NUR3010: CHAPTER 8- PREPU QUIZZES

Which statement is true regarding the Health Insurance Portability and Accountability Act (HIPAA) of 1996?

Prohibits use of genetic information to establish insurance eligibility

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.

Which of the following statements best reflects autosomal-recessive inherited conditions?

Transmission usually occurs horizontally in families.

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 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 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."

The nurse is conducting a prenatal class for expectant parents on conception. The nurse provides additional teaching when a parent makes which statement?

"Reproductive cells are formed through mitosis."

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

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

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 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

The nurse is reading the chart of a new client at the genetics clinic. The chart notes that the client, her brother, and her mother all have inherited a particular condition. The nurse plans care for a condition with which type of inheritance pattern?

Autosomal dominant

Cystic fibrosis is a condition passed on through which type of inheritance?

Autosomal recessive

The nurse is planning an educational program on cystic fibrosis. The nurse should include information explaining that cystic fibrosis is an example of which type of inherited conditions?

Autosomal recessive

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 patient has an autosomal recessive inherited condition. For what type of disorder does the nurse anticipate the patient will be treated?

Cystic fibrosis

Which of the following would be least appropriate to include when conducting the psychosocial component of the genetics health assessment?

Ethnic background of all family members

A nurse is working with a couple who will be undergoing genetic testing. Which of the following would the nurse prepare the couple for as the first genetic test?

Family history

Which of the following best reflects the interpretation of the Health Insurance Portability and Accountability Act (HIPAA) and genetic information.

Genetic information cannot be used to establish insurance eligibility.

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

After teaching nursing students about autosomal-dominant and autosomal-recessive inherited disorders, the instructor determines that the teaching was successful when the class identifies which of the following as true about autosomal-dominant inherited conditions?

Males and females are equally affected by this pattern of inheritance.

The nurse is reviewing the chart of a client who was diagnosed with a cleft lip and palate at birth. The nurse demonstrates understanding of this disorder, identifying it as involving which type of inheritance pattern?

Multifactorial

A client's history reveals evidence of a trisomy. The nurse interprets this as resulting from which of the following?

Nondisjunction

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

While assessing a client, the nurse notes that the client has numerous freckles on his skin. The nurse interprets this finding as which of the following?

Phenotype

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

After assessing a client's family history, the nurse determines the need for a genetic referral based on which of the following?

Several relatives diagnosed with colon 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 child is diagnosed with Turner syndrome. When describing this genetic condition to the parents, which of the following would the nurse include?

The child will have fertility problems.

A patient has been identified as a poor metabolizer for a drug that undergoes CYP 450 metabolism. The nurse interprets this information as indicating which of the following?

The patient is at increased risk for toxicity.

A nursing instructor is preparing a class about genes and genetics. Which of the following would the instructor use to describe a person's genotype?

The person's full complement of genes

The nurse is conducting a community education class on genetics and genomics. The nurse explains that a chromosomal difference that involves an extra or missing chromosome is known as

aneuploidy.

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 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 of inheriting the gene.

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

The nurse is working with a 34-year-old client diagnosed with hypercholesterolemia. The client's father died from cardiovascular disease at age 50. When discussing the client's care with the genetic specialists, the nurse uses which term to refer to the manifestation of the disease?

Phenotype

The nurse is preparing a teaching plan for a pregnant woman for the newborn screening done just after birth. When developing the client's teaching plan about the conditions associated with this screening, which condition would the nurse include?

Phenylketonuria

The nurse working in the labor and delivery unit prepares to test for which condition as a part normal newborn screening?

Phenylketonuria

Which condition is tested for as a part of normal newborn screening?

Phenylketonuria

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."

A nurse working in genetics teaches a client about autosomal dominant conditions. What will the nurse include in the teaching?

"These conditions follow a vertical pattern of inheritance."

A patient understands that her diagnosis of ovarian cancer syndrome is an autosomal-dominant inherited condition. What is the chance that her daughter will inherit the gene mutation for this disease?

50%

People who have BRCA1 gene mutation have an approximately

80% risk of breast cancer and a 40% to 60% risk of ovarian cancer.

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 nurse working as part of a genetics counseling team is preparing a presentation for a career day discussion at a local college of nursing. When describing the genomic framework for nursing, which of the following would the nurse include as being most important?

Being keenly aware of one's own attitudes and assumptions about genetics and genomics

When describing the process of mitosis to students, the instructor identifies this process as occurring in which type of cell? Select all that apply.

Blood cells Nerve cells Skin cells

The nurse is providing client education to a pregnant woman regarding genetic testing for Down syndrome. The nurse determines that the client understands the teaching when the client states that diagnostic testing for Down syndrome includes which test?

Chromosomal analysis

The nurse is working with a 40-year-old pregnant woman about to undergo amniocentesis. The nurse provides appropriate education by stating that amniocentesis is performed for a prenatal diagnosis of which condition?

Cystic fibrosis

Nondisjunction of a chromosome results in which diagnosis?

Down syndrome

A client's admission note states that the client has an X-linked recessive condition. The nurse anticipates that the client might have which condition?

Duchenne muscular dystrophy

Which condition is an example of an X-linked recessive inheritance?

Duchenne muscular dystrophy

As part of a class assignment, a nursing student is to give an oral presentation about autosomal-dominant inherited conditions. Which of the following would the student include? Select all that apply.

Males and females as equally affected Variable expression among family members Reduced penetrance with some conditions

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 pregnant woman has undergone prenatal screening that has revealed evidence of congenital heart defect in the fetus. The nurse interprets this finding as indicative of which type of inheritance?

Multifactorial

"What is a characteristic of the genomic era of personalized medicine's impact on health care?"

Optimization of risk reduction related to genetic predisposition

Which is the first step in establishing a pattern of inheritance?

Pedigree

The daughter of a patient with Huntington disease has requested that she be tested for the disease even though she has no symptoms at this time. What type of test does the nurse anticipate the physician will order?

Presymptomatic testing

To ensure ethical nursing care when dealing with genetic and genomic information, which principle would the nurse integrate as the foundation for all nursing care?

Respect for people

Which genetic condition is caused by a small gene mutation that affects protein structure, producing hemoglobin S?

Sickle cell anemia

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

The nurse records a client's pattern of inheritance through a diagrammatic representation of the family history. The nurse is documenting the client's

pedigree.

The nurse is conducting an educational program for unlicensed personnel on the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The nurse determines that the unlicensed personnel understand HIPAA when they state that it prohibits

the use of genetic information to establish insurance eligibility.