What should the nurse inform a client newly diagnosed with multiple sclerosis about the disease course?

The correct response highlights that acute episodes of multiple sclerosis (MS) are typically followed by periods of remission. MS has a variable disease course that often includes relapsing forms where patients experience flare-ups of symptoms—known as relapses or exacerbations—followed by periods of recovery where symptoms may significantly reduce or even disappear entirely. This characteristic of alternating between exacerbations and remissions is a hallmark of the relapsing-remitting form of multiple sclerosis, which is the most common initial presentation of the disease.

Understanding this pattern is crucial for the patient as it helps frame their expectations about symptoms and potential recovery. Early education about the nature of these episodes can empower patients with knowledge about managing their condition and recognizing when to seek medical attention.

The other options do not represent the disease trajectory or related aspects accurately. For instance, the assertion that MS consistently worsens without any remissions overlooks the relapsing nature of many patients' experiences. The claim that it only affects physical abilities fails to consider the wide range of neurological and cognitive symptoms that can affect emotional and mental health. Finally, the statement regarding symptoms beginning in adolescence leading to a poor prognosis does not universally apply; while early onset can be associated with a more aggressive form, this is not a definitive