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 C
Explanation
Choice A reason: Fright syndromes typically involve transient anxiety and sadness but do not include the physical manifestations associated with Khayal.
Choice B reason: Weakness of the nervous system, such as neurasthenia, is associated with chronic fatigue and somatic complaints but does not reflect the acute episodic presentation of Khayal.
Choice C reason: Khayal is a Cambodian culture-bound syndrome characterized by a wind attack or sudden anxiety episode with physical symptoms, including tinnitus, palpitations, and neck soreness. It resembles a panic attack culturally contextualized.
Choice D reason: Excessive rumination or “thinking too much” is associated with some African or Caribbean syndromes but does not describe Khayal.
Correct Answer is B
Explanation
Choice A reason: Low-dose aspirin is used for preeclampsia prevention during pregnancy, not for acute postpartum hypertension with severe symptoms.
Choice B reason: Magnesium sulfate is the treatment of choice for preventing seizures in postpartum preeclampsia or eclampsia and managing severe symptoms such as headaches, blurred vision, and upper abdominal pain.
Choice C reason: Lorazepam is an anxiolytic and anticonvulsant but is not first-line therapy for preeclampsia or eclampsia.
Choice D reason: Lactated Ringer's solution is a supportive fluid but does not address the underlying risk of seizures or severe hypertension.
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