TAYOA ERP RECRUITMENT PORTAL

1. A 14-year-old client asks for contraception but does not want parents to know. What is the MOST appropriate response?

Refuse to provide information until parental consent is obtained Provide age-appropriate SRH information and explain confidentiality limits Advise the caller to get married first Immediately refer the caller to the police

2. Which of the following is TRUE regarding emergency contraception (EC)?

EC causes abortion EC is effective only within 12 hours EC prevents pregnancy if taken within recommended time after intercourse EC leads to permanent infertility

3. A client believes condoms reduce sexual pleasure and therefore refuses to use them. What is the BEST counselling approach?

Argue strongly until the client agrees Ignore the concern and move to another topic Acknowledge the concern and provide accurate information and alternatives End the call

4. A client says, Life is meaningless, I dont see a reason to continue. What should the counsellor do FIRST?

Give motivational quotes Assess level of risk and ensure immediate safety Change the topic to SRH Tell the caller to pray

5. When dealing with a survivor of sexual violence, the MOST important counselling principle is:

Collecting all details immediately Remaining neutral and non-judgmental Advising forgiveness Encouraging silence to avoid stigma

6. A 15-year-old reports sexual abuse by a close family member and begs you not to tell anyone. What is the BEST action?

Keep the information confidential as promised End the call to avoid legal issues Explain confidentiality limits and initiate child-protection referral Advise the caller to confront the abuser

7. Which situation allows a counsellor to break confidentiality?

Client is embarrassed Client is angry There is risk of serious harm to the client or others Client refuses advice

8. A client is silent for 30 seconds after you ask an emotional question. What should you do?

Hang up Repeatedly ask questions Allow silence and gently encourage expression Assume network failure

9. Which response demonstrates ACTIVE LISTENING?

You should stop worrying. Everything will be fine. It sounds like youre feeling overwhelmed did I understand you correctly Others have it worse

10. A client requests unsafe abortion information and insists it is an emergency. What is the MOST appropriate response?

Provide unsafe abortion methods Refuse rudely and end the call Provide safe, legal SRH information and refer to appropriate health services Report the caller immediately

11. A client asks, What would YOU do if you were me? The BEST response is:

Give personal advice Avoid answering Help the client explore options and make their own decision Tell them what most people do

12. Which statement about HIV is CORRECT?

HIV and AIDS are the same thing A person with HIV cannot look healthy HIV attacks the immune system and can lead to AIDS if untreated HIV can be cured with ARVs

13. A client on ARVs asks if they can stop treatment once they feel better. The BEST response is:

Yes, if viral load is undetectable Yes, after 6 months No, ARVs must be taken for life as prescribed Only stop when advised by friends

14. What does Undetectable = Untransmittable (U=U) mean?

HIV disappears from the body HIV is cured A person with sustained undetectable viral load cannot transmit HIV sexually ARVs are no longer needed

15. PrEP is BEST described as:

Treatment for people already living with HIV A vaccine against HIV Medicine taken by HIV-negative people to prevent HIV infection Emergency medicine taken after exposure

16. Which client is MOST eligible for PrEP?

Someone who has never had sex Someone in a high-risk situation (multiple partners or HIV-positive partner) Someone already HIV-positive Someone with flu symptoms

17. A client says, If I take PrEP, I dont need condoms. What is the BEST counselling response?

Agree completely Disagree and end the call Explain that PrEP prevents HIV but not STIs or pregnancy Tell them condoms are useless

18. PEP should ideally be started within:

24 hours 48 hours 72 hours after exposure One week

19. Which situation requires URGENT PEP referral?

Protected sex with condom intact Unprotected sex with unknown HIV status partner within last 48 hours Holding hands Sharing food

20. A client calls 4 days after possible HIV exposure asking for PEP. What is the BEST response?

Give PEP instructions anyway Explain time limits and refer for HIV testing and counselling Tell them it is too late and hang up Tell them to wait and see

21. A client reports genital sores but is ashamed to visit a clinic. The BEST response is:

Diagnose over the phone Reassure and encourage facility visit for testing and treatment Tell them to wait until it heals Advise herbal remedies

22. Why is partner notification important in STI management?

To shame partners To spread information To prevent reinfection and further transmission It is not important

23. A client misses ARVs frequently due to stigma. What is the MOST appropriate counselling approach?

Warn them harshly Ignore the issue Explore barriers and support adherence strategies Tell them to stop treatment

24. Which statement about ARVs is TRUE?

ARVs cure HIV ARVs strengthen immunity by controlling viral replication ARVs should be taken only when sick ARVs are optional

25. A client believes ARVs cause more harm than HIV and wants to stop treatment. What should the counsellor do?

Agree with the client Argue aggressively Provide accurate information, address fears, and encourage clinical followup Report the client

26. During a difficult discussion about past trauma, the client suddenly becomes silent for an extended period. What is the counselor's most appropriate action in a non-visual (tele-counseling) context?

Immediately apologize and suggest they end the session because silence can be misinterpreted. Fill the silence by introducing a new, unrelated topic to reduce the client's distress. Verbally acknowledge the silence and gently offer a reflection or open question to gauge the client's current emotional state and invite them to continue at their own pace.

27. A caller asks for the specific management protocol for TAF/FTC PrEP when exactly five doses have been missed, a detail the counselor does not immediately recall. What is the most professionally appropriate response?

State, I don't know the exact number, but it is important to contact your prescribing clinician immediately. State, That's a complex clinical question. Please hold for one minute while I consult my secure resource database to give you the most accurate, evidence-based answer. State, If you've missed more than four doses in a week, you should stop taking PrEP and reschedule with your doctor. State, I am a new counselor, so I haven't memorized that detail yet. Can we move on to condom use?

28. A 16-year-old caller mentions, "My father gets really angry if I talk about sex, and he told me he would physically hurt me if I ever got pregnant." The counselor has no evidence of current abuse, but the threat is conditional. What is the counselor's primary responsibility?

Immediately inform the caller that mandatory reporting of the threat to authorities is required due to the potential for harm. Continue the conversation, focus on the caller's immediate need for safer sex information, and document the risk without reporting unless the counselor believes there is imminent danger. End the call immediately and contact child protection services based on the father's statement. Ask the caller to obtain written consent from their father before proceeding with the conversation.

29. A 16-year-old caller mentions, "My father gets really angry if I talk about sex, and he told me he would physically hurt me if I ever got pregnant." The counselor has no evidence of current abuse, but the threat is conditional. What is the counselor's primary responsibility?

Immediately inform the caller that mandatory reporting of the threat to authorities is required due to the potential for harm. Continue the conversation, focus on the caller's immediate need for safer sex information, and document the risk without reporting unless the counselor believes there is imminent danger. End the call immediately and contact child protection services based on the father's statement. Ask the caller to obtain written consent from their father before proceeding with the conversation.

30. A client states, "I know I should get tested for HIV, but every time I think about it, I get so anxious I cancel the appointment. I feel like a failure." Which counselor response best demonstrates active listening and affirmation?

It sounds like you recognize the importance of testing, but the anxiety is making it incredibly difficult to follow through, and that's frustrating. Why do you feel like a failure? You are not a failure, you just need to try harder. Let's focus on the benefits of getting tested, such as peace of mind and access to treatment. I understand. I had a client last week who felt the exact same way before they finally went.