Author Question: Which of the following should the nurse encourage families to include when developing a disaster ... (Read 55 times)

mpobi80 · **on:** Jun 28, 2018

Which of the following should the nurse encourage families to include when developing a disaster plan?

1. Having an adequate supply of medication, equipment, and supplies
2. Understand that there is no need to anticipate a disruption of service.
3. There is no need to make arrangement for pets.
4. Only one family member should be trained to provide the needed care, for the sake of consistency.

Question 2

During genetic testing, one parent is found to have a chromosomal abnormality without any physical or mental disability; however, the offspring inherit physical and/or mental disability.

During patient education, the nurse explains that the type of individual who can have a chromosomal abnormality without any disability but can cause his offspring to receive chromosomal alterations and disability is the parent with: 1. Mosaicism.

2. Dominant-gene structural chromosomal deletions.

3. Dominant-gene structural chromosomal inversions.

4. Dominant-gene structural chromosomal balanced translocations.

kilada · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale:
1. Additional planning is important when a family has a child with a chronic health condition or one who is technology-assisted. An adequate supply of medication, equipment, and supplies should be maintained at all times. Resources to obtain a refill of medication and needed supplies during a disaster should be identified.
2. The family should anticipate several days' disruption in service during a disaster, and plan accordingly.
3. Pets should be a part of the disaster plan, including food, water, and any necessary medications.
4. More than one family member should be trained to provide needed care for a chronically ill or special needs child during a disaster, or in case something should happen to the primary caregiver.

Answer to Question 2

4

Rationale:

1. The individual with mosaicism will display varying degrees of disability, depending on the percentage of cells that are affected. The clinical consequences of inversion depend on how much genetic material was rearranged.
2. A genetic deletion, such as is seen with cri du chat syndrome, results from a deletion on chromosome 5.
3. Individuals with other dominant-gene chromosomal alterations will all manifest some physical or mental abnormality themselves.
4. The parent with balanced translocations can show no signs of physical or mental disability but cause offspring to receive chromosomal alterations, such as trisomy 21.