# Situation: A nurse works at the adolescent health clinic of a Rural Health Unit (RHU), which offers counseling and testing to clients aged 10 to 19 years. A 14-year-old boy asks to be tested for human immunodeficiency virus (HIV). He reports unprotected sex with several partners and does not want his parents involved. Under the Philippine HIV and AIDS Policy Act (RA 11166), how should the nurse proceed?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=629663  
> language: ko  
> subject: Nursing Practice II — Maternal and Child Health Nursing

## 문제

Situation: A nurse works at the adolescent health clinic of a Rural Health Unit (RHU), which offers counseling and testing to clients aged 10 to 19 years.

A 14-year-old boy asks to be tested for human immunodeficiency virus (HIV). He reports unprotected sex with several partners and does not want his parents involved. Under the Philippine HIV and AIDS Policy Act (RA 11166), how should the nurse proceed?

## 보기

1. Counsel him and obtain his own consent, since he reports high-risk behavior **✔ 정답**
2. Defer the test until a licensed social worker has assessed his home situation
3. Obtain written consent from a parent, because he is still a minor
4. Test him after counseling but inform the parents once the result is available

**정답: 1**

## 해설

Under RA 11166, minors aged 15 to below 18 may consent to HIV testing on their own. Below 15, parental consent is the general rule, but a minor who is pregnant or engaged in high-risk behavior may consent himself, with the assistance of a licensed social worker or health worker, and with counseling. His HIV status remains confidential.

## 심화 해설

Consent rules for minors under RA 11166
The Philippine HIV and AIDS Policy Act of 2018 (RA 11166) lowered the barriers to HIV testing for young people. Minors aged 15 to below 18 may consent to HIV testing on their own. For minors below 15, parental consent is the general rule, but there is an important exception: a minor who is pregnant or engaged in high-risk behavior may give consent himself, with the assistance of a licensed social worker or health worker, and with counseling. This 14-year-old reports unprotected sex with several partners, so he may consent to testing himself after counseling, with a health worker's assistance.

Why the law allows this
Requiring parental consent can keep at-risk adolescents away from testing, especially when they fear their parents' reaction. Early diagnosis allows early treatment, which protects the young person's health and reduces onward transmission. The law therefore balances parental authority with the adolescent's right to health, giving at-risk minors a direct path to testing while ensuring that a trained professional supports them through the process.

Confidentiality
His HIV status is confidential. It may not be disclosed without his written consent except as the law allows. Informing his parents once the result is available would breach this confidentiality. Watch out! The option to test after counseling but then inform the parents sounds like a compromise, but it violates the confidentiality that RA 11166 protects. The nurse can encourage him to involve a trusted adult and can support disclosure if he chooses it.

Why the other options are wrong
Deferring the test until a licensed social worker has assessed his home situation is unnecessary; the social worker or health worker assists at the time of consent, and testing need not wait for a home assessment. Requiring written consent from a parent because he is a minor ignores the exception for minors below 15 who engage in high-risk behavior.

| Age of minor | Who can consent to HIV testing |
| --- | --- |
| 15 to below 18 | The minor on his or her own |
| Below 15, general rule | Parent or guardian |
| Below 15, pregnant or engaged in high-risk behavior | The minor, with the assistance of a licensed social worker or health worker, and with counseling |

Exam takeaway
Under RA 11166, minors 15 and older consent on their own; minors below 15 who are pregnant or at high risk may consent with a social worker's or health worker's assistance. Key point! Counseling before and after testing and strict confidentiality are part of every HIV test.

## 임상 시나리오

HIV Testing for a 14-Year-OldConsent and confidentiality under RA 11166
Minors aged 15 to below 18 may consent to HIV testing on their own.

A minor below 15 who is pregnant or engaged in high-risk behavior may consent himself, with the assistance of a licensed social worker or health worker, and with counseling.

Provide pre-test and post-test counseling and encourage, but do not force, involvement of a trusted adult.

CautionHis HIV status is confidential. Do not inform the parents without his written consent except as the law allows.

## 핵심 개념

- **RA 11166** — The Philippine HIV and AIDS Policy Act of 2018, which governs HIV testing, treatment, and confidentiality.
- **High-risk behavior** — Actions such as unprotected sex with multiple partners that increase the chance of HIV infection.
- **HIV counseling** — Information and support given before and after an HIV test to help the client decide and cope.
- **Confidentiality** — The duty to keep a client's health information private unless disclosure is allowed by law or consent.

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