Question 1

An increased knowledge about genetics and genomics will influence what change in nursing practice?

Accepted Answer

A)  How nurses collect and use health histories? 
B)  How nursing students complete clinical experiences? 
C)  How referrals to other disciplines are made? 
D)  How ethical dilemmas are solved? 
A)  How nurses collect and use health histories? 
B)  How nursing students complete clinical experiences? 
C)  How referrals to other disciplines are made? 
D)  How ethical dilemmas are solved? A

Question 2

What is one of the main goals of the Human Genome Project?

Accepted Answer

A)  Providing physicians with a national database for information related to genetic disorders 
B)  Developing new medications that can be used in genetics research 
C)  Addressing ethical, legal, and social issues related to this research 
D)  Improving the ability to accurately test for genetic disorders 
A)  Providing physicians with a national database for information related to genetic disorders 
B)  Developing new medications that can be used in genetics research 
C)  Addressing ethical, legal, and social issues related to this research 
D)  Improving the ability to accurately test for genetic disorders C

Question 3

A nurse is counseling a client who is considering having genetic testing completed to determine carrier status of the gene linked to Huntington's disease. Which of the following would be the first assessment the nurse would take?

Accepted Answer

A)  Vital signs 
B)  Family history of this disorder 
C)  Client's past medical history 
D)  Current medications 
A)  Vital signs 
B)  Family history of this disorder 
C)  Client's past medical history 
D)  Current medications B

Question 4

A nurse is applying genetic and genomic knowledge when completing a client assessment. Which of the following actions is most likely being taken by the nurse?

Accepted Answer

A)  Constructing a pedigree from a collected family history 
B)  Identifying a client who may benefit from genetic counseling 
C)  Referring a client to specialized genetic services 
D)  Incorporating knowledge of genomic risk factors 
A)  Constructing a pedigree from a collected family history 
B)  Identifying a client who may benefit from genetic counseling 
C)  Referring a client to specialized genetic services 
D)  Incorporating knowledge of genomic risk factors

Question 5

Which statement regarding mutations is true?

Accepted Answer

A)  Mutations in the deoxyribonucleic acid (DN
A)  sequence occur on a regular basis. 
B)  Mutagens are a result of a mutation. 
C)  Environmental factors can be linked to many mutations. 
D)  Spontaneous mutations occur because of environmental exposure. 
A)  Mutations in the deoxyribonucleic acid (DN
A)  sequence occur on a regular basis. 
B)  Mutagens are a result of a mutation. 
C)  Environmental factors can be linked to many mutations. 
D)  Spontaneous mutations occur because of environmental exposure.

Question 6

A nurse is assisting a family in compiling a family health history. Which of the following statements would be most appropriate for the nurse to make?

Accepted Answer

A)  "When you have completed this history, it will not need to be updated." 
B)  "Looking back at two generations of biological relatives will be sufficient." 
C)  "The purpose of completing a family history is to decrease genetic susceptibility." 
D)  "A family history is a useful tool when considering your future health risks." 
A)  "When you have completed this history, it will not need to be updated." 
B)  "Looking back at two generations of biological relatives will be sufficient." 
C)  "The purpose of completing a family history is to decrease genetic susceptibility." 
D)  "A family history is a useful tool when considering your future health risks."

Question 7

A nurse is considering seeking employment in a career as a genomic nurse. Which of the following roles would be most important role of the nurse in this setting?

Accepted Answer

A)  Direct caregiver 
B)  Educator 
C)  Advocate 
D)  Referral agent 
A)  Direct caregiver 
B)  Educator 
C)  Advocate 
D)  Referral agent

Question 8

A public health nurse (PHN) reports being able to demonstrate the minimum competencies set forth by the National Coalition of Health Professional Education in Genetics (NCHPEG). Which of the following describes the action that is taken by the nurse?

Accepted Answer

A)  Organizing a meeting to discuss the care of cystic fibrosis clients 
B)  Making a referral to a genetics specialist 
C)  Advocating for legislation to support stem cell research 
D)  Educating a client about the results of genetic testing 
A)  Organizing a meeting to discuss the care of cystic fibrosis clients 
B)  Making a referral to a genetics specialist 
C)  Advocating for legislation to support stem cell research 
D)  Educating a client about the results of genetic testing

Question 9

A nurse is using the Codes of Ethics developed by the International Council of Nurses and the American Nurses Association. Which of the following describes the action being taken by the nurse?

