Those plans should be in place regardless of the results of a blood test
No, they shouldn’t. Makes no sense to plan for living with a mental disability if you’re not close to needing it.
I am absolutely not going to plan on a care facility right now. That sounds absolutely bogus.
I think there are many people (myself included) whose plans would change dramatically upon discovery of Alzheimer's, dementia, or some other degenerative disease. I might consider moving to somewhere with more liberal assisted suicide laws for example.