The staff development trainer is preparing content on the psychologic implications of genetic testing for a group of neonatal intensive care nurses. What should the trainer include in this instruction? Select all that apply
1. Survivor guilt of other nonaffected children
2. Feelings of unworthiness and altered self-image
3. Carrier status interfering with relationships
4. Formation of higher expectations for the child
5. Stress of uncertainty while waiting for test results
1, 2, 3, 5
Explanation:
1. Survivor guilt may affect children with negative results if their siblings are positive.
2. A positive test result may lead to feelings of unworthiness and may disturb self-image.
3. Concerns about carrier status may interfere with development of intimacy and interpersonal relationships.
4. The parent and other family members may unconsciously form lowered expectations for the child or adolescent.
5. Uncertainty and stress associated with making a decision to undertake genetic testing may extend into weeks or even months before results are available.
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A mother asks the nurse, "When should I begin to clean my baby's teeth?" What is the best response for the nurse?
a. "You can begin when all her baby teeth are in.". b. "You can easily begin now. Just put some toothpaste on a gauze pad to clean the teeth.". c. "I don't think you have to worry about that until she can handle a toothbrush.". d. "You can begin as soon as your child has a tooth. The easiest way is to take cotton swabs or a face cloth and just wipe the teeth. Toothpaste is not necessary.".
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1. Eugenics 2. Genetic engineering 3. Euthenics 4. Genetic testing
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