Author Question: A nurse is explaining to a co-worker that the Patient Self-Determination Act, the Ryan White Act, ... (Read 21 times)

ssal · **on:** Jul 22, 2018

A nurse is explaining to a co-worker that the Patient Self-Determination Act, the Ryan White Act, and the McKinney Homelessness Act are all examples of

a. bills that were passed without matching appropriations bills.
b. health care policies and regulations created in the 1990s.
c. laws that were enacted after involvement of philanthropies.
d. the only times nurses will ever make differences in legislation.

Question 2

A patient wants to know where to find a certified genetic counselor. The best response by the nurse would be to refer the patient to

a. a private direct-to-consumer testing company.
b. the Internet to conduct a web-based search.
c. the National Society of Genetic Counselors.
d. the primary care physician for a formal referral.

firehawk60 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
The 1990s were a very prolific time for health care laws and regulations. These bills were all passed during that decade.
The McKinney bill was partially funded, the Ryan White Act was a funding bill, and the chapter does not describe funding for the Patient Self-Determination Act.
Philanthropies may or may not have been instrumental in getting some of these bills passed; the chapter provides no information on this.
Nurses can make a difference in any legislation that is proposed, debated, or passed.

Answer to Question 2

C
The National Society of Genetic Counselors' web page has a link for individuals to use to find genetic counseling services.
One concern with the rise of direct-to-consumer genetics testing is that no genetic counseling is available with the test results. This would not be a good place to refer the patient.
For most people, Internet searching is time consuming, overwhelming, and difficult. The patient may find genetic counselors but would have no way to judge their qualifications.
The primary care physician may be able to provide a referral to the patient, but many primary care providers are not knowledgeable about these services and are not well versed in this field at all.