A nurse working in a fertility clinic reviews the health history of a patient whose father had Huntington's disease. What initial statement by the nurse would best address this patient's risk factors?
1. "What do you know about testing for this disease?"
2. "Have you ever been tested for this disease?"
3. "Are you sure you want to have children?"
4. "Your child has a 50% chance of getting this disease.".
1
Rationale 1: Sensitive issues such as genetic predisposition, counseling, and risk must be handled tactfully, and it would be important to begin the history with questions about the patient's knowledge level. Assessing that initially can then lead to more in-depth questioning.
Rationale 2: This is important information, but is not the best initial question.
Rationale 3: The nurse should not impose his or her own belief system on the patient.
Rationale 4: Before stating facts, the nurse should assess the patient's current knowledge.
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