Which question posed by the nurse will most likely promote sharing of sensitive infor-mation during a genetic counseling interview?
a. "How many people in your family are mentally retarded or handicapped?"
b. "What kind of defects or diseases seem to run in the family?"
c. "Did you know that you can always have an abortion if the fetus is abnormal?"
d. "Are there any members of your family who have learning or developmental problems?"
D
The nurse should probe gently using lay-oriented terminology rather than direct questions or statements.
This question assumes that there are genetic problems that result in retardation in the family. Some individuals may find these terms offensive.
Some individuals may not be aware of which diseases are genetically linked and may not answer the question accurately.
This is taking the decision away from the parents. They are seeking counseling in order to prevent problems, not to find out what to do if there is a problem.
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