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Exam 19: Financial, Ethical, Legal, and Social Considerations

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Question 1

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What should be told to the patient who has been found to have a genetic mutation that increases the risk for colon cancer and says he does not want any of hisfamilytoknow about this result?

A) "It is required by law that you inform your siblings and your children about this result so that they also can be tested and monitored for colon cancer."
B) "It is not necessary to tell your siblings because they are adults, but you should tell your children so that they can be tested before they decide to have children of their own."
C) "It is not required that you tell anyone about this result; however, because your siblings and children may also be at risk for colon cancer, you should think about how this information might help them."
D) "It is your decision to determine with whom, if anyone, you share this test result; however, if you do not tell any of your family members and they get colon cancer, you would be responsible for their development of the disease."

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Question 2

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Apatient whose mother has Huntington disease is considering genetic testing but is not sure whether she really wants to know if she has the mutation. She asksyou whatyou would do if your mother had the disease. What is your best response?

A) "I would have the test so that I could decide whether to have children or to use adoption."
B) "I can only tell you the benefits and the risks of testing; you must make this decision yourself."
C) "Because there is no cure for this disease and testing would not be beneficial, I would not have the test."
D) "You need to check with your brothers and sisters to determine whether testing for this disease would be appropriate for you."

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Question 3

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Apatient asks you whether the Genetic Information and Nondiscrimination Act (GINA) means that his insurance company is required to pay for his genetic testingif heelects to have it done. What is your best response?

Ascientist is working to develop a genetic test that will screen embryos so that only those producing tall children with beautiful features will be implanted.Whatarea of genetic work or studies does this example represent?

Under which condition(s) would genetic testing for predisposition to an inherited disorder in a minor child be considered reasonable?

You are caring for a college professor who has been offered testing for her family's mutation in BRCA1. She expresses fear of genetic discrimination as a reason forrefusing genetic testing. What do you tell her?

Sometimes health-care providers with information about family members' genetic risk are confronted by conflicting ethical principles. Which principle is leastlikelytoconflict with the health-care provider's "duty to warn"?

Preimplantation genetic diagnosis provides parents with which options?

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 isconcerned 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?