ࡱ> %` bjbj s̟̟$vTTTTTTTh / / /8D/\/h22"222555rtttttt$h!T55"555TT22&:::5|T2T2r:5r::bETT2t2 PVm/ /46|ְVVӼ<,6`Tp55:5555585555555hhh' /hhh /hhhTTTTTT  Counseling Assessment Checklist: VCT for Nurses Facility: ________________________ Mentee: ________________________ Date: ______________ Mentor: ________________________ Visit #: ___ out of_____ Counseling Skills and TechniquesCheck off (Establishes Therapeutic Relationship and Supportive EnvironmentCreates comfortable external environmentUses culturally appropriate greeting gestures that convey respect and caringOffers seat (if available)Uses appropriate body language and tone of voiceProvides comfortable, trusting atmosphere for patients to ask questionsResponds to questions and concerns appropriatelyAddresses concerns based on the patients prioritiesBegins with less intimidating or less sensitive issuesMaintains patient privacy and confidentialityUses Active ListeningLooks at patient when speaking; maintains eye contactHas attentive body language and facial expressionsMaintains continuous eye contactUses occasional nonverbal gestures, such as nods or touch, to acknowledge patientUses verbal cues such as yes or OKUses Effective QuestioningUses open-ended questions to elicit informationAsks relevant questionsWaits for answers rather than speaking immediatelyReflects statements back to patient for confirmationSummarizes InformationTakes time to summarize information obtained from patientChecks with patient to ensure understanding of important concerns and issuesMessagesGives positive messagesProvides factual information to the patient without judgment Guides patient to prioritize concernsHelps patient identify steps of action for identified concernsHelps patient identify strengths and resourcesEmpathizes with PatientComments on patients challenges and strengthsExhibits balance between detachment and closenessHIV Pre- and Posttest CounselingCheck off (Pretest Counseling ChecklistIntroduces selfAsks patient to introduce selfAssures patient of confidentialityLets client know that some personal questions may be asked, but this is only to help counsel the client more effectivelyAsks patient why s/he came to voluntary counseling and training (VCT) center todayAsks patient about what s/he knows about HIV and how it is transmittedAssesses risk profile of patientAsks whether sexually active and, if yes, number of partnersAsks about previous history of sexually transmitted infections (STIs)Asks about history of blood transfusion(s)Asks whether partner and/or children are HIV-infectedAsks patient whether s/he feels s/he is at risk for HIV infectionCreates risk-reduction planReminds patient of prevention (ABC strategy):AbstinenceBeing faithful to one partnerCondom useDetermines HIV-status of client and partner(s)Explains the actual HIV testIt is a blood test that detects antibodiesThe significance of a window periodThe significance of an HIV-positive testThe significance of an HIV-negative testMakes appropriate referrals for patientDirects patient to lab for blood testSets up follow-up appointment for resultsPosttest Counseling ChecklistIntroduces self to patientAsks patient to introduce selfAssures patient of confidentialityReviews briefly information discussed during pretest counseling:What is an HIV-antibody testWhat are the possible results and their implicationsAssesses patients readiness for resultsGives the results in a simple and clear mannerGives the patient time to reflect on the resultsIf Negative:Helps patient understand that HIV was not detected at this time; 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