Please Read the Clinical Scenario, and Then Answer the Question

question 19

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Adam is 20-year-old college student who has come into the campus health clinic. You are the nurse who is admitting Adam and doing his initial examination. He very embarrassingly tells you about his symptoms. For several days, it has been painful to urinate. He has noticed a slight yellow discharge from his urethra that persists throughout the day, whether or not he is urinating. He admits to having unprotected sex regularly, and is concerned that he may have contracted a sexually transmitted infection. Per the doctor’s orders, you send a sample of the urethral discharge to the microbiology laboratory and order a Gram stain. The laboratory reports viewing many gram-negative diplococci and many neutrophils on the Gram-stained smear, suggestive of gonorrhea.
-Adam asks you to keep his diagnosis a secret.What is the best response?

• A)"I promise to not tell anyone.I'm bound by HIPAA laws."
• B)"I am required,by law,to contact the health department,and you should notify any recent sexual partners."
• C)"Once an STI is detected,HIPAA laws no longer apply.This information will be carried with your school record wherever you go."
• D)"I'm required,by law,to contact the health department,unless you sign this 'Waiver of Liability' form."

---

Definitions:

Hear

The physiological process involving the ears that allows perception of sounds.

Fetal Response

The reactions or movements made by a fetus in response to stimuli such as sound, light, or pressure.

Light

Electromagnetic radiation that can be perceived by the human eye, playing a critical role in vision and influencing various biological processes.

Conception

The process of fertilization where a sperm cell combines with an egg cell to form a zygote, marking the beginning of pregnancy.