A client scheduled for genetic testing is concerned that an employer will learn about the testing and terminate the client's employment. How should the nurse respond to this client?
1. "There really is not anything that can be done."
2. "The insurance company has to report the testing to the employer."
3. "Your employer will have this information from the healthcare claim."
4. "There is a federal law prohibiting employers from using genetic information for employment purposes."
4
Explanation:
1. The client should not be concerned because of a federal law prohibiting employers from discriminating based upon genetic testing.
2. The insurance company is prohibited from disclosing information to the employer.
3. The healthcare claim is not sent to the employer.
4. Federal legislation to prohibit discrimination based on genetic information in health insurance and employment (the Genetic Information Nondiscrimination Act [GINA]) was implemented in November 2009. As a federal law, GINA offers protection to Americans in all states.
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