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Test Bank - Pathophysiology-Concepts of Human Disease, 1st Edition (Sorenson, 2019), Chapter 1-53 | All Chapters
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Test Bank - Pathophysiology-Concepts of Human Disease, 1st Edition (Sorenson, 2019), Chapter 1-53 | All Chapters

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TEST BANK FORII II




II PATHOPHYSIOLOGY
CONCEPTS OFHUMAN
II II




DISEASE 1ST EDITION
II I I I I




BYSORENSON
I I I

,Pathophysiology: Concepts of Human Disease II II II II



(Sorenson)Chapter 2 Genetics, Genomics, and
II I II II II II



Epigenomics
II




1) The community health nurse is planning a program for a local health fair on genetics and
II II II II II II II II II II II II II II II



health, using Healthy People 2020 goals. Which concepts should guide the nurse's planning
II II II II II II II II II II II II II



forthe program?
II I II



A) People should know their family health history. II II II II II II



B) All people should have genetic testing done.
II II II II II II



C) Genetic testing determines what diseases a person will develop. II II II II II II II II



D) All diseases have a genetic II II II II



basis.Answer: A
II I I I



Explanation: A) Research substantiates the benefits of taking a family health history and theII II II II II II II II II II II II II



useof genetic and genomic tests to identify risk factors, diagnose disease, and guide the use of
II I II II II II II II II II II II II II II II II



screening tests and treatment options.
II II II II II



B) Research substantiates the benefits of taking a family health history and the use of genetic
II II II II II II II II II II II II II II



andgenomic tests to identify risk factors, diagnose disease, and guide the use of screening tests
II I II II II II II II II II II II II II II II



and treatment options. If a family history does not suggest the presence of genomic and genomic
II II II II II II II II II II II II II II II II



riskfactors, genetic testing is not indicated.
II I II II II II II



C) Research substantiates the benefits of taking a family health history and the use of genetic
II II II II II II II II II II II II II II



andgenomic tests to identify risk factors, diagnose disease, and guide the use of screening tests
II I II II II II II II II II II II II II II II



and treatment options. Having a risk factor for a disease does not mean that the person will
II II II II II II II II II II II II II II II II II



develop the disease.
II II II



D) Although not all diseases have a genetic basis, genomics plays a role in 9 out of 10 of the
II II II II II II II II II II II II II II II II II II



leading causes of death, including heart dNiUseRaSsIeN,GcTaBnc.CeOr,Mstroke, diabetes, and Alzheimer's
II II II II II II II II II II



disease. Genomics also plays a role in a variety of neuromuscular, immune, vision, and
II II II II II II II II II II II II II II



hearingdisorders.
II I



Page Ref: 24 II II



Cognitive Level: Applying II I I



Client Need & Sub: Health Promotion and Maintenance
II II II I I II II II



Standards: Nursing Process: Planning | Learning Outcome: 2.1 Describe the impact of genetics,
II II II II II II II II II II II II



genomics, and epigenomics on personalized healthcare, and explain the concepts related to them.
II II II II II II II II II II II II II



| QSEN Competencies: I.C.10 Value active partnership with patients or designated surrogates
II II II II II II II II II II II



inplanning, implementation, and evaluation of care | AACN Essential Competencies: VII.1
II I II II II II II II II II II II



Assessprotective and predictive factors, including genetics, which influence the health of
II I II II II II II II II II II II



individuals, families, groups, communities and populations
II II II II II II



NLN Competencies: Knowledge and Science: Relationships between knowledge/science
II II II II II II II



andquality and safe patient care
II I II II II II



MNL Learning Outcome: LO 1: Recognize the concepts and relationships of human
II II II II II II II II II II II



genetics,genomics, and epigenomics.
II I II II

, 2) Which statement would be most appropriate for the nurse to make to a patient
II II II II II II II II II II II II II



newlydiagnosed with colorectal cancer?
II I II II II



A) "There is no need for genetic testing as you have already been diagnosed with
II II II II II II II II II II II II II



colorectalcancer."
II I



B) "With genetic testing, family members will not need colonoscopies."
II II II II II II II II



