A patient tells the nurse that her teenaged son, who has a ...

[gbarreiro]

A patient tells the nurse that her teenaged son, who has a congenital abnormality, is demonstrating increasing anger and animosity toward her and her husband. The nurse realizes that the son might be
 
  1. behaving as a normal teenager.
  2. confused and unaware of how to express it.
  3. fostering resentment toward his parents.
  4. demonstrating disease from the congenital abnormality.

Question 2

A baby is born with a genetic disorder, and neither parent has a history of this disorder. What should the nurse use to explain the baby's genetic disorder?
 
  1. de novo
  2. penetrance
  3. an X-linked dominant condition
  4. multifactorial conditions

[wergv]

Answer to Question 1

Correct Answer: 3

The individual who has inherited an altered disease-producing gene may foster deep resentment toward the parent who carries the altered gene. There is no evidence that these behaviors are related to disease process. Normal teens do not have to manage the implications associated with the occurrence of a congenital abnormality. The patient is not exhibiting behavior consistent with confusion.

Answer to Question 2

Correct Answer: 1

When there is no previous history of a condition, including even subtle signs and symptoms of the disease in any other immediate or distant family member, the disease may be caused by a spontaneous new mutation. This is called de novo. Penetrance is the probability that a gene will be expressed phenotypically. X-linked conditions are recessive in nature. Multifactorial conditions occur as a result of genetic variations and lifestyle and environmental influences that work together.

[gbarreiro]

TYSM

[cpetit11]

Excellent