Question 1

Genetic testing reveals that a client has alteration of CFH and ARMS2 genes,which increases the risk of age-related macular degeneration (AMD) .Which health teaching should the nurse provide?

Accepted Answer

A)  "You should make every effort to maintain a normal body weight."
B)  "You should arrange your work and living quarters so that dimming vision will not be a safety issue."
C)  "You should not smoke cigarettes."
D)  "Your diet should be low in fat."
E)  "You should take precautions to keep your stress level low."F) C) and D)
G) B) and E)

Question 2

The nurse has evaluated a client's response to interventions that are based on the client's genetic profile.What should the nurse do next?

Accepted Answer

A)  Consider publishing the results of these interventions.
B)  Generalize the results to care of other clients with similar genetic profiles.
C)  Make changes to the client's plan of care based on this evaluation.
D)  Plan to reassess the client's condition at a specific point in time.E) C) and D)
F) All of the above

Question 3

A nurse has collected information on four generations of a family and is now constructing a pedigree.What is the purpose of the pedigree?

Accepted Answer

A)  Constructing a pedigree forces the nurse to consider connections between people in the family.
B)  The pedigree can be presented to third-party payers to increase reimbursement for genetic testing.
C)  Construction of the pedigree identifies gaps in the family history.
D)  The pedigree provides a visual interpretation of inheritance through families.E) A) and C)
F) B) and C)

Question 4

A nurse researcher would consider which causes of normal aging a potential topic for study?

Accepted Answer

A)  Defects in DNA repair
B)  Alteration of cell proliferation
C)  Progeria
D)  Alteration of stem cell proliferation
E)  Cell senescenceF) C) and D)
G) C) and E) A,B,D,E

Question 5

Which actions would help the nurse develop a relationship with specialty genetics services in his or her practice area?

Accepted Answer

A)  Identify the providers that are in the area.
B)  Make contact with the providers before services are required.
C)  Ask to visit the clinic and set in on several client visits.
D)  Contact the providers periodically to establish an ongoing working relationship.
E)  Respond promptly and professionally to any contacts initiated by the specialty providers.F) D) and E)
G) B) and C)

Question 6

A client says,"I am so afraid I will develop Alzheimer disease like my dad." Which nursing responses are indicated?

Accepted Answer

A)  "Alzheimer disease does tend to run in families."
B)  "How old was your father when he was diagnosed?"
C)  "Would you like information on the genetic testing that is available?"
D)  "We believe that the development of Alzheimer disease is based on more than genetic transmission."
E)  "We do have much better ways to diagnose and treat Alzheimer disease today."F) A) and B)
G) C) and D)

Question 7

A nurse would identify which clients as potentially benefiting from the services of a genetics specialist?

Accepted Answer

A)  A client taking furosemide for congestive heart failure
B)  A client who is considering tamoxifen for breast cancer treatment
C)  A client whose atrial fibrillation is being treated with warfarin
D)  A client who requires psychotropic medications.
E)  A client who takes multiple vitamin supplementsF) A) and C)
G) All of the above

Question 8

Which independent nursing interventions would help a client develop a plan to reduce his or her genetic risk for developing a disease?

Accepted Answer

A)  Dietary modification information
B)  Physical activity recommendations
C)  Recommendations for environmental modifications such as smoking cessation
D)  Pharmacological interventions such as dose modification
E)  Rest and sleep recommendationsF) All of the above
G) A) and E)

Question 9

A nurse in the geriatric clinic says,"I thought genetics was used mostly in obstetrics and pediatrics." Which explanation would the nurse manager avoid?

Accepted Answer

A)  "We use genetics in geriatrics to make predictions about the health of our clients' unborn grandchildren."
B)  "Our clients can be very vulnerable to adverse effects from medication.Hopefully we can reduce some risk by looking at their genetic profiles."
C)  "We hope to find that genetic testing guides our choice of some nonpharmacologic interventions."
D)  "Genetic testing may help us identify which of our clients are most susceptible to the diseases associated with aging." 5.E) B) and D)
F) A) and B) A

Question 10

The nurse,assessing a four-generation pedigree,believes the history to be "age-censored." What is the implication of that concern?

Accepted Answer

A)  The family members being interviewed are unable to recall details from their past.
B)  Some individuals in the history did not live long enough to develop certain genetic disorders.
C)  As some people age,they do not wish to admit to illnesses they had as young adults.
D)  The names of diseases and disorders have changed over time.E) A) and C)
F) All of the above

Question 11

The nurse manager of a geriatric clinic is instructing staff nurses about genomics and the care of their clients.How should the manager explain the concept of genomics?

Accepted Answer

A)  Genomics is the study of how individual genes affect health.
B)  The study of how all genes interact with one another and the environment is genomics.
C)  Genomics is a set of genetic competencies that we must adopt.
D)  When we identify how our clients respond to medications,we are evaluating their genomics.E) B) and C)
F) B) and D)

Question 12

The nurse is developing outcome measurements to evaluate genetics-based care.Which outcomes should be included?

