A client was clearly very relieved when an HIV test came back negative. "Thank goodness. I've had sex several times without a condom, and when one of my friends said he was sick, I think I panicked." Which of the following would be most important to emphasize to the client immediately?
Abstinence is the only way to be certain you are HIV free.
The test would not cover any recent infection, so if the client has had recent unprotected sex, the test should be repeated in 3 months.
The test could be wrong and the client might still have an HIV infection.
Sex should be restricted to one partner.
The Correct Answer is B
A. Abstinence is the only way to be certain you are HIV free: While abstinence eliminates the risk, it is not the only preventive measure. Safer sex practices, such as condom use and PrEP (pre-exposure prophylaxis), can significantly reduce the risk of HIV.
B. The test would not cover any recent infection, so if the client has had recent unprotected sex, the test should be repeated in 3 months. HIV has a "window period" during which recent infections may not yet be detectable. Retesting in 3 months ensures accuracy and proper diagnosis.
C. The test could be wrong and the client might still have an HIV infection: Modern HIV tests are highly accurate, but recent infections may not be detected. Instead of causing unnecessary distress, the focus should be on retesting after the window period.
D. Sex should be restricted to one partner: Monogamy does not guarantee HIV prevention unless both partners are tested and remain faithful. The emphasis should be on safe sex practices.
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Related Questions
Correct Answer is B
Explanation
A. Allow patients to refuse medications: While patients generally have the right to refuse treatment, public health laws can override this right in cases of communicable diseases to protect public safety.
B. Place someone on house arrest for not being compliant with their TB medication: Under public health laws, states have the authority to enforce quarantine or isolation to prevent the spread of infectious diseases like tuberculosis (TB), especially if an individual refuses treatment.
C. Allow patients to have advance directives in place: Advance directives relate to personal healthcare decisions, not police power, which focuses on protecting public health and safety.
D. Arrest someone for using illegal drugs: While drug use is a legal issue, police power in public health is focused on disease control rather than criminal enforcement of drug laws.
Correct Answer is A
Explanation
A. Agent, Host, Environment: The epidemiologic triangle consists of:
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Agent – The cause of disease (e.g., bacteria, viruses, toxins).
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Host – The person or animal affected by the disease.
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Environment – External factors that influence disease transmission (e.g., climate, sanitation, population density).
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B. Agent, Condition, Variable: "Condition" and "Variable" are not standard components of the epidemiologic triangle. The correct term is host (the affected person or animal).
C. Agent, Host, Condition: "Condition" is not part of the triangle. The environment is a crucial factor that influences the spread of disease.
D. Agent, Host, Disease: "Disease" is an outcome rather than a component of the epidemiologic triangle. The triangle focuses on the factors that contribute to disease spread, including the environment.
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