critical care exam 1 practice questions
The occupational health nurse is conducting yearly health screenings. a 50 year old man
states, "my father had colon cancer, but I really don't understand why that means I need a
colonoscopy. What could the nurse do to disseminate information about screening to more
individuals?
a. plan a health fair for the employees that provides information about screening for diseases
that have an inheritance pattern
b. refer each employee over the age of 50 to a gastroenterologist
c. create a web site on diet and exercise as it relates to the prevention of colon cancer in
people over 50
d. place brochures in the nurses' facility for the employees to access in answering their
questions
A. PLAN A HEALTH FAIR FOR THE EMPLOYEES THAT PROVIDES INFORMATION
ABOUT SCREENING FRO DISEASES THAT HAVE AN INHERITANCE PATTERN
in your role as the nurse at a genetics clinic, you are reviewing the health and genetic history
of a woman whose mother died of breast cancer. which of the following is the most important
factor documented in the patient's genetic history?
a. three generations of information about the family
b. current medications taken
c. health problems present in the woman's children
d. immunizations received for the past three generations
A. THREE GENERATIONS OF INFORMATION ABOUT THE FAMILY
a 46 year old man, estranged from his siblings, has begun showing signs of dementia and
has been diagnosed with Alzheimer's disease. the nurse tells him how important it is that he
inform his siblings of his disease. he refuses stating, I don't want them to know. let them find
out on their own. what should the nurse do?
a. call the patient's brother and inform him of his risk for development of Alzheimer's disease
b. notify the geneticist and have him instruct the patient on his siblings' and parents' risk
c. notify the siblings' physicians about the patient's risk for development of Alzheimer's
disease
d. instruct the patient on the importance of notifying the siblings and keep his information
confidential
D. INSTRUCT THE PATIENT ON THE IMPORTANCE OF NOTIFYING THE SIBLINGS AND
KEEP HIS INFORMATION CONFIDENTIAL
,a nurse is participating in genetic counseling for a couple who are considering trying to
conceive. after the couple receives the results of genetic testing, the nurse should prioritize
which of the following?
a. secondary illness prevention
b. psychosocial support
c. gene therapy
d. assessing adherence to treatment
B. PSYCHOSOCIAL SUPPORT
genetics-related health care is a component of holistic nursing practice. what action should a
nurse who practices in the area of genetics prioritize?
a. teaching families about the different patterns of inheritance
b. gathering relevant family and medical history information
c. providing advice on termination of pregnancy
d. discouraging females from conceiving after the age of 40 years
B. GATHERING RELEVANT FAMILY AND MEDICAL HISTORY INFORMATION
a nurse is providing care for a young couple who wish to start a family. in response to one of
the couple's questions, the nurse is describing the concept of personalized medicine. to
explain this concept adequately, the nurse must understand which of the following?
a. that personalized medicine is, by definition, holistic
b. that collaboration is essential in genomic medicine
c. the ethical basis for genomic medicine
d. the new technologies and treatments of genetic and genomic based health care
D. THE NEW TECHNOLOGIES AND TREATMENTS OF GENETIC AND GENOMIC BASED
HEALTH CARE
a nurse who works in a hospital clinic is describing ways of integrating genetics and
genomics into nursing practice. which of the following actions is most consistent with this
role?
a. planning treatment modalities for diseases that have patterns of inheritance
b. processing tissue samples to obtain genetic information
c. choosing options for patients after genetic testing has been completed
d. informing patients about the ethics of genetics and genomic concepts
D. INFORMING PATIENTS ABOUT THE ETHICS OF GENETICS AND GENOMIC
CONCEPTS
a nurse is part of an interdisciplinary team in a clinic that provides genetic screening and
genetic counseling. what is nursing's unique contribution to genomic medicine?
, a. its physical assessment capabilities
b. its holistic perspective
c. its biophysical focus
d. its evaluation capabilities
B. ITS HOLISTIC PERSPECTIVE
a nurse has begun a new role in a. clinic that focuses on genetics and genomics. in this role,
the nurse will aim to help individuals and families understand which of the following?
a. how genetic and psychological factors influence coping
b. how genomic and physical factors influence longevity
c. how genetic and environmental factors influence health and disease
d. how physical factors influence genetics and wellness
C. HOW GENETIC AND ENVIRONMENTAL FACTORS INFLUENCE HEALTH AND
DISEASE
a nurse who practices in a. clinic that provides genetic counseling has obtained a client's
family history. the nurse has consequently completed the first step in what process?
a. establishing the pattern of inheritance
b. influencing the client's genetic future
c. answering the client's genetic questions
d. answering the client's relational questions
A. ESTABLISHING THE PATTERN OF INHERITANCE
regardless of the setting in which they provide care, nurses are expected to know how to use
the first genetic test. what is this foundational genetic test?
a. the developmental assessment
b. the family history
c. the physical assessment
d. the psychosocial assessment
B. THE FAMILY HISTORY
you are the nurse documenting the family history of an 81 year old female patient newly
diagnosed with Alzheimer's disease. what knowledge would influence your nursing
considerations for genetic testing?
a. what genetic tests predict the patient's husband's risk of Alzheimer's disease
b. what actions the geneticist has recommended for treating the disease
c. the genetic bases of adult-onset conditions such as Alzheimer's disease
d. whether any of the patient's peers have Alzheimer's disease
C. THE GENETIC BASES OF ADULT-ONSET CONDITIONS SUCH AS ALZHEIMER'S
DISEASE
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