Author Question: A young couple is planning to start a family. The nurse is conducting an assessment of the genetic ... (Read 86 times)

jenna1 · **on:** Jul 19, 2018

A young couple is planning to start a family. The nurse is conducting an assessment of the genetic risk of mental health disorders. What factors should the nurse include as part of the assessment? Select all that apply.

1. Multigenerational family health history
2. Laboratory test for genetic malformations
3. Comprehensive health and physical assessments
4. Analysis of the history and physical assessment findings
5. Assessment of the couple's knowledge of genetic information

Question 2

A patient who is planning to become pregnant asks the nurse to explain if genetics can influence the transmission of mental illness. How might the nurse respond?

1. Genetics have no influence on mental illness.
2. Genes are only involved in organic mental disorders.
3. Genes may influence many aspects of mental health disorders.
4. Environmental influences are completely responsible for mental illness.

verrinzo · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 1, 3, 4, 5
Explanation: Important factors to integrate into a nursing assessment include the following: eliciting information from three generations of the family health history; conducting comprehensive health and physical assessments that incorporate knowledge about genetic, environmental, and genomic influences and risk factors; analyzing the history and physical assessment findings for genetic, environmental, and genomic influences and risk factors; and assessing patients' knowledge, perceptions, and responses to genetic and genomic information. Laboratory testing is not part of the nursing assessment.

Answer to Question 2

Answer: 3
Explanation: Genes may influence the development of mental disorders by governing the organic causes of disorders, such as schizophrenia and Alzheimer disease; they may produce abnormalities in individual development; or they may influence an individual's vulnerability to disorders such as major depression and generalized anxiety. Environmental influences only partly contribute to mental health disorders. There is a genetic component in most mental health disorders.