Which of the following statements about caring for patients with communicable diseases, such as severe acute respiratory syndrome (SARS) and acquired immunodeficiency syndrome (AIDS), is true?
a. Every health care worker who comes into contact with a patient has the right to know the patient's HIV infection status.
b. A nurse can refuse to care for a patient with SARS or AIDS if he or she fears for his or her own personal health.
c. Strict compliance with standard precautions should be the nurse's strategy when caring for all patients.
d. In known cases of AIDS or SARS, information can be disclosed without the patient's consent.
C
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A Not every health care worker who comes in contact with a patient needs to know the patient's HIV status. Confidential information must be protected.
B Nurses who refuse to care for an HIV-infected patient or a patient with SARS may be reprimanded or fired for insubordination.
C Strict compliance with standard precautions or routine practices and the use of transmission-based (e.g., airborne or droplet) precautions for patients known or suspected of having serious communicable illnesses is the nurse's wisest strategy.
D Whenever information about a patient is requested by any third parties, including insurance companies or employers, nurses must obtain a signed release from the patient before releasing confidential information.
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