Accepted Answer

A)  Is the client satisfied with care and services?
B)  Did the client refer other clients to the clinic's services?
C)  Does the client report that coping skills regarding genetic risks have improved?
D)  Is the client's knowledge base about the specific illness,risk factors,and interventions improved?
E)  Does the client report greater skill in decision making regarding the specific illness?F) A) and E)
G) C) and D)

Question 13

A 9-month-old is determined to have a mutation in the LMNA gene.The nurse would discuss which possible effect of this mutation?

Accepted Answer

A)  The child is likely to have profound mental retardation.
B)  The child is likely to be sterile.
C)  The child has a serious heart defect.
D)  The child will experience premature aging.E) B) and D)
F) B) and C) D

Question 14

The nurse is aware of the need to improve basic knowledge of genetics and genomics.What would be a logical way for this nurse to begin gaining knowledge?

Accepted Answer

A)  Studying and recognizing Mendelian patterns of inheritance
B)  Understanding the Human Genome Project results
C)  Remembering specific indications for referral in response to genetic testing
D)  Participating in the development of local initiatives to increase genetic testingE) A) and B)
F) A) and C)

Exam 24: Genetics and Aging

Genetic testing reveals that a client has alteration of CFH and ARMS2 genes,which increases the risk of age-related macular degeneration (AMD) .Which health teaching should the nurse provide?

Correct Answer
verified

The nurse has evaluated a client's response to interventions that are based on the client's genetic profile.What should the nurse do next?

Correct Answer
verified

A nurse has collected information on four generations of a family and is now constructing a pedigree.What is the purpose of the pedigree?

Correct Answer
verified

A nurse researcher would consider which causes of normal aging a potential topic for study?

Correct Answer
verified
A,B,D,E

Which actions would help the nurse develop a relationship with specialty genetics services in his or her practice area?

Correct Answer
verified

A client says,"I am so afraid I will develop Alzheimer disease like my dad." Which nursing responses are indicated?

Correct Answer
verified

A nurse would identify which clients as potentially benefiting from the services of a genetics specialist?

Correct Answer
verified

Which independent nursing interventions would help a client develop a plan to reduce his or her genetic risk for developing a disease?

Correct Answer
verified

A nurse in the geriatric clinic says,"I thought genetics was used mostly in obstetrics and pediatrics." Which explanation would the nurse manager avoid?

Correct Answer
verified
A

The nurse,assessing a four-generation pedigree,believes the history to be "age-censored." What is the implication of that concern?

Correct Answer
verified

The nurse manager of a geriatric clinic is instructing staff nurses about genomics and the care of their clients.How should the manager explain the concept of genomics?

Correct Answer
verified

The nurse is developing outcome measurements to evaluate genetics-based care.Which outcomes should be included?

Correct Answer
verified

A 9-month-old is determined to have a mutation in the LMNA gene.The nurse would discuss which possible effect of this mutation?

Correct Answer
verified
D

The nurse is aware of the need to improve basic knowledge of genetics and genomics.What would be a logical way for this nurse to begin gaining knowledge?

Correct Answer
verified

Exam 24: Genetics and Aging

Genetic testing reveals that a client has alteration of CFH and ARMS2 genes,which increases the risk of age-related macular degeneration (AMD) .Which health teaching should the nurse provide?

Correct AnswerverifiedShow Answer

The nurse has evaluated a client's response to interventions that are based on the client's genetic profile.What should the nurse do next?

Correct AnswerverifiedShow Answer

A nurse has collected information on four generations of a family and is now constructing a pedigree.What is the purpose of the pedigree?

Correct AnswerverifiedShow Answer

A nurse researcher would consider which causes of normal aging a potential topic for study?

Correct AnswerverifiedA,B,D,E

Which actions would help the nurse develop a relationship with specialty genetics services in his or her practice area?

Correct AnswerverifiedShow Answer

A client says,"I am so afraid I will develop Alzheimer disease like my dad." Which nursing responses are indicated?

Correct AnswerverifiedShow Answer

A nurse would identify which clients as potentially benefiting from the services of a genetics specialist?

Correct AnswerverifiedShow Answer

Which independent nursing interventions would help a client develop a plan to reduce his or her genetic risk for developing a disease?

Correct AnswerverifiedShow Answer

A nurse in the geriatric clinic says,"I thought genetics was used mostly in obstetrics and pediatrics." Which explanation would the nurse manager avoid?

Correct AnswerverifiedA

The nurse,assessing a four-generation pedigree,believes the history to be "age-censored." What is the implication of that concern?

Correct AnswerverifiedShow Answer

The nurse manager of a geriatric clinic is instructing staff nurses about genomics and the care of their clients.How should the manager explain the concept of genomics?

Correct AnswerverifiedShow Answer

The nurse is developing outcome measurements to evaluate genetics-based care.Which outcomes should be included?

Correct AnswerverifiedShow Answer

A 9-month-old is determined to have a mutation in the LMNA gene.The nurse would discuss which possible effect of this mutation?

Correct AnswerverifiedD

The nurse is aware of the need to improve basic knowledge of genetics and genomics.What would be a logical way for this nurse to begin gaining knowledge?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
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Correct Answer
verified

Correct Answer
verified
A,B,D,E

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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A

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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D

Correct Answer
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