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GU - HIV: Therapeutic Strategies for Guilt, Uncertainty, and 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?
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. 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
B. 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
C. Physical activity (like boating or fishing) and metal activities (such as reading or theater)
D. 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
E. Made it clear that employers cannot discriminate against employees or job applicants because they have HIV
F. Separate the anger from the erroneous or wrong target, and find an alternative mechanism to discharge their anger
G. 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)
H. Accepting uncertainty and cautious investment in the future

Course Content Manual Questions The answer to Question 9 is found in Section 9 of the Course Content. The Answer to Question 10 is found in Section 10 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:

10.1 In order to provide aid to their HIV clients, who should counselors engage in consultation with?
11.1 How might HIV positive clients use denial as a coping method?
11.2 What are some fears that HIV clients face when they are starting to feel better and have new hope?
12.1 How is remaining optimistic with HIV-positive clients a way of managing anxiety?
13.1 What is one explanation as to why family members are not viewed as particularly helpful to HIV-positive persons?
13.2 What are some obstacles that individuals with HIV must traverse when seeking access to social support from family?
14.1 Within responses to medication for HIV clients, what are some themes that appear?
15.1 What are two common themes presented in the psychological burden of HIV?
17.1 What are some commonly identified enactments of countertransference?
17.2 What are some negative effects that counselors might express that stem from countertransference with an HIV client?
17.3 What are some suggestions that Feldman has to assist in managing countertransference states?
Answers:

A. Medical experts, financial advisors, clergy, and others to provide holistic care
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. 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)
D. 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
E. 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
F. Irrational fears of contaminations, death anxiety, denial and morality
G. If they are on disability they fear terminating their disability benefits, and if they are unemployed and are seeking a new job then they fear giving up government assistance
H. Overinvolvement, expressions of anger, neglect, collusion, assuming the role of a surrogate parent, and claims of omnipotent healing powers
I. Lack of access to family members, lack of acceptance, lack of intimacy, negative interactions, feeling smothered, and wanting to protect family members
J. 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
K. 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

 
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