A patient learning that her newborn baby has a genetic disorder tells the nurse that it was because a stranger gave her baby the evil eye. What should this information suggest to the nurse?
1. The patient's culture supports the notion that a stranger looking at the baby caused the disorder.
2. The patient needs psychiatric counseling.
3. The patient is not going to be a good mother since she permits strangers around the baby.
4. Healthcare dollars should not be spent trying to change this patient's opinion of why the baby has a genetic disorder.
Question 2Through testing, a patient learns of a genetic disease that he has inherited from his parents, yet none of his other siblings have inherited the same disease.
The patient tells the nurse that he has always believed his parents didn't want him and now he has proof. What should the nurse counsel this patient?
1. Suggest the patient talk with a counselor to discuss the results of the test and future options.
2. Ask the patient if he has ever discussed his thoughts and fears with his parents.
3. Encourage the patient to talk with his siblings about the illness and ask them for help now before he has manifestations of the disease.
4. Remind the patient that genetic testing is inconclusive, and there is a great chance that the results are wrong.
Question 3A patient planning to have genetic testing prior to having children tells the nurse that she is fearful that too many people will learn about the test. How should the nurse respond to this patient?
1. The results of the tests are confidential and no one can have the results without your permission.
2. Most insurance companies will want the results before paying for the tests.
3. The results will be available to anyone who reviews your medical record.
4. The doctor will most likely use the results when planning care and treatment for other patients with the same genetic disorder.
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