Based on her understanding of the etiologic risk factors for Parkinson’s disease, the PMHNP asks about family history and:
History of heavy drinking
History of smoking
Exposure to environmental toxins
Early childhood hypoxia
The Correct Answer is C
Choice A reason: Heavy alcohol consumption has not been consistently linked to an increased risk of Parkinson’s disease and is not considered a primary etiologic factor.
Choice B reason: Smoking has actually been associated with a lower risk of developing Parkinson’s disease in epidemiological studies, possibly due to neuroprotective effects of nicotine.
Choice C reason: Exposure to environmental toxins, such as pesticides or herbicides, is a recognized risk factor for Parkinson’s disease. These toxins can cause dopaminergic neuron damage, contributing to disease development.
Choice D reason: Early childhood hypoxia may contribute to neurological vulnerabilities but is not a primary recognized risk factor for Parkinson’s disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect because DSM-4 had already removed homosexuality as a psychiatric disorder in 1973, long before DSM-4 or DSM-5. Therefore, this does not represent a change between DSM-4 and DSM-5.
Choice B reason: This choice is incorrect because DSM-5 actually emphasizes consideration of psychosocial and contextual factors in diagnosis, rather than eliminating them. The assessment still incorporates these factors in clinical formulation.
Choice C reason: This choice is incorrect because DSM-5 eliminated the multiaxial system, which had five axes in DSM-4, and did not replace it with a two-axis system. The DSM-5 uses a single-axis approach with dimensional assessments.
Choice D reason: This choice is correct because DSM-5 removed the multiaxial assessment system that was used in DSM-4, which included five separate axes for diagnosis. This is one of the primary structural changes between the two editions.
Correct Answer is C
Explanation
Choice A reason: This response could be interpreted as accusatory or judgmental and does not provide educational value.
Choice B reason: Testing recommendations are not solely based on sexual activity; universal testing guidelines exist for adolescents to identify HIV early.
Choice C reason: CDC guidelines recommend routine HIV screening for individuals aged 13–64 at least once, regardless of perceived risk, making this the most accurate and informative response.
Choice D reason: Minimizing the information with a vague reassurance fails to educate the parent and could lead to misunderstanding the purpose of testing.
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