Medical-Surgical Nursing Study Set 1

Nursing

Quiz 3 :
Genetic Concepts for Medical-Surgical Nursing

Quiz 3 :
Genetic Concepts for Medical-Surgical Nursing

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A 22-year-old man has a maternal grandfather with Huntington disease (HD). His father, mother, and paternal grandfather are all healthy and free of HD manifestations. He wants to know whether he also has the HD gene and arranges to be tested. His mother does not want to know whether she has the gene mutation. The man is tested and is found to be positive for the gene mutation that causes HD. Why could a positive test affect this man's mother?
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Essay
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Answer:

A man's maternal grandfather has Huntington's disease. His father, mother and paternal grandfather don't show any symptoms of the disease.
Then man was tested positive but his mother does not want to test for the disease at all. She has a doubt that she might be positive since her father is positive. But for ethical issues, she does not want to even try for the test.
A positive test could affect the mother mentally as she would be worried that she has passed the disease to her children.

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Psychosocial Integrity The client who has been found to have a mutation in a gene allele that greatly increases her risk for chronic obstructive lung disease asks the staff nurse to be present when she discloses the test results to her family. What is the nurse's role in this situation?
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Multiple Choice
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Answer:

For a patient who has a mutation in a gene which increases her risk for chronic obstructive disease of the lung wants the nurse to be present when she reveals the test results to her family.
The option A cannot be correct since a primary health care provider is usually a nurse. Hence, option A is wrong.
The option B cannot be correct since a nurse is usually not a genetic counselor. Hence, this is also wrong.
The option C cannot be correct since she is not an advocate for the patient. So, this is also wrong.
Option D is the correct answer.
Since, the patient has asked the nurse to be with her during the disclosure of the results to her family, it cannot be a genetic counselor or a health care provider or an advocate of the patient.
Hence, the correct option is D. patient support.

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A 22-year-old man has a maternal grandfather with Huntington disease (HD). His father, mother, and paternal grandfather are all healthy and free of HD manifestations. He wants to know whether he also has the HD gene and arranges to be tested. His mother does not want to know whether she has the gene mutation. The man is tested and is found to be positive for the gene mutation that causes HD. Does the mother's right to not know her HD status override the son's right to know his status? Explain your reasoning.
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Essay
Answer:

Answer:

A man's maternal grandfather has Huntington's disease. His father, mother and paternal grandfather don't show any symptoms of the disease.
This man was tested positive but his mother does not want to test for the disease at all. She has a doubt that she might be positive since her father is positive. But for ethical issues, she does not want to even try for the test.
The mother's right not to know her status does not affect or override the son's right. Since he is a major (22 years) he can take his own decisions and his mother cannot stop him from checking his status. It is his right to know his status and also his right to divulge the result to anyone he likes.

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A 22-year-old man has a maternal grandfather with Huntington disease (HD). His father, mother, and paternal grandfather are all healthy and free of HD manifestations. He wants to know whether he also has the HD gene and arranges to be tested. His mother does not want to know whether she has the gene mutation. The man is tested and is found to be positive for the gene mutation that causes HD. Review the ethical principles in Chapter 1. Which principle(s) would be violated if the son informs his mother of his positive test results?
Essay
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