A patient planning to be married tells the nurse that she has a strong family history of Huntington chorea but does not plan to let her fiancé know. How should the nurse respond to this patient?
1. "Is there any reason why you do not want your fiancé to know about the genetic illness?"
2. "It is probably best that he is not aware of the disease."
3. "Are you afraid that he will not want to marry you if he knows?"
4. "There are worse disease processes than Huntington chorea."
Correct Answer: 1
The nurse needs to support the patient in ethical and social issues. The best response from the nurse would be to ask the patient if there is any reason why she does not want her fiancé to be aware of the genetic illness. Agreeing that the fiancé should not be made aware would be an inappropriate response for the nurse to make. Suggesting that the fiancé would not want to marry the patient if he was aware of the genetic disease is also an inappropriate response for the nurse to make. The nurse should not make a judgment statement by saying that there are worse disease processes than Huntington chorea."
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