At the conclusion of a genetic counseling session, a family member says to the nurse, "There's got to be something that you aren't telling us." The nurse realizes that this individual is
1. feeling guilty because of the outcome of the testing.
2. demonstrating signs of a congenital abnormality.
3. angry with the findings from the testing.
4. confused by the nondirective approach taken by the genetic healthcare providers.
Correct Answer: 4
Many patients are accustomed to practitioners and nurses who provide decision-making direction and guidance, so patients may be uncomfortable when the nurse takes the opposite approach. They may believe that the nurse or healthcare provider is withholding very bad news. The nurse should discuss the positives and negatives of each decision and present as many options as possible through the use of therapeutic listening and communication skills. Feelings of guilt and anger are not manifested in the demeanor demonstrated by the patient. There is no information provided concerning the genetic disorder being evaluated. There is an inadequate amount of data presented to link the behaviors with the disorder.
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