Question 1

Genetic testing has revealed that a family has a strong predisposition to a disease that occurs late in life.What ethical dilemmas does the nurse recognize as resulting from this information?&#10;A)Should the children be screened for this disease?&#10;B)Should the children be allowed to make their own decision about testing?&#10;C)Should the testing be considered reliable?&#10;D)Should other adult members of the family be informed?&#10;E)Should testing be repeated?&#10;

Accepted Answer

The ethical dilemmas include whether children should be screened for the disease, considering the implications of knowing their genetic predisposition at a young age (A); whether children should have autonomy in deciding about their testing, respecting their rights and maturity to make such decisions (B); and whether other adult family members should be informed, balancing the right to privacy with the potential benefits of knowing their risk (D).

Question 2

While instructing a client on filling in a family history,the nurse says,"Don't include anyone who is not a blood relative in your history.They aren't family." What unintended message is the nurse sending?

A)Only people who are related by blood have an influence on a client's genetics.
B)People who are not related by blood have no influence on the client's health.
C)The client's nonblood relatives are not family.
D)Nonblood relatives are not important.

The client's nonblood relatives are not family.

Accepted Answer

The nurse is sending the unintended message that the client's non-blood relatives are not considered family.

Question 3

What is the nurse's primary role on the interdisciplinary health care team treating clients with genetic disorders?&#10;A)Ordering genetic testing&#10;B)Analyzing genetic testing results&#10;C)Assuring open and accurate communication among team members&#10;D)Making certain financial resources are used appropriately&#10;

Accepted Answer

The nurse's primary role on the interdisciplinary health care team is to promote open and accurate communication among team members to ensure effective treatment of clients with genetic disorders. While ordering genetic testing and analyzing genetic testing results may be part of the nurse's role, it is not the primary role. Ensuring appropriate financial resources are used may be important, but it is not the primary role of the nurse on the team.

Question 4

The husband of a woman with early-onset Alzheimer disease asks the nurse about using a family health history website to create a pedigree.Which information should the nurse consider when formulating a reply?

A)Research has shown such websites to be a valuable tool for all ages.
B)Such websites are expensive and difficult to use.
C)Research has shown health promotion benefits in pediatric clients.
D)The biggest benefit of using this tool is the time saving for the nurse who will not have to ask family history questions.

Accepted Answer

Research has shown that using family health history websites to create a pedigree can have health promotion benefits, particularly in pediatric clients. These tools can help in identifying genetic predispositions and facilitate early interventions or preventive measures. While the question specifically mentions early-onset Alzheimer's disease, the principle of using such tools for health promotion can be applicable across various age groups and conditions, but the evidence mentioned is specific to pediatric clients.

Question 5

The medical geneticist often describes treatment options and prognosis in medical terms when speaking to families.How should the nurse advocate for these families?&#10;A)When the geneticist starts using medical terminology,interrupt with,&#34;Please describe this so the family can understand.&#34;&#10;B)Write down what the geneticist says so the clients will have a copy.&#10;C)Stay with the family after the geneticist leaves to interpret.&#10;D)Prepare the family with a list of common medical terms used to explain the disorder.&#10;

Accepted Answer

Staying with the family after the geneticist leaves to interpret can help ease their confusion and give them a chance to ask questions and clarify any medical terminology. It allows the nurse to be a supportive and helpful advocate for the family.

Question 6

A child has been diagnosed with Fragile X syndrome.When the parents are given the diagnosis,which typical initial response does the nurse anticipate?&#10;A)&#34;I want to be tested to see if I have it as well.&#34;&#10;B)&#34;I knew something was not right.&#34;&#10;C)&#34;I wish we had not had children.&#34;&#10;D)&#34;What could we have done to prevent it?&#34;&#10;

Accepted Answer

It is common for parents to have a sense that something may be different about their child before receiving a diagnosis. This response indicates that they were aware of potential challenges and may have already been seeking answers or support. The other options reflect feelings of guilt or hopelessness, which are less typical initial responses.

Question 7

A client's family history reveals multiple cases of a particular disease.The presence of the disease in which relatives is most significant to the health of the client?&#10;A)Grandmother&#10;B)Father&#10;C)Niece's child&#10;D)Daughter&#10;E)Sister&#10;

Accepted Answer

The answer of A client's family history reveals multiple cases...

