Question 1

A client has been identified as having a strong family history of breast cancer.The health care team recommends genetic testing.The client says,"I am not going to have the testing." Which nursing response is best?

Accepted Answer

The nurse should ask if the client understands the implications of not being tested, as this will allow the client to clarify any concerns or misunderstandings with the nurse. It is important for the client to fully understand the consequences of their decision to not have testing done. The other options can be perceived as confrontational or not supportive of the client's autonomy.

Question 2

The nurse executive of a major health care organization would like for all nurses working in the organization to master the essential competencies of genetic/genomic care.What is the best strategy for this nurse to institute?

Accepted Answer

By working with the human resources department and including the competencies as part of the job description, the nurse executive ensures that all nurses hired into the organization are expected to have a baseline knowledge of genetic/genomic care. This creates a standardized expectation that can be reinforced through ongoing education and training opportunities. Option A only assesses current knowledge but doesn't ensure future competency, while options B and D do not ensure consistent and standardized expectations for all nurses.

Question 3

A hospital has elected to sponsor genetics and genomics education sessions for nurses.Which comment by a nurse would indicate to the manager an understanding of the purpose of this education?

Accepted Answer

This comment indicates an understanding of the importance of genetics and genomics education for nurses, as it acknowledges the presence of genetic components in many diseases.

Question 4

A public health nurse wishes to improve his ability to integrate genetics and genomics into his practice.To strengthen his foundation knowledge he should choose which college course?

Accepted Answer

Cellular biology provides a foundation for understanding the basic structure and function of genes and their expression. This knowledge is essential for integrating genetics and genomics into public health practice. Organic chemistry and trigonometry are not directly relevant, and while sociology can provide broader social and cultural context, it is not as essential for the understanding of genetics and genomics.

Question 5

The nurse is considering applying for a position on a unit where many of the clients are affected by genetic anomalies.What is the nurse's most important consideration before pursuing this position?

Accepted Answer

The nurse's feelings about working with clients who have genetic anomalies are the most important consideration before pursuing this position. It is important for the nurse to be comfortable working with this population and have a good understanding of genetic disorders. The other considerations may also be important, but they are not the most important in this situation.

Question 6

A client is advised to undergo genetic testing.The client says,"How will I afford to pay for this?" Which nursing response is best?

Accepted Answer

This response assures the client that the healthcare team will work with their insurance company to explain the necessity of the genetic testing. It provides the client with a potential solution to their financial concern.

Question 7

The nurse is writing a grant to fund technologies needed for a state-of-the-art genetics/genomics clinic.Which technologies are necessary for this endeavor?

Accepted Answer

The answer of The nurse is writing a grant to...

Question 8

Which statement by a nurse indicates the most competence in genetic referral activities?

Accepted Answer

Option C suggests that the nurse is familiar with genetic clinics in the area and can work to facilitate an earlier appointment. This displays more competence in genetic referral activities than the other options.

Question 9

Which factors would the nurse identify as a determinant of health?

Accepted Answer

Determinants of health include genetic factors (A), environmental factors such as noise pollution (D), and social factors like participation in health-promoting activities (E).

Question 10

The nurse educator presented a program on genetics and genomics in health care to nurses and other personnel in several health care organizations.After a few weeks,the nurse wishes to evaluate its effectiveness.Who would give the nurse the best picture of the program's effects?

Accepted Answer

The Quality assurance director would be best positioned to evaluate the program's effectiveness as they are responsible for monitoring and improving the quality of care, which includes assessing the impact of educational programs on clinical practice.

Question 11

A nurse recording the family history of a newborn identifies that many people in the mother's line and the father's line have died from cancer.What information should the nurse provide for these parents?

Accepted Answer

B) Avoiding secondhand smoke is a well-established recommendation to reduce cancer risk, which is particularly important for a child with a strong family history of cancer. D) Offering a well-balanced diet is a general health recommendation that can help reduce the risk of many diseases, including some types of cancer, by supporting overall health and potentially influencing the body's ability to prevent cancer development.

Question 12

A client from Brazil is referred to the genetics clinic after experiencing a third spontaneous abortion.What nursing actions are required of the nurse providing education for this client?

Accepted Answer

The answer of A client from Brazil is referred to...

Question 13

The nurse who wishes to demonstrate competency in genetics and genomics should adopt which strategy?

Accepted Answer

Staying informed and keeping current on genetics and genomics issues is essential for demonstrating competency. Advocating for identical services for every ethnic group is not a comprehensive strategy, as individual differences in genetics can play a significant role in health outcomes. The use of standardized educational information forms may not be effective for all clients, as some may require different approaches to education. The support of mandatory genetic testing for all clients is not an ethical approach and could lead to discrimination and stigmatization.

Quiz 2: Essential Competencies in Genetics and Genomics