Author Question: At the conclusion of a genetic counseling session, a family member says to the nurse, There's got to ... (Read 142 times)

jilianpiloj · **on:** Jun 25, 2018

At the conclusion of a genetic counseling session, a family member says to the nurse, There's got to be something that you aren't telling us. The nurse realizes that this individual is

1. feeling guilty because of the outcome of the testing.
2. demonstrating signs of a congenital abnormality.
3. angry with the findings from the testing.
4. confused by the nondirective approach taken by the genetic healthcare providers.

Question 2

A patient and her future husband completed genetic testing through a laboratory that they found on the Internet. The patient is upset because the results determined that they are at risk for having children with congenital abnormalities.

Which is an appropriate nursing response?

1. A screening test should be confirmed with a diagnostic test.
2. The decision about whether or not to have children has been made for you.
3. Are you concerned that your future husband won't want to get married now?
4. I wouldn't worry about those results.

mjenn52 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4

Many patients are accustomed to practitioners and nurses who provide decision-making direction and guidance, so patients may be uncomfortable when the nurse takes the opposite approach. They may believe that the nurse or healthcare provider is withholding very bad news. The nurse should discuss the positives and negatives of each decision and present as many options as possible through the use of therapeutic listening and communication skills. Feelings of guilt and anger are not manifested in the demeanor demonstrated by the patient. There is no information provided concerning the genetic disorder being evaluated. There is an inadequate amount of data presented to link the behaviors with the disorder.

Answer to Question 2

Correct Answer: 1

A positive screening genetic test result indicates an increased risk or probability but must always be confirmed by diagnostic testing. The other nursing responses are offering advice, which is not considered therapeutic communication.