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NCLEX Question of the Day
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A nurse is working with a client who has been recently diagnosed with HIV. The client is distressed and concerned about the stigma associated with the illness. What is the most therapeutic response by the nurse?
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Recommend that the client only disclose their diagnosis to trusted individuals.
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Correct answer Discuss the client's feelings of stigma and provide support and education on coping strategies.
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Assure the client that people are more accepting of HIV now than in the past.
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Inform the client that medical treatment will prevent any visible signs of infection.
Rationale
The most therapeutic response from the nurse is to discuss the client's feelings of stigma, provide support, and educate on coping strategies. Acknowledging the impact of stigma and offering a safe space for the client to express concerns helps in validating their feelings and opens opportunities to assist in developing personal coping mechanisms. Simple reassurance does not address the complexity of the client's feelings, recommending selective disclosure could reinforce feelings of shame or stigma, and focusing solely on medical treatment does not address the psychosocial impact of the illness.
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