A female client has recently been diagnosed with bipolar disorder. Her husband asks if there is any possibility that the disease has been transmitted to their children. What is the best nursing response?
1. "Only if there is another person in your wife's ancestry who was diagnosed with this disorder."
2. "Does your wife have a twin with this disorder?"
3. "Your children's risk for developing this disorder is higher than that of the general population."
4. "We believe so, but there is no research to support our anecdotal observations."
3
Rationale 1: The presence of a relative with bipolar disease is not a necessary component.
Rationale 2: The presence of a twin with this disorder is not pertinent to the husband's question.
Rationale 3: Research has demonstrated that the risk of developing bipolar disorder is significantly higher in persons with a first-degree relative who has the disorder.
Rationale 4: There are both anecdotal observations and scientific research that support the presence of a higher risk of bipolar disorder in this couple's children.
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