A client says that she has heard that the origin of most cancers is genetic and wants "genetic testing because of a family history of cancer." What is the nurse's best response?
a. "I will ask your physician about a referral for genetic testing."
b. "Let's look at your family history back to your grandparents' generation."
c. "Genetic testing is so expensive; let's talk about reducing your risk instead."
d. "Inherited cancers are much more common in males than in females."
B
Genetic testing for the risk of developing a few specific cancers is available but is expensive. The nurse should first assess the client's family cancer history by creating a three-generation family tree. If the client actually does have a strong family history of cancers with a genetic component, the nurse can facilitate testing for the client. Teaching the client to reduce risk is always important, but simply telling the client about the expense involved in testing belittles the client's concerns. Genetically related cancers are not more prevalent in men than in women, and again, this response belittles the client's concerns.
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