A 33-Year-Old Woman Comes to Your Office Because She Thinks

A 33-year-old woman comes to your office because she thinks that she is pregnant.  A urine pregnancy test in the office is positive.  She states that she would like you to be the physician responsible for her prenatal care.  You begin taking a thorough history, which reveals that the patient currently has several sexual partners and is not sure who actually fathered the child.  You explain to her that HIV testing is a routine part of prenatal screening and that given her sexual history, she is at an increased risk of contracting the virus.  She becomes slightly offended and refuses to be tested for HIV.  What is the best response to this patient?

A) "Although I highly recommend that you get tested, you have the right to refuse testing."
B) "The Center for Disease Control requires that I test you for HIV."
C) "If you refuse testing, then I cannot continue as your physician."
D) "It is against the law for you to refuse HIV testing, and you could be arrested for refusing to be tested."
E) "I will have to notify Child Protective Services about your refusal to be tested for HIV."

Correct Answer:

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