A nurse consults a genetic counselor for a client whose mother has Huntington disease and is considering genetic testing. The client states, "I know I want this test. Why do I need to see a counselor?" How should the nurse respond?
a. "The advanced practice nurse will advise you on whether you should have children or adopt."
b. "Genetic testing can be a stressful experience. Counseling can provide support and education throughout the process."
c. "There is no cure for this disease. The counselor will determine if there is any benefit to genetic testing."
d. "Genetic testing is expensive. The counselor will advocate for you and help you obtain financial support."
ANS: B
Genetic testing is a stressful experience, and clients should be provided with support, education, and assistance with coping. Genetic testing should be performed only after genetic counseling has occurred. The client has the right to decide whether to have children or to participate in genetic testing. Nursing staff should provide both benefits and risks to genetic testing so that the client can make an informed decision. Financial support is not part of genetic counseling.
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