The patient's family asks whether a diagnosis of Parkinson's disease creates an increased risk for any mental health issues. What question would the nurse ask to assess for such a comorbid condition?
a. "Has your father exhibited any signs of depression?"
b. "Does your father seem to experience mood swings?"
c. "Have you noticed your father talking about seeing things you can't see?"
d. "Is your dad preoccupied with behaviors that he needs to repeat over and over?"
ANS: A
Serotonin and its close chemical relatives, dopamine and norepinephrine, are the neurotrans-mitters that are most widely involved in various forms of depression. Most researchers agree that the immediate cause of parkinsonism is a deficiency of dopamine and so a patient with Parkinson's disease should be monitored for depression, The other mental health disorders (bipolar disorder, hallucinations, and obsessive compulsive disorder) have not been connected to Parkinson's disease.
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