course home help module 3
Diagnosis and Testing

 

Case Studies

These case studies are designed to be completed after you have studied the content in each section, but you can complete them any time you feel ready. Case studies allow you to apply what you have learned in this course to real-world situations.

Case Study #1:

Anita, a nurse at a clinic, finds out from another nurse that Rina, a 36-year-old family planning client, has HIV. Anita is shocked because her family and Rina’s family are friendly. She has known Rina since they were girls and cannot believe that Rina has HIV. Anita is so surprised that she tells her mother about Rina. Anita’s mother begins to snub Rina’s mother and make disparaging remarks about how "filthy" her family is. Soon the whole neighborhood is talking about Rina and her family with disdain.

How could this situation have been prevented?

Answer


Case Study #2:

Clarice is a 22-year-old woman who becomes worried that she might have HIV when she learns that an old boyfriend recently died of AIDS. She has had several partners since they were together and has never used condoms. She comes to the clinic for HIV testing. When Clarice tests negative for HIV, she feels greatly relieved and says she is so happy that all her worries are over.

Is Clarice justified in not being worried anymore? After you give her the negative result, what issues should you address?

Answer


Case Study #3:

Patricia, a 28-year-old unmarried woman with three children, comes back to the clinic repeatedly with a chronic vaginal discharge. Each time you treat her, it comes back. While discussing the situation with her, you find out that she often has a number of sexual partners who give her goods that she needs, and sometimes money, to support her children. She never uses condoms.

What could Patricia’s chronic vaginal discharge indicate?

Answer


Case Study #4:

Claudette, a 38-year-old woman with four children, comes to the clinic because she is interested in sterilization (tubal ligation) for family planning. The staff at the clinic know that Claudette is a sex worker. When she talks to a nurse about tubal ligation, the nurse says that Claudette must have an HIV test first because “she looks like the type who might have HIV.” She tells Claudette that she does not want to endanger the staff by providing services to a person with HIV. If Claudette does not take the test, they will deny her services. If she tests positive, they will also deny services.

Has the nurse handled the situation appropriately?

Answer

 

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