Author Question: A pregnant client with a history of drug use refuses testing for human immunodeficiency virus (HIV), ... (Read 158 times)

fbq8i · **on:** Jun 25, 2018

A pregnant client with a history of drug use refuses testing for human immunodeficiency virus (HIV), despite the recommendation of her nurse-midwife. Which actions by the nurse are appropriate in this situation?

Select all that apply.
A) Refuse to treat the client.
B) Do the testing anyway.
C) Re-emphasize the importance of HIV testing.
D) Offer counseling.
E) Throughout the pregnancy, encourage the client to reconsider the decision not to be tested.

Question 2

Staff at the hospital have decided to strike in order to try to improve working conditions. Which are some of the ethical issues that a nurse working in the hospital will have to consider when deciding whether or not to honor the picket line? Select all t

A) The need to support coworkers in their efforts to improve working conditions
B) The need to ensure that clients receive care and are not abandoned
C) The desire to take some time off
D) Loyalty to the nurse's employer
E) The need for higher pay

ambernicolefink · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C, D, E

HIV testing is not mandatory for obtaining care and the refusal to be tested is legal. However, a mother-to-be who knows her HIV status will have more time to decide on effective ways to protect her health and prevent mother-to-child transmission of HIV and to take steps to prevent passing HIV to her partner. Suggesting counseling and consistently encouraging testing are recommended.

Answer to Question 2

Answer: A, B, D

Strikers may be concerned about patient care as it is related to adequate staffing. Strikes may adversely affect patient care and outcomes. Nurses may feel allegiance to a hospital where they have worked for years. The desire to take time off and the need for higher pay are not ethical issues.