Author Question: A nurse cares for an adult client who has received genetic testing. The client's mother asks to ... (Read 158 times)

Arii_bell · **on:** Jun 25, 2018

A nurse cares for an adult client who has received genetic testing. The client's mother asks to receive the results of her daughter's genetic tests. Which action should the nurse take?

a. Obtain a signed consent from the client allowing test results to be released to the mother.
b. Invite the mother and other family members to participate in genetic counseling with the client.
c. Encourage the mother to undergo genetic testing to determine if she has the same risks as her child.
d. Direct the mother to speak with the client and support the client's decision to share or not share the results.

Question 2

A health care provider prescribes genetic testing for a client who has a family history of colorectal cancer. Which action should the nurse take before scheduling the client for the procedure?

a. Confirm that informed consent was obtained and placed on the client's chart.
b. Provide genetic counseling to the client and the client's family members.
c. Assess if the client is prepared for the risk of psychological side effects.
d. Respect the client's right not to share the results of the genetic test.

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

Answer to Question 1

ANS: D
All conversations and test results must be kept confidential. The client has the right to determine who may be involved in discussions related to diagnosis and genetic testing, who may participate in genetic counseling with the client, and what information may be disclosed to family members. It is the nurse's responsibility to provide a private environment for discussions and protect the client's information from improper disclosure. The nurse should support the client's right to disclose or not disclose information.

Answer to Question 2

ANS: A
Informed consent is required before genetic testing. The person tested is the one who gives consent. An advanced practice provider should explain the procedure and provide genetic counseling. Although the client should be prepared for the risk of psychological side effects and the client's rights should be respected, the procedure cannot occur without informed consent.