An African American couple presents for a genetic counseling appointment. They are pregnant and are concerned about their child. What would a patient of African American heritage have genetic carrier testing for?
A) Meckel's diverticulum
B) Sickle cell anemia
C) Asthma
D) Rubella
Ans: B
Feedback: Assessing ancestry and ethnicity is important to help identify individuals and groups who could benefit from genetic testing for carrier identification, such as African Americans routinely offered testing for sickle cell anemia. The other answers are incorrect because they are not identified with the African American race.
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During an examination, the nurse can assess mental status by which activity?
a. Examining the patient's electroencephalogram b. Observing the patient as he or she performs an intelligence quotient (IQ) test c. Observing the patient and inferring health or dysfunction d. Examining the patient's response to a specific set of questions
The strongest predictor of nurses' identification with the organization is:
a. culture. b. compensation. c. patient satisfaction. d. professional autonomy.
A patient requests that a nurse copy his chart for his daughter. The nurse replies:
1. "I'll get a copy made right away. How many copies do you need?" 2. "Only your lawyer can request a copy, so you need to contact her." 3. "The chart belongs to the hospital, but if you give written permission, a copy can be made for you." 4. "The Health Insurance Portability and Accountability Act, or HIPAA, prevents the hospital from copying your chart, but you could speak to your physician about it."
A highly suspicious patient tells the nurse, "When I sit in the dayroom I can see other people whispering about me and laughing. It makes me want to punch them." The direction that the nurse should give staff is
a. "Gently and frequently touch the patient while conversing." b. "Stop laughing immediately when the patient enters the room." c. "Be direct. Do not whisper, laugh, or look sideways at the patient." d. "Engage the patient in conversation by leaning close to speak softly."