A client says, "I don't want to know if I have the gene associated with bipolar disorder." How should the nurse interpret this statement?
1. The client does not want to spend the money to have the test.
2. The client needs more information about the benefits of such knowledge.
3. The client is not willing to take charge of her own health.
4. The client does not want to deal with the implications of knowing this information.
4
Rationale 1: It is unlikely that this is the client's primary concern.
Rationale 2: There is no indication that the client is misinformed or underinformed.
Rationale 3: There is no indication that the client is not willing to take charge of her health. The fact that the client has made this statement is evidence that she is taking charge.
Rationale 4: The most common reason for many clients' unwillingness to learn genomic information is that they do not wish to deal with the feelings such knowledge may engender or the changes and decisions it may require.
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ANS: