Certified Neuroscience Registered Nurse (CNRN) Practice Exam

What is the most common reason that people with multiple sclerosis (MS) stop working?

1. Physical impairment

2. Cognitive impairment

3. Psychosocial factors

4. Financial difficulties

The correct answer is: Cognitive impairment

The most common reason that individuals with multiple sclerosis (MS) stop working is cognitive impairment. This is significant because cognitive issues can have a profound impact on a person’s ability to perform job tasks effectively. Patients may experience challenges with memory, attention, and executive functioning, which can hinder their performance and confidence in the workplace. Cognitive impairment in MS is often subtle and may not be immediately recognized by the individual or their employer, but it can create difficulties in managing work-related responsibilities, multitasking, or processing information efficiently. Over time, these challenges can lead to decreased job performance, increased stress, and eventually, the decision to leave the workforce. While physical impairment, psychosocial factors, and financial difficulties are also relevant considerations, they tend not to be as predominant as cognitive issues in the context of employment cessation for many individuals with MS. Physical limitations often vary greatly among patients, and many can adapt their work environment or responsibilities. Psychosocial factors may impact individuals differently based on their personal support systems and resilience, and financial difficulties may provide motivation for individuals to remain in the workforce despite challenges. Therefore, cognitive impairment emerges as the leading reason for job cessation in individuals living with MS.