Scenario: You are a nurse in the surgical unit of a large metropolitan hospital. A young woman has been admitted for an ovarian cyst removal later the same day. As you are taking her health history, she reveals that she has recently been diagnosed as HIV positive. In response to a query from you, she acknowledges that she has not yet seen a healthcare provider regarding this diagnosis. She also quickly adds that she hasnâ€™t disclosed this condition to her new boyfriend, who is in the waiting room, or to any other family members or friends.
With this patientâ€™s right to privacy and confidentiality in mind, identify those whom you need to inform about her HIV-positive status. Provide support from scholarly references for your response. (1â€“2 paragraphs)
During the health assessment, your patient has revealed that her boyfriend does not know about her HIV-positive status. Briefly explain how you might explore the patientâ€™s understanding of how her HIV positive status may impact her relationship and the health of her partner. Explain why you would take this approach. Support your approach with scholarly references. (1â€“2 paragraphs)
Identify two actions you would takeâ€”or ensure are takenâ€”in this scenario to preserve patient confidentiality. Support your response with reference to the ANAâ€™s position paper on privacy and confidentiality. (1â€“2 paragraphs).
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