A middle-aged client states to the nurse, "I have noticed a slight tremor of my left hand when at rest. I think I might have Parkinson disease because my mother had it and passed away because of respiratory failure."
Which response by the nurse is the most appropriate?
A) "Having a close relative, such as your mother, with the illness can increase your chance of developing it as well."
B) "You should not worry, as it has a higher prevalence in males."
C) "It is unlikely that you have the same illness as your mother."
D) "You probably do not have it, as your mother was probably exposed to a toxin that caused the disease."
Answer: A
In a few individuals, Parkinson disease (PD) is inherited; approximately 15% to 25% of individuals with PD have a relative with PD. The nurse should not tell the client that it is unlikely she has the same illness as her mother. Exposure to toxins is one theory for the development of the illness; however, the nurse has no way of knowing if the client's mother was exposed to toxins or if that was the cause for the disease. Parkinson disease occurs equally in males and females. Two percent of adults over age 65 have the diagnosis.
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