Law and Ethics Practice Exam

What should a counselor do if a client is HIV positive and poses a threat?

1. Terminate the counseling relationship immediately

2. Encourage safe sex and discuss legal consequences

3. Report the client to health authorities

4. Ignore the threat as it is confidential

The correct answer is: Encourage safe sex and discuss legal consequences

The best course of action in this scenario involves encouraging safe sex and discussing legal consequences. This approach addresses the client’s health status while also promoting the safety of both the client and others. Encouraging safe practices is essential in reducing the risk of transmission of HIV and protecting public health. Conversations about the legal implications of potentially exposing others to HIV are also critical, as they can help the client understand their responsibilities and the importance of safety in sexual practices. In such situations, a counselor has an ethical duty to maintain confidentiality while also navigating public health implications. Encouraging safe sex does not breach confidentiality and can be framed within a supportive and non-judgmental context, which is vital in building rapport with the client. This option allows the counselor to provide guidance without resorting to actions that might alienate the client or compromise their treatment. Addressing potential threats or risks through preventive education and open dialogue fosters a more productive therapeutic relationship and can ultimately lead to safer behaviors without compromising trust.