SEXUALITY CONCERNS 313 C. The client has declined to use longer-lasting birth control measures, and his/her decision was accepted. 42. Provide Options Regarding Pregnancy ( 42) A. The client was provided with information regarding options that are avail able for reacting to a pregnancy (e. g., abortion, release for adoption, keeping the baby). B. The client was assisted in processing the effects of each option available regarding reacting to the pregnancy. C. The client has made a specific decision about how to react to the pregnancy and was provided with support and/or feedback in this area. D. The client is vacillating regarding options for reacting to the pregnancy and was provided with additional feedback in this area. 43. Emphasize Discontinuing Su bstances Due to Pregnancy ( 43) A. The client was taught about the need for discontinuing alcohol or street drug use if it is possible that she is pregnant. B. The client was taught about the effects of alcohol and street drug use during a pregnancy. C. The client has been provided with positive feedback regarding her discontinuation of substances due to her possible pregnancy. D. The client was provided with additional assistance and support, as she has struggled to discontinue substances during the pre gnancy. E. The client was referred to a substance abuse treatment program to assist in discontinuing her substance use due to the pregnancy. F. The client's physician was immediately informed when the client suspected that she might be pregnant. G. The client's physician's recommendations regarding a possible pregnancy were reviewed with the client. 44. Identify Atypical Sexual Behaviors ( 44) A. The client was assisted in identifying atypical sexual behavior that is related to psychosis, mania, or othe r severe and persistent mental illness symptoms. B. The client's atypical sexual behavior related to mental illness symptoms was compared with his/her typical sexual behavior or sexual orientation. C. The client identified his/her pattern of atypical sex ual behavior related to mental illness symptoms. D. The client has developed a response plan that he/she would prefer to be implemented if his/her mental illness symptoms cause atypical sexual behavior. 45. Validate the Experience of Stigmatization/Discr imination ( 45) A. Inquiries were made regarding the client's experience of stigmatization or discrimination due to being mentally ill and gay/lesbian. B. The client's stigmatization and discrimination experience due to his/her sexual orientation was processed. C. The client denies any stigmatization or discrimination related to his/her sexual orientation, and this was accepted. 