medium · NCLEX-RN Health Promotion and Maintenance

A 24-year-old client is considering predictive testing for HD. During the intake, the client asks, 'If I have the gene, does it mean I will definitely get the disease, or just that I am at higher risk?' Which response by the nurse is accurate?

  1. The test only indicates a predisposition, and environmental factors can prevent the disease from appearing, for this client.
  2. If the mutation is present, the disease is 100% penetrant, meaning symptoms will develop if you live a normal lifespan.
  3. It depends on whether you inherited the gene from your mother or your father.
  4. The test results are only 95% accurate, so there is always a chance you will remain healthy, as the next nursing response.

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