Deck 1: Genetics and Genomics: Definitions and Trends

Question 1

The health care organization's vice president in charge of nursing services is planning to educate nurses regarding genetic and genomic literacy.Which option best describes the nurses who should be included in this education?

A)Nurses who work in labor and delivery
B)All nurses throughout the organization
C)Nurses whose primary assignment is in the postpartum unit.
D)Nurses who work on oncology treatment units.

Answer 1

All nurses throughout the organization

Question 2

A client's history reveals that both his mother and his father have Type 2 diabetes.How should the nurse use this information in providing care to this client?

A)Begin to prepare the client for the eventuality of developing Type 2 diabetes.
B)Have the client schedule more frequent screenings of blood glucose levels.
C)Discuss the benefits of a diet based on lean meats and fresh vegetables.
D)Discuss the pharmacotherapy associated with Type 2 diabetes.
E)Explain signs and symptoms of Type 2 diabetes.

Answer 2

Have the client schedule more frequent screenings of blood glucose levels.
Discuss the benefits of a diet based on lean meats and fresh vegetables.
Explain signs and symptoms of Type 2 diabetes.

Question 3

A client states,"My wife has been reading about the human genome project.Do you think that may help with my cancer treatment?" Which nursing response is most appropriate?

A)"While that work is interesting,it isn't very far along."
B)"In the future there may be some changes because of this project."
C)"Some of the work of this project is changing the way we treat different diseases."
D)"The results of the project are too broad to help individual clients."

Answer 3

"Some of the work of this project is changing the way we treat different diseases."

Question 4

Type: MCSA

A)The local community college
B)National Institutes of Health (NIH)
C)A private nurse practitioner/physician clinic
D)Funding for genetics and genomics research is limited at this time.

Question 5

A client expresses interest in developing a plan to promote optimal health in her spouse,her children,and herself.What guidance should the nurse provide?

A)"A good first step is to investigate your family medical histories."
B)"It is going to be very hard to enforce the rules with your children."
C)"Since your children are already teenagers you have almost waited too late."
D)"Unless there is something in your family history of concern,I would not be too worried."

Question 6

The faculty of a baccalaureate school of nursing is rearranging the curriculum to include additional information regarding genetics and genomics.What are rationales for this action?

A)Accreditation decisions may be based on this inclusion.
B)Genetics and genomics literacy is considered a competency of professional nursing.
C)Many other components in nursing are no longer as important as genetics and genomics.
D)The future of nursing will include more information about genetics and genomics.
E)These competencies are not required until the nurse reaches the master's level of education.

Question 7

Which statement best illustrates the concept of "genetic determinism"?

A)"I am determined not to let my family history of multiple sclerosis frighten me away from my personal goals."
B)"I can eat what I want since there is no diabetes in my family."
C)"Since my mother was diagnosed with breast cancer at age 50,I will do my self-breast exams every month."
D)"I think my grandfather's death from lung cancer when I was a teenager has kept me from ever smoking cigarettes."

Question 8

A nurse's undergraduate education program did not include information about genetics and genomics.How can the nurse obtain this information?

A)A return to school for additional coursework
B)Current textbooks and websites on genetics and genomics
C)Discussion with other nurses on the unit
D)Wait for workplace-based seminars on the topic

Question 9

The clinical nurse specialist educating staff about genetics and genomics would include which figures as central to the history of this specialty?

A)James Watson
B)Joseph Lister
C)Gregory Mendel
D)Francis Collins
E)Francis Crick

Question 10

A client who has hypertension says,"I don't want to have to start on medication.It took my dad two years of suffering with side effects before they figured out which one was best for him to take." What is the nurse's best response?

A)"Genetic testing may help to identify the best medication to treat your hypertension."
B)"I'm sorry that you couldn't control your hypertension without medications."
C)"The drugs are much better now and don't have many side effects."
D)"Trial-and-error is the best way we have to determine the best medication for you."

Question 11

Which statements,made by participants in a genetics seminar,should the nurse presenting the session be quick to correct?

A)"It doesn't matter what we do,our genes are going to determine our health."
B)"Since all the people in my family and my wife's family have brown eyes,I'm suspicious of why my daughter's eyes are blue."
C)"Our understanding of eugenics is much clearer today."
D)"The fact that I have several family members with heart disease and cancer should make me more aware of risk factors."
E)"Genes are dependable to express themselves consistently."

Question 12

A client states,"I don't know why it is that I get so sick when I get the flu but my friend never seems to catch it." What is the nurse's best response?

A)"You must have a weaker system than your friend."
B)"Your friend probably takes better care of himself."
C)"The way you respond to illness has a lot to do with genetics as well as your environment."
D)"It has to do with genomics."