Deck 11: Genomics in Public Health Nursing

Question 1

The blueprint or code that is used to construct other components of cells is called the:

A) DNA
B) Gene
C) Chromosome
D) Base

Answer 1

DNA

Question 2

A public health nurse is demonstrating one of the minimum competencies set forth by the National Coalition of Health Professional Education in Genetics (NCHPEG)when:

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

Answer 2

Making a referral to a genetics specialist

Question 3

A nurse uses the Codes of Ethics developed by the International Council of Nurses and the American Nurses Association when:

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

Answer 3

Providing confidential genetic testing for a client

Question 4

When 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,the nurse is incorporating genetics/genomics into practice using:

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

Question 5

A nurse implements the principles of the Personalized Health Care Initiative in practice by:

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) Protecting clients from discrimination based on the results of genetic testing

Question 6

The best response from a nurse when counseling a client who is considering purchasing a genetic testing kit from a vendor advertised on the Internet would be:

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 7

Which role of the nurse will be most important in the future practice of providing genomic nursing care?

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

Question 8

A nurse applies genetic and genomic knowledge when completing a client assessment by:

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 9

Which question would be the most appropriate for the nurse to ask when eliciting information about a client's genetic history?

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 10

A nurse is counseling a client who is considering having genetic testing completed to determine whether she is a carrier of the gene linked to Huntington's disease.What is the first step the nurse would take when assessing this client?

A) Assess vital signs.
B) Assess family history of this disorder.
C) Assess client's past medical history.
D) Assess current medications.

Question 11

While collecting a medical history,a client reports having a family history positive for Huntington's disease.However,the client states he does not want to have genetic testing performed.The nurse recognizes that one reason a client may refuse genetic testing is because of the:

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 12

Which statement would be most appropriate for the nurse to make when assisting a family in compiling a family health history?

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 13

The increasing knowledge about genetics and genomics will influence nursing practice by changing how:

A) Nurses collect and use health histories
B) Nursing students complete clinical experiences
C) Referrals to other disciplines are made
D) Ethical dilemmas are solved

Question 14

One of the main goals of the Human Genome Project was:

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 15

An example of a multifactorial disorder is:

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

Question 16

The father of genetics is:

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

Question 17

A nurse working in the 1970s would have applied genetic concepts by:

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 18

Which statement regarding mutations is true?

A) Mutations in the 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.

Question 19

When a nurse understands the significant impact that genetic testing can have on an individual and family,the nurse is meeting a competency identified by the:

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

Question 20

When a nurse learns more about the Human Genome Project to better counsel families about the process of genetic testing,the nurse is learning about:

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

Question 21

According to the CDC's "Genomic competencies for the public health workforce," all public health workers should be able to (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.

Question 22

When delivering safe and effective nursing care,the nurse must consider the significance of which factor(s)in the development of disease? Select all that apply.

A) Genetics
B) Lifestyle
C) Environment
D) Technology

Question 23

A nurse is counseling a client who has just learned that she is a carrier of the BRCA-2 gene.What are potential reactions by this client?

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

Question 24

The Genetic Information Nondiscrimination Act ( GINA ):

A) Protects individuals from discrimination based on their genetic information
B) Allows health insurance companies to deny coverage for pre-existing conditions
C) States employers may collect genetic information from employees as needed
D) Requires employees to report genetic disorders to their employer

Question 25

A nurse is counseling a client whose genetic test results show a genetic susceptibility for breast cancer.The most appropriate statement by the nurse would be:

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."