C) "Genetic testing will help identify familial colorectal cancer syndromes."
II II II II II II II II



D) "Family members will be able to determine if they will get colon II II II II II II II II II II II



cancer."Answer: C
II I I I



Explanation: A) One objective of Healthy People 2020 related to genomics is to "increase the
II II II II II II II II II II II II II II



proportion of persons with newly diagnosed colorectal cancer who receive genetic testing to
II II II II II II II II II II II II II



identify familial colorectal cancer syndromes." One purpose of this objective is to increase
II II II II II II II II II II II II II



theearly diagnosis and treatment of asymptomatic individuals with colorectal cancer, thereby
II I II II II II II II II II II II



improving survival. Another purpose is to identify individuals at risk who need more
II II II II II II II II II II II II II



frequentscreening, such as colonoscopy.
II I II II II



B) One objective of Healthy People 2020 related to genomics is to "increase the proportion of
II II II II II II II II II II II II II II



persons with newly diagnosed colorectal cancer who receive genetic testing to identify familial
II II II II II II II II II II II II II



colorectal cancer syndromes." One purpose of this objective is to increase the early diagnosis
II II II II II II II II II II II II II II



andtreatment of asymptomatic individuals with colorectal cancer, thereby improving survival.
II I II II II II II II II II II



Another purpose is to identify individuals at risk who need more frequent screening, such as
II II II II II II II II II II II II II II II



colonoscopy.
II



C) One objective of Healthy People 2020 related to genomics is to "increase the proportion of
II II II II II II II II II II II II II II



persons with newly diagnosed colorectal cancer who receive genetic testing to identify familial
II II II II II II II II II II II II II



colorectal cancer syndromes." One purpose of this objective is to increase the early diagnosis
II II II II II II II II II II II II II II



andtreatment of asymptomatic individuals wNitUhRcSoIN
II I loGreTcBt.aClOcM
ancer, thereby improving survival.
II II II II II II II



Another purpose is to identify individuals at risk who need more frequent screening, such as
II II II II II II II II II II II II II II II



colonoscopy.
II



D) One objective of Healthy People 2020 related to genomics is to "increase the proportion of
II II II II II II II II II II II II II II



persons with newly diagnosed colorectal cancer who receive genetic testing to identify familial
II II II II II II II II II II II II II



colorectal cancer syndromes." One purpose of this objective is to increase the early diagnosis
II II II II II II II II II II II II II II



andtreatment of asymptomatic individuals with colorectal cancer, thereby improving survival.
II I II II II II II II II II II



Another purpose is to identify individuals at risk who need more frequent screening, such as
II II II II II II II II II II II II II II II



colonoscopy.
II



Page Ref: 24 II II



Cognitive Level: Applying II I I



Client Need & Sub: Health Promotion and Maintenance
II II II I I II II II



Standards: Nursing Process: Implementation | Learning Outcome: 2.1 Describe the impact of
II II II II II II II II II II II



genetics, genomics, and epigenomics on personalized healthcare, and explain the concepts
II II II II II II II II II II II



related to them. | QSEN Competencies: I.B.10 Engage patients or designated surrogates in
II II II II II II II II II II II II II



activepartnerships that promote health, safety and well-being, and self-care management |
II I II II II II II II II II II II



AACN Essential Competencies: IX. 2. Recognize the relationship of genetics and genomics to
II II II II II II II II II II II II II



health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of
II II II II II II II II II II II



treatment effectiveness, using a constructed pedigree from collected family history information
II II II II II II II II II II II



as well as standardized symbols and terminology
II II II II II II II



NLN Competencies: Knowledge and Science: Relationships between knowledge/science
II II II II II II II



andquality and safe patient care
II I II II II II



MNL Learning Outcome: LO 3: Examine genetic factors and disorders and how they
II II II II II II II II II II II II



affectindividual health.
II I II

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