Testing reveals that an apparently healthy child has genetic alterations suggesting hemophilia A. The child's parents are concerned that their insurance company may drop their coverage or increase their premium
How should the nurse respond to their concern? 1. "You are protected by federal legislation that will prevent this from happening."
2. "They can refuse to pay for any expenses due to hemophilia should the disease manifest."
3. "There is no way to protect yourselves from this possibility."
4. "Your child's information will be protected only until age 18."
1
Rationale 1: GINA prevents insurance companies from making enrollment or coverage decisions or adjusting premiums based on predictive genetic information.
Rationale 2: The nurse has no knowledge of the terms of the insurance coverage and should not make this statement.
Rationale 3: GINA does offer protection in this situation.
Rationale 4: Age limitations are not a part of GINA.
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A patient who received a kidney transplant 2 months ago is having an episode of acute rejection. The patient expresses fear that his new kidney will not survive. What is the best rationale for the nurse's response?
A) Cytotoxic T cells damage the donor organ by secreting lysosomal enzymes. B) Acute rejection is the most common type of rejection. C) Acute rejection is the type most likely to respond to immune suppression. D) Acute rejection occurs when donor organ antigens trigger helper T cells.
A patient with severe ascites is scheduled for a paracentesis. Before the paracentesis, what is the most important nursing intervention?
A) Assessing electrolyte and serum protein values B) Administering colon preparation medication C) Ensuring that the patient's bladder is empty D) Shaving the patient's abdomen
The client with recurrent constipation has been prescribed psyllium (Metamucil). Teaching provided by the nurse should include which of the following instructions?
1. Mix the psyllium powder with any cold beverage. 2. Mix the psyllium powder with 4 oz of a hot beverage. 3. Mix the psyllium powder with gelatin, applesauce, or pudding. 4. Mix the psyllium powder with 8 oz of water or juice followed by drinking an additional 8 oz of liquid.
The group goals are to learn to express feelings comfortably rather than keep them covert. S, a group member, let's the group know how expressing these feelings makes her feel. This dynamic is called
A. group content. B. confrontation. C. subgrouping. D. feedback.