Accepted Answer

A)  Providing confidential genetic testing for a client 
B)  Advocating for the inclusion of genetic content in a nursing curriculum 
C)  Considering the pros and cons of an ethical dilemma 
D)  Becoming competent in genomics 
A)  Providing confidential genetic testing for a client 
B)  Advocating for the inclusion of genetic content in a nursing curriculum 
C)  Considering the pros and cons of an ethical dilemma 
D)  Becoming competent in genomics

Question 10

A nurse learns more about the Human Genome Project to better counsel families about the process of genetic testing. Which of the following terms best describes what the nurse is learning?

Accepted Answer

A)  Genetics 
B)  Genomics 
C)  Genes 
D)  Genetic susceptibility 
A)  Genetics 
B)  Genomics 
C)  Genes 
D)  Genetic susceptibility

Question 11

A nurse is studying the recent increase in Type I diabetes in the community. Which of the following factors should the nurse consider when examining the development of disease? (Select all that apply.)

Accepted Answer

A)  Genetics 
B)  Lifestyle 
C)  Environment 
D)  Technology 
E)  Communication patterns 
A)  Genetics 
B)  Lifestyle 
C)  Environment 
D)  Technology 
E)  Communication patterns

Question 12

A nurse considers that clients may not want to have genetic testing done because of the impact that it may have on future life decisions. Which of the following best describes how the nurse is incorporating genetics/genomics into practice?

Accepted Answer

A)  Assessment 
B)  Identification 
C)  Referral 
D)  Provision of education, care, and support 
A)  Assessment 
B)  Identification 
C)  Referral 
D)  Provision of education, care, and support

Question 13

What activity is associated with the implementation of the Genetic Information Nondiscrimination Act (GINA)?

Accepted Answer

A)  Protecting individuals from discrimination based on their genetic information 
B)  Allowing health insurance companies to deny coverage for preexisting conditions 
C)  Allowing state employers to collect genetic information from employees as needed 
D)  Requiring employees to report genetic disorders to their employer 
A)  Protecting individuals from discrimination based on their genetic information 
B)  Allowing health insurance companies to deny coverage for preexisting conditions 
C)  Allowing state employers to collect genetic information from employees as needed 
D)  Requiring employees to report genetic disorders to their employer

Question 14

While collecting a medical history, a client reports having a family history positive for Huntington's disease. However, the client states not wanting to have genetic testing performed. Which of the following best describes why the client may refuse genetic testing?

Accepted Answer

A)  Impact it may have on obtaining health insurance in the future. 
B)  Legal consequences that may result. 
C)  Inaccuracy of the results that are obtained. 
D)  Decreased quality of life that may occur if the results are positive. 
A)  Impact it may have on obtaining health insurance in the future. 
B)  Legal consequences that may result. 
C)  Inaccuracy of the results that are obtained. 
D)  Decreased quality of life that may occur if the results are positive.

Question 15

A nurse is counseling a client who is considering purchasing a genetic testing kit from a vendor advertised on the Internet. Which of the following would be the response by the nurse?

Accepted Answer

A)  "It is illegal to purchase genetic testing kits from Internet vendors." 
B)  "It will be important to follow up with a health care provider after receiving your results." 
C)  "Many times, online vendors experience inaccuracies with their results." 
D)  "Internet vendors use the latest technology to perform these tests." 
A)  "It is illegal to purchase genetic testing kits from Internet vendors." 
B)  "It will be important to follow up with a health care provider after receiving your results." 
C)  "Many times, online vendors experience inaccuracies with their results." 
D)  "Internet vendors use the latest technology to perform these tests."

Question 16

According to the Center for Disease Control's (CDC's) "Genomic competencies for the public health workforce," which of the following should all public health workers be able to do? (Select all that apply.)

Accepted Answer

A)  Demonstrate basic knowledge of the role that genomics play in disorders. 
B)  Make appropriate referrals to those with more genomic experience. 
C)  Counsel individuals about their genetic susceptibility for particular disorders. 
D)  Recommend appropriate genetic screening tests for clients. 
E)  Plan appropriate care for those who have positive genetic tests. 
A)  Demonstrate basic knowledge of the role that genomics play in disorders. 
B)  Make appropriate referrals to those with more genomic experience. 
C)  Counsel individuals about their genetic susceptibility for particular disorders. 
D)  Recommend appropriate genetic screening tests for clients. 
E)  Plan appropriate care for those who have positive genetic tests.

Question 17

A nurse is counseling a client who has just learned that she is a carrier of the BRCA2 gene. Which of the following best describes potential reactions by this client? (Select all that apply.)

