A Guide to Genetic Counseling "the green book questions" Questions and Answers

A Guide to Genetic Counseling "the green book questions" Questions and Answers Reference, Green Book Chapter 3 The match between the counselor's inner process and the response to it is known as ___________. - ANSWER -Congruence Eyes shining with unshed tears as a father relates the story of his child's death and the subsequent grief he has endured would alert the father to the counselor's genuine response to his tragedy is an example of _________. - ANSWER -A counselor's congruence Reference, Green Book Chapter 3 What are the three components of a successful counselour? - ANSWER -Respect, Genuineness, and Empathy Reference, Green Book Chapter 3 ___________ can be described as the ability to accurately understand the client's experience as if it were your own and to communicate this understanding to the client. - ANSWER -Empathy Reference, Green Book, Chapter 3 If a patient comes in for one reason lets say a history of autism, and during the family history taking, it is revealed that there is a family history of Duchennes muscular dystrophy also runs through the famiy, but the counselor was unprepared to discuss this. What would be a good next move for the counselor? - 2 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. ANSWER -The counselor may initiate a break in the session to look up the necessary information or to reschedule the appt to give the counselor more time to prepare or gather records. Reference, Green Book Chapter 3 Head nodding, smiling, and facing the client, are all examples of __________. - ANSWER -attending behaviors Reference, Green Book Chapter 3 Client: There is no good answer. I cant believe I am faced with these decisions. This is difficult GC: Yes, this really is truly difficult. This response is an example of ________ A. Repeating B. Paraphrasing C. Summarizing D. Reflecting - ANSWER -A. Repeating Reference, Green Book Chapter 3 Client: I feel like I gave this disease to my son. 3 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. GC: It seems like you feel responsible for your son's condition. This response is an example of _______ A. Repeating B. Paraphrasing C. Summarizing D. Reflecting - ANSWER -B. Paraphrasing Reference, Green Book Chapter 3 Client: I cant begin to tell you how upsetting this is. I never expected to be in this position. I keep thinking I'll wake up and find out it was alla dream GC: Clearly this is very upsetting and it can be hard to accept this type of information. This response is an example of ___________. A. Repeating B. Paraphrasing 4 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. C. Summarizing D. Reflecting - ANSWER -C. Summarizing Reference, Green Book Chapter 3 Provide an example of people first language - ANSWER -the child with cystic fibrosis (as opposed to the cystic fibrosis child) Reference, Green Book Chapter 3 _________ involves repeating the last phrase of a client's statement in the form of a question to encourage further exploration of the topic. e.g. Client: Well, since my nephew was diagnose with muscular dystrophy, my husband just seems scared about another pregnancy. GC: He seems scared? A. Repeating B. Paraphrasing C. Summarizing 5 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. D. Reflecting - ANSWER -D. Reflecting Reference, Green Book Chapter 3 _______ is a technique used by the counselor to manage the rate of information exchange - to direct the introduction and flow of topics, or to refocus the discussion when the client has gone off target. - ANSWER -Redirecting Reference, Green Book Chapter 4 If you are seeing the cousin of a previous patient, would you be able to use the pedigree you obtained from them for this upcoming case. - ANSWER -No. In congruence with HIPAA, you will still need to obtain a family history from your new patient. You need authorization from the original patient to use or refer to their pedigrees in other family Reference, Green Book Chapter 4 Can you use photographs of patients to discuss cases with other geneticists, teaching conferences, or publications? - ANSWER -Yes, with a signed consent ACMG has practice guidelines for medical photographs Reference, Green Book Chapter 4 6 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. If you are seeing a patient who has a family hx of a genetic condition but is unaffected, you may first need to coordinate genetic testing for __________ and if unavailable, an ________ may suffice . - ANSWER - affected family member; obligate carrier If no affected family member is living. inquire whether genetic testing on tissue block samples, if available from a deceased affected relative, is an option. Reference, Green Book Chapter 4 In the USA, patient specific results may only be shared with clinicians or patients if they were performed in what type of laboratory? - ANSWER -CLIA certified Reference, Green Book Chapter 4 DNA banking should be considered if the patient with the condition as a limited lifespan and ........... (Give 3 examples) - ANSWER -1. genetic testing is unavailable 2. testing is available but has low detection rate or is unaffordable 3. testing was done and no mutation was identified Reference, Green Book Chapter 4 True or False 7 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. It is helpful to have an interpreter of the same gender as the patient, to lessen the chance of the patient feeling inhibited in discussing sensitive and intimate medical issues. - ANSWER -True Reference, Green Book Chapter 5 What are the 3 categories of common disruptions in the counselor - patient working relationship? - ANSWER -Transference Counter-transference Empathetic Breaks Reference, Green Book Chapter 5 What term describes a ubiquitous phenomenon in which one brings old patterns of expectation to new situations in attempts to create familiar structure for the event? A. Transference B. Countertransference C. Empathetic Break - ANSWER -Transference Reference, Facilitating the GC Process: A Practice Manual A GC always dreads counseling statisticians about MSAFP screening. The algorithm for value calculation is dissected and the issue becomes a process, and not the implications of testing. It's as if there is no baby in the equation, just a risk assessment problem. When the GC meets her afternoon patient for the first 8 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. time, a pregnant statistician, she assumes she is going to want to discuss the technical side of testing, and not discuss the baby at all. This is an example of _________. A. Transference B. Countertransference C. Empathetic Break - ANSWER -A. Transference Reference, Green Book Chapter 5 A counselor's reaction to a counselee's story, her defenses and emotions can be termed _________. A. Transference B. Countertransference C. Empathetic Break - ANSWER -B. Countertransference 65. A 28-year-old man with Klinefelter syndrome is referred for genetic counseling. He calls the genetic counselor several times with questions. The man's voice and personality are similar to the counselor's brother. She finds it easy to talk to him and enjoys his questions. She realizes her calls with him are taking longer than they should. Which of the following BEST describes this situation?