AMNH genetic and genomic in nursing questions with
complete solutions
A 40 yr old man has a mom dx with breats CA at age 45, a dad
dx smoking related lung CA at age 55, 33 yr old sister with
breast CA and 38 yr old sister with ovarian cancer, ask if he
should be concerned for his cancer risk. What is the best
response Correct Answer Your risk for breast CA may be
increased and required nor investigation, however, your risk for
lung cancer is not affected by this history
A certified family nurse practitioner with an MSN degree in
family practice who works in a clinic serving patients who have
connective tissue disorders refers to himself as a clinical
geneticist. is this title appropriate Correct Answer No, a
clinical geneticist is a physician who have completed a
fellowship in clinical genetics
A pt 34 yrs old is concerned about being HNPCC carrier, cause
his dad died of colon CA at age 39, his dad sister died of colon
CA at age 41, and brother age 37 now has colon cancer. the
brother's testing is negative for all the known mutation
associated with inherited forms of colon cancer. How should the
pt be counseled another his risk of colon CA Correct Answer
Explain that testing for him would e of no benefits because of
the current test limitation by that his family history does place
him a high risk.
A pt whose mom has huntington's disease is considering genetic
testing but is not sure whether she really wants to know if she
has the mutation. She asks you why you would do if your mom
, had the disease Correct Answer I can only tell you the benefits
and the risk of testing, you must make this decision yourself
A pt with a very high concentration of insulin receptors on cells
that require insulin for glucose to enter. How should insulin
dosages be adjusted for this patient to have blood glucose levels
with the normal range Correct Answer Insulin dosages should
be decreased because the drug will exert its action at lower
concentrations
A pt with fox elbow in ER states that he named MS for pain
rather than codiene because the last time he had a painful injury
codeine was not effective in managing he's pain. What is the
nurse's best response Correct Answer Communicate this
information to the admitting physician
A woman whose sister tested + for a specific mutation in the
BRCA1 gene, which increases the risk of breath and ovarian
cancer, is found not th have mutation but does have a mutation
of unknown significance near the known mutation site. How
should this woman be counseled? Correct Answer She should
be informed that she does not have the specific mutation but that
because another mutation is present she should be vigilant about
screening.
An 85 yr old pt stress that she does not perform breast self-exam
because there is not history of breast cancer in her family. What
is the best response. Correct Answer Breast cancer can be
found more frequently in some families however the risk for
general non-familiar breast cancer increases with age.
complete solutions
A 40 yr old man has a mom dx with breats CA at age 45, a dad
dx smoking related lung CA at age 55, 33 yr old sister with
breast CA and 38 yr old sister with ovarian cancer, ask if he
should be concerned for his cancer risk. What is the best
response Correct Answer Your risk for breast CA may be
increased and required nor investigation, however, your risk for
lung cancer is not affected by this history
A certified family nurse practitioner with an MSN degree in
family practice who works in a clinic serving patients who have
connective tissue disorders refers to himself as a clinical
geneticist. is this title appropriate Correct Answer No, a
clinical geneticist is a physician who have completed a
fellowship in clinical genetics
A pt 34 yrs old is concerned about being HNPCC carrier, cause
his dad died of colon CA at age 39, his dad sister died of colon
CA at age 41, and brother age 37 now has colon cancer. the
brother's testing is negative for all the known mutation
associated with inherited forms of colon cancer. How should the
pt be counseled another his risk of colon CA Correct Answer
Explain that testing for him would e of no benefits because of
the current test limitation by that his family history does place
him a high risk.
A pt whose mom has huntington's disease is considering genetic
testing but is not sure whether she really wants to know if she
has the mutation. She asks you why you would do if your mom
, had the disease Correct Answer I can only tell you the benefits
and the risk of testing, you must make this decision yourself
A pt with a very high concentration of insulin receptors on cells
that require insulin for glucose to enter. How should insulin
dosages be adjusted for this patient to have blood glucose levels
with the normal range Correct Answer Insulin dosages should
be decreased because the drug will exert its action at lower
concentrations
A pt with fox elbow in ER states that he named MS for pain
rather than codiene because the last time he had a painful injury
codeine was not effective in managing he's pain. What is the
nurse's best response Correct Answer Communicate this
information to the admitting physician
A woman whose sister tested + for a specific mutation in the
BRCA1 gene, which increases the risk of breath and ovarian
cancer, is found not th have mutation but does have a mutation
of unknown significance near the known mutation site. How
should this woman be counseled? Correct Answer She should
be informed that she does not have the specific mutation but that
because another mutation is present she should be vigilant about
screening.
An 85 yr old pt stress that she does not perform breast self-exam
because there is not history of breast cancer in her family. What
is the best response. Correct Answer Breast cancer can be
found more frequently in some families however the risk for
general non-familiar breast cancer increases with age.
