Q1

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Question: You are a nurse working in a primary care setting. During a health history interview, a patient discloses that he uses intravenous drugs. How should you respond?

1. Recognize that IV drug users are at higher risk for contracting HIV.
   Continue the health history after you have donned gloves, goggles, and a gown to protect yourself.


2. Recognize that IV drug users are at higher risk for contracting HIV.
   Obtain an order from the physician to test for HIV.


3. Recognize that IV drug users are at higher risk for contracting HIV.
   Educate the patient on HIV transmission through sharing IV needles and ask the patient if he would like to be tested.

Sorry, wrong answer. Try again. :)

That correct! Good job.

As a nurse, you recognize that IV drug users are at a higher risk for contracting HIV. Combined with a thorough health history including engagement in risky behaviors will inform you as to whether or not to refer the patient for HIV testing. Avoid stigmatization by assuming that everyone from a high risk population needs to be tested for HIV.

PPEs are usually not necessary during a health history interview. Over-protection may contribute to stigmatization of people living with HIV/AIDS by health care professionals. Consent is also necessary in order to refer a patient for HIV testing.

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Q2

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Question: What PPEs would you want to wear in each of the following nursing care activities for an HIV positive patient who is on treatment?

1. Giving a bed bath	Gloves	Gown	Mask	Others:
2. Changing adult pads soiled with urine and feces	Gloves	Gown	Mask	Others:
3. Changing linens soiled with blood	Gloves	Gown	Mask	Others:
4. Giving an injection	Gloves	Gown	Mask	Others:
5. Withdrawing blood	Gloves	Gown	Mask	Others:
6. Changing a wound dressing	Gloves	Gown	Mask	Others:

See the answer.

Answer. There is no right or wrong answer. As a health care professional, you can use any type of PPEs you feel is necessary to protect yourself. However, you should be knowledgeable about the risks involved with the nursing care activities you undertake and keep in mind that when working with people who have experienced stigma and discrimination, over-protecting yourself may contribute to their negative experiences. Go back to the question.

Q3

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Question: A patient is presenting with signs of the flu. During the history, the patient discloses engaging in recent unprotected sex with multiple partners. As his nurse, you recognize the increased risk of HIV from the engagement in risky behaviors and flu-like symptoms. An HIV antibody test is recommended and accepted by the patient. However, the results come back negative for HIV antibodies. What is your top priority for patient teaching? (Click one of the options below.)

1. Educate the patient on the risks involved with engaging in unprotected sex.
2. Educate the patient on the risk of HIV transmission even with a negative HIV antibody test and recommend retesting 3 months later.
3. Inform the patient, s/he is HIV negative and provide education on the risks of HIV transmission and unprotected sex.

Good job! #2 is correct.
HIV antibody tests may be negative because the body has not yet undergone seroconversion (antibody development), although the virus is present in the body if infection has already occured. The risk of transmission is the highest at this time because of the spike in the viral load (amount of virus in the blood). Back to question.

Sorry, wrong answer. Try again. :)

Q4

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Question: You are a nurse in a hospital in Toronto. A patient in your care was recently diagnosed with HIV and asks you if he is going to die. How do you respond?

1. I'm sorry to hear that. Is there anything I can do for you?
2. Can you tell me more about how you are feeling?
3. Comment on our wiki and explain how you would respond! (Login in to Moddle to comment!)

Comment on our wiki and explain how you would respond! (Login to Moodle to comment!) Back to question.

Great Sheila-response. But There is a better, more factual answer! Try again. :)