A young adult client complains of blurred vision and muscle spasms that have come and gone over the past several months. On what information from the client's history should the nurse focus to help identify the specific problem?
A) Family history of Parkinson disease
B) Family history of epilepsy
C) Is an immigrant from Germany
D) Has been depressed
Answer: C
The client is exhibiting symptoms of multiple sclerosis (MS). MS is primarily a disease of people of northern European ancestry, such as a client of German descent. The onset of multiple sclerosis is usually between the ages of 20 and 50, with the peak at age 30. Family history of epilepsy, Parkinson disease, and depression are important items of the client's history but do not support a diagnosis of MS.
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