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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.
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Based on this patients history, what recommendation should the nurse make at the present time?
- A. Instruct her to continue to try to get pregnant
- B. Let the patient know that her loss may not occur again
- C. Encourage her explore the possibility of chromosome testing studies
- D. Instruct her to have an amniocentesis with the next pregnancy
Correct Answer: C
Rationale: At the present time, the nurse should inform the woman about chromosome studies. Chromosome studies may be needed at any age, depending on the indication. Two common indications are a suspected diagnosis, such as Down syndrome, and a history of two or more unexplained pregnancy losses, which the woman has described. Instructing her to continue trying to get pregnant is redundant, and amniocentesis is a future consideration, not an immediate recommendation.
What should the nurse do?
- A. Call the patients brother and inform him of his risk for development of Alzheimers disease.
- B. Notify the geneticist and have him instruct the patient on his siblings and parents risk.
- C. Notify the siblings physicians about the patients risk for development of Alzheimers disease.
- D. Instruct the patient on the importance of notifying the siblings and keep his information confidential.
Correct Answer: D
Rationale: The nurse must honor the patient's wishes while explaining the potential benefit this information may have for other family members. Breaching confidentiality by contacting siblings or their physicians is unethical. Involving a geneticist may be helpful, but the primary action is to respect the patient's confidentiality while encouraging disclosure.
Based on the husbands statement, what nursing diagnosis most likely applies to the wife?
- A. Situational low self-esteem related to reluctance to have genetic testing
- B. Powerlessness related to results of genetic testing
- C. Ineffective health maintenance related to reluctance to have genetic testing
- D. Anxiety related to possible results of genetic testing
Correct Answer: D
Rationale: The husband's statement suggests that the wife is anxious or fearful of obtaining bad news from genetic testing. This aligns with a nursing diagnosis of anxiety, rather than low self-esteem, powerlessness, or ineffective health maintenance, which are less directly supported by the statement.
The nurse recognizes that this greatly increases the couples risk of what health problems?
- A. Diseases that have a multifactorial pattern of inheritance
- B. Diseases with autosomal recessive inheritance
- C. Autosomal dominant disease
- D. X-linked diseases
Correct Answer: B
Rationale: Consanguinity is a major risk factor for autosomal recessive diseases because related individuals share more genes, increasing the likelihood of both parents being carriers. This is less significant for multifactorial, autosomal dominant, or X-linked diseases.
What is nursings unique contribution to genomic medicine?
- A. Its physical assessment capabilities
- B. Its holistic perspective
- C. Its biopsychologic focus
- D. Its evaluation capabilities
Correct Answer: B
Rationale: The unique contribution of nursing to genomic medicine is its holistic perspective that takes into account each person's intellectual, physical, spiritual, social, cultural, biopsychologic, ethical, and esthetic experiences. This holistic approach is unique compared to other disciplines.