Question 1

Which activity would a general registered nurse be expected to perform as part of genomic care?

Accepted Answer

A) Calculating recurrence risk for parents who have just had a child with nondisjunction Down syndrome 
B) Informing a patient that his test results are positive for a genetic disorder 
C) Obtaining an accurate family history and physical assessment data 
D) Requesting a consultation visit from a clinical geneticist 
A) Calculating recurrence risk for parents who have just had a child with nondisjunction Down syndrome 
B) Informing a patient that his test results are positive for a genetic disorder 
C) Obtaining an accurate family history and physical assessment data 
D) Requesting a consultation visit from a clinical geneticist C

Question 2

The patient who has been found to have a mutation in a gene allele that greatly increases her risk for a serious health problem has asked a generalist nurse tobe present when she discloses this information to her family. What is the nurse's role in this situation?

Accepted Answer

A) Primary health-care provider 
B) Genetic counselor 
C) Patient advocate 
D) Patient support 
A) Primary health-care provider 
B) Genetic counselor 
C) Patient advocate 
D) Patient support D

Question 3

Why do genetic counseling programs include extensive courses on laboratory methods in genetics?

Accepted Answer

A) So that the certified genetics counselor can serve as a backup genetics technician in small laboratories 
B) So that the certified genetics counselor can perform standard karyotyping on routine blood specimens 
C) So that the certified genetics counselor can help patients understand testing procedures and results 
D) So that the certified genetics counselor is able to draw blood proficiently and safely 
A) So that the certified genetics counselor can serve as a backup genetics technician in small laboratories 
B) So that the certified genetics counselor can perform standard karyotyping on routine blood specimens 
C) So that the certified genetics counselor can help patients understand testing procedures and results 
D) So that the certified genetics counselor is able to draw blood proficiently and safely C

Question 4

Jessica (aged 32) is BRCA1 positive, which is known to greatly increase the risk for breast and ovarian cancer. She was tested because her mother, who had ovarian cancer, was BRCA1 positive. Jessica has decided to have both of her ovaries removed because she believes that, in her family, being BRCA1 positive increases the risk for ovarian cancer only. How should a genetic counselor respond to Jessica's statement?

Accepted Answer

A) Encourage her to consider a bilateral mastectomy. 
B) Accept Jessica's explanation as a manifestation of her autonomy and remain nondirective in the interactions with her. 
C) Clarify that a BRCA1 mutation does not preferentially express ovarian cancer over breast cancer in any given family. 
D) Discuss Jessica's responsibility to inform all the other female members of her family about her BRCA1 status and cancer risk. 
A) Encourage her to consider a bilateral mastectomy. 
B) Accept Jessica's explanation as a manifestation of her autonomy and remain nondirective in the interactions with her. 
C) Clarify that a BRCA1 mutation does not preferentially express ovarian cancer over breast cancer in any given family. 
D) Discuss Jessica's responsibility to inform all the other female members of her family about her BRCA1 status and cancer risk.

Question 5

Which action reflects promotion of genomic care as part of comprehensive health care?

Accepted Answer

A) Calculating the odds ratios and recurrence risks of common complex health problems for all people 
B) Ensuring that genomic issues potentially influencing a person's health are incorporated into routine care 
C) Encouraging all people to undergo genetic testing as part of a proactive health screening and prevention program 
D) Instructing patients who undergo genetic testing about their obligation to inform family members regarding test results 
A) Calculating the odds ratios and recurrence risks of common complex health problems for all people 
B) Ensuring that genomic issues potentially influencing a person's health are incorporated into routine care 
C) Encouraging all people to undergo genetic testing as part of a proactive health screening and prevention program 
D) Instructing patients who undergo genetic testing about their obligation to inform family members regarding test results

Question 6

Which statement or criterion is a required component for certification as an Advanced-Practice Nurse in Genetics (APNG)?

Accepted Answer

A) A 2-year residency in clinical genetics 
B) An earned PhD or DNP with coursework focusing on genetics 
C) Completion of 500 hours of direct bedside care for patients with genetic disorders 
D) Completion of a 50-case log describing the nurse's actions that reflect the standards of clinical genetic nursing practice 
A) A 2-year residency in clinical genetics 
B) An earned PhD or DNP with coursework focusing on genetics 
C) Completion of 500 hours of direct bedside care for patients with genetic disorders 
D) Completion of a 50-case log describing the nurse's actions that reflect the standards of clinical genetic nursing practice

Question 7

Which genetics professional has the defined responsibility for overseeing the work in a cytogenetic laboratory?

Accepted Answer

A) Clinical laboratory geneticist 
B) Genetic laboratory technician 
C) Cytogenetics technician 
D) Medical geneticist 
A) Clinical laboratory geneticist 
B) Genetic laboratory technician 
C) Cytogenetics technician 
D) Medical geneticist

Question 8

Acertified family nurse practitioner with an MSN degree in family practice who works in a clinic serving patients who have connective tissue disorders refersto himself as a clinical geneticist. Is this title appropriate?

Accepted Answer

A) Yes, he is an advanced-practice nurse. 
B) Yes, he is a clinician employed in a setting specializing in patients with genetic-based health problems. 
C) No, a clinical geneticist must be certified as a genetic counselor. 
D) No, a clinical geneticist is a physician who has completed a fellowship in clinical genetics. 
A) Yes, he is an advanced-practice nurse. 
B) Yes, he is a clinician employed in a setting specializing in patients with genetic-based health problems. 
C) No, a clinical geneticist must be certified as a genetic counselor. 
D) No, a clinical geneticist is a physician who has completed a fellowship in clinical genetics.

Question 9

Why are general physicians and surgeons not considered to be genetics professionals?

