NUR3010: CHAPTER 8- PREPU QUIZZES
"What is a characteristic of the genomic era of personalized medicine's impact on health care?" -
✔✔Optimization of risk reduction related to genetic predisposition
A child is diagnosed with Turner syndrome. When describing this genetic condition to the parents, which of the
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following would the nurse include? - ✔✔The child will have fertility problems.
A client has an autosomal-dominant disorder. His wife is unaffected. When explaining the risk for inheritance of
the disorder in their offspring, which statement by the nurse would be most appropriate? - ✔✔"There is a 50%
chance that each of your children will have the condition."
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A client of Jewish ancestry tells the nurse that she has the hereditary <i>BRCA1</i> breast cancer gene
mutation. The client asks the nurse what her risk is for getting breast cancer. The nurse responds that the
client's approximate risk for breast cancer is - ✔✔80%.
A client's admission note states that the client has an X-linked recessive condition. The nurse anticipates that
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the client might have which condition? - ✔✔Duchenne muscular dystrophy
A client's history reveals evidence of a trisomy. The nurse interprets this as resulting from which of the
following? - ✔✔Nondisjunction
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A couple is considering starting a family but is concerned about the risk of Tay-Sachs disease. What cultural
group does the nurse understand is most at risk for the disease? - ✔✔Ashkenazi Jewish
A female client discovers that she has the BRCA1 breast cancer gene. The client asks the nurse if she will get
breast cancer. What is the nurse's best response? - ✔✔"It is not 100% that you will get breast cancer."
A female client is a carrier for a gene mutation on one of her X chromosomes. Her spouse is unaffected. The
nurse understands that which of the following is most likely? - ✔✔The client's sons have a 50% chance of
being affected.
A group of nursing students are reviewing information about issues associated with genetic counseling
throughout the lifespan. The students demonstrate understanding of the issues when they identify which of the
following as an issue related to the newborn period? - ✔✔Potential for disrupted bonding
A group of students are reviewing information about X-linked inheritance. The students demonstrate the need
for additional study when they identify which condition as an example of X-linked recessive inheritance? -
✔✔Cystic fibrosis
A newborn has been diagnosed with cleft lip and cleft palate. The parents ask, "How did this happen?" The
nurse would incorporate an understanding of which of the following when responding to the parents? - ✔✔The
conditions result from multiple gene mutations and environmental influences.
, A newborn infant's mother requests more information on how the infant has red hair when only a "few"
individuals in the family has this trait. What term does the nurse understand the client is speaking about? -
✔✔Phenotype
A nurse is assessing a client with an autosomal-recessive inherited condition. When discussing the risk of
transmission to the client's offspring, what teaching would the nurse include? - ✔✔Each child has a 25% risk
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of inheriting the gene.
A nurse is assessing a couple of Ashkenazi Jewish descent. The nurse understands that carrier testing for
which condition would be least appropriate for this couple? - ✔✔Sickle-cell disease
A nurse is caring for a client with a genetic disorder. The client tells the nurse, "I'm scared I'm going to lose my
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insurance if they find out I have this disease." What is the nurse's best response? - ✔✔"HIPAA prohibits the
use of genetic information for insurance eligibility."
A nurse is constructing a pedigree of a patient and family to establish a patient's risk for possible genetic
disorders. The nurse demonstrates understanding of this process by obtaining information going back at least
how many generations? - ✔✔3
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A nurse is obtaining a genetic family history of a client. The nurse collects information about family members
going back at least how many generations? - ✔✔3
1
A nurse is obtaining health history from a client with a genetic disorder. Which of the following would be most
appropriate for the nurse to establish the pattern of inheritance? - ✔✔Construct a pedigree of the client's
family.
A nurse is preparing a presentation for a community health fair about genetics and genetic disorders. Which of
the following would the nurse be least likely to integrate into the presentation? - ✔✔Most genetic disorders
occur because of specific yet simple inheritance patterns.
A nurse is preparing a presentation for a local community group about familial Alzheimer's disease. As part of
the presentation, the nurse is planning to discuss the possible genetic basis for this condition. The nurse would
describe the inheritance as which of the following? - ✔✔Multifactorial
A nurse is reviewing the medical record of a patient who has just learned that she is pregnant. Which of the
following would the nurse identify as being least likely to indicate a need for a genetic evaluation referral? -
✔✔Age 33 years at expected delivery
A nurse is working as part of a genetic counseling team. Which of the following tasks would the nurse most
likely perform? - ✔✔Identify the client's support systems
A nurse is working with a client who is undergoing genetic testing. The nurse would least likely be responsible
for which of the following? - ✔✔Informing the client about the testing results
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