American Nurses Credentialing Center (ANCC) Practice Exam

When discussing an HIV diagnosis, the priority is to ensure the patient's comfort and confidentiality. The nurse practitioner should assess the situation and recognize that the patient may not be ready to disclose sensitive information in front of their spouse. By asking the spouse to step out of the room, the nurse can create a safe space for the patient to express their feelings, concerns, and the specifics of their diagnosis without the added pressure of having someone else present.

This approach prioritizes the patient's autonomy and emotional well-being, allowing them to process their diagnosis privately. Once the nurse has had the opportunity to discuss the diagnosis and any related concerns with the patient, they can later involve the spouse, promoting an open and supportive dialogue when the patient feels more comfortable. This strategy aligns with principles of patient-centered care and respects the need for privacy in discussing sensitive health issues.