DNP 810 Week 4: the genetic counseling paper
The findings have to come from the family history tool you completed, and the counselling section has to be written as though you were delivering it — seven domains, in a voice a patient could follow.
Editorial process
Last reviewed · August 15, 2026
You are writing as the counsellor, not about counselling
Two instructions shape the whole paper. First, the reason for counselling must come from what your completion of the Surgeon General's tool actually showed, so complete it before you decide what the case is. A real three-generation entry will usually surface something worth counselling about — early-onset cardiovascular disease, clustered cancers, type 2 diabetes across generations, or a known single-gene condition — and letting the tool produce the case keeps the paper honest rather than retrofitted. Second, you are asked to imagine giving the counselling. That is a register instruction: the seven domains should read as things you would say to a patient, in language they could follow, rather than as headings in a literature review. Write the counselling, in other words, rather than a paper about how counselling ought to be done — the difference is visible in the first sentence of the section and it is what the imagine instruction is asking for.
The reactions section is where clinical judgement shows. Anticipate the real ones — guilt about having passed something on, fear that a result will be used against them, relief that turns into complacency about modifiable risk, anger at being told about a risk they cannot change, and the family conflict that follows when one relative wants to know and another does not. Avoiding negative reactions is mostly about sequence and consent: establish what the patient wants to know before you tell them, separate risk from certainty explicitly, and address the implications for relatives as their decision rather than as your instruction. Then work the seven domains — health, prevention, screening, diagnostics, prognostics, treatment selection and monitoring of treatment effectiveness — in order and separately. Prognostics and monitoring are the two most often collapsed into the others, and separating them is easy marks. Both instructions push the same way: toward a paper that reads like an encounter rather than an essay about encounters.
Likely learning objectives
Inferred from the brief — check these against your own rubric.
- 01Derive a counselling case from a completed family history tool.
- 02Anticipate patient reactions and sequence a conversation to manage them.
- 03Cover seven counselling domains distinctly and in a patient-facing register.
- 04Separate risk from certainty when communicating genomic information.
Read the full question
Review every instruction before using the planning guidance that follows.
Turn the brief into deliverables
- 01A completed Surgeon General's family history and the findings it produced.
- 02The reason for genetic counselling derived from those findings.
- 03Possible patient reactions and how to avoid negative ones.
- 04All seven domains addressed as counselling content.
- 05At least two scholarly sources with in-text citations, and the practice hours statement.
Tool findings, reactions, then seven domains
The family history and its findings
Report what the tool showed and why it indicates counselling.
Anticipated reactions
Name likely emotional and relational responses and the sequence that manages them.
Health, prevention, screening
Deliver the first three domains in patient-facing language.
Diagnostics, prognostics, treatment and monitoring
Cover the remaining four domains distinctly.
Two scholarly sources, cited in text
Recommended databases
- Surgeon General's My Family Health Portrait
- MedlinePlus Genetics
- National Human Genome Research Institute
- PubMed Central
Search sequence
- 1.Complete the family history tool before deciding anything about the case.
- 2.Search the condition the tool surfaced AND genetic counselling for the two scholarly sources.
- 3.Read one paper on patient responses to risk information before writing the reactions section.
- 4.Check what screening or surveillance is actually recommended for that risk level.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Nothing here is cleared for citation until you have read it.
- 01
Why is it important to know my family health history?: MedlinePlus Genetics
MedlinePlus, U.S. National Library of Medicine · 2024
The rationale behind the family history tool, which is what the reason-for-counselling section rests on.
- 02
Pedigree
National Human Genome Research Institute · 2024
The notation behind what the tool produces, useful for reading your own output correctly.
- 03
What are the uses of genetic testing?: MedlinePlus Genetics
MedlinePlus, U.S. National Library of Medicine · 2024
The uses of testing set out separately, which maps onto the seven counselling domains.
- 04
Qualitative research reporting in genetic counseling: A state-of-the-art assessment and recommendations
Journal of Genetic Counseling · 2026
Reporting standards in genetic counselling research, useful for grounding the reactions section in evidence rather than intuition.
- 05
What are complex or multifactorial disorders?: MedlinePlus Genetics
MedlinePlus, U.S. National Library of Medicine · 2024
How to talk about risk without implying certainty when the condition is multifactorial.
Review before submission
Common mistakes
- Inventing a case rather than deriving it from the completed tool.
- Writing about counselling instead of writing the counselling.
- Collapsing prognostics and monitoring into the other domains.
- Treating relatives' testing as your recommendation rather than their decision.
- Omitting the Practice Hours Completion Statement after the references.
Submission checklist
- Did you complete the tool before choosing the case?
- Does the counselling section read as something you would say aloud?
- Are all seven domains present and distinct?
- Are the reactions anticipated specific rather than generic anxiety?
- Are two scholarly sources cited in text, and is the practice hours statement included?
Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by
Aaron Bishop
MA, Education
assignment interpretation and research-methods coaching across disciplines
Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by
Dr. Nathan Cole
PhD, Rhetoric & Composition
Argumentation and thesis development
Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.