Sale!

Test Bank Genetics and Genomics for Nursing 1st Edition Kenner Lewis

(1 customer review)

$80.00 $11.99

Genetics and Genomics for Nursing 1st Edition Kenner Lewis Test Bank

ISBN-13: 978-0132174077

ISBN-10: 0132174073

Genetics and Genomics for Nursing 1st Edition Kenner Lewis Test Bank

ISBN-13: 978-0132174077

ISBN-10: 0132174073

 

“Nursing Test Banks”

It is very easy to buy and get this test bank. Just add it to your basket, checkout and the download link is given to you instantly.

Why are test banks important? You can learn correct information without reading thousands of pages, pass exams, study more efficiently and much much more. for the textbook

Nursing test banks are very important for your career

Once this file is purchased, you will be given full access to the entire test bank for all the chapters of the book. Before your purchase you can email us for a sample and we will give it to you for free.

Many nursing students use this site for their test banks because we really care about nursing students

 

Kenner Genetics and Genomics for Nursing, 1/E
Chapter 24

Question 1

Type: MCSA

The nurse manager of a geriatric clinic is instructing staff nurses about genomics and the care of their clients. How should the manager explain the concept of genomics?

  1. Genomics is the study of how individual genes affect health.
  2. The study of how all genes interact with one another and the environment is genomics.
  3. Genomics is a set of genetic competencies that we must adopt.
  4. When we identify how our clients respond to medications, we are evaluating their genomics.

Correct Answer: 2

Rationale 1: Genetics, not genomics, is the study of individual genes in relationship to health.

Rationale 2: Genomics is the study of all genes in the human genome together. It studies the interactions of these genes with the environment.

Rationale 3: There is a set of genetic/genomic competencies but this does not correctly explain the concept of genomics.

Rationale 4: Genomics does have to do with the way clients respond to medications, but this is not an accurate description of genomics in general.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 24-1: Discuss the relevance and role of genetics and genomics to our understanding of aging and common age-related disorders.

 

Question 2

Type: MCSA

A nurse in the geriatric clinic says, “I thought genetics was used mostly in obstetrics and pediatrics.” Which explanation would the nurse manager avoid?

  1. “We use genetics in geriatrics to make predictions about the health of our clients’ unborn grandchildren.”
  2. “Our clients can be very vulnerable to adverse effects from medication. Hopefully we can reduce some risk by looking at their genetic profiles.”
  3. “We hope to find that genetic testing guides our choice of some nonpharmacologic interventions.”
  4. “Genetic testing may help us identify which of our clients are most susceptible to the diseases associated with aging.”

Correct Answer: 1

Rationale 1: This is not the best explanation of the use of genetics in geriatric practice.

Rationale 2: Genetic profiles can help guide pharmacologic choices in the geriatric population.

Rationale 3: Genetic influence on pharmacologic interventions is becoming more common. It is hoped that genetic information may also help guide nonpharmacologic interventions as well.

Rationale 4: Identification of disease susceptibility is possible through genetic testing across the lifespan.

Rationale 5:

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 24-1: Discuss the relevance and role of genetics and genomics to our understanding of aging and common age-related disorders.

 

Question 3

Type: MCSA

A 9-month-old is determined to have a mutation in the LMNA gene. The nurse would discuss which possible effect of this mutation?

  1. The child is likely to have profound mental retardation.
  2. The child is likely to be sterile.
  3. The child has a serious heart defect.
  4. The child will experience premature aging.

Correct Answer: 4

Rationale 1: Mental retardation is not associated with this mutation.

Rationale 2: Sterility is not associated with this mutation.

Rationale 3: Heart defects are not associated with this mutation.

Rationale 4: This mutation is linked to Hutchinson-Gilford progeria syndrome, which is characterized by premature aging.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 24-2: Discuss the relevance of new genetics and genomics information and technologies to the care of older adults.

 

Question 4

Type: MCMA

A nurse researcher would consider which causes of normal aging a potential topic for study?

 

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Defects in DNA repair
  2. Alteration of cell proliferation
  3. Progeria
  4. Alteration of stem cell proliferation
  5. Cell senescence

Correct Answer: 1,2,4,5

Rationale 1: It is possible that the inability to repair these defects results in tissue aging.

Rationale 2: If cells are no longer replacing at the “normal” rate, tissues will age.

Rationale 3: Progeria is an abnormal aging syndrome.

Rationale 4: If stem cell proliferation slows down, the tissues age.

Rationale 5: Senescence means getting older. As cells age, so do tissues.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 24-2: Discuss the relevance of new genetics and genomics information and technologies to the care of older adults.

 

Question 5

Type: MCMA

A client says, “I am so afraid I will develop Alzheimer disease like my dad.” Which nursing responses are indicated?

 

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. “Alzheimer disease does tend to run in families.”
  2. “How old was your father when he was diagnosed?”
  3. “Would you like information on the genetic testing that is available?”
  4. “We believe that the development of Alzheimer disease is based on more than genetic transmission.”
  5. “We do have much better ways to diagnose and treat Alzheimer disease today.”

