As a staff on duty, you are working in HIV FRIENDLY CENTER and a young LADY comes to the CENTER for SCREENING, Eventually she was tested POSITIVE, Kunle your immediate kid BROTHER called you that he is bringing HIS FIANCE HOME for INTRODUCTION, On getting there, it was this LADY HE BROUGHT home as his FIANCE.
WHAT WILL BE YOUR ACTION REMEMBER YOU OWE THIS LADY CONFIDENTIALLITY AND THIS NOW INVOLVES YOUR BLOOD.
I will advice both of them to go for some screening like HBsAg, HIV, genotype, and blood group in order not to expose the lady directly
I would advise them to go for marital screening.
THE BEST OPTION
I will encourage my kid brother to go for comprehensive medical test for both of them.
If she has not already told him by herself of her condition so he can make an informed decision onto whether to proceed with the marriage or not it is my duty to both her and my brother as a nurse and also a counsellor to inform my brother of the state of things not to discourage him just so he is fully aware!
from the above scenario, there is a possibility that they have started having SEX, so what is the possibility that its the brother that infected the lady. well it still leads to proper counselling and referral.
Agreed with you, pretest counselling is very important to client but in developed countries, one can expose a pt diagnosis to some group of people if the risk outweight the benefit esp when its going to harm the general public.
Firstly I will advice them to avoid sex before marriage.
They should go free marital medical check ups