Author Question: A 21-year-old Asian client, who has a strong family history of breast cancer, has been tested and ... (Read 76 times)

jasdeep_brar · **on:** Jul 22, 2018

A 21-year-old Asian client, who has a strong family history of breast cancer, has been tested and found to have mutations in the BRCA1 and BRCA2 tumor suppressor genes.

The client's father calls the clinic and asks the nurse to give him the results of the testing done. Which of the following is the appropriate action by the nurse? 1. Explain to the father that the client is the only one who can obtain the results of the testing
2. Give the father the information as the head of the family
3. Call the client and apprise the client of the father's request
4. Ask the physician to give the results to the father

Question 2

Which of the following interventions would be appropriate for a client demonstrating acute anxiety related to post-traumatic stress disorder?

1. Give the client paperwork to complete while waiting to be assessed
2. Provide a calm quiet environment and reassure the client that it is safe
3. Ask the client what is causing the anxiety
4. Encourage the client to discuss what caused the syndrome to develop

katara · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Explain to the father that the client is the only one who can obtain the results of the testing.
Rationale:
Since the client is an adult, she is the only person who is to receive results unless she signs a waiver and designates which others may receive the information. The nurse or physician may not breech the privacy of the client. It is not necessary to alert the client of the father's request for information.

Answer to Question 2

2. Provide a calm quiet environment and reassure the client that it is safe

Rationale:
The client diagnosed with post traumatic stress disorder who is exhibiting extreme anxiety needs immediate pharmacologic intervention, a quiet and calm environment, and reassurance of his or her safety. The client should not be given paperwork to complete. Asking the client what is causing the anxiety or encouraging the client to discuss what caused the syndrome to develop are not effective interventions for acute anxiety related to this disorder and should not be done.