Deck 12: Genomics in Public Health Nursing

Question 1

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) 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.

Answer 1

Decreased quality of life that may occur if the results are positive.

Question 2

Which statement regarding mutations is true?

A) Mutations in the deoxyribonucleic acid (DNA) 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.

Answer 2

Environmental factors can be linked to many mutations.

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?

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

Answer 3

Family history of this disorder

Question 4

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

Question 5

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?

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

Question 6

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?

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 7

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

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

Question 8

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

Question 9

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?

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 10

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) "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 11

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

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?

Question 12

Who is considered the father of genetics?

A) Charles Darwin
B) Gregor Mendel
C) James Watson
D) Francis Galton

Question 13

A nurse is caring for a client who has been diagnosed with a multifactorial disease. Which of the following best describes the client's diagnosis?

A) Measles
B) Hepatitis B
C) Eczema
D) Type I diabetes

Question 14

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) "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 15

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?

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

Question 16

A clinic nurse working in the 1970s was employed by a primary care physician. Which of the following describes how the nurse would have applied genetic concepts?

A) Providing genetic counseling to those with genetic disorders
B) Educating clients about using genetic testing for risk identification
C) Explaining the purposes of the Human Genome Project to clients
D) Facilitating referrals for specialized genetic services for clients

Question 17

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) 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 18

The blueprint or code that is used to construct other components of cells is referred to by what term:

A) deoxyribonucleic acid (DNA).
B) gene.
C) chromosome.
D) base.

Question 19

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

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 20

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) 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 21

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) 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 22

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

Question 23

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

Question 24

A nurse is counseling a client whose genetic test results show a genetic susceptibility for breast cancer. Which of the following would be the most appropriate statement by the nurse?

A) "You should discuss hormone replacement therapy with your physician."
B) "You are at an increased risk to develop breast cancer."
C) "You should have a bilateral mastectomy as soon as possible."
D) "You should tell all of your siblings and children to get tested."

Question 25

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