Author Question: A couple has been referred for genetic counseling. Prior to making the appointment, the couple ... (Read 137 times)

audie · **on:** Jun 28, 2018

A couple has been referred for genetic counseling. Prior to making the appointment, the couple should understand that:

1. The cost of genetic counseling will be covered by their health insurance.
2. Genetic counseling and testing is voluntary. They have a right to decide not to seek the information.
3. Once genetic counseling has been completed, the physician may require sterilization of the man or woman.
4. Their extended family will benefit from the knowledge the couple gains.

Question 2

The nurse is teaching family members of a child getting ready for discharge how to administer medication to the child via a G-tube. The nurse created a nursing care plan with the diagnosis: knowledge deficit medication administration per G-tube.

The most appropriate outcome for this goal would be that prior to discharge, the family: 1. Understands how to administer the medication.
2. Is able to give a return demonstration.
3. Repeats the instructions.
4. Administers the medication through the G-tube.

meryzewe · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

2
Rationale 1: Many insurance companies do not cover the cost of genetic counseling.
Rationale 2: Couples can decide whether or not to seek genetic counseling.
Rationale 3: The decision to have children or not to have children will be the couple's. The purpose of genetic counseling is to help them make an informed decision.
Rationale 4: Not all family members will appreciate the knowledge and may prefer to remain uninformed.
Global Rationale:

Answer to Question 2

4
Rationale 1: Understanding is not observable or measurable. It is not the best outcome.
Rationale 2: This outcome is not measureable or observable. The nurse cannot evaluate Is able to.
Rationale 3: This outcome is appropriate, but the best option is observing the family administering the medications.
Rationale 4: A return demonstration is the best method to show the parents are capable of performing the task.
Global Rationale: