Genetic testing reveals that a client has the MLH1 gene. The client says, "What do I do now?" What information should the nurse provide?

Question

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "You should closely follow guidelines for increased screening."
2. "There is nothing you can do except try to avoid stress, eat well, and get enough rest."
3. "You should be glad that you have this protective gene."
4. "You might want to have your close relatives screened for the gene."
5. "You should closely follow the guidelines for preventing colorectal cancer."

Answer 1

1,4,5
Rationale 1: The National Comprehensive Cancer Network Guidelines panel has published guidelines for select high-risk clients.
Rationale 2: Following these suggestions for a healthy lifestyle may help, but there are other suggestions that the nurse should make.
Rationale 3: MLH1 is a gene that indicates risk for colorectal cancer.
Rationale 4: MLH1 is a germ line mutation. Close relatives may also have this gene.
Rationale 5: The National Comprehensive Cancer Network Guidelines panel has published recommendations for the prevention of colorectal cancer.