 131 HEALTH ISSUES CLIENT PRESENTATION 1. Serious Medical Condition (1) * A. The client presented with serious medical problems. B. The client's medical problems cause serious impact on his/her daily living. C. The client's severe and persistent mental illne ss symptoms are exacerbated by his/her medical problems. D. The client's medical condition has improved. 2. Receiving Treatment (2) A. The client has pursued treatment for his/her medical condition. B. The client has refused treatment for his/her medic al condition. C. The client has not sought treatment for his/her medical condition because of a lack of insurance and financial resources. D. The client's physical health concerns have improved due to his/her medical treatment. 3. HIV-Positive (3) A. The client has tested positive for the human immunodeficiency virus (HIV). B. The client has been HIV-positive for an extended period of time but has had no serious deterioration in his/her condition. C. The client is obtaining consistent medical care for his/her HIV status. D. The client has refused medical care for his/her HIV-positive status and tends to be in denial about the seriousness of the situation. 4. AIDS (3) A. The client's HIV-positive status has resulted in the development of acquired imm une deficiency syndrome (AIDS). B. The client's medical condition resulting from AIDS has deteriorated, and his/her severe and persistent mental illness symptoms have increased. C. Although the client has serious AIDS complications, he/she remains at pea ce and is getting good medical care. 5. Poor Understanding of Medical Issues (4) A. The client displayed a poor understanding of his/her medical needs. B. The client is uncertain about his/her available treatment options and medical services for his/her medical concerns. C. As the client has obtained more specific information related to his/her medical needs, he/she has stabilized his/her medical condition. * The numbers in parentheses correlate to the number of the Behavioral Definition statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and J ongsma) by John Wiley & Sons, 2008. 