HIV Test Counselling

Question 1

Outline eight important issues that should be covered during pre-test counselling for an HIV test (8)

Answer 1

• Consent
• Confidentiality of results
• Patient perception of HIV
• Information regarding transmission
• Information regarding window period
• Information regarding test mechanism
• Information regarding ARTs
• Implication of outcome
• Identify support structures

Question 2

Outline five (5) important points about the rapid test that should be discussed with a patient (5)

Answer 2

• Tests for antibodies for HIV
• Fingerprick test, blood
• 15 minute wait for results
• positive test will need confirmatory test
• negative test will need repeat after window period

Question 3

How would you conduct post-test counseling for a positive HIV result?

Answer 3

• warning shot
• space for patient emotions, reassure
• assess suicide risk
• disclosure to partners
• positive lifestyle changes
• risk factor screening (STI tests, TB, CD4)
• safety net