You have a patient who is an HIV-positive physician. He has recently found out that he is HIV-positive. He is very concerned about confidentiality and you are the only one who knows he is HIV-positive. He asks you who you are legally obligated to inform. What should you tell him?

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Question 1 of 5

You have a patient who is an HIV-positive physician. He has recently found out that he is HIV-positive. He is very concerned about confidentiality and you are the only one who knows he is HIV-positive. He asks you who you are legally obligated to inform. What should you tell him?

Correct Answer: D

Rationale: Patients with HIV have a right to privacy as long as they are not putting others at risk. You have no mandatory obligation to inform the state, his insurance, or his employer. You and the patient do not have a mandatory obligation to inform his patients of his HIV status even if he is a surgeon. This is because an HIV-positive physician poses no significant risk of transmission to a patient. Universal precautions are supposed to prevail in order to prevent transmission. Every patient requires management as if he were HIV-positive in order to interrupt transmission. This is the meaning of 'universal' precautions.

Question 2 of 5

If you find that you are giving a PRN medication regularly (at least every day), you should:

Correct Answer: D

Rationale: Regular PRN use suggests a need for reassessment by the nurse and physician for a scheduled dose or alternative treatment.

Question 3 of 5

When a woman is taking birth control pills, it is best to:

Correct Answer: B

Rationale: Smoking increases cardiovascular risks with birth control pills, making cessation critical.

Question 4 of 5

Which of the following is given for mental depression?

Correct Answer: D

Rationale: Amitriptyline is a tricyclic antidepressant used for depression.

Question 5 of 5

A serious adverse effect of many 'typical' psychotropic medications is:

Correct Answer: B

Rationale: Tardive dyskinesia is a severe, often irreversible movement disorder from long-term psychotropic use.

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