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GUAbb3 - HIV: Therapeutic Strategies for Guilt, Uncertainty, Taking Control Post Test

Psychologist, Ohio MFT and Counselor Post Test:
Only Psychologists, Ohio MFT's and Ohio Counselors taking this course for credit need to complete these additional questions below to be in compliance with their Boards. requirements. If you are not a psychologist, Ohio MFT or Ohio Counselor please return to the original Answer Booklet. You do not need to complete the additional questions below.

Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Underlined numbers below are links to that Section. If you leave this page, use your "Back" button to return to your answers, rather than clicking on a new "Answer Booklet" link. Or use Ctrl-N to open a new window and use a separate window to review content.

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

1.1 For a person with HIV, what are two ways in which a person can redirect their anger?
1.2 HIV clients often deal with depression. What is one way a client can deal with their depression?
2.1 What are the two parts to managing uncertainty with HIV clients?
2.2 What are three methods for handling guilt?
3.1 What issues might a client consider before telling someone about their HIV status?
3.2 What percentage of HIV positive clients report indecision regarding disclosure?
4.1 What were the three topics discussed by the group?
5.1 What are three suggestions that a therapist could give to their HIV clients who are dealing with emotional healing?
6.1 What was the ruling in the Louis Holiday case?
7.1 What are the three steps that an HIV client can take to divide and conquer to help take control of his/her life?
Answers:

A. Separating HIV from a sense of punishment, spending the emotional energy that he used to spend on guilt on taking action against what he feels were past mistakes, and to balance the client’s guilt by an understanding of personal worth
B. 1. Disclosure tactics, 2. Sex and 3. Dangers of sex
C. Accepting uncertainty and cautious investment in the future
D. Physical activity (like boating or fishing) and metal activities (such as reading or theater)
E. Separate the anger from the erroneous or wrong target, and find an alternative mechanism to discharge their anger
F. Make it clear that they want support and not sympathy, know how to deal with the person they are telling if they become hysterical, give them time to process the information, and consider choosing a setting that offers plenty of time and privacy
G. Made it clear that employers cannot discriminate against employees or job applicants because they have HIV
H. Tell the clients to maintain good reasons for living, give themselves goals, to find a purpose if there is none (such as gaining insight into themselves or doing volunteer work can become a purpose)
I. 40 percent
J. Divide problems into those that have solutions and those that do not, focus on the problems that have solutions and accept those that do not, implement solutions

Course Content Manual Questions The answer to Question 11 is found in Section 11 of the Course Content. The Answer to Question 12 is found in Section 12 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

8.1 What are two groups of people with a higher risk of getting HIV?
8.2 What are some common side effects of HAART?
9.1 According to Nord, what must happen in order for the AIDS patient to adapt to multiple loss?
9.2 What is the counselor's role in regard to community resources?
11.1 In order to provide aid to their HIV clients, who should counselors engage in consultation with?
12.1 How might HIV positive clients use denial as a coping method?
13.1 How is remaining optimistic with HIV-positive clients a way of managing anxiety?
14.1 What is one explanation as to why family members are not viewed as particularly helpful to HIV-positive persons?
14.2 What are some obstacles that individuals with HIV must traverse when seeking access to social support from family?
15.1 Within responses to medication for HIV clients, what are some themes that appear?
16.1 What are two common themes presented in the psychological burden of HIV?
17.1 What does the balance between successful and failed treatments often hinge on?
18.1 What are some commonly identified enactments of countertransference?
18.2 What are some negative effects that counselors might express that stem from countertransference with an HIV client?
18.3 What are some suggestions that Feldman has to assist in managing countertransference states?
Answers:

A. Medication can cause difficulties related to disclosure, physical discomfort associated with many of the medications, and the strenuous and complicated nature of the medical regime as well as the time commitment that is necessary for strict and successful adherence
B. It is associated with the way the client contracted HIV, if contracted through homosexual actions or injecting drugs, they are less likely to receive support from family than friends
C. If the viral load is undetectable, it can be seductive to return to the lifestyle that they had prior to HIV infection, and it keeps them safe from recognizing some returning symptoms that may indicate the new treatment are not working quite as effectively
D. Injection drug users who share needles and people engaging in unprotected sex
E. Adaptation to multiple loss requires a community effort because it is a community problem.
F. Medical experts, financial advisors, clergy, and others to provide holistic care
G. Irrational fears of contaminations, death anxiety, denial and morality
H. Overinvolvement, expressions of anger, neglect, collusion, assuming the role of a surrogate parent, and claims of omnipotent healing powers
I. The balance between successful and failed treatment often hinges on appropriate management of countertransference
J. HIV and stress (HIV diagnosis either created stress of compounded the stress that they were already experiencing), and HIV negative effect (depression, anxiety, loneliness, and helplessness)
K. Lack of access to family members, lack of acceptance, lack of intimacy, negative interactions, feeling smothered, and wanting to protect family members
L. Collection of fat on the back and abdomen, diarrhea, malaise, headache, nausea, weakness
M. The counselor's role is to be comfortable with the community resources and knowledgeable about how to access them.
N. It communicates to their clients the advice to “keep fighting it, the right treatment is around the corner, we will find the drug that works for you”, creates an environment un-accepting of the client’s need to process fears around getting ill responses or none at all, clients may feel that they are letting their counselor down in their mental health treatment if they make decisions that do not adhere to medical protocol
O. Need to have clear, limited goals and expectations and to take regular breaks from this type of work to preserve his/her capacity to work with HIV patients

 
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