A client has come to the clinic for an annual physical and asks the nurse for an immunization against HIV. The best response by the nurse would be:

Question

1. "I'll ask the physician to write an order for the immunization."
2. "Immunization against HIV is being investigated, but is not yet a reality."
3. "Where did you hear about that?"
4. "Why do you think you need a shot for HIV?"

Answer 1

Answer: 2

1. An immunization for HIV has not yet been developed.
2. Vaccines against HIV infection are being investigated, but to date, none have been successfully developed. Education, counseling, and behavior modification are the key elements for HIV prevention.
3. Asking the client where she heard about a vaccine is confrontational and can destroy the trust the client might have in the nurse and health care system.
4. Asking the client why she needs the injection is confrontational and might be seen by the client as prejudicial.