspects of the former self.

15. Surrendering to the disease means

a. giving up.

b. denying life.

c. acceptance.

d. hope.

16. What percentage of study participants indicated a strong faith in God?

a. 50%

b. 66%

c. 75%

d. 100%

17. Which finding was unique to the study presented in this article?

a. paradoxical balancing in preserving and maintaining self

b. paradoxical balancing in maintaining family

c. importance of spirituality

d. importance of psychological counseling

18. Which of the following does the study suggest as important to assess and support in patients with PD?

a. social interactions

b. cultural diversity

c. spirituality

d. coping skills



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