A nurse cares for a client who recently completed genetic testing and received a negative result. The client states, "I feel guilty because so many of my family members are carriers of this disease and I am not." How should the nurse respond?
a. "You are not genetically predisposed for this disease but you could still become ill. Let's discuss a plan for prevention."
b. "Since many of your family members are carriers, you should undergo further testing to verify the results are accurate."
c. "We usually encourage clients to participate in counseling after receiving test results. Can I arrange this for you?"
d. "It is normal to feel this way. I think you should share this news with your family so that they can support you."
ANS: C
Clients who have negative genetic test results need counseling and support. Some clients may have an unrealistic view of what a negative result means for their general health. Others may feel guilty that they were "spared" when some family members were not. The client will not be symptomatic if he is not a carrier of the disease. A second round of testing is not recommended, because false-negatives are rare with this type of testing. It is the client's choice to reveal test results to family members; the nurse should not encourage him to do this.
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