Author Question: Which question posed by the nurse will most likely promote sharing of sensitive infor-mation during ... (Read 83 times)

audie

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Which question posed by the nurse will most likely promote sharing of sensitive infor-mation during a genetic counseling interview?
 
  a. How many people in your family are mentally retarded or handicapped?
  b. What kind of defects or diseases seem to run in the family?
  c. Did you know that you can always have an abortion if the fetus is abnormal?
  d. Are there any members of your family who have learning or developmental problems?

Question 2

Which point should a counselor include when telling a couple about the prenatal diagno-sis of genetic disorders?
 
  a. Diagnosis can be obtained promptly through most hospital laboratories.
  b. Common disorders can be quickly diagnosed through blood tests.
  c. A comprehensive evaluation will result in an accurate diagnosis.
  d. Diagnosis may be slow and could be inconclusive.



krakiolit

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Answer to Question 1

D
The nurse should probe gently using lay-oriented terminology rather than direct questions or statements.
This question assumes that there are genetic problems that result in retardation in the family. Some individuals may find these terms offensive.
Some individuals may not be aware of which diseases are genetically linked and may not answer the question accurately.
This is taking the decision away from the parents. They are seeking counseling in order to prevent problems, not to find out what to do if there is a problem.

Answer to Question 2

D
Even the best efforts at diagnosis do not always yield the information needed to counsel the client. The process may require many visits over several weeks. Some tests must be sent to special laboratories, which takes additional time.
Some tests must be sent to a special laboratory, which requires a longer waiting period for results.
There is no quick blood test available at this time to diagnose genetic disorders.
Despite a comprehensive evaluation, a diagnosis may never be established.



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