A patient has a strong family history of nonpolyposis colorectal ...

[CharlieWard]

A patient has a strong family history of nonpolyposis colorectal cancer. What is the best advice the nurse can give to the patient?
 
  1. Have predispositional genetic testing done to detect the presence of the genetic disorder even though the patient may never develop cancer.
  2. Teach the patient the symptoms of colon cancer and suggest a high-fiber diet to prevent cancer.
  3. Have regular colonoscopies; if one is abnormal, then predispositional genetic testing is indicated.
  4. Have predispositional genetic testing done to detect the presence of colorectal cancer so that treatment can be initiated as early as possible.

Question 2

A patient learning that her newborn baby has a genetic disorder tells the nurse that it was because a stranger gave her baby the evil eye. What should this information suggest to the nurse?
 
  1. The patient's culture supports the notion that a stranger looking at the baby caused the disorder.
  2. The patient needs psychiatric counseling.
  3. The patient is not going to be a good mother since she permits strangers around the baby.
  4. Healthcare dollars should not be spent trying to change this patient's opinion of why the baby has a genetic disorder.

[Pswine]

Answer to Question 1

Correct Answer: 1

The patient should be advised to have a predispositional test to detect the presence of the genetic mutation that causes nonpolyposis colorectal cancer. Teaching the patient the symptoms of colon cancer and suggesting a high-fiber diet to prevent cancer are important pieces of advice, but not the best advice for this patient at this time. In this case, genetic testing is indicated. Therapy would only be started if the cancer were present.

Answer to Question 2

Correct Answer: 1

The nurse needs to be aware of the patient's cultural and religious beliefs. The patient stating that the newborn has a genetic disorder because a stranger gave the baby the evil eye is evidence that the patient believes this is the cause of the disorder. This information does not suggest that the patient needs psychiatric counseling or that the patient is not going to be a good mother. Deciding whether healthcare dollars should be spent trying to change the patient's opinion of why the baby has a genetic disorder is beyond the scope of the nurse.

[CharlieWard]

Thanks for the timely response, appreciate it

[Jossy]

Gracias!