A client asks why a genetic pedigree is being prepared. What ...

[Anajune7]

A client asks why a genetic pedigree is being prepared. What responses would be appropriate? Select all that apply.
 
  1. Illustrates patterns of inheritance
  2. Reduces the cost for genetic diagnostic testing
  3. Provides guidance for reproductive risk teaching
  4. Identifies appropriate diagnostic tests for the client
  5. Identifies family members who would benefit from genetic counseling

Question 2

The staff development trainer is preparing content on the psychologic implications of genetic testing for a group of neonatal intensive care nurses. What should the trainer include in this instruction? Select all that apply.
 
  1. Survivor guilt of other nonaffected children
  2. Feelings of unworthiness and altered self-image
  3. Carrier status interfering with relationships
  4. Formation of higher expectations for the child
  5. Stress of uncertainty while waiting for test results

[diesoon]

Answer to Question 1

1, 3, 5
Explanation:
1. A pedigree can illustrate patterns of inheritance.
2. A pedigree does not affect the cost of diagnostic testing.
3. On the basis of the pedigree, reproductive risk teaching for the individual and family can occur.
4. A pedigree will not identify appropriate diagnostic tests for the client.
5. A pedigree identifies family members who might benefit from a genetic consultation.

Answer to Question 2

1, 2, 3, 5
Explanation:
1. Survivor guilt may affect children with negative results if their siblings are positive.
2. A positive test result may lead to feelings of unworthiness and may disturb self-image.
3. Concerns about carrier status may interfere with development of intimacy and interpersonal relationships.
4. The parent and other family members may unconsciously form lowered expectations for the child or adolescent.
5. Uncertainty and stress associated with making a decision to undertake genetic testing may extend into weeks or even months before results are available.