Reference no: EM133852427

CASE STUDY SCENARIO

Mr. Wilson, a 39-year-old man, comes to the clinic with pain on urination and frequent urination. He described pain as burning. He provides a history of sexual activity since age 20, and reports previous sexual contacts with two women and a man in the last three months. In addition, he reports that no barrier methods of protection were used at times in the last three months. Most recent sexual activity has been on the weekend. Currently, he is engaged with his fiancee in a committed relationship as he states. He uses alcohol occasionally and smokes about one pack of cigarettes in three days. Urine test for Neisseria gonorrheae yield positive result. The doctor prescribes one dose of Ceftriaxone IM injection and oral dosage of Doxycycline 100 mg for 7 days.

PART 1:

Questions

1. Should the patient be encouraged to be tested for human immunodeficiency virus (HIV)? Why or why not? Explain your answer.

2. How will the nurse counsel Mr. Wilson about the testing process? How can the nurse help him prepare for the test result?

3. Based on the above data, what further questions will the nurse need to ask Mr. Wilson before the nurse can determine his educational needs? Consider factors like cultural, religion and other factors that might apply to the patient or the situation.

4. How will the nurse discuss the issue of partner notification with Mr. Wilson? Provide specific strategies and ways.

5. Mr. Wilson's HIV result comes back positive. What psychological issues would the nurse consider? How might he react and how should the nurse deal with it. Explain your answer.

6. Based on the current patient situation, what are the possible priority Nursing Diagnoses? List at least three priority nursing diagnoses. Explain why they are the priority nursing diagnoses.

7. Mr. Wilson will start antiviral medications due to HIV diagnosis. What would the nurse need to consider in patient teaching about this type of medication?