You are seeing a patient who is going to be married in a month. There is a history of Huntington disease in her family
The genetic testing has come back and the patient has just been told she carries the gene for Huntington disease and will develop the disease when she gets older. The patient asks you if this information is confidential and if it will remain that way. You explain to the patient that her family should be told and so should her fiancé. The patient forcefully tells you "no." She is not going to tell either her family or her fiancé. What is the nurse's best response?
A) I am ethically bound to tell your family and your fiancé.
B) Your information will remain confidential until the geneticist reviews everything. Then he will have to tell your family.
C) Have you thought about what this disease will do to the person you are going to marry and any children you may have?
D) I will respect your wishes and keep your information confidential. I do wish you would reconsider though.
Ans: D
Feedback: The nurse must honor the patient's wishes while explaining to the patient the potential benefit this information may have for other family members. The other answers are incorrect because the nurse has to honor the wishes of her patient.
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