Question 1

A parent says,&#34;I read that some states keep the blood sample from newborn screening and use it for other studies.Is this correct?&#34; How should the nurse respond?&#10;A)&#34;That is no longer the case.&#34;&#10;B)&#34;I can't believe that would occur.&#34;&#10;C)&#34;That has happened in some states.&#34;&#10;D)&#34;Why would you find that disturbing?&#34;

Accepted Answer

It is true that some states retain the blood sample from newborn screening for other studies, such as research on genetic disorders. However, the samples are anonymized, meaning personal information is removed, and consent is typically obtained from the parents. It is important for healthcare providers to inform parents about state policies and obtain their consent before conducting any additional studies.

Question 2

A client is aware that her pregnancy is complicated because the fetus has genetic abnormalities.The nurse would avoid which statement when discussing preparation for the baby's birth?&#10;A)&#34;You may wish to consider delivering your baby in a high-risk perinatal unit.&#34;&#10;B)&#34;Babies have been born for millions of years and we will get yours here safely,too.&#34;&#10;C)&#34;Let's talk about your plans for parenting your baby.&#34;&#10;D)&#34;Are you prepared for your baby to be transferred to a higher-level facility if necessary?&#34;

Accepted Answer

This statement minimizes the seriousness of the client's situation and could be perceived as dismissive of her concerns. It is important to acknowledge the client's worries and provide appropriate support and guidance.

Question 3

Before obtaining a client's signature on an informed consent form,the nurse would evaluate the client's level of understanding about which information?&#10;A)The projected time it will take to receive testing results&#10;B)The risks associated with having the testing performed&#10;C)The type of test or procedure being done&#10;D)The risks associated with not having the test done&#10;E)The estimated cost of the procedure

Accepted Answer

The nurse must ensure the client understands the risks associated with the test (B), the type of test or procedure (C), and the risks of not having the test (D) to provide informed consent.

Question 4

A 5-year-old has a disorder that may be genetically transmitted.The parents would like to have genetic testing performed,but the child refuses,saying,"I don't want to get stuck with a needle." What,if anything,is the ethical solution to this problem?

A)Have the testing done because the parents have requested it and the child is so young.
B)Do not perform the test because the child refuses.
C)Wait until the child is 8 years old and attempt to do the test at that time.
D)There is no clear answer to this ethical question.

Accepted Answer

The correct answer is D because there is no clear answer to this ethical question. The child's right to refuse medical treatment must be balanced against the parents' right to make decisions for their child.

Question 5

A couple is aware that a genetic condition frequently occurs in their families.They wish to have children without this condition,but do not want to know if they themselves have the gene for this late-developing illness.What are this couple's options for in vitro fertilization?

A)An embryo that does not have the genotype could be implanted.
B)The couple could request that they not be told if any of the embryos not implanted had the genotype of concern.
C)They could have multiple embryos placed during in vitro fertilization and hope that the one without the specific genotype is strongest and therefore implants.
D)They could have in vitro fertilization with donor eggs and sperm without the genotype.
E)No options exist for this situation with today's technology.

Accepted Answer

A) Preimplantation genetic diagnosis (PGD) allows for the selection of embryos without the genetic condition before implantation. B) The couple can choose not to receive information about the genotypes of embryos not used for implantation. D) Using donor eggs and sperm that do not carry the genetic condition is another way to avoid passing the condition to the child.

Question 6

A client's genetic testing reveals that he is a carrier for a disease.Which individuals would have the greatest personal health interest in this fact?&#10;A)The client's father&#10;B)The client's mother&#10;C)The client's siblings&#10;D)The client's wife&#10;E)The client's children

Accepted Answer

The answer of A client's genetic testing reveals that he...

Question 7

A father does not want to give consent for genetic testing for his newborn.Which statement by the father would be difficult for the nurse to dispute?&#10;A)&#34;I'll take care of him no matter what happens.&#34;&#10;B)&#34;The chances of his having a genetic problem are minuscule.&#34;&#10;C)&#34;These genetic diseases are not contagious,so it's not as if he could give one to someone else.&#34;&#10;D)&#34;By the time he gets old enough to have kids they will have figured out how to fix all these diseases.&#34;

Accepted Answer

The answer of A father does not want to give...

