Ch9 Genomics And Family Nursing Across The Life Exam Prep

Chapter 9: Genomics and Family Nursing Across the Life Span

Multiple Choice:

1. A married couple arrives for an appointment for genetic testing after discovery of genetic diseases in their family histories. What should the nurse explain about genetic conditions to this couple?

1. They always become worse as a person ages.

2. They can be attributed to a mutation in a gene.

3. They are commonly presented in newborn infants.

4. They are diagnosed after recognizing a genetic condition in a family.

2. A family in the community has an inherited genetic disorder. What should the nurse realize about this family and their associated family members?

1. All family members should learn about the genetic disorder.

2. All family members should receive testing for the condition.

3. The diagnosed family member(s) may not want to discuss the genetic information with the rest of the family.

4. Family members will have the same response when learning about the genetic aspects of the condition.

3. The nurse plans to attend a continuing education program for genetics. In which situations will the nurse use this knowledge?

1. In all health care settings

2. When caring for childbearing families

3. Only after being credentialed as a genetics nurse

4. After a genetic condition is diagnosed in a family

4. The nurse receives information about the Human Genome Project. Which phrase does the nurse identify as accurately defining the human genome?

1. Alterations in genetic material

2. A chromosome that is not a sex chromosome

3. The complete set of genetic material that makes an organism

4. The predictor of the pattern of inherited genes and chromosomes

5. The nurse notes that a family has a high need for certainty about a possible genetic condition. What should the nurse expect this family to do?

1. Follow a set of family norms and values.

2. Learn about the genetic condition.

3. Negotiate changes in family roles with key family members.

4. Avoid discussing genetic information with biological relatives.

6. The nurse cares for a family who has a member with Huntington’s disease. What should the nurse realize about the other family members?

1. They are not at risk for the disease.

2. They are likely to avoid predictive testing.

3. They are likely to have various opinions about predictive testing.

4. They are likely to request predictive testing.

7. A participant in a community health program asks how genetic diseases occur. What should the nurse include about genetic diseases in the response?

1. They are X-linked disorders.

2. They are diseases caused by environmental factors that family members share.

3. They are diseases caused by biological conditions inherited from family members.

4. They are diseases caused by biological and environmental factors that family members share.

8. The nurse is preparing a unit-based in-service on genetic diseases. Which key ethical concept should the nurse emphasize during this in-service?

1. Grieving

2. Caring

3. Caregiving

4. Confidentiality

9. A family learns that their newborn has a genetic anomaly. Which statement best describes what genes control?

1. Major organs of the body

2. Personality characteristics of a person

3. Ability to learn across the life span

4. Functions of the human body at the cellular level

10. The nurse learns that a disease is present in more than one generation of a family. What does this suggest to the nurse?

1. A genetic disease is present.

2. The family may have either a biologically or environmentally based genetic disease or a combination of both.

3. The family should be assessed for environmental risk factors.

4. The family does not have a genetic disease.

11. The nurse notes that through genetic testing, a female carrier of an X-linked condition has one normal copy of the gene on the X chromosome and one mutated copy of the gene on the other X chromosome. What should this indicate to the nurse?

1. All children will be affected.

2. No children will be affected.

3. Sons will have a 50% chance of having the condition.

4. Daughters will have a 50% chance of having the condition.

12. A female learns of a genetic predisposition to breast cancer. What should the nurse identify as being the first line of defense for this person?

1. More frequent mammograms to detect early cell changes

2. Radical mastectomy to prevent the development of cancer

3. Counseling to consider adoption to decrease the spread of breast cancer

4. Grief and end-of-life counseling for family members experiencing breast cancer

Multiple Response:

13. After giving birth to a newborn with a genetic disorder, the new mother asks when identification of genetic disorders can occur. How should the nurse respond? Select all that apply.

1. After birth

2. Before conception

3. Before receiving medication

4. During an acute or chronic illness

5. After experiencing a medication reaction

14. Nurses play a critical role helping individuals and families find accurate information and access resources on genetic risks. What are the nurse’s responsibilities? Select all that apply.

1. Reflect on their own beliefs and values when working with families to address genetic issues.
2. Provide individuals and families with accurate information about genetic testing so they can make well-informed decisions.
3. Communicate factual information with family members when a genetic risk is present.
4. Conduct thorough risk assessment and genetic family histories as part of individual assessments.
5. Consider genetics and genomics as critical nursing knowledge no matter what setting the nurse works in.

15. Preconception counseling is an intervention that includes providing information and support to couples before a pregnancy to promote health and reduce risks. What is the role of the nurse in preconception counseling? Select all that apply.

1. Conduct a health risk assessment that includes family history.
2. Assessment of lifestyle habits such as smoking, alcohol, or street drug use.
3. Assessment of history of any specific genetic disorders.
4. Assessment of calorie intake.
5. Referral to a genetic specialist for a more extensive evaluation.