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Counseling Approaches for People with Viral Hepatitis

1. Although counselors are in a unique position to provide education, emotional support, and other types of assistance for clients who have hepatitis and substance use disorders (SUDs), most treatment programs do not have components in place to address viral hepatitis.

A. True

B. False

Developing a Prevention Plan

2. Substance abusing clients might continue to put themselves or others at risk for contracting viral hepatitis, so each of the following steps are recommended to identify dangerous behavior EXCEPT:

A. Identify a specific high-risk incident and help the client process the “who, what, where, when, and how” of that experience

B. Discuss a situation where a client minimized his or her risk, and ask the client to describe what precautions he or she took and why, while offering positive reinforcement

C. Since the client will likely be overwhelmed by recovery and responsibility, the counselor should develop a prevention plan and direct the client on how to minimize risk

D. Revisit the prevention plan periodically, assess progress, and determine whether new behaviors, stressors, or circumstances need to be addressed in the plan

3. While clients with a diagnosis of hepatitis should use discretion when revealing their diagnosis to others, they should always be encouraged to tell their employers about the illness because of the health risks involved and the impact it may have on their job attendance and performance.

A. True

B. False

Addressing Relapse

4. A diagnosis of viral hepatitis might increase a client’s potential for relapse to alcohol or drug use because:

A. The diagnosis might exacerbate depression and anxiety, which are known triggers for an SUD relapse

B. Treatment for HCV infection itself also can trigger relapse, perhaps because the act of injecting medication might trigger cravings in clients who injected drugs

C. Side effects from antiviral treatment might also mimic withdrawal

D. All of the above

Building Support Systems

5. Hepatitis support groups in substance abuse treatment settings can be facilitated by a counselor, nurse, or peer, and the choice of facilitator should be based on a program’s __________ and the needs of its clients.

A. Resources

B. History

C. Philosophy

D. Goals

Providing Effective Case Management

6. Case management for clients who have hepatitis is often the same as that for clients with SUDs, but clients who have hepatitis might need more intensive and specialized help.

A. True

B. False

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