Author Question: While collecting a medical history, a client reports having a family history positive for ... (Read 99 times)

leo leo · **on:** Jul 8, 2018

While collecting a medical history, a client reports having a family history positive for Hunting-ton's disease. However, the client states he does not want to have genetic testing performed.

Which of the following best describes why the client may refuse genetic testing?
a. Impact it may have on obtaining health insurance in the future
b. Legal consequences that may result
c. Inaccuracy of the results that are obtained
d. Decreased quality of life that may occur if the results are positive

Question 2

A nurse is eliciting information about a client's genetic history. Which of the following questions would be most appropriate for the nurse to ask?

a. Have any of your family members ever completed genetic testing?
b. Do any of your family members have a genetic disorder?
c. What medical problems have your par-ents and grandparents experienced?
d. What environmental exposures have you had?

ApricotDream · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: D
Barriers to genetic testing are: some individuals do not have an insurance carrier that reimburses for genetic testing, a high-deductible insurance policy, and feelings that testing may decrease the quality of life and increase anxiety for the future if the results were positive. Others may also feel guilty about passing along a disease to children and grandchildren. Health insurance cannot be denied to individuals because of genetic testing results. There are no legal implications for genet-ic testing. There is not a high inaccuracy of results that are obtained through genetic testing.

Answer to Question 2

ANS: C
A client's family medical history is important to obtain in order to consider the client's potential risk for genetic diseases and disorders. The best way to obtain this information is to ask an open-ended question about past medical history of parents and grandparents. Asking about com-pletion of genetic testing by others, familial history specific only to genetic disorders, and envi-ronmental exposures do not address the importance of obtaining a family history.