A patient planning to be married tells the nurse that she has a strong family history of Huntington's chorea but does not plan to let her fiancé know. How should the nurse respond?
1. "Is there any reason you do not want your fiancé to know about your genetic illness?"
2. "It is probably best that he is not aware of the disease.".
3. "Are you afraid he will not want to marry you if he knows?"
4. "There are worse disease processes than Huntington's chorea.".
1
Rationale 1: The nurse needs to support the patient in ethical and social issues. The best response would be to try to discover the patient's reason for wanting to keep her genetic illness a secret.
Rationale 2: Agreeing that the fiancé should not be made aware would be an inappropriate response.
Rationale 3: Suggesting that the fiancé might not want to marry the patient if he was aware of the genetic disease is an inappropriate response.
Rationale 4: The nurse should not make this judgment about the patient's illness.
You might also like to view...
The nurse is concerned that a client is having a problem with self-concept. Which of the following statements would cause the nurse to have this concern?
1. "I never have any fun." 2. "I am the oldest in the family." 3. "I think I'm pretty much outgoing." 4. "At times I like to be alone."
The bulging of the posterior wall of the bladder into the anterior vaginal wall is a
a. cystocele c. enterocele b. rectocele d. uterine prolapse
A 16-year-old girl comes to the pediatric clinic for information on birth control. The nurse knows that before this young woman can be examined, consent must be obtained from which source?
a. Herself b. Her mother c. Court order d. Legal guardian
The World Health Organization sponsored a conference on primary health at Alma Ata, Kazakhstan in 1978. The major aims and goals for global health were:
1. The worldwide cure of communicable disease 2. The technological development of all nations 3. The cure of AIDS worldwide 4. The worldwide implementation of primary health care