While collecting a medical history, a client reports having a family history positive for Hunting-ton's disease. However, the client states he does not want to have genetic testing performed
Which of the following best describes why the client may refuse genetic testing?
a. Impact it may have on obtaining health insurance in the future
b. Legal consequences that may result
c. Inaccuracy of the results that are obtained
d. Decreased quality of life that may occur if the results are positive
ANS: D
Barriers to genetic testing are: some individuals do not have an insurance carrier that reimburses for genetic testing, a high-deductible insurance policy, and feelings that testing may decrease the quality of life and increase anxiety for the future if the results were positive. Others may also feel guilty about passing along a disease to children and grandchildren. Health insurance cannot be denied to individuals because of genetic testing results. There are no legal implications for genet-ic testing. There is not a high inaccuracy of results that are obtained through genetic testing.
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The student nurse asks why he needs to assess a patient's spirituality when he can call the chaplain. What response by the nurse is best?
a. "This way you learn what is involved in a spiritual assessment." b. "Students need to perform all aspects of patient care." c. "Regulatory organizations list this as a required BSN competence." d. "All patients should have a spirituality assessment."
Which of the following is the most likely course of Wernicke syndrome?
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The nurse is interviewing a 75-year-old client who is in the healthcare provider's office for complaints of joint pain. The client verbalizes that the pain has been present for a few years
When planning interview questions to ask concerning the pain, the nurse recognizes which of the following? 1. Clients start to complain of many types of pain as they age. 2. The joint pain is probably not the real reason the client is in the office. 3. The client is most likely depressed. 4. Older adults frequently avoid seeking treatment for their pain.
Subjects respond to a visual analogue scale by:
a. circling the correct response. b. drawing a mark across a 100-mm line that has bipolar anchors. c. marking a check in the appropriate box. d. selecting the best response from a set of items.