TEST BANK FORII II
II PATHOPHYSIOLOGY
CONCEPTS OFHUMAN
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DISEASE 1ST EDITION
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BYSORENSON
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,Pathophysiology: Concepts of Human Disease II II II II
(Sorenson)Chapter 2 Genetics, Genomics, and
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Epigenomics
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1) The community health nurse is planning a program for a local health fair on genetics and
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health, using Healthy People 2020 goals. Which concepts should guide the nurse's planning
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forthe program?
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A) People should know their family health history. II II II II II II
B) All people should have genetic testing done.
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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
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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
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screening tests and treatment options.
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B) Research substantiates the benefits of taking a family health history and the use of genetic
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andgenomic tests to identify risk factors, diagnose disease, and guide the use of screening tests
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and treatment options. If a family history does not suggest the presence of genomic and genomic
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riskfactors, genetic testing is not indicated.
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C) Research substantiates the benefits of taking a family health history and the use of genetic
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andgenomic tests to identify risk factors, diagnose disease, and guide the use of screening tests
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and treatment options. Having a risk factor for a disease does not mean that the person will
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develop the disease.
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D) Although not all diseases have a genetic basis, genomics plays a role in 9 out of 10 of the
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leading causes of death, including heart dNiUseRaSsIeN,GcTaBnc.CeOr,Mstroke, diabetes, and Alzheimer's
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disease. Genomics also plays a role in a variety of neuromuscular, immune, vision, and
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hearingdisorders.
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Cognitive Level: Applying II I I
Client Need & Sub: Health Promotion and Maintenance
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Standards: Nursing Process: Planning | Learning Outcome: 2.1 Describe the impact of genetics,
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genomics, and epigenomics on personalized healthcare, and explain the concepts related to them.
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| QSEN Competencies: I.C.10 Value active partnership with patients or designated surrogates
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inplanning, implementation, and evaluation of care | AACN Essential Competencies: VII.1
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Assessprotective and predictive factors, including genetics, which influence the health of
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individuals, families, groups, communities and populations
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NLN Competencies: Knowledge and Science: Relationships between knowledge/science
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andquality and safe patient care
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MNL Learning Outcome: LO 1: Recognize the concepts and relationships of human
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genetics,genomics, and epigenomics.
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, 2) Which statement would be most appropriate for the nurse to make to a patient
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newlydiagnosed with colorectal cancer?
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A) "There is no need for genetic testing as you have already been diagnosed with
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colorectalcancer."
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B) "With genetic testing, family members will not need colonoscopies."
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C) "Genetic testing will help identify familial colorectal cancer syndromes."
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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
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Explanation: A) One objective of Healthy People 2020 related to genomics is to "increase the
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proportion of persons with newly diagnosed colorectal cancer who receive genetic testing to
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identify familial colorectal cancer syndromes." One purpose of this objective is to increase
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theearly diagnosis and treatment of asymptomatic individuals with colorectal cancer, thereby
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improving survival. Another purpose is to identify individuals at risk who need more
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frequentscreening, such as colonoscopy.
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B) One objective of Healthy People 2020 related to genomics is to "increase the proportion of
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persons with newly diagnosed colorectal cancer who receive genetic testing to identify familial
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colorectal cancer syndromes." One purpose of this objective is to increase the early diagnosis
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andtreatment of asymptomatic individuals with colorectal cancer, thereby improving survival.
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Another purpose is to identify individuals at risk who need more frequent screening, such as
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colonoscopy.
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C) One objective of Healthy People 2020 related to genomics is to "increase the proportion of
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persons with newly diagnosed colorectal cancer who receive genetic testing to identify familial
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colorectal cancer syndromes." One purpose of this objective is to increase the early diagnosis
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andtreatment of asymptomatic individuals wNitUhRcSoIN
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ancer, thereby improving survival.
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Another purpose is to identify individuals at risk who need more frequent screening, such as
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colonoscopy.
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D) One objective of Healthy People 2020 related to genomics is to "increase the proportion of
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persons with newly diagnosed colorectal cancer who receive genetic testing to identify familial
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colorectal cancer syndromes." One purpose of this objective is to increase the early diagnosis
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andtreatment of asymptomatic individuals with colorectal cancer, thereby improving survival.
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Another purpose is to identify individuals at risk who need more frequent screening, such as
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colonoscopy.
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Cognitive Level: Applying II I I
Client Need & Sub: Health Promotion and Maintenance
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Standards: Nursing Process: Implementation | Learning Outcome: 2.1 Describe the impact of
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genetics, genomics, and epigenomics on personalized healthcare, and explain the concepts
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related to them. | QSEN Competencies: I.B.10 Engage patients or designated surrogates in
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activepartnerships that promote health, safety and well-being, and self-care management |
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AACN Essential Competencies: IX. 2. Recognize the relationship of genetics and genomics to
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health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of
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treatment effectiveness, using a constructed pedigree from collected family history information
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as well as standardized symbols and terminology
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NLN Competencies: Knowledge and Science: Relationships between knowledge/science
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andquality and safe patient care
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MNL Learning Outcome: LO 3: Examine genetic factors and disorders and how they
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affectindividual health.
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