Cognitive Reflection Test (CRT) Practice

When assisting a client with Parkinson disease to ambulate, what advice should the nurse give?

1. Lean slightly forward for better balance

2. Avoid distractions while walking

3. Avoid leaning forward

4. Use a walker at all times

The correct answer is: Avoid leaning forward

The advice to avoid leaning forward is grounded in the understanding of how Parkinson's disease affects posture and balance. Individuals with this condition often experience a forward flexed posture due to muscle rigidity and bradykinesia, which can lead to an increased risk of falls. Encouraging clients not to lean forward helps them maintain a more upright position, promoting better balance and stability while ambulating. In contrast, leaning forward can exacerbate postural instability and make it more challenging to control movements, leading to potential accidents or injuries. While other options may have elements that could indirectly support ambulation, avoiding forward leaning directly addresses posture and balance, which are critical for safe movement in individuals with Parkinson's disease.