For the student with AIDS that wishes to attend school, I would use the ethical principles nonmaleficence and respect for autonomy. Being that respect for autonomy is based on human dignity and respect, the student has the right to make her own decisions as far as attending school. Unless this results in harm, the student has the right to attend school as her own choice. Nonmaleficence requires that we do no harm, so the goal would to make the child as safe as possible. The nurse can have a class educating students on how the disease is transmitted to reduce such judgement from others, and also give the student a sense of belonging.
For the student that confides in the school worker about being sexually abused, but doesn’t want anyone to know, I would have to become the advocate for the student. Though the student may not want anyone to know, as the advocate, it is the responsibility of the nurse to inform the authorities about what the student has said. Her mom too would have to be informed. Keeping the student safe is the main priority in this situation. Maintaining as much privacy for the student is also a priority. The counselor and the principal may also need to be informed to take the proper steps in keeping the student safe, and also to assess for problems the student may encounter.
Stanhope, Lancaster, 2017, Foundations for population health in community/public health nursing 5th edition, St. Louis, MO, Elsevier
A high school student with AIDS should be able to have the freedom to attend class with out ridicule or discrimenation. It is the parents and students responsibilty to inform the school staff of the situation so they can be aware incase anything comes up that would need attention. and the information should stop there. The kids in the school should not all be informed of the issue. Informing everyone can cause unneeded stress on the student and single them out. The student should know the precautions they should take and inform their peers as they see fit. Every child should have the abillity and freedom to partake in school, and, activities.
When a student confides in a member of staff at the school about the sexual abuse from her father it is the responibility of that person to report it. You want that student to trust you and be able to speak to you but you have to think of the childs safety and well being. This makes it very hard on the the person that was confided in. But this is their legal obligation.
Stanhope, M. & Lancaster, J. (2018). Foundations for Population Health in Community/Public Health Nursing (5th ed.). St. Louis, MO: Elsevier