What is a key consideration when handling genetic test results with respect to relatives?

• A. Share all results with relatives automatically.
• B. Discuss implications with the patient and consider relatives' privacy rights.
• C. Refuse to discuss implications with the patient.
• D. Remove patient consent.

Answer: (B)

Genetic test results can reveal information that affects multiple family members, so the nurse must balance protecting the patient’s confidentiality with guiding discussions about potential familial risk. The best approach is to discuss what the results mean for relatives with the patient and to honor relatives’ privacy rights by not disclosing information without the patient’s consent. This means explaining how the findings could impact relatives, outlining options for sharing (such as telling relatives or seeking genetic counseling to help with informed disclosure), and supporting the patient in making a decision about what to share. Respecting the patient’s autonomy and confidentiality is central, while still providing information and resources that can help both the patient and any at‑risk relatives.

Automatically sharing results with relatives breaches confidentiality and undermines the patient’s control over their own information. Refusing to discuss implications with the patient ignores their right to informed decision-making and guidance. Removing patient consent is not appropriate and violates ethical and legal standards for privacy.