Question

A nurse is caring for a client who recently learned he has a mutation of the BRCA2 gene. The client states 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 important to share this information with your children to ensure they are aware of any potential genetic risks to their health."
b) "I respect your decision regarding whether or not to share this information with your children. Is there anything you'd like support or guidance on in making this choice?"
c) "I understand your reluctance, but keeping your children informed about this genetic mutation is crucial for their well-being."
d) "You have the right to keep your medical information private. I can provide resources to help you make an informed decision, but ultimately, it's your choice."

Answer 1

The most suitable response by the nurse advocating for the client's rights while providing support is to respect patient autonomy, providing information and support but acknowledging the decision is ultimately the client's to make.

Step-by-step explanation:

The subject of the question pertains to client advocacy and the ethical implications of genetic information in nursing. The question is about how a nurse should respond to a client who has a mutation of the BRCA2 gene but does not want to inform his adult children, potentially affecting their health management and screening protocols. The most appropriate and professional response by the nurse would be:

"You have the right to keep your medical information private. I can provide resources to help you make an informed decision, but ultimately, it's your choice."

This response respects the patient's autonomy and privacy while also offering support and information, which can help the client understand the potential consequences of not sharing this information with his family.