A 40-year-old man presents for a routine physical examination. During the visit, he discloses that he is HIV-positive and has not informed his wife. He refuses to tell her or allow the physician to disclose his status. The physician is aware that the wife is also a patient at the same practice. Which of the following is the most appropriate next step?
- A)Report the patient to the public health department for contact tracing
- B)Counsel the patient on the importance of disclosure and offer to assist with the conversationGABARITO
- C)Refuse to continue treating the patient until he discloses
- D)Inform the wife directly because she is at risk
- E)Respect the patient's confidentiality and take no further action
Explicação
The physician's first obligation is to counsel the patient about the medical and ethical importance of disclosing his HIV status to his sexual partner. Offering to facilitate the conversation respects autonomy while addressing the duty to protect third parties... Ver explicação completa e trilha adaptativa →