A patient tells the nurse that her husband has chronic myelogenous leukemia, and she is concerned that their children will inherit that genetic disorder. How should the nurse respond to this patient?
1. "The genetic makeup that created the chronic myelogenous leukemia in your husband is not inheritable."
2. "I would be concerned, too."
3. "Maybe you should re-think having children."
4. "It could cause the same disorder, but it's a decision that you will have to make."
Correct Answer: 1
The chromosome translocation that is responsible for chronic myelogenous leukemia occurs in somatic cells, not germ cells, and therefore is not inheritable. All other responses are offering advice, which is not in the best interest of the patient and her family and is not considered therapeutic communication.
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