A mother is concerned because her teenage son's father and grandfather are alcoholics. How should the nurse respond to this concern?
1. "You should have genetic testing done for your son."
2. "You are a strong parent, and that will overcome any genetic or environmental tendency toward alcoholism."
3. "Regardless of what genetic testing might reveal, your son will need assistance in developing healthy stress responses."
4. "Genetics is such a strong determinant of alcohol abuse that no interventions are likely to help."
3
Rationale 1: There is a strong likelihood that the son does have some genetic tendency toward alcoholism. In any case, the child has been exposed to alcoholism in the environment. Genetic testing is not the best answer to this situation.
Rationale 2: While strong parenting will be helpful, there are additional actions that would be recommended.
Rationale 3: Because the son likely has a genetic tendency toward alcohol abuse and has been exposed environmentally, additional emphasis on positive and healthy stress responses is necessary.
Rationale 4: There is no indication that genetics is the sole determinant of alcohol abuse.
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