A nurse is caring for a client diagnosed with a chlamydia infection. The nurse teaches the client about disease transmission and advises the client to inform his sexual partners of the infection. The client refuses, stating, "This is my business and I'm not telling anyone. Beside, chlamydia doesn't cause any harm like the other STDs." How should the nurse proceed?
A. Educate the client about why it s important to inform sexual contacts so they can receive treatment.
B. Inform the health department that this client contracted an STD.
C. Inform the client s sexual contacts of their possible exposure to chlamydia.
D. Do nothing because the client s sexual habits place him at risk for contracting other STDs.
Educate the client about why it\ s important to inform sexual contacts so they can receive treatment.-rationale: the nurse should educate the client about the disease and how it impacts a persons health. further education allows the client to make an informed decision about notifying sexual contacts. the nurse must maintain client confidentiality unless law mandates reporting the illness; contacting sexual contacts breaches client confidentiality. doing nothing for the client is judgmental; everyone is entitled to health care regardless of his health habits. client needs category: safe, effective care environment client needs subcategory: safety and infection control cognitive level: application reference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing,11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1669.