A patient with a family history of cystic fibrosis (CF) asks for information about genetic testing. Which response by the nurse is most appropriate?
a. Refer the patient to a qualified genetic counselor.
b. Ask the patient why genetic testing is so important.
c. Remind the patient that genetic testing has many social implications.
d. Tell the patient that cystic fibrosis is an autosomal recessive disorder.
ANS: A
A genetic counselor is best qualified to address the multiple issues involved in genetic testing for a patient who is considering having children. Although genetic testing does have social implications, the woman will be better served by a genetic counselor who will have more expertise in this area. CF is an autosomal recessive disorder, but the patient might not understand the implications of this statement. Asking why the patient feels genetic testing is important may imply to the patient that the nurse is questioning her value system.
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