C HAPTER 08: G ENE T HERAPY AND
P HARMACOGENOMICS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient has just been told that sh e has the genetic markers for a severe
type of breast cancer. After the patient meets with the physician, the
patient’s daughter asks the nurse, “What did the doctor tell my mother?
She seems upset. ” What is the nurse‘s best response?
a. “I’m sorry, but I’m not allowed to discuss that. ”
b. “The physician will discuss this with you. ”
c. “It seems that your mother has the genetic markers for a t ype of
breast cancer. ”
d. “This is information that your mother will need to discuss with
you.”
ANS: D
Maintaining privacy and confidentialit y is of utmost importance during
genetic testing and counseling. The patient (not the nurse or the
physician) is the one who decides whether to include or exclude any
famil y members from the discussion and from knowledge of the results
of genetic testing. Telling the patient ’s daughter that you are ―not
allowed‖ to discuss the matter would cause more anxiet y. Telling the
daughter about the genetic markers would be a violation of the
patient’s privacy.
DIF: Cognitive Level: Appl ying (Applicatio n)
TOP: Nursing Process: Implementation
, MSC: NC LEX: Physiological Integrit y: Physiological Adaptation
2. The nurse is asking a patient about his famil y history as part of an
assessment. Which component is included in an effective famil y history?
a. Asking the p atient about the current and past health status of the
patient’s children
b. Covering at least three generations of famil y history
c. Obtaining a famil y history of the patient ’s spouse
d. Asking about the famil y history for the patient ’s siblings and
parents onl y
ANS: B
The famil y history is most effective if it covers at least three
generations and includes the current and past health status of each
famil y member. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Assessment
MSC: NC LEX: Health Promotion and Maintenance
3. The nurse is reviewing principles of genetics. Which of these is a long
strand of DNA that is contained within the nuclei of cells?
a. Gene
b. Allele
c. Genome
d. Chromosome
ANS: D
A chromosome is a long strand of DNA that is contained in the nuclei
of cells. DNA molecules, in turn, act as the template for the formation
P HARMACOGENOMICS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient has just been told that sh e has the genetic markers for a severe
type of breast cancer. After the patient meets with the physician, the
patient’s daughter asks the nurse, “What did the doctor tell my mother?
She seems upset. ” What is the nurse‘s best response?
a. “I’m sorry, but I’m not allowed to discuss that. ”
b. “The physician will discuss this with you. ”
c. “It seems that your mother has the genetic markers for a t ype of
breast cancer. ”
d. “This is information that your mother will need to discuss with
you.”
ANS: D
Maintaining privacy and confidentialit y is of utmost importance during
genetic testing and counseling. The patient (not the nurse or the
physician) is the one who decides whether to include or exclude any
famil y members from the discussion and from knowledge of the results
of genetic testing. Telling the patient ’s daughter that you are ―not
allowed‖ to discuss the matter would cause more anxiet y. Telling the
daughter about the genetic markers would be a violation of the
patient’s privacy.
DIF: Cognitive Level: Appl ying (Applicatio n)
TOP: Nursing Process: Implementation
, MSC: NC LEX: Physiological Integrit y: Physiological Adaptation
2. The nurse is asking a patient about his famil y history as part of an
assessment. Which component is included in an effective famil y history?
a. Asking the p atient about the current and past health status of the
patient’s children
b. Covering at least three generations of famil y history
c. Obtaining a famil y history of the patient ’s spouse
d. Asking about the famil y history for the patient ’s siblings and
parents onl y
ANS: B
The famil y history is most effective if it covers at least three
generations and includes the current and past health status of each
famil y member. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Assessment
MSC: NC LEX: Health Promotion and Maintenance
3. The nurse is reviewing principles of genetics. Which of these is a long
strand of DNA that is contained within the nuclei of cells?
a. Gene
b. Allele
c. Genome
d. Chromosome
ANS: D
A chromosome is a long strand of DNA that is contained in the nuclei
of cells. DNA molecules, in turn, act as the template for the formation
