Kathy Michaels, a 37-year-old female, is talking with her gynecologist about concerns of sexually transmitted diseases (STDs). She asks to be tested for STDs. Later, the nurse calls to discuss the results with Ms. Michaels, which indicate she is positive for HIV. Ms. Michaels states, “Oh no, I have AIDS!”
1. How should the nurse respond to Ms. Michaels’ statement?
2. Ms. Michaels seems relieved with the explanation and states “I am so glad it’s not AIDS. It’s just like an infection.” She then asks the nurse, “Can I take some antibiotics to kill the infection, then?” How should the nurse respond to Ms. Michaels’ question?
3. Again, Ms. Michaels indicates understanding of the nurse’s explanation. She then asks “Does this virus just remain the same in my body and nothing will happen, or will I be getting sick?”
How should the nurse respond to Ms. Michaels’ question?
Expert Solution Preview
Introduction: The scenario presented involves a conversation between a patient and her gynecologist regarding concerns about STDs. The patient later receives a positive HIV test result and has several questions for the nurse who discusses the results with her.
1. The nurse should respond to Ms. Michaels’ statement by correcting any misinformation and providing factual information about HIV and AIDS. The nurse should explain that HIV is a virus that can lead to the development of AIDS, but that not all HIV-positive individuals will develop AIDS. It is important for the nurse to provide emotional support and encourage the patient to express any concerns or questions she may have.
2. The nurse should respond to Ms. Michaels’ question by explaining that antibiotics cannot cure or treat HIV. Antiretroviral therapy (ART) is the standard treatment for HIV and involves a combination of medications that aim to suppress the virus and prevent disease progression. The nurse should also provide information about the importance of adherence to ART and the potential side effects.
3. The nurse should respond to Ms. Michaels’ question by explaining that HIV is a chronic condition that requires ongoing management. While some individuals may remain asymptomatic for many years, others may experience a range of symptoms and complications. The nurse should emphasize the importance of regular monitoring and follow-up with healthcare providers to ensure optimal health and well-being.