Correct Answer: 2,3,4

Rationale 1: A clear pattern of inheritance is not evident in Alzheimer disease.

Rationale 2: There are two variants of Alzheimer disease. If the client’s father was younger than age 60 there is some evidence that genetics is involved. For late-onset AD (after age 60–65), a genetic pattern is not evident.

Rationale 3: Genetic testing is available for early-onset AD.

Rationale 4: Alzheimer disease is thought to be multifactorial.

Rationale 5: While diagnosis has become slightly easier, treatment is still supportive and not curative.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 24-2: Discuss the relevance of new genetics and genomics information and technologies to the care of older adults.

 

Question 6

Type: MCMA

Genetic testing reveals that a client has alteration of CFH and ARMS2 genes, which increases the risk of age-related macular degeneration (AMD). Which health teaching should the nurse provide?

 

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. “You should make every effort to maintain a normal body weight.”
  2. “You should arrange your work and living quarters so that dimming vision will not be a safety issue.”
  3. “You should not smoke cigarettes.”
  4. “Your diet should be low in fat.”
  5. “You should take precautions to keep your stress level low.”

Correct Answer: 1,3,4

Rationale 1: Obesity is a risk factor for development of AMD.

Rationale 2: While these two gene alterations do increase risk for AMD, it is not inevitable that the client will develop the disease.

Rationale 3: The strongest modifiable risk factor for AMD is cigarette smoking.

Rationale 4: High-fat diets are associated with increased risk of AMD.

Rationale 5: Keeping stress levels low is not protective against development of AMD.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 24-2: Discuss the relevance of new genetics and genomics information and technologies to the care of older adults.

 

Question 7

Type: MCSA

The nurse, assessing a four-generation pedigree, believes the history to be “age-censored.” What is the implication of that concern?

  1. The family members being interviewed are unable to recall details from their past.
  2. Some individuals in the history did not live long enough to develop certain genetic disorders.
  3. As some people age, they do not wish to admit to illnesses they had as young adults.
  4. The names of diseases and disorders have changed over time.

Correct Answer: 2

Rationale 1: This is an issue but it is not age-censoring.

Rationale 2: In some cases, individuals at risk for a condition of interest may have died from other causes before reaching the age at which they would have otherwise developed the disease; this is age-censoring.

Rationale 3: While some people may be reluctant to disclose previous illnesses or health situations; this is not age-censoring.

Rationale 4: This occurs, but it is not age-censoring.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 24-3: Describe the components of a comprehensive family health history assessment.

 

Question 8

Type: MCMA

The nurse is developing and assessing a family pedigree to find if there is a need for referral to specialized genetic counseling. Which findings would indicate a need for this referral?

 

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. A clear autosomal pattern of inheritance for a disease is evident.
  2. A family member in the current generation developed colon cancer at age 28.
  3. One family member developed Alzheimer disease at age 78, another at age 82.
  4. Two male family members died of myocardial infarction in their 60s.
  5. As information for the pedigree was being collected, a family member asked if they were at high risk for developing macular degeneration.

Correct Answer: 1,2,5

Rationale 1: When a clear pattern of Mendelian inheritance is evident, referral is necessary.

Rationale 2: If a family member developed an illness at an age much younger than normal, referral is necessary.

Rationale 3: The onset of age-related diseases at the appropriate time does not indicate a need for referral.

Rationale 4: The fact that these family members are of the correct age and sex for this disorder indicates that referral is not needed.

Rationale 5: Anyone who has a specific answer regarding risk for a disease with strong genetic components should be referred.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 24-3: Describe the components of a comprehensive family health history assessment.

 

Question 9

Type: MCMA

Which independent nursing interventions would help a client develop a plan to reduce his or her genetic risk for developing a disease?

 

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Dietary modification information
  2. Physical activity recommendations
  3. Recommendations for environmental modifications such as smoking cessation
  4. Pharmacological interventions such as dose modification
  5. Rest and sleep recommendations

Correct Answer: 1,2,3,5

Rationale 1: The nurse can offer dietary modification information as an independent nursing action.

Rationale 2: The nurse can offer physical activity recommendations as an independent nursing action.

Rationale 3: The nurse can offer environmental modification information as an independent nursing action.

Rationale 4: The nurse cannot independently offer pharmacologic intervention.

Rationale 5: The nurse can offer rest and sleep recommendations as an independent nursing action.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 24-6: Identify strategies for providing education, care, and support to families experiencing or at risk for experiencing genetic conditions.

 

Question 10

Type: MCMA

A nurse would identify which clients as potentially benefiting from the services of a genetics specialist?

 

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. A client taking furosemide for congestive heart failure
  2. A client who is considering tamoxifen for breast cancer treatment
  3. A client whose atrial fibrillation is being treated with warfarin
  4. A client who requires psychotropic medications.
  5. A client who takes multiple vitamin supplements

Correct Answer: 2,3,4

Rationale 1: Congestive heart failure is not one of the conditions for which genetic counseling is effective. Furosemide is not yet a drug for which specific genetic counseling is done.

Rationale 2: Tamoxifen is one of the drugs for which genetic recommendations have been developed.

Rationale 3: Warfarin is one of the drugs for which genetic recommendations have been developed.

