Deck 12: Genetic Information Nondiscrimination Act Gina Legislation

Question 1

A client asks if insurance pays for genetic testing.How should the nurse respond?

A)"It depends on the insurance carrier."
B)"They are required to do so by federal law."
C)"These tests are not paid for by insurance companies."
D)"Insurance companies do not,but a federal program pays for many of them if you allow them access to the results."
E)"Some insurance companies pay for some tests."

Answer 1

"It depends on the insurance carrier."
"Some insurance companies pay for some tests."

Question 2

A client is very upset because a secretary at her office expressed concern that the client's genetic testing indicates a high risk of breast cancer.The client says,"I didn't think you would reveal that information because of GINA." How should the nurse respond?

A)"Your employer has the right to know that information."
B)"Did you discuss your testing with anyone at work?"
C)"Your insurance company must have notified them."
D)"There must have been another clerical error in our office.I will look into it."

Answer 2

"Did you discuss your testing with anyone at work?"

Question 3

After being diagnosed with diabetes mellitus two months ago,a client had testing done to determine a possible genetic predisposition to the disease.The client asks if GINA will prevent information about the condition from being released to the employer.How should the nurse respond?

A)"Yes,this information is protected by GINA."
B)"It is protected only if you specifically request information not be shared."
C)"No,this information is discoverable by your employer for the purposes of insurance coverage."
D)"The genetic testing is protected,but the fact that you have diabetes mellitus is not."

Answer 3

"The genetic testing is protected,but the fact that you have diabetes mellitus is not."

Question 4

A clerk in the clinic asks,"Why is it okay for me to send the report of the client's genetic testing to the life insurance carrier? I thought GINA prohibited insurance companies from getting this information." How should the nurse respond?

A)"You should not be sending genetic information to anyone but the client."
B)"Once a client has reached age 75,GINA does not apply."
C)"Life insurance companies are exempt from GINA rules."
D)"The client must not care who sees the records."

Question 5

An employer has questioned a client about genetic illnesses.When the client refused to provide this information,the employer said,"I don't know why you are so upset.It is public information anyway." Which questions would the nurse ask?

A)"Has your genetic information been identified in a study reported in the newspaper?"
B)"Were your medical records discovered in a court case?"
C)"Did you give permission for your genetic information to be identified in a research publication?"
D)"Does your employer have access to a medical database?"
E)"Was your genetic information part of a televised documentary?"

Question 6

Which clients would the nurse identify as manifesting a disease according to the GINA definition?

A)A client who has a family history of age-related macular degeneration and is losing his eyesight
B)A client whose genetic test results indicate a risk for early-onset Alzheimer disease but who has no symptoms
C)A client who discovers that both her mother and grandmother were alcoholics.
D)A client whose twin has bipolar disease and who is seeking treatment for depression
E)A child diagnosed with sickle cell anemia after bleeding into the knee

Question 7

A client expresses concern that his employer might obtain and misuse information from recent genetic testing.How should the nurse respond to this concern?

A)"This is a valid concern.We receive such requests daily."
B)"This is not a concern because your reports did not reveal anything that would be of interest to your employer."
C)"Your information is protected by the Genetic Information Nondiscrimination Act."
D)"Disclosure of this information is prohibited by EEOC."

Question 8

A client says,"I would like to have genetic testing done.Am I protected by the GINA law you explained?" How should the nurse respond?

A)"Do you get your health care through the Veteran's Administration?"
B)"How many people are employed by your company?"
C)"All U.S.citizens are covered by GINA."
D)"Everyone with insurance is covered by GINA."
E)"You are protected as long as you aren't covered by the Federal Employees Health Benefits Plan."

Question 9

Which statement about the Genetic Information Nondiscrimination Act (GINA)would the nurse dispute?

A)The act was a duplication of many previously passed laws.
B)The act only prohibits discrimination by health insurers and employers.
C)It took many years to gain enough support to pass this legislation.
D)The act is considered civil rights legislation.

Question 10

The nurse would identify which clients as being protected under Title I of GINA?

A)A client who has a Medicare supplemental policy
B)A client whose health care is provided by Indian Health Services
C)A client who receives health care through Tricare
D)A client whose insurance coverage is provided through the spouse's employer
E)A client who has self-purchased insurance

Question 11

An employer plans to monitor a client's exposure to chemicals in the workplace.The client is upset to learn that the monitoring includes genetic testing.The nurse tells the client that this practice is legal under which circumstances,if any?

A)The practice is not legal.
B)The client must have been informed.
C)The client gave written permission for this testing.
D)The monitoring is required by federal law.
E)The monitoring is required by state law.

Question 12

The nurse explains that the Genetic Information Nondiscrimination Act (GINA)was passed primarily in response to which concerns?

A)Physicians were concerned about the cost of genetic testing.
B)The public feared job discrimination based on genetic information.
C)People were afraid their genetic information could be misused.
D)Scientists were concerned that the public would be reluctant to participate in genetic research or testing.
E)Insurance companies wanted guidelines for the management of genetic information in their files.

Question 13

An insurance company has requested that a client with a rare disease undergo genetic testing as part of a research project.The client is concerned and asks the nurse if this is a legal request.What should the nurse consider before responding?

A)This request should be prohibited under Title I of GINA.
B)According to GINA,the company can only request this if compliance is clearly voluntary.
C)The insurance company cannot use this information to change the client's premium.
D)The study must follow conditions concerning the protection of human subjects.
E)The company must have notified the federal government.

Question 14

A client is scheduled to have genetic testing and does not want the results to be released to the employer.The nurse would teach this client that which information is specifically protected by GINA?

A)The results of genetic testing
B)The names of the genetic tests performed
C)The client's age
D)The fact that genetic testing was performed
E)Whether the client manifests a disease

Question 15

Testing reveals that an apparently healthy child has genetic alterations suggesting hemophilia A.The child's parents are concerned that their insurance company may drop their coverage or increase their premium.How should the nurse respond to their concern?

A)"You are protected by federal legislation that will prevent this from happening."
B)"They can refuse to pay for any expenses due to hemophilia should the disease manifest."
C)"There is no way to protect yourselves from this possibility."
D)"Your child's information will be protected only until age 18."