Question

A nurse is caring for a client who recently learned he has a mutation of the BRCA2 gene. The client stated that he does not plan to tell his adult children about the diagnosis. Which of the following responses displays client advocacy by the nurse?

a) "It's crucial to respect your children's autonomy in this situation. If you're not comfortable sharing, that's your decision."
b) "I understand your decision, but it's important to consider the potential impact on your children's health. I can help you find a way to discuss it with them."
c) "I think it's best to follow your instincts on this matter. Your children will understand when and if you're ready to share the information."
d) "I strongly encourage you to inform your adult children about the BRCA2 gene mutation. It's essential for their own health and well-being."

Answer 1

The nurse's response that best represents client advocacy when dealing with a BRCA2 gene mutation suggests understanding the client's decision but emphasizes the importance of considering the family's health and offering support to communicate the diagnosis to the children.

Step-by-step explanation:

The nurse's response that displays client advocacy in advising a client with a BRCA2 gene mutation is "I understand your decision, but it's important to consider the potential impact on your children's health. I can help you find a way to discuss it with them." This response is most aligned with supporting the client's health and the health of their family members while offering professional assistance and respecting the client's autonomy.

Understanding that BRCA1 and BRCA2 gene mutations are dominant and increase the risk of cancer, it is essential for individuals with these mutations to consider their family's health. The result of the genetic testing can significantly guide future medical care and determine the need for more frequent cancer screenings.

Awareness of the presence of these mutations is particularly important for populations with higher prevalence rates, such as Ashkenazi Jews. Even if not everyone in a family will inherit these mutations, or even if they do not develop cancer, the risk is significantly elevated, making knowledge of one's genetic makeup a critical aspect of preventive health care.