The staff development trainer is preparing content on the psychologic implications of genetic testing for a group of neonatal intensive care nurses. What should the trainer include in this instruction? Select all that apply
1. Survivor guilt of other nonaffected children
2. Feelings of unworthiness and altered self-image
3. Carrier status interfering with relationships
4. Formation of higher expectations for the child
5. Stress of uncertainty while waiting for test results
1, 2, 3, 5
Explanation:
1. Survivor guilt may affect children with negative results if their siblings are positive.
2. A positive test result may lead to feelings of unworthiness and may disturb self-image.
3. Concerns about carrier status may interfere with development of intimacy and interpersonal relationships.
4. The parent and other family members may unconsciously form lowered expectations for the child or adolescent.
5. Uncertainty and stress associated with making a decision to undertake genetic testing may extend into weeks or even months before results are available.
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Which suggestion is appropriate to teach a mother who has a preschool child who refuses to take the medications for HIV infection?
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