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Care of Older Adult Genetics Genomics quiz with Answer Feedback - 100% correct

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Care of Older Adult Genetics Genomics quiz Your patient, Maggie, insists that her mother have genetic testing to determine if her breast cancer is connected to a mutation in the BRCA1/2 genes. Maggie is concerned about her own risk for getting breast cancer and that of her children, but Maggie’s mom does not want to be tested. What ethical principle is one of several that must be considered in evaluating this case? Select one: a. Maggie’s “autonomy” b. Maggie’s mother’s “right to know” c. The nurse’s “duty to warn” d. Maggie’s mother’s “right to privacy” Feedback The correct answer is: Maggie’s mother’s “right to privacy” Why are people who have poor DNA repair mechanisms at greater risk for cancer development? Select one: a. Their cancers are usually resistant to chemotherapy. b. They have greater exposure to environmental carcinogens. c. They have sustained the initial “hit” in all cells and tissues. d. Their somatic mutations are more likely to be permanent. Feedback The correct answer is: Their somatic mutations are more likely to be permanent. What should be told to the patient who has been found to have a genetic mutation that increases the risk for colon cancer and says he does not want any of his family to know about this result? Select one: a. “It is required by law that you inform your siblings and your children about this result so that they also can be tested and monitored for colon cancer.” b. “It is not necessary to tell your siblings because they are adults, but you should tell your children so they can be tested before they decide to have children of their own.” c. “It is not required that you tell anyone about this result; however, because your siblings and children may also be at risk for colon cancer, you should think about how this information might help them.” Question 4 Question 5 Question 6 d. “It is your decision to determine with whom, if anyone, you share this test result; however, if you do not tell any of your family members and they get colon cancer, you would be responsible for their developing the disease.” Feedback The correct answer is: “It is not required that you tell anyone about this result; however, because your siblings and children may also be at risk for colon cancer, you should think about how this information might help them.”

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