Aclient whose mother has diagnosed with BRCA gene-related breast cancer asks the nurse, "Do you think I should be tested for the gene?" Which of the following responses by the nurse is most appropriate?
A)"In most cases, breast cancer is not caused by the BRCA gene."
B)"It depends on how you will feel if the test is positive for the BRCA gene."
C)"There are many things to consider before deciding to have genetic testing."
D)"You should decide first whether you are willing to have a double mastectomy."

Question

Quizplus · Accepted Answer

Although presymptomatic testing for genetic disorders allows clients to take action (such as mastectomy) to prevent the development of some genetically caused disorders, clients also need to consider that test results in their medical file may impact other areas of their life. Telling a client that a decision about mastectomy should be made before testing implies that the nurse has made a judgement about what the client should do if the test is positive. Although the client may need to think about her reaction if the test is positive, other issues (e.g., insurance) also should be considered. Although most breast cancers are not related to BRCA gene alterations, the client with the gene alteration has a markedly increased risk for breast cancer.

Aclient Whose Mother Has Diagnosed with BRCA Gene-Related Breast Cancer