A nurse is counseling a client who has just learned that she is a ...

[lindiwe]

A nurse is counseling a client who has just learned that she is a carrier of the BRCA-2 gene. Which of the following best describes potential reactions by this client? (Select all that apply.)
 
  a. Feelings of guilt
  b. Fear of loss of insurance coverage
  c. Feelings of anxiety
  d. Fear for children
  e. Feelings of insecurity

Question 2

A nurse is considering seeking employment in a career as a genomic nurse. Which of the follow-ing roles would be most important role of the nurse in this setting?
 
  a. Direct caregiver
  b. Educator
  c. Advocate
  d. Referral agent

Question 3

According to the CDC's Genomic competencies for the public health workforce, which of the following should all public health workers be able to do? (Select all that apply.)
 
  a. Demonstrate basic knowledge of the role that genomics play in disorders.
  b. Make appropriate referrals to those with more genomic experience.
  c. Counsel individuals about their genetic susceptibility for particular disorders.
  d. Recommend appropriate genetic screening tests for clients.
  e. Plan appropriate care for those who have positive genetic tests.

[Shshxj]

Answer to Question 1

ANS: A, C, D
Feelings of guilt, anxiety, and fear for future susceptibility for children are all potential reactions this client may have. The GINA protects clients from losing insurance benefits based upon ge-netic information. The feeling of insecurity is not a common reaction experienced from those di-agnosed with a genetic disorder.

Answer to Question 2

ANS: C
Although the nurse will use all of these roles when providing genomic nursing care, the most im-portant role will be that of advocate. Nurses will increasingly provide guidance on policy discus-sions and ethical issues that relate to confidentiality, privacy, and commercialization. This is the nursing role of advocate.

Answer to Question 3

ANS: A, B
The CDC's Genomic competencies for the public health workforce apply to all public health professionals. All public health workers should demonstrate basic knowledge and be able to make appropriate referrals. The other statements would not be true of competencies of all public health workers.