Accepted Answer

A)  Feelings of guilt 
B)  Fear of loss of insurance coverage 
C)  Feelings of anxiety 
D)  Fear for children 
E)  Feelings of insecurity 
A)  Feelings of guilt 
B)  Fear of loss of insurance coverage 
C)  Feelings of anxiety 
D)  Fear for children 
E)  Feelings of insecurity

Question 18

A nurse understands the significant impact that genetic testing can have on an individual and family. This competency is described by which of the following organizations?

Accepted Answer

A)  National Coalition of Health Professional Education in Genetics (NCHPEG) 
B)  Centers for Disease Control and Prevention (CD
C)  
C)  American Nurses Association 
D)  International Council of Nurses 
A)  National Coalition of Health Professional Education in Genetics (NCHPEG) 
B)  Centers for Disease Control and Prevention (CD
C)  
C)  American Nurses Association 
D)  International Council of Nurses

Question 19

A nurse is eliciting information about a client's genetic history. Which of the following questions would be most appropriate for the nurse to ask?

Accepted Answer

A)  "Have any of your family members ever completed genetic testing?" 
B)  "Do any of your family members have a genetic disorder?" 
C)  "What medical problems have your parents and grandparents experienced?" 
D)  "What environmental exposures have you had?" 
A)  "Have any of your family members ever completed genetic testing?" 
B)  "Do any of your family members have a genetic disorder?" 
C)  "What medical problems have your parents and grandparents experienced?" 
D)  "What environmental exposures have you had?"

Question 20

A public health nurse (PHN) is implementing the objectives related to genetics from Healthy People 2020. Which of the following describes the action that is being taken by the nurse?

Accepted Answer

A)  Educating clients that multiple factors influence the development of disease 
B)  Counseling clients about the results of genetic testing 
C)  Lobbying for legislation to support genetic research 
D)  Providing screening and genetic testing for specific groups of individuals 
A)  Educating clients that multiple factors influence the development of disease 
B)  Counseling clients about the results of genetic testing 
C)  Lobbying for legislation to support genetic research 
D)  Providing screening and genetic testing for specific groups of individuals

Exam 12: Genomics in Public Health Nursing

An increased knowledge about genetics and genomics will influence what change in nursing practice?

What is one of the main goals of the Human Genome Project?

A nurse is counseling a client who is considering having genetic testing completed to determine carrier status of the gene linked to Huntington's disease. Which of the following would be the first assessment the nurse would take?

A nurse is applying genetic and genomic knowledge when completing a client assessment. Which of the following actions is most likely being taken by the nurse?

Which statement regarding mutations is true?

A nurse is assisting a family in compiling a family health history. Which of the following statements would be most appropriate for the nurse to make?

A nurse is considering seeking employment in a career as a genomic nurse. Which of the following roles would be most important role of the nurse in this setting?

A public health nurse (PHN) reports being able to demonstrate the minimum competencies set forth by the National Coalition of Health Professional Education in Genetics (NCHPEG). Which of the following describes the action that is taken by the nurse?

A nurse is using the Codes of Ethics developed by the International Council of Nurses and the American Nurses Association. Which of the following describes the action being taken by the nurse?

A nurse learns more about the Human Genome Project to better counsel families about the process of genetic testing. Which of the following terms best describes what the nurse is learning?

A nurse is studying the recent increase in Type I diabetes in the community. Which of the following factors should the nurse consider when examining the development of disease? (Select all that apply.)

A nurse considers that clients may not want to have genetic testing done because of the impact that it may have on future life decisions. Which of the following best describes how the nurse is incorporating genetics/genomics into practice?

What activity is associated with the implementation of the Genetic Information Nondiscrimination Act (GINA)?

While collecting a medical history, a client reports having a family history positive for Huntington's disease. However, the client states not wanting to have genetic testing performed. Which of the following best describes why the client may refuse genetic testing?

A nurse is counseling a client who is considering purchasing a genetic testing kit from a vendor advertised on the Internet. Which of the following would be the response by the nurse?

According to the Center for Disease Control's (CDC's) "Genomic competencies for the public health workforce," which of the following should all public health workers be able to do? (Select all that apply.)

A nurse is counseling a client who has just learned that she is a carrier of the BRCA2 gene. Which of the following best describes potential reactions by this client? (Select all that apply.)

A nurse understands the significant impact that genetic testing can have on an individual and family. This competency is described by which of the following organizations?

A nurse is eliciting information about a client's genetic history. Which of the following questions would be most appropriate for the nurse to ask?

A public health nurse (PHN) is implementing the objectives related to genetics from Healthy People 2020. Which of the following describes the action that is being taken by the nurse?

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