Accepted Answer

A) The typical patients seen by these health-care providers have acute conditions rather than chronic conditions, and thus genetic influence is irrelevant. 
B) Most of today's physicians and surgeons were educated before completion of the human genome research project. 
C) These health-care professionals have minimal experience with genetics laboratory techniques. 
D) The focus of their professional education is the study of medicine rather than genetics. 
A) The typical patients seen by these health-care providers have acute conditions rather than chronic conditions, and thus genetic influence is irrelevant. 
B) Most of today's physicians and surgeons were educated before completion of the human genome research project. 
C) These health-care professionals have minimal experience with genetics laboratory techniques. 
D) The focus of their professional education is the study of medicine rather than genetics.

Question 10

Awoman's family history for breast cancer includes two paternal aunts who developed breast cancer before age 45. Which genetics professional would be most appropriatefor assistance in helping this patient understand the health risk posed by this family history?

Accepted Answer

A) Medical geneticist 
B) Genetic counselor 
C) Clinical geneticist 
D) Clinical laboratory geneticist 
A) Medical geneticist 
B) Genetic counselor 
C) Clinical geneticist 
D) Clinical laboratory geneticist

Question 11

How do genetics counselors provide genetic/genomic information to patients and families in a nondirective manner?

Accepted Answer

A) Providing only the information the patient or family specifically requests 
B) Skillfully directing the patient and family toward the best choice that is supported by appropriate research 
C) Presenting all facts and available options in a manner that neither promotes nor excludes any legally permitted decision or action 
D) Filtering management options and focusing on the information that will support the decision they believe is right for the individual patient/family 
A) Providing only the information the patient or family specifically requests 
B) Skillfully directing the patient and family toward the best choice that is supported by appropriate research 
C) Presenting all facts and available options in a manner that neither promotes nor excludes any legally permitted decision or action 
D) Filtering management options and focusing on the information that will support the decision they believe is right for the individual patient/family

Which activity would a general registered nurse be expected to perform as part of genomic care?

The patient who has been found to have a mutation in a gene allele that greatly increases her risk for a serious health problem has asked a generalist nurse tobe present when she discloses this information to her family. What is the nurse's role in this situation?

Why do genetic counseling programs include extensive courses on laboratory methods in genetics?

Which action reflects promotion of genomic care as part of comprehensive health care?

Which statement or criterion is a required component for certification as an Advanced-Practice Nurse in Genetics (APNG)?

Which genetics professional has the defined responsibility for overseeing the work in a cytogenetic laboratory?

Acertified family nurse practitioner with an MSN degree in family practice who works in a clinic serving patients who have connective tissue disorders refersto himself as a clinical geneticist. Is this title appropriate?

Why are general physicians and surgeons not considered to be genetics professionals?

Awoman's family history for breast cancer includes two paternal aunts who developed breast cancer before age 45. Which genetics professional would be most appropriatefor assistance in helping this patient understand the health risk posed by this family history?

How do genetics counselors provide genetic/genomic information to patients and families in a nondirective manner?

DNA Structure and Function

Protein Synthesis

Genetic Influence on Cell Division, Differentiation, and Gametogenesis

Patterns of Inheritance

Epigenetic Influences on Gene Expression

Autosomal Inheritance and Disorders

Sex Chromosome and Mitochondrial Inheritance and Disorders

Family History and Pedigree Construction

Congenital Anomalies, Basic Dysmorphology, and Genetic Assessment

Enzyme and Collagen Disorders

Common Childhood-Onset Genetic Disorders

Common Adult-Onset Disorders

Cardiovascular Disorders

The Genetics of Cancer

Genetic Contributions to Psychiatric and Behavioral Disorders

Genetic and Genomic Testing

Assessing Genomic Variation in Drug Response

Financial, Ethical, Legal, and Social Considerations

Genetic and Genomic Variation

Filters

Exam 18: Health Professionals and Genomic Care

Which activity would a general registered nurse be expected to perform as part of genomic care?

The patient who has been found to have a mutation in a gene allele that greatly increases her risk for a serious health problem has asked a generalist nurse tobe present when she discloses this information to her family. What is the nurse's role in this situation?

Why do genetic counseling programs include extensive courses on laboratory methods in genetics?

Which action reflects promotion of genomic care as part of comprehensive health care?

Which statement or criterion is a required component for certification as an Advanced-Practice Nurse in Genetics (APNG)?

Which genetics professional has the defined responsibility for overseeing the work in a cytogenetic laboratory?

Acertified family nurse practitioner with an MSN degree in family practice who works in a clinic serving patients who have connective tissue disorders refersto himself as a clinical geneticist. Is this title appropriate?

Why are general physicians and surgeons not considered to be genetics professionals?

Awoman's family history for breast cancer includes two paternal aunts who developed breast cancer before age 45. Which genetics professional would be most appropriatefor assistance in helping this patient understand the health risk posed by this family history?

How do genetics counselors provide genetic/genomic information to patients and families in a nondirective manner?

DNA Structure and Function

Protein Synthesis

Genetic Influence on Cell Division, Differentiation, and Gametogenesis

Patterns of Inheritance

Epigenetic Influences on Gene Expression

Autosomal Inheritance and Disorders

Sex Chromosome and Mitochondrial Inheritance and Disorders

Family History and Pedigree Construction

Congenital Anomalies, Basic Dysmorphology, and Genetic Assessment

Enzyme and Collagen Disorders

Common Childhood-Onset Genetic Disorders

Common Adult-Onset Disorders

Cardiovascular Disorders

The Genetics of Cancer

Genetic Contributions to Psychiatric and Behavioral Disorders

Genetic and Genomic Testing

Assessing Genomic Variation in Drug Response

Financial, Ethical, Legal, and Social Considerations

Genetic and Genomic Variation

Filters