The nurse is caring for a client who was just informed that they tested positive for human immunodeficiency virus (HIV). Upon learning the result, the client stated, "This cannot be accurate."
The nurse should respond to the client by
The nurse is caring for a client who was just informed that they tested positive for human immunodeficiency virus (HIV). Upon learning the result, the client stated, "This cannot be accurate."
The nurse should respond to the client by
A. arranging for another blood specimen to be retested.
[5%]
B. providing the client with a paper copy of the test result.
[7%]
C. arranging for the client to join a support group.
[14%]
D. recognizing that this defense mechanism is commonly used during this time.
[74%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Mental Health
Client Need
Test Plan
Psychosocial Integrity
Related Topic
Coping Mechanisms
Item Type
Item Type
Application
Explanation
Choice D is correct. Denial is commonly used as an initial response to a stressful situation, especially when an individual finds out their HIV status has changed. The nurse should utilize an empathetic approach by stating, "I can see how that would be difficult."
Choice A is incorrect. The nurse should understand that this type of reaction is commonly seen. Retesting the same blood specimen will yield the same results and not facilitate acceptance.
Choice B is incorrect. Providing the client with a paper copy of the test result does not address the client's defense mechanism. The client is not denying that the nurse is untruthful; instead, denying the test result.
Choice C is incorrect. Advising that the client join a support group is inappropriate, considering the client outright denies the diagnosis. While this may be therapeutic, it is inappropriate to recommend.
Related Videos
2 Key Topics
Defense Mechanisms in Mental Health
32.2 Psychological Concepts & Safety
Additional Info
