Through testing, a patient learns of a genetic disease that he has inherited from his parents, yet none of his other siblings have inherited the same disease
The patient tells the nurse that he has always believed his parents "didn't want him" and now he has proof. What should the nurse counsel this patient?
1. Suggest the patient talk with a counselor to discuss the results of the test and future options.
2. Ask the patient if he has ever discussed his thoughts and fears with his parents.
3. Encourage the patient to talk with his siblings about the illness and ask them for help now before he has manifestations of the disease.
4. Remind the patient that genetic testing is inconclusive, and there is a great chance that the results are wrong.
Correct Answer: 1
Individuals learning of genetic testing results can have feelings of anger, guilt, confusion, and depression. The nurse should suggest that the patient talk with a counselor to discuss the test results and future options to help the patient work through his feelings. The nurse should not suggest that the patient confront his parents with his thoughts and feelings. The nurse should also not suggest that the patient discuss the test results with his siblings in order to elicit their help and support before the disease manifests. Genetic testing is not inconclusive. This would be an inappropriate suggestion to make to the patient.
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