Question 8

A family has been shown to carry genes for a rare condition.Researchers would like to use this family's test results as the basis for further study,but the family has serious reservations about participating.How should the researchers proceed?

A)Use the family's consent for the original testing as consent for the study.
B)Offer the family members understandable information about their role in this research.
C)Offer the family members financial reimbursement for being study participants.
D)Discuss how the findings of the research will be applied.
E)Accept that this family's reservations are probably insurmountable.

Accepted Answer

Offering the family understandable information about their role in the research (B) and discussing how the findings of the research will be applied (D) are ethical ways to address the family's concerns and potentially gain their informed consent for participation. These approaches respect the autonomy of the family members and provide them with the necessary information to make an informed decision about their participation.

Question 9

Newborn screening reveals that a baby is positive for the gene causing a genetic disorder.How should the nurse help the parents interpret this finding?&#10;A)&#34;The finding is probably incorrect.&#34;&#10;B)&#34;There are many good treatments for this disease today.&#34;&#10;C)&#34;Screening only indicates that more specific testing should be done.&#34;&#10;D)&#34;These things come back positive all the time,so don't worry.&#34;&#10;

Accepted Answer

Newborn screening is not a diagnosis, but rather a screening tool to identify babies who may be at risk for certain genetic disorders. A positive result on newborn screening does not necessarily mean that the baby has the disorder, but rather indicates that further diagnostic testing should be done. It is important for the nurse to help the parents understand the purpose of screening and the need for further testing to confirm or rule out a diagnosis.

Question 10

The mother of a child with a severe genetic disorder experiences chronic sorrow.The nurse providing care for this family would be especially alert to manifestations of sorrow at which times?&#10;A)During clinic visits&#10;B)The child's birthday&#10;C)Holidays&#10;D)Continuously&#10;E)Events such as high school graduations or weddings&#10;

Accepted Answer

These times are significant because they are milestones or special occasions when the family might acutely feel the impact of the child's condition. The child's birthday and holidays are moments of reflection and celebration that can underscore what the child might be missing or the challenges they face. Events like graduations or weddings are significant life milestones that the child may not be able to participate in fully or at all, highlighting the long-term impact of the genetic disorder.

Question 11

The nurse has identified lack of normalcy in a family with a child who has a mild but discernible genetic defect.Which nursing interventions should the nurse plan?&#10;A)Advocating for the client's insurance to pay for additional services&#10;B)Educating the teachers at the child's school about the disorder and treatments&#10;C)Helping to coordinate care among the three clinics the child goes to each month&#10;D)Alerting the family against involving the child in activities in which failure is possible&#10;E)Encouraging the family to avoid public gatherings&#10;

Accepted Answer

The answer of The nurse has identified lack of normalcy...

Question 12

A client has been diagnosed with a devastating genetic illness.The family is in transition from well family to family with a member who is very ill.Which nursing diagnoses are likely to be applicable to this family?

A)Anticipatory grief
B)Deficient knowledge
C)Impaired verbal communication
D)Compromised family coping
E)Interrupted family processes

Accepted Answer

The answer of A client has been diagnosed with a...

Question 13

The nurse is preparing to create a pedigree.How should the nurse instruct the client about filling out a standard family history form?&#10;A)&#34;Complete this information form about your family.&#34;&#10;B)&#34;Complete this form about your children and husband.&#34;&#10;C)&#34;Complete this form about your family living at home.&#34;&#10;D)&#34;Complete this form on as many of your blood relatives as you can.&#34;&#10;

Accepted Answer

The answer of The nurse is preparing to create a...

Question 14

A nurse who is new to maternal/child nursing says,&#34;I am shocked at how many of our clients do not allow newborn screening of their infants.&#34; How should the nurse manager reply?&#10;A)&#34;Some cultural groups are fearful of what they see as government interference with their children and family.&#34;&#10;B)&#34;I don't know why we even ask.We should just run the screens.&#34;&#10;C)&#34;We all need to do a better job at educating our clients about the benefits of this screening.&#34;&#10;D)&#34;Some cultural groups believe screening violates their religious principles.&#34;&#10;E)&#34;Despite legislation,some families are afraid their health insurance carriers will be given the information.&#34;&#10;

Accepted Answer

The answer of A nurse who is new to maternal/child...

Deck 3: Family Context of Clinical Genetics