Nokea
This nurse has consequently completed the first step in what process?
- A. Establishing the pattern of inheritance
- B. Influencing the clients genetic future
- C. Answering the clients genetic questions
- D. Answering the clients relational questions
Correct Answer: A
Rationale: Nursing assessment of the patient's health includes obtaining and recording family history information in the form of a pedigree. This is a first step in establishing the pattern of inheritance. It does not directly answer questions or influence genetic outcomes.
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What is the nurses best response?
- A. We always get old medical records just in case we need them.
- B. This is just part of the due diligence that we practice here at the clinic.
- C. Your medical information is needed so we can provide the appropriate information and counseling to you.
- D. We need your medical records in case there is something about your medical history that you forget to tell us.
Correct Answer: C
Rationale: Nurses obtain patient consent to obtain medical records to ensure appropriate information and counseling, including risk interpretation, are provided. Vague responses like â??just in case' or â??due diligence' do not adequately explain the need for medical records.
To explain this concept adequately, the nurse must understand which of the following?
- A. That personalized medicine is, by definition, holistic
- B. That collaboration is essential in genomic medicine
- C. The ethical basis for genomic medicine
- D. The new technologies and treatments of genetic- and genomic-based health care
Correct Answer: D
Rationale: To meet the challenges of personalized medicine, nurses must understand the new technologies and treatments of genetic- and genomic-based health care. This knowledge is critical for explaining personalized medicine, which tailors treatments based on genetic information, beyond just ethics or collaboration.
What could the nurse do to disseminate information about screening to more individuals?
- A. Plan a health fair for the employees that provides information about screening for diseases that have an inheritance pattern.
- B. Refer each employee over the age of 50 to a gastroenterologist.
- C. Create a Web site on diet and exercise as it relates to the prevention of colon cancer in people over 50.
- D. Place brochures in the nurses facility for the employees to access in answering their questions.
Correct Answer: A
Rationale: The advantage of a health fair is that it will provide information on all age-related diseases and the prevention of disease, including those with genetic components like colon cancer. Referring all employees over 50 to a gastroenterologist is impractical, and a website or brochures may not reach as many people effectively as a health fair.
This model for presymptomatic testing is most likely being used to address what disease?
- A. Alzheimers disease
- B. Huntington disease
- C. Tay-Sachs disease
- D. Sickle cell disease
Correct Answer: B
Rationale: Huntington disease has served as the model for presymptomatic testing because the presence of the genetic mutation predicts disease onset and progression. This is not typically the case for Alzheimer's, Tay-Sachs, or sickle cell disease with current testing technologies.
For what health problem would a patient of African American heritage most likely have genetic carrier testing?
- A. Meckels diverticulum
- B. Sickle cell anemia
- C. Huntington disease
- D. Rubella
Correct Answer: B
Rationale: Assessing ancestry and ethnicity is important to help identify individuals who could benefit from genetic testing for carrier identification, such as African Americans routinely offered testing for sickle cell anemia. The other conditions are not specifically associated with African American heritage.