Rationale 4: Client response to psychotropic medications is thought to be in some part genetically determined.

Rationale 5: Vitamin supplements do not yet have genetic recommendations for administration and dosing.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 24-4: Identify older adults and their families who may benefit from specific genetic and genomic information and services.

 

Question 11

Type: MCSA

The nurse has evaluated a client’s response to interventions that are based on the client’s genetic profile. What should the nurse do next?

  1. Consider publishing the results of these interventions.
  2. Generalize the results to care of other clients with similar genetic profiles.
  3. Make changes to the client’s plan of care based on this evaluation.
  4. Plan to reassess the client’s condition at a specific point in time.

Correct Answer: 3

Rationale 1: This is not the next step. The nurse may or may not have material or consent to publish results.

Rationale 2: Generalization of care takes analysis of much more data than is generated by one case.

Rationale 3: The next step in the nursing process is to make changes in the client’s plan of care.

Rationale 4: This intervention is part of the change that would be made in the plan of care, but is only part of what may be required.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 24-6: Identify strategies for providing education, care, and support to families experiencing or at risk for experiencing genetic conditions.

 

Question 12

Type: MCSA

The nurse is aware of the need to improve basic knowledge of genetics and genomics. What would be a logical way for this nurse to begin gaining knowledge?

  1. Studying and recognizing Mendelian patterns of inheritance
  2. Understanding the Human Genome Project results
  3. Remembering specific indications for referral in response to genetic testing
  4. Participating in the development of local initiatives to increase genetic testing

Correct Answer: 1

Rationale 1: Mendelian patterns of inheritance are straightforward and easily understood. An abundance of work has been done on these patterns, so it is an easily obtainable body of work.

Rationale 2: The results of this study are massive and can be complicated. This is not likely to be a good place for a beginner to start.

Rationale 3: It would be better to start with remembering the generalities of need for referral.

Rationale 4: The nurse who does not understand the basics of genetics is not ready to participate in this work.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 24-6: Identify strategies for providing education, care, and support to families experiencing or at risk for experiencing genetic conditions.

 

Question 13

Type: MCMA

The nurse is developing outcome measurements to evaluate genetics-based care. Which outcomes should be included?

 

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Is the client satisfied with care and services?
  2. Did the client refer other clients to the clinic’s services?
  3. Does the client report that coping skills regarding genetic risks have improved?
  4. Is the client’s knowledge base about the specific illness, risk factors, and interventions improved?
  5. Does the client report greater skill in decision making regarding the specific illness?

Correct Answer: 1,3,4,5

Rationale 1: Client satisfaction is always an important outcome measurement.

Rationale 2: Whether or not the client recommended the clinic to others may indicate level of satisfaction but is not a direct outcome measure.

Rationale 3: Client self-report of improvement in ability to cope with knowledge of genetic risks is an important outcome.

Rationale 4: Improving the client’s knowledge is an important outcome measure.

Rationale 5: Improving the client’s independence and ability to make decisions is an important outcome measure.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 24-6: Identify strategies for providing education, care, and support to families experiencing or at risk for experiencing genetic conditions.

 

Question 14

Type: MCSA

A nurse has collected information on four generations of a family and is now constructing a pedigree. What is the purpose of the pedigree?

  1. Constructing a pedigree forces the nurse to consider connections between people in the family.
  2. The pedigree can be presented to third-party payers to increase reimbursement for genetic testing.
  3. Construction of the pedigree identifies gaps in the family history.
  4. The pedigree provides a visual interpretation of inheritance through families.

Correct Answer: 4

Rationale 1: This is not the purpose of the pedigree.

Rationale 2: This may be a use for the pedigree in the future, but it is not its purpose at present.

Rationale 3: This may be an effect of the construction of the pedigree, but it is not the primary reason for its development.

Rationale 4: The use of a pedigree allows for easier interpretation of how traits or diseases are inherited across generations.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 24-3: Describe the components of a comprehensive family health history assessment.

 

Question 15

Type: MCMA

Which actions would help the nurse develop a relationship with specialty genetics services in his or her practice area?

 

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

  1. Identify the providers that are in the area.
  2. Make contact with the providers before services are required.
  3. Ask to visit the clinic and set in on several client visits.
  4. Contact the providers periodically to establish an ongoing working relationship.
  5. Respond promptly and professionally to any contacts initiated by the specialty providers.

Correct Answer: 1,2,4,5

Rationale 1: The first step is to identify the genetic services providers in the area.

Rationale 2: Contacting these providers early helps to establish a relationship.

Rationale 3: This request is likely to be denied due to the sensitive nature of the material being discussed at these visits. A request such as this may make providers uneasy about the nurse’s grasp of this issue.

Rationale 4: Continued networking is an excellent method of maintaining professional relationships.

Rationale 5: Communication should be open in both directions and should be professional and prompt.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 24-5: Facilitate referrals for specialty genetics and genomics services.

 

1 review for Test Bank Genetics and Genomics for Nursing 1st Edition Kenner Lewis

  1. Bridget

    Wonderful was able to download my nursing test bank very fast! TY

Add a review