A nurse completes pedigree charts for clients at a community health center. Which diagnosis should the nurse refer for carrier genetic testing? (Select all that apply.)
a. Huntington disease
b. Breast cancer
c. Hemophilia
d. Colorectal cancer
e. Sickle cell disease
f.
Cystic fibrosis
Question 2A nurse cares for a client who recently completed genetic testing that revealed that she has a BRCA1 gene mutation. Which actions should the nurse take next? (Select all that apply.)
a. Discuss potential risks for other members of her family.
b. Assist the client to make a plan for prevention and risk reduction.
c. Disclose the information to the medical insurance company.
d. Recommend the client complete weekly breast self-examinations.
e. Assess the client's response to the test results.
f.
Encourage support by sharing the results with family members.
Question 3A nurse cares for a client who recently completed genetic testing and received a negative result. The client states, I feel guilty because so many of my family members are carriers of this disease and I am not. How should the nurse respond?
a. You are not genetically predisposed for this disease but you could still become ill. Let's discuss a plan for prevention.
b. Since many of your family members are carriers, you should undergo further testing to verify the results are accurate.
c. We usually encourage clients to participate in counseling after receiving test results. Can I arrange this for you?
d. It is normal to feel this way. I think you should share this news with your family so that they can support you.
Question 4A nurse cares for a pregnant client who has a family history of sickle cell disease. The client is unsure if she wants to participate in genetic testing. What action should the nurse take?
a. Provide information about the risks and benefits of genetic testing.
b. Empathize with the client and share a personal story about a hereditary disorder.
c. Teach the client that early detection can minimize transmission to the fetus.
d. Advocate for the client and her baby by encouraging genetic testing.
Question 5A nurse cares for a client who has a specific mutation in the a1AT (alpha1-antitrypsin) gene. Which action should the nurse take?
a. Teach the client to perform monthly breast self-examinations and schedule an annual mammogram.
b. Support the client when she shares test results and encourages family members to be screened for cancer.
c. Advise the client to limit exposure to secondhand smoke and other respiratory irritants.
d. Obtain a complete health history to identify other genetic problems associated with this gene mutation.
Question 6A nurse cares for a client who has a genetic mutation that increases the risk for colon cancer. The client states that he does not want any family to know about this result. How should the nurse respond?
a. It is required by law that you inform your siblings and children about this result so that they also can be tested and monitored for colon cancer.
b. It is not necessary to tell your siblings because they are adults, but you should tell your children so that they can be tested before they decide to have children of their own.
c. It is not required that you tell anyone about this result. However, your siblings and children may also be at risk for colon cancer and this information might help them.
d. It is your decision to determine with whom, if anyone, you discuss this test result. However, you may be held liable if you withhold this information and a family member gets colon cancer.