Quiz 4: Genetic Concepts for Medical-Surgical Nursing

Nursing

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.

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.

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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