A client diagnosed with a major depressive disorder (MDD) is concerned about his children inheriting a tendency to the same disorder. Before advising this client, the nurse should consider which factors?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Early-onset MDD is more likely to be heritable.
2. MDD that results in severe depression is more likely to be heritable.
3. There is no way to predict heritability without genetic studies.
4. When MDD recurs in the same client, the condition is more likely to be heritable.
5. MDD that requires more than one pharmacologic agent for adequate control is more likely to be heritable.


1,2,4
Rationale 1: Some presenting characteristics, such as early age of onset, seem to indicate a stronger chance of heritability.
Rationale 2: Severity is a factor that indicates a higher degree of heritability.
Rationale 3: Research into heritability has indicated that some conditions have a greater potential for transmission.
Rationale 4: Recurrence of MDD in the same individual indicates that the disorder is more likely to be transmitted.
Rationale 5: Research has not determined a relationship between heritability and the number of drugs required for control.

Nursing

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