Answer to Question 1
Correct Answer: 1
The patient should be advised to have a predispositional test to detect the presence of the genetic mutation that causes nonpolyposis colorectal cancer. Teaching the patient the symptoms of colon cancer and suggesting a high-fiber diet to prevent cancer are important pieces of advice, but not the best advice for this patient at this time. In this case, genetic testing is indicated. Therapy would only be started if the cancer were present.
Answer to Question 2
Correct Answer: 1
The nurse needs to be aware of the patient's cultural and religious beliefs. The patient stating that the newborn has a genetic disorder because a stranger gave the baby the evil eye is evidence that the patient believes this is the cause of the disorder. This information does not suggest that the patient needs psychiatric counseling or that the patient is not going to be a good mother. Deciding whether healthcare dollars should be spent trying to change the patient's opinion of why the baby has a genetic disorder is beyond the scope of the nurse.