The nurse is concerned that a patient pregnant with a fetus with ...

[BRWH]

The nurse is concerned that a patient pregnant with a fetus with a genetic disorder is experiencing moral and ethical problems. What should the nurse offer to support the patient at this time?
 
  Select all that apply.
  1. The patient's use of coping mechanisms
  2. Actions to take to reduce stress and anxiety
  3. Reasons for terminating the pregnancy at this time
  4. Assistance with thinking through the process to increase optimism
  5. Ask if the patient has any particular spiritual advisor that can be contacted

Question 2

The nurse manager determines that a new staff nurse is capable of caring for patients with genetic disorders. What information did the manager use to make this decision?
 
  Select all that apply.
 
  1. The nurse evaluates care provided to patients.
  2. The nurse identifies patients' needs for referrals.
  3. The nurse advocates for pregnancy terminations.
  4. The nurse performs physical assessments accurately and thoroughly
  5. The nurse consistently completes a genetic-focused family history with patients.

[vickyvicksss]

Answer to Question 1

Correct Answer: 1, 2, 4, 5
Problems that a patient facing a genetic disorder may experience include spiritual distress, ineffective coping, anxiety, and powerlessness. The use of coping mechanisms helps with the problem of ineffective coping. Actions to reduce stress and anxiety help with the problem of anxiety. Assisting to think through the process to increase optimism helps with the problem of powerlessness. Asking about a spiritual advisor helps with the problem of spiritual distress. The nurse should help the patient with problem solving and not suggest termination of the pregnancy.

Answer to Question 2

Correct Answer: 1, 2, 4, 5
Basic interventions that meet the standards of genetic nursing include evaluating care provided to patients, identifying patients' needs for referrals, performing accurate and thorough physical assessments, and completing genetic-focused family histories with patients. The nurse should advocate for the patient based upon sound information and decisions. This does not include advocating for pregnancy terminations.

[BRWH]

Thank you

[vickyvicksss]

No problemo