Which instruction would the nurse provide to the caregivers of a patient with Parkinson's disease to prevent the enhancement of tremors? "Include bulk in the patient's diet plan." "Cut the patient's food into bite-size pieces." "Keep the patient in a stress-free environment". "Encourage the patient's self-maintenance activities."

To prevent the enhancement of tremors in a patient with Parkinson's disease, it's essential to minimize factors that can exacerbate these symptoms. **Stress is a significant trigger for tremors**, so maintaining a calm and stress-free environment is crucial. **Correct Instruction:** - **"Keep the patient in a stress-free environment."** **Explanation of Other Options:** 1. **"Include bulk in the patient's diet plan."** - This is important for preventing constipation, a common non-motor symptom in Parkinson's, but it doesn't directly influence tremors. 2. **"Cut the patient's food into bite-size pieces."** - This aids in managing swallowing difficulties (dysphagia) that some Parkinson's patients experience, but it doesn't specifically address tremor control. 3. **"Encourage the patient's self-maintenance activities."** - Promoting independence can improve overall well-being but isn't directly related to managing tremors. By ensuring a stress-free environment, caregivers can help minimize one of the key factors that may worsen tremors in Parkinson's disease patients. **Answer:** Keep the patient in a stress-free environment.