Question 1

The nurse is recording a woman's obstetrical history as part of a comprehensive genetic history.Which information should the nurse include?

Accepted Answer

The nurse should include information about the client's previous pregnancies, including the number of children born, any complications during pregnancy such as hypertension, and any spontaneous abortions. The fact that the client's last pregnancy was unplanned or that she is uncertain of the paternity of her first child is not relevant to her obstetrical history.

Question 2

An autosomal dominant trait is discovered by a nurse constructing a client pedigree.The trait has not appeared in two generations but was strongly evident three generations ago.What advice should the nurse provide for the client?

Accepted Answer

C

Question 3

When reviewing a completed pedigree,the nurse notes the strong presence of a heritable trait and discusses the situation with the client and the physician.The client declines to notify relatives.Under what circumstances can the wishes of this client be disregarded?

Accepted Answer

C,D

Question 4

A client states,"I asked my aunt if she had any history of miscarriage,but she wouldn't tell me." What should the nurse consider when responding to this statement?

Accepted Answer

Health information is considered private and individuals have the right to keep their health history confidential. The nurse should respect the aunt's decision to not disclose her health history. It is important to educate the client on the importance of obtaining their own health history and not solely relying on family members. Option A may not always be true, and option B and D are assumptions without evidence.

Question 5

The nurse is reviewing a female client's genetic pedigree and sees a set of two squares with a triangle inside each square.How should the nurse interpret this symbol?

Accepted Answer

The answer of The nurse is reviewing a female client's...

Question 6

A client says,"My mom had Alzheimer disease and I am so afraid I am going to get it." Which nurse,if any,could best determine this client's risk and provide direction for care?

Accepted Answer

A genetic clinical nurse would be the best option to determine the client's risk based on her family history of Alzheimer's disease. They have specialized knowledge and skills in genetics and can assess individual and familial risks for genetic conditions. The nurse can also provide guidance for care and management strategies. Other nurses may provide support and resources for the client, but may not have expertise in genetic risk assessment.

Question 7

A nurse is constructing a pedigree for a client who was raised as a boy but is now transgendered.The client is affected by sleepwalking.How would the nurse indicate this individual on the pedigree?

Accepted Answer

The answer of A nurse is constructing a pedigree for...

Question 8

The nurse is planning to construct a three-generation pedigree for a client with a heritable disorder.Which step should be the nurse's first priority?

Accepted Answer

The answer of The nurse is planning to construct a...

Question 9

The providers at a clinic are interested in improving the amount of family history collected on each client but do not wish to extend visit times.Which statement by the nurse is most helpful?

Accepted Answer

Having new clients complete a questionnaire 30 minutes before their appointment allows for comprehensive data collection without extending the actual visit time.

Question 10

A child is accompanied to the clinic by the grandmother rather than by the parents.The grandmother says,"I am substituting for my daughter today because she is ill." The nurse would like to add information to the child's health history.How should the nurse proceed?

Accepted Answer

The nurse should plan to validate any information provided by the grandmother with the parents at the next visit to ensure accuracy and completeness of the child's health history.

Question 11

The nurse and a client have been working together to construct the client's pedigree.When the pedigree is complete,the client says,"I'd love to have a copy of this to frame for my living room wall." How should the nurse respond?

Accepted Answer

The nurse should explain to the client that some family members may not want their information displayed. This is important to address and respect their privacy. The nurse can suggest that the client keeps the pedigree as a personal record but not to display it in a public space.

Question 12

The policy of an adult health clinic is to collect a family history of three generations on every new client.The nurse orienting a newly hired nurse explains this policy in which way?

Accepted Answer

The answer of The policy of an adult health clinic...

Question 13

The nurse is interviewing a client in regard to his history of benign prostatic hypertrophy (BPH).Which question should the nurse ask first?

Accepted Answer

The nurse should first assess the client's current state and establish rapport by asking a general question about their well-being, such as "How are you feeling today?" This approach is non-threatening and helps to build trust before delving into more specific or potentially sensitive topics.

Question 14

The nurse constructing a genetic pedigree would use an arrow to indicate which situation?

Accepted Answer

The answer of The nurse constructing a genetic pedigree would...

Quiz 13: Family History Tool