-You diagnose a male patient of yours with multiple STI’s and he tells you not to tell his wife who is also a patient in your practice.

Pls answer the questions below using the this topic:
-You diagnose a male patient of yours with multiple STI’s and he tells you not to tell his wife who is also a patient in your practice. He also tells you that he has had several recent visits to male and female sex workers. You offer him a HIV test and he declines to take it.
-Strict APA 7 (no headers, no title page, I need 2 recent references with in 5 yrs with citations)
1)State what you believe the main ethical dilemma is.
2)Propose a new health policy or change in health policy law that you believe would allow you as an advanced practice nurse to definitively deal with it.
3)Defend your proposed health policy / health policy law change.