C475 AMNQ Quiz 1 QUESTIONS and ANSWERS

AMNQ Quiz 1 1) Sometimes health-care providers with information about family members’ genetic risk are confronted by conflicting ethical principles. Which principle is LEAST likely to conflict with the health-care provider’s “duty to warn”? Select one: a. Autonomy b. Genetic discrimination c. Beneficence d. Right to privacy B) Genetic discrimination 2) A patient states that she has heard that the origin of most cancers is “genetic.” What is the best response? Select one: a. The majority of cancers are inherited.” b. “Cancer is more common among males than females.” c. Cancers arise in cells that have alterations in the genes.” d. “The development of most cancers is predetermined and not affected by environmental factors.” C) Cancer arise in cells that have alterations in the genes. 3) An Asian American man and his Caucasian wife are both taking warfarin (Coumadin) daily because of atrial fibrillation. The husband asks why he is prescribed a much smaller than average dose of the drug to keep his international normalized ratio (INR) at 2.0 and his wife takes the average dose even though he is taller and heavier than she is. What is the nurse’s best response? Select one: a. “Body size is not important for warfarin but gender differences are because testosterone improves its action.” b. Many Asian Americans do not break down warfarin as fast as Caucasians, so the drug is more effective at lower dosages c. “Caucasians have higher levels of the enzyme that breaks down warfarin, requiring higher dosages for the same effect on INR.” d. You are probably anemic, which would reduce your ability to form blood clots, so your doses can be lower.” B) Many Asian do not breath down warfarin as fast as caucasians, so the drug is more effective at lower dosages 4) What is the heritability estimate for addiction to alcohol in both males and females? Select one: This study source was downloaded by from CourseH on :20:23 GMT -05:00 This study resource was shared via CourseH a. 10% to 20% b. 20% to 40% c. 60% to 80% d. 50% to 60% D) 50-60% 5) Your patient, Maggie, insists that her mother have genetic testing to determine if her breast cancer is connected to a mutation in the BRCA1/2 genes. Maggie is concerned about her own risk for getting breast cancer and that of her children, but Maggie’s mom does not want to be tested. What ethical principle is one of several that must be considered in evaluating this case? Select one: a. The nurse’s “duty to warn” b. Maggie’s mother’s “right to know” c. Maggie’s “autonomy” d. Maggie’s mother’s “right to privacy”