A client says, "I am so afraid I will develop Alzheimer disease like my dad." Which nursing responses are indicated?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "Alzheimer disease does tend to run in families."
2. "How old was your father when he was diagnosed?"
3. "Would you like information on the genetic testing that is available?"
4. "We believe that the development of Alzheimer disease is based on more than genetic transmission."
5. "We do have much better ways to diagnose and treat Alzheimer disease today."
2,3,4
Rationale 1: A clear pattern of inheritance is not evident in Alzheimer disease.
Rationale 2: There are two variants of Alzheimer disease. If the client's father was younger than age 60 there is some evidence that genetics is involved. For late-onset AD (after age 60–65), a genetic pattern is not evident.
Rationale 3: Genetic testing is available for early-onset AD.
Rationale 4: Alzheimer disease is thought to be multifactorial.
Rationale 5: While diagnosis has become slightly easier, treatment is still supportive and not curative.
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