Question 1

When caring for a young adult patient who has abnormalities in the cytochrome P450 (CYP 450)gene,which action will the nurse include in the patient's plan of care?

Accepted Answer

A)  Teach that some medications may not work as effectively. 
B)  Teach about genetic risk for cystic fibrosis in any children. 
C)  Suggest that the patient make heart healthy lifestyle choices. 
D)  Discuss the need for screening mammograms starting at age 30. 
A)  Teach that some medications may not work as effectively. 
B)  Teach about genetic risk for cystic fibrosis in any children. 
C)  Suggest that the patient make heart healthy lifestyle choices. 
D)  Discuss the need for screening mammograms starting at age 30. A

Question 2

A patient tells the nurse,"I would like to use a home genetic test to see if I will develop breast cancer." Which response by the nurse is best?

Accepted Answer

A)  "Home genetic testing is very expensive." 
B)  "Are you concerned about developing breast cancer?" 
C)  "Won't you be depressed if the testing shows a positive result?" 
D)  "Genetic testing can only determine if you are at higher risk for breast cancer." 
A)  "Home genetic testing is very expensive." 
B)  "Are you concerned about developing breast cancer?" 
C)  "Won't you be depressed if the testing shows a positive result?" 
D)  "Genetic testing can only determine if you are at higher risk for breast cancer." B

Question 3

The sister of a patient diagnosed with BRCA gene-related breast cancer asks the nurse,"Do you think I should be tested for the gene?" Which response by the nurse is most appropriate?

Accepted Answer

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 bilateral mastectomy." 
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 bilateral mastectomy." C

Question 4

A male patient with hemophilia asks the nurse if his children will be hemophiliacs.Which response by the nurse is appropriate?

Accepted Answer

A)  "All of your children will be at risk for hemophilia." 
B)  "Hemophilia is a multifactorial inherited condition." 
C)  "Only your male children are at risk for hemophilia." 
D)  "Your female children will be carriers for hemophilia." 
A)  "All of your children will be at risk for hemophilia." 
B)  "Hemophilia is a multifactorial inherited condition." 
C)  "Only your male children are at risk for hemophilia." 
D)  "Your female children will be carriers for hemophilia."

Question 5

A patient with a family history of cystic fibrosis (CF)asks for information about genetic testing.Which response by the nurse is most appropriate?

Accepted Answer

A)  Refer the patient to a qualified genetic counselor. 
B)  Ask the patient why genetic testing is so important. 
C)  Remind the patient that genetic testing has many social implications. 
D)  Tell the patient that cystic fibrosis is an autosomal recessive disorder. 
A)  Refer the patient to a qualified genetic counselor. 
B)  Ask the patient why genetic testing is so important. 
C)  Remind the patient that genetic testing has many social implications. 
D)  Tell the patient that cystic fibrosis is an autosomal recessive disorder.

Question 6

When counseling a couple in which the man has an autosomal recessive disorder and the woman has no gene for the disorder,the nurse uses Punnett squares to show the couple the probability of their having a child with the disorder.Which statement by the nurse is most appropriate?

Accepted Answer

A)  "You should consider adoption." 
B)  "Your children will be carriers of the disorder." 
C)  "Your female children will display characteristics of the disorder." 
D)  "Your first-born child will likely display characteristics of the disorder." 
A)  "You should consider adoption." 
B)  "Your children will be carriers of the disorder." 
C)  "Your female children will display characteristics of the disorder." 
D)  "Your first-born child will likely display characteristics of the disorder."

Question 7

The nurse in the outpatient clinic has obtained health histories for these new patients.Which patient may need referral for genetic testing?

Accepted Answer

A)  35-year-old patient whose maternal grandparents died after strokes at ages 90 and 96 
B)  18-year-old patient with a positive pregnancy test whose first child has cerebral palsy 
C)  34-year-old patient who has a sibling with newly diagnosed polycystic kidney disease 
D)  50-year-old patient with a history of cigarette smoking who is complaining of dyspnea 
A)  35-year-old patient whose maternal grandparents died after strokes at ages 90 and 96 
B)  18-year-old patient with a positive pregnancy test whose first child has cerebral palsy 
C)  34-year-old patient who has a sibling with newly diagnosed polycystic kidney disease 
D)  50-year-old patient with a history of cigarette smoking who is complaining of dyspnea

Exam 9: Genetics and Genomics

When caring for a young adult patient who has abnormalities in the cytochrome P450 (CYP 450)gene,which action will the nurse include in the patient's plan of care?

A patient tells the nurse,"I would like to use a home genetic test to see if I will develop breast cancer." Which response by the nurse is best?

The sister of a patient diagnosed with BRCA gene-related breast cancer asks the nurse,"Do you think I should be tested for the gene?" Which response by the nurse is most appropriate?

A male patient with hemophilia asks the nurse if his children will be hemophiliacs.Which response by the nurse is appropriate?

A patient with a family history of cystic fibrosis (CF)asks for information about genetic testing.Which response by the nurse is most appropriate?

When counseling a couple in which the man has an autosomal recessive disorder and the woman has no gene for the disorder,the nurse uses Punnett squares to show the couple the probability of their having a child with the disorder.Which statement by the nurse is most appropriate?

The nurse in the outpatient clinic has obtained health histories for these new patients.Which patient may need referral for genetic testing?

The Importance of Nursing

Health Disparities and Cultural Care

Pain Management

Palliative Care

Substance Use and Dependency

Nursing Management: Inflammation and Wound Healing

Altered Immune Responses and Transplantation

Nursing Management: Infection and Human Immunodeficiency Virus Infection

Cancer

Nursing Management: Fluid,electrolyte and Acidbase Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Assessment: Integumentary System

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Assessment: Respiratory System

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Assessment: Haematological System

Nursing Management: Haematological Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Ecg Monitoring and Arrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Management: Liver,pancreas and Biliary Tract Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urological Problems

Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Breast Disorders

Nursing Management: Sexually Transmitted Infections

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: the Patient With a Stroke

Nursing Management: Chronic Neurological Problems

Nursing Management: Delirium,depression and Dementia

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopaedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases

Nursing Management: Critical Care Environment

Nursing Management: Shock,systemic Inflammatory Response Syndrome and Multiple Organ Dysfunction Syndrome

Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

Nursing Management: Emergency Care Situations

Filters