Question 8

Routine newborn screening reveals that an infant has a genetic defect.In which situation does a potential legal issue arise?&#10;A)The mother says,&#34;I didn't give my permission for any genetic testing.&#34;&#10;B)The father says,&#34;I think my uncle had a genetic problem.&#34;&#10;C)The mother says,&#34;Would you write down exactly which test my baby did not pass?&#34;&#10;D)The father says,&#34;Can I hold my baby now?&#34;

Accepted Answer

In this situation, a potential legal issue arises because the mother did not give her permission for genetic testing. Without informed consent, the testing may be considered a violation of the mother's rights and could lead to legal action.

Question 9

Which client statements does the nurse recognize as common concerns about genetic testing?&#10;A)&#34;I am afraid the needle stick will hurt my baby.&#34;&#10;B)&#34;I am afraid that I will not be able to get health insurance for my baby if there is a genetic problem.&#34;&#10;C)&#34;I am afraid my health insurer will make the rest of the family get tested if something shows up on the baby's test.&#34;&#10;D)&#34;I don't think I could stand it if I knew something was wrong with my baby.&#34;&#10;E)&#34;If we find out something is wrong,we won't be able to afford treatment.&#34;

Accepted Answer

These statements reflect common concerns about genetic testing, including fears about insurance discrimination (B), privacy and implications for family members (C), emotional distress from adverse results (D), and financial concerns related to treatment (E). Concern about the pain of a needle stick (A) is not specifically related to genetic testing concerns but rather a general concern about procedures.

Question 10

When providing care for clients who must make complex genetic decisions,what is the nurse's most important action?&#10;A)Do not compromise personal ethics.&#10;B)Obtain informed consent for all procedures.&#10;C)Provide personalized and nonjudgmental care.&#10;D)Assure that the clients are provided with the most current information to make decisions.

Accepted Answer

The nurse's most important action is to provide personalized and nonjudgmental care, ensuring that clients feel supported and respected in their decision-making process.

Question 11

Which person should obtain the client's signature on the informed consent document?&#10;A)The clinic's business office manager&#10;B)The registered nurse who manages intake and dismissal for the clinic&#10;C)The technician who draws the client's blood sample&#10;D)The health care provider who assessed the client's understanding of the testing

Accepted Answer

The answer of Which person should obtain the client's signature...

Question 12

A client's genetic testing reveals she is a carrier for a serious illness.Which statement indicates that an ethical dilemma is arising?&#10;A)&#34;I would like to have my young children tested.&#34;&#10;B)&#34;I really don't care if my sister develops this disease.&#34;&#10;C)&#34;I wonder if this is the same disease that killed my grandfather.&#34;&#10;D)&#34;Could this condition be the reason I miscarried two babies before my son was born?&#34;

Accepted Answer

The answer of A client's genetic testing reveals she is...

Question 13

A hospital has implemented a policy whereby parental consent is required before a PKU test is drawn.The laboratory technician says,"I don't see why we need a special consent for a PKU.It is a blood test just like a potassium level." How should the nurse respond?

A)"I don't understand either,but we should follow the rules."
B)"Isn't a PKU more expensive to run than simple tests like potassium levels?"
C)"PKU is a genetic test,which is different from a simple electrolyte level."
D)"Before long we will have to get consent for each test we draw."

Accepted Answer

The answer of A hospital has implemented a policy whereby...

Question 14

A nurse has a very strong personal belief that elective abortion is wrong.He is providing care to a client whose fetus has been diagnosed with a serious genetic anomaly and who is considering terminating the pregnancy.What should the nurse do?

A)Help the client see that this is the wrong choice.
B)Continue to care for the client as if there is no conflict of belief systems.
C)Ask the nurse manager for an alternate client assignment.
D)Tell the client that he cannot be a part of taking a life,so he has asked for a transfer.

Accepted Answer

The answer of A nurse has a very strong personal...

Question 15

A client is aware that she has a genetic condition that might be inherited by future children.She and her husband want children and ask the nurse what options are available.How should the nurse respond?

A)"There are no options for you other than to take your chances."
B)"You could use a donor egg fertilized with your husband's sperm to get pregnant."
C)"You are young,so you might wait a few years to see if a cure for this disease is discovered."
D)"You might consider adopting a child."
E)"You should just get accustomed to the fact that you are never going to be parents."

Accepted Answer

The answer of A client is aware that she has...

Deck 9: Ethical, Legal, Social Implications of the Human Genome Project