Question 1

The clinic nurse is planning to assess female clients using the Gail breast cancer risk model.Which clients should be eliminated from the assessment?

Accepted Answer

D,E

Question 2

A client states,"I know I have a risk of developing heart disease.Why do we need to spend time doing a risk assessment?" How should the nurse respond?

Accepted Answer

A risk assessment will help the healthcare team develop a personalized plan of care for the client based on their individual risk factors. This can include lifestyle changes, medication management, and regular screenings to prevent or mitigate the development of heart disease.

Question 3

Which statement by a bedside nurse would indicate the best understanding of the advancements being made in caring for clients with genetic disorders?

Accepted Answer

BA) This statement indicates an understanding of the importance of genetic information in preventive care, specifically in the context of breast cancer risk and the need for more frequent screening.B) This statement reflects an understanding of how genetic testing can identify carriers of genetic disorders, such as cystic fibrosis, which is important for family planning and understanding the risk of passing the disorder to offspring.

Question 4

The nurse is assessing a client's risk for developing a heritable disease.Which options reflect parts of this process?

Accepted Answer

The answer of The nurse is assessing a client's risk...

Question 5

The nurse notices that a female client has a dark,even tan.When asked,the client says,"I spend several hours a week working on my tan.The men in my family have always liked their women tanned." What should the nurse consider before responding?

Accepted Answer

The client's statement indicates a strong personal and possibly cultural preference for tanning, suggesting she might resist information about its risks (A). Her commitment to tanning, despite its known health risks, also suggests she might not be receptive to education on the subject (C).

Question 6

A client says,"I am interested in recording my family health history,but I don't know where to begin.Would you recommend the Surgeon General's Family History tool as a beginning?" How should the nurse respond?

Accepted Answer

Recommending the Surgeon General's Family History tool is a good idea as it encourages family members to participate in collecting and sharing their health history. It also provides a structured approach to collecting and organizing information.

Question 7

After genetic testing is completed,the client is found to be at "population risk" for development of a disorder.How should the nurse explain this risk to the client?

Accepted Answer

The answer of After genetic testing is completed,the client is...

Question 8

The nurse learns that many of a client's relatives have Type 2 diabetes.How can the nurse best follow up on this information with the client?

Accepted Answer

Option C shows the best way to follow up on the client's relatives having Type 2 diabetes by discussing preventive measures. The nurse can provide the client with strategies that can help reduce the risk of developing diabetes, such as engaging in physical activities, eating a healthy diet, and maintaining a healthy weight. This approach is more positive and empowering for the client rather than simply stating that the risk is high (option D) or using a fear-based approach (option B). Option A may be a good follow-up question to further assess the client's family history of diabetes, but it does not provide specific guidance or strategies for prevention.

Question 9

Which statement reflects one of the biggest reasons clients are concerned about having genetic screening?

Accepted Answer

The answer of Which statement reflects one of the biggest...

Question 10

At an early prenatal office visit the client says,"I don't know if my mother had any miscarriages,but I will call her and ask.Why is that important to me?" How should the nurse respond?

Accepted Answer

Miscarriages and stillbirths can sometimes be linked to genetic issues, which may be inherited, making it relevant to the client's prenatal care.

Question 11

The nurse is considering using the Claus model to assess the breast cancer risk in clients in a free clinic.What is the primary reason this is not a good model choice?

Accepted Answer

The Claus model was designed to assess risk for individuals with a family history of breast cancer, but in a free clinic setting, many clients may not have access to information about their family history. Therefore, using the Claus model may substantially underestimate risk and would not be a good choice. Other models, such as the Gail model, may be more appropriate for this population.

Question 12

The nurse notices that two brothers are phenotypically very different.What is the likely explanation?

Accepted Answer

Phenotypic differences between siblings can arise due to a combination of genetic variation and environmental influences, even if they share the same parents.

Question 13

The nurse is planning to assess clinic clients with the Framingham Risk Assessment tool.Which clients should the nurse exclude from this assessment?

Accepted Answer

Clients with diabetes and uncontrolled hypertension are excluded from the Framingham Risk Assessment tool.

Question 14

A client says,"Why can't you just look at all my genes and see what I am at risk for instead of doing all this history?" How should the nurse respond?

Accepted Answer

The answer of A client says,"Why can't you just look...

Quiz 14: Risk Assessment