A 55-year-old female tells the nurse that she is noticing a slight tremor of her left hand when at rest. The client is concerned that she has Parkinson's disease since her mother had the illness and passed away because of respiratory failure
Which of the following should the nurse respond to this client? 1. "It is unlikely that you have the same illness as your mother.".
2. "Having a first-degree relative with the illness can increase your chance of developing it as well.".
3. "You probably do not have it since your mother was probably exposed to a toxin that caused the disease.".
4. "You should not worry, since it has a higher prevalence in males.".
2. "Having a first-degree relative with the illness can increase your chance of developing it as well.".
Rationale:
Inheritance may influence the risk of Parkinson's disease with first-degree relatives of patients being twice as likely to develop the disease as those without a first-degree relative with the disease. 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's disease occurs equally in males and females. Two percent of adults over age 65 have the diagnosis.
You might also like to view...
A patient with chronic pain informs the nurse that he will not take codeine because it makes him constipated. What teaching should be done with this patient?
A) Discuss another form of pain control. B) Constipation will lessen with regular use of codeine. C) Use a stool softener with the codeine to prevent constipation. D) Stool regularity should not replace adequate pain control.
Each evening, a newly disabled man becomes angry when his wife, just home from her new full-time job, does not have dinner on the table at 6 PM. Which of the following actions would be most appropriate for the nurse to take?
a. Allow the wife to express her frustration and anger to you b. Explain to the husband that he is going to have to begin learning how to cook c. Help all family members recognize that long-time roles are being changed and change is uncomfortable for everyone d. Suggest to the children who are old enough that they prepare some simple meals during the week with the mother doing the fancy cooking only on weekends
Your client, a right-handed woman with right-sided hemiplegia, needs to be dressed for the day. All team members are tied up with a new admission. You should:
1. call the physical therapist to dress the client. 2. call an aide to dress the client. 3. help the client dress, remembering to dress the stronger side first. 4. help the client dress, remembering to dress the weaker side first.
The nurse is teaching staff about the most common cause of Down Syndrome. What is the nursing describing?
A) Paternal nondisjunction B) Maternal translocations C) Maternal nondisjunction D) Paternal translocations