Public Health Nursing Practice Exam

Which reactions might a client exhibit after learning about being a carrier of the BRCA-2 gene?

1. Happiness and acceptance

2. Guilt, fear, and anxiety

3. Indifference and apathy

4. Confidence and reassurance

The correct answer is: Guilt, fear, and anxiety

A client who learns they are a carrier of the BRCA-2 gene might typically exhibit guilt, fear, and anxiety due to the implications of this information. The knowledge of being a genetic carrier can create a significant emotional burden, as it may increase one’s perceived risk for developing certain cancers, particularly breast and ovarian cancer. Fear might arise from concerns about personal health, the potential for future medical issues, and the impact this knowledge could have on family members who may also be at risk. Guilt can manifest if the client feels responsible for passing the gene to their children or if they feel they should have been more proactive about their health prior to the testing. Anxiety is often linked to uncertainties about the future, potential health outcomes, and the need for decisions regarding surveillance, preventive measures, or treatment options. While some individuals may find acceptance or confidence in facing this challenge, the initial reactions are often more aligned with negative emotions, underscoring the importance of supportive counseling and resources for newly diagnosed carriers.