Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Adam is 20-year-old college student who has come into the campus health clinic. You are the nurse who is admitting Adam and doing his initial examination. He very embarrassingly tells you about his symptoms. For several days, it has been painful to urinate. He has noticed a slight yellow discharge from his urethra that persists throughout the day, whether or not he is urinating. He admits to having unprotected sex regularly, and is concerned that he may have contracted a sexually transmitted infection. Per the doctor’s orders, you send a sample of the urethral discharge to the microbiology laboratory and order a Gram stain. The laboratory reports viewing many gram-negative diplococci and many neutrophils on the Gram-stained smear, suggestive of gonorrhea.
-Adam asks you to keep his diagnosis a secret.What is the best response?

Question

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
  Adam is 20-year-old college student who has come into the campus health clinic. You are the nurse who is admitting Adam and doing his initial examination. He very embarrassingly tells you about his symptoms. For several days, it has been painful to urinate. He has noticed a slight yellow discharge from his urethra that persists throughout the day, whether or not he is urinating. He admits to having unprotected sex regularly, and is concerned that he may have contracted a sexually transmitted infection. Per the doctor’s orders, you send a sample of the urethral discharge to the microbiology laboratory and order a Gram stain.  The laboratory reports viewing many gram-negative diplococci and many neutrophils on the Gram-stained smear, suggestive of gonorrhea.
-Adam asks you to keep his diagnosis a secret.What is the best response?

Quizplus · Accepted Answer

As a healthcare provider, it is important to prioritize patient confidentiality and privacy. However, in cases of sexually transmitted infections, healthcare providers are legally required to report cases to the health department for public health reasons. This is because STIs can have severe consequences if left untreated and can also spread to others. Therefore, the best response in this scenario would be option B, where the nurse informs Adam that they are required, by law, to contact the health department and that he should also notify any recent sexual partners.

Please Read the Clinical Scenario, and Then Answer the Question