Chapter 8: Overview of Genetics and Genomics in Nursing - Nurselytic

Correct Answer: A

Rationale: The Genetic Information Nondiscrimination Act (GIN
A), signed into law in 2008, protects Americans against improper use of genetic and genomic information in insurance and employment decisions. The other options do not exist.

Correct Answer: B

Rationale: Nurses assess the patient's capacity and ability to give voluntary consent. Language differences prevent the husband from giving informed consent without a translator. Having the wife translate or explaining in simple English does not ensure accurate understanding, and signing without comprehension is unethical.

Correct Answer: C

Rationale: Nurses obtain patient consent to obtain medical records to ensure appropriate information and counseling, including risk interpretation, are provided. Vague responses like â??just in case' or â??due diligence' do not adequately explain the need for medical records.

Correct Answer: B

Rationale: HIPAA prohibits the use of genetics information to establish insurance eligibility. However, it does not prohibit group plans from increasing premiums, excluding coverage for a specific condition, or imposing a lifetime cap on benefits. Mandating Medicaid enrollment or health promotion plans is not allowed.

Correct Answer: A

Rationale: Sickle cell anemia follows an autosomal recessive pattern of inheritance. When carriers have children together, there is a 25% chance that each child may inherit the gene mutation from both parents and have the condition. Carriers do not develop the disease, and lifestyle factors do not directly influence this mendelian inheritance pattern.