“I don’t want to listen to another lecture on safe sex. Just give me m

“I don’t want to listen to another lecture on safe sex. Just give me my antibiotic and let me leave,” said a defiant client. Which of the following would be the best response by the nurse?

a. “As you wish. But can you tell me why you still engage in unprotected sex?”
b. “Gonorrhea is becoming resistant to antibiotics. It’s becoming difficult to treat you, and permanent damage to your body is occurring.”
c. “Our policy requires that we review how to protect yourself even if you have heard the information before.”
d. “These recurrent infections are damaging you inside; please consider using condoms.”

ESSAYBID ANSWER

ANS: B
Gonorrhea is becoming resistant to all our current drugs. The Centers for Disease Control and Prevention has had to change its treatment guidelines. Also, persons with gonorrhea often have other sexually transmitted diseases (STDs) as well. This person has heard the lectures on safe sex and is not changing personal behavior. Upholding policy or appealing to the person’s better emotions is probably ineffective. Many people have become complacent about STDs. The nurse is obligated to warn the patient that the infections are becoming resistant to pharmaceutical treatment.