Week 6: The Green Book

Question 1

Unconditional positive regard, genuineness, empathy

Answer 1

Carl Rogers 3 core qualities

Question 2

Stating in your own words what the client has told you

Answer 2

Re-phrasing

Question 3

If you’ve seen a family member before, can you use the same pedigree for a different family member?

Answer 3

No, HIPAA

Question 4

Consider _______ if a person with a genetic condition and has a limited lifespan. Especially if: genetic testing is unavailable, has low detection rate, is unaffordable, or no mutation was identified

Answer 4

DNA banking

Question 5

Always ask the patient to tell their _____

Answer 5

Narrative

Question 6

Counsellor makes assumptions about the experience of a client (has emotional reaction themselves and assumes it’s what the counsel feels

Answer 6

Projection

Question 7

Extremely challenging situation for the client and the counsellor becomes a temporary repository of the feeling that is unacceptable in the client

Answer 7

Projective Identification

Question 8

Emotional response: Inability yo acknowledge to oneself certain formation or news

Answer 8

Denial

Question 9

Emotional Response: Complex universal emotion that seeks to blame

Answer 9

Anger

Question 10

Emotional Response: often experienced by parents of a child with a genetic condition

Answer 10

Guilt and Shame

Question 11

Emotional Response: common response to loss/anticipated loss

Answer 11

Grief and despair

Question 12

Emotional Response: “Why me?”

Answer 12

Questioning

Question 13

Coping Style: trying to change the opinion of the person in charge

Answer 13

Confronting

Question 14

Coping Style: going on as if nothing happened

Answer 14

Distancing

Question 15

Coping Style: keeping feelings to oneself

Answer 15

Self-controlling

Question 16

Coping Style: engaging in conversation in the hopes of learning more

Answer 16

Seeking social support

Question 17

Coping Style: criticizing oneself

Answer 17

Accepting responsibility

Question 18

Coping Style: hoping for a miracle

Answer 18

Escape Avoidance

Question 19

Coping Style: identifying and following a plan of action

Answer 19

Plan

Question 20

Coping Style: identifying existing or potential positive outcomes

Answer 20

Positive Reappraisal

Question 21

Relationship is integral to GC-ing, patient autonomy must be supported, patients are resilient, patient emotions make a difference

Answer 21

4 Tenets of Genetic Counselling

Question 22

Actual or dramatic instances of certain outcomes will increase the perceived likelihood that the outcomes will occur

Answer 22

Availability Heuristic

Question 23

A well-characterized constellation of major and minor anomalies that occur together in a predictable fashion; due to single underlying etiology

Answer 23

Syndrome

Question 24

Group of related anomalies that generally stem from a single initial major anomaly that affects the development of other tissues or structures

Answer 24

Sequence (Field Defect)

Question 25

Caused by an abnormal external force acting on the fetus during in utero development that results in abnormal growth or formation of fetal structures

Answer 25

Deformation

Question 26

Normal growth of a fetal structure is halted prematurely

Answer 26

Disruption

Question 27

Fetal growth and development did not proceed normally because of underlying genetic/epigenetic/environmental factors that altered development

Answer 27

Malformation

Question 28

Intrinsic cellular architecture of a tissue is not normally maintained throughout growth and development

Answer 28

Dysplasia

Question 29

Ability of a test to accurately measure the given analyze

Answer 29

Analytical validity

Question 30

Degree of agreement of the test result with the true value of the analyte

Answer 30

Analytic accuracy

Question 31

Agreement between measurements/ reproducibility

Answer 31

Analytic precision

Question 32

The ability of a test to detect an analyze

Answer 32

Analytical sensitivity

Question 33

The ability of the test to detect only the analyze of interest

Answer 33

Analytical specificity

Question 34

The ability of the test to predict the presence of the associated disorder or phenotype

Answer 34

Clinical validity

Question 35

Ability of the test to detect disease given that the disease is present

Answer 35

Clinical sensitivity

Question 36

Ability of the test to discriminate between those with the suspected phenotype or disease and those without it

Answer 36

Clinical Specificity

Question 37

The ability of the test to affect positive outcomes

Answer 37

Clinical Utility

Question 38

The ability of the test to identify the presence or absence of the disease

Answer 38

Predictive value

Question 39

Who oversees clinical laboratories in the USA

Answer 39

CLIA

Question 40

What medical information are you legally allowed to divulge without the patients consent?

Answer 40

Infectious disease

Question 41

Agreed upon view of what is acceptable and unacceptable behaviour

Answer 41

Morality

Question 42

Establishment of a set of guidelines for morally acceptable conduct within a theoretical framework

Answer 42

Ethics

Question 43

Do Good

Answer 43

Beneficence

Question 44

Do No Harm

Answer 44

Nonmaleficence

Question 45

Represents the individuals personal rule of self

Answer 45

Autonomy

Question 46

Obligations derived from autonomy

Answer 46

Truth telling, confidentiality, informed consent

Question 47

Equality, liberty, excellence, efficiency

Answer 47

4 values of justice

Question 48

Limits the disclosure of information obtained by employees of federal services, agencies, and government contractors

Answer 48

Privacy act

Question 49

Prohibits the infringement of a person's rights by private entities involved in employment/housing/ public accommodation on the basis of race/sex

Answer 49

Civil Rights Statutes

Question 50

Prohibits group health plans from denying individuals coverage on the basis of genetic information

Answer 50

HIPAA

Question 51

Protects against health insurance and employment; does not include life/long-term/disability insurance

Answer 51

GINA

Question 52

Family members should not be informed when non paternity is discovered unless paternity was the purpose of the testing

Answer 52

Hmmmm

Question 53

Supervisory Roles: primary interaction is instruction with emphasis on guidance

Answer 53

Teaching Role

Question 54

Supervisory Roles: interact collaboratively; brainstorm strategies

Answer 54

Consultation Role

Question 55

Supervisory Role: promoting self-awareness and growth; support is emphasized

Answer 55

Counselling Role

Question 56

Supervisory Role: primary interaction is critiquing and giving feedback

Answer 56

Evaluation Role