A pregnant client with a history of drug use refuses testing for human immunodeficiency virus (HIV), despite the recommendation of her nurse-midwife. Which actions by the nurse are appropriate in this situation?
Select all that apply.
A) Refuse to treat the client.
B) Do the testing anyway.
C) Re-emphasize the importance of HIV testing.
D) Offer counseling.
E) Throughout the pregnancy, encourage the client to reconsider the decision not to be tested.
Answer: C, D, E
HIV testing is not mandatory for obtaining care and the refusal to be tested is legal. However, a mother-to-be who knows her HIV status will have more time to decide on effective ways to protect her health and prevent mother-to-child transmission of HIV and to take steps to prevent passing HIV to her partner. Suggesting counseling and consistently encouraging testing are recommended.
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