Self-Study Post-Test for
Client-Provider Interaction: Family Planning Counseling

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Section 1: Client-Provider Interaction

1. Please indicate whether the following statements about informed choice are True (T) or
False (F).

T / F
	a. Clients who make their own decisions and receive their method of choice are more likely to continue using the method.
	b. Clients are more likely to be satisfied with their method if the doctor chooses it for them.
	c. If a client chooses a method, the provider should always give her that method, even if it is medically contraindicated.
	d. Providing technical information without appropriate counseling is sufficient for the client to make an informed choice.

2. Which of the following are important characteristics for all persons involved in delivering family
    planning services, from the receptionist to the provider? Check all that apply.
   a. Tolerance for different values and beliefs.
   b. Maintaining a strict time schedule.
   c. Good communication skills.
   d. Adhering to one set of global standards without regard to local customs.
   e. Treating all clients with respect and empathy.
   f. Putting aside personal bias.
   g. Comfortable discussing human sexuality and feelings.

3. In couples counseling, it is important to:
   a. Address only the man if you are a male provider.
   b. Counsel the couples individually.
   c. Encourage both men and women to express their feelings about contraceptive method
             options.
   d. All of the above.

4. A 17-year-old girl comes into a clinic and informs the provider that she has decided to have sex.
    She asks the provider what she should do to keep from getting pregnant. The provider takes her
    time with the girl, is sensitive and empathetic, and explains to the girl how sex can affect her life
    in permanent ways. She then says to the girl that she believes young people should not have
    sex and refuses to give her contraception.
    Which one of the following is an accurate statement about the counseling session?
   a. The provider was able to put aside her personal bias towards young people having sex.
   b. The provider made an appropriate choice for the client because she was under 18 years
             of age.
   c. The provider was caring and empathetic.
   d. The provider gave the girl enough specific information for her to make an informed and
             voluntary contraceptive choice.

5. Which of the following are barriers to a client making an informed and voluntary contraceptive
    choice?
   a. Limited availability of contraceptive methods.
   b. Policies that inhibit access to family planning.
   c. Lack of training and scientific information for providers.
   d. All of the above.

Section 2: Focus on Counseling

6. The following are statements regarding why counseling is important. Please indicate whether the
statement is True (T) or False (F).

T / F
	a. Counseling can lead to higher client satisfaction with contraceptive methods.
	b. Counseling can help to establish a trusting relationship between the client and provider.
	c. A counseling session gives the provider the chance to determine what the best method is for the client.
	d. If a client says she knows about a method, there is no need to discuss that method with her.

7. The following are statements concerning what happens during a family planning counseling
session. Please indicate whether the statement is True (T) or False (F).

T / F
	a. A provider should begin a counseling session by giving the client as much information as possible about all the methods.
	b. It is important for a counseling session to be tailored to the needs of the client.
	c. The provider should begin a counseling session by asking about the client's reproductive goals and getting information about the client's needs and lifestyle.
	d. Confidentiality and privacy are very important when counseling clients.

8. The following are statements about communication skills used in counseling. Please indicate
whether the statement is True (T) or False (F).

T / F
	a. Nonverbal communication is important in letting the client know that the provider is interested and paying attention.
	b. A provider should use technical language and medical terminology whenever possible so that the client will have confidence that the provider knows the information.
	c. The most effective questions during a counseling session are ones that only require a simple yes or no answer.

9. The following statements pertain to side effects of contraceptive methods. Please indicate
whether the statement is True (T) or False (F).

T / F
	a. Side effects are a main reason for method discontinuation.
	b. Side effects should not be discussed during counseling because they may scare clients.
	c. Effective counseling can help clients understand side effects.
	d. If clients know what side effects to expect, they are more likely to continue using a method.

10. Effective family planning counseling includes which of the following characteristics? Check
    all that apply.
   a. Use of the "2 experts in the room" philosophy.
   b. Use of private space to conduct counseling.
   c. Use of standard lecture-type information for all clients.
   d. Never counseling a woman without her partner present.
   e. A client-centered approach that focuses on the individual needs and preferences of
             each client.

11. Which two of the following are good examples of effective non-verbal communication by the
    provider?
   a. Catching up on paperwork while the client is talking.
   b. Using encouraging gestures that are appropriate for the local culture.
   c. Avoiding facial gestures that show interest and concern.
   d. Paying full attention to the client.

12. Which four of the following are good examples of effective verbal communication by the
    provider?
   a. Asking yes or no questions.
   b. Asking open-ended questions.
   c. Giving directions and instructions.
   d. Using clear and simple language to avoid confusion.
   e. Demonstrating active listening to encourage more two-way conversation.
   f. Paraphrasing and reflecting the feelings of the client.

13. Please indicate whether the following statement is True (T) or False (F).

T / F
	Client-centered communication has been shown to improve contraception continuation rates.

14. Important technical information to include during a family planning counseling session includes
    which of the following? Check all that apply.
   a. Contraceptive mechanisms of action.
   b. Effectiveness of contraceptive methods.
   c. Potential side effects and medical complications.
   d. Correct method use.
   e. Relationship to STDs and HIV.
   f. All of the above.

15. Other method characteristics that can affect a client's choice of contraceptive method include
    which of the following?
   a. Ease of use.
   b. Ready source of resupply.
   c. Cost.
   d. Return to fertility.
   e. Possible health risks.
   f. All of the above.

16. You have been asked to counsel a 19-year-old commercial sex worker about appropriate
    contraceptive methods. What issues should be addressed during the counseling session?
    Check all that apply.
   a. Her STD/HIV risk from having multiple partners.
   b. Her individual needs and preferences.
   c. Your opinion of her profession.
   d. Use of emergency contraceptive pills as a backup method in case of condom failure.

Section 3: Stages in Counseling

17. Which of the following should be included in the beginning stage of counseling? Check all
    that apply.
   a. Discussion of a client's age, lifestyle, marital status, and reproductive and sexual history.
   b. Asking about her reproductive health goals.
   c. Discussion of the side effects of all contraceptive methods before determining client need.
   d. Provision of booklets and written instruction for all contraceptive methods.

18. Which of the following should be included in the final stage of counseling? Check all that apply.
   a. Discussion of a client's medical history.
   b. Asking about her reproductive health goals.
   c. Discussion of how to use the client's chosen method, including a memory aid, if available.
   d. Discussion of when and why the client may need to return to the clinic for a follow-up visit.

19. Using the acronym GATHER, what are the logical sequential steps for counseling a client
    about family planning?
   a. Go, add, tell, help, exit, return.
   b. Greet, ask, tell, help, explain, return.
   c. Greet, ask, translate, help, exit, return.
   d. Get information, add value, translate client wishes, explain all scenarios, render a solution.

20. Using the acronym CLIENT, what are the important elements of good counseling?
   a. Client-centered, listening, interaction, exploration, nonjudgmental, trust.
   b. Cool, look, intrapersonal, extroverted, nice, talented.
   c. Culturally based, language appropriate, introverted, exterior, new theories, translated.
   d. Client-based, listening, interpersonal, exit strategy, next step, translated.

When all questions have been completed, please submit your answers.

Self-Study Post-Test for Client-Provider Interaction: Family Planning Counseling

Section 1: Client-Provider Interaction

Section 2: Focus on Counseling

Section 3: Stages in Counseling

Self-Study Post-Test for
Client-Provider Interaction: Family Planning Counseling