A client at a mental health clinic who has been diagnosed HIV positive and now has AIDS has stopped working. As the illness progresses, he is uncharacteristically depressed and apathetic. He has memory lapses, has difficulty concentrating, appears confused and withdraws socially from friends and family. At the most recent interview the social worker noticed that he walked with a slight shuffle. The social worker might attribute these changes to
A. growing depression associated with the client's life situation.
B. diminished mental and physical capacity engendered by the client's growing physical weakness.
C. physical and mental symptoms associated with the physiological effects of HIV.
D. a consequence of being shunned by his friends and family.
C. physical and mental symptoms associated with the physiological effects of HIV.
While all the responses are, to some extent factors in the treatment of HIV positive clients, approximately 50% of AIDS patients experience some form of neurological impairment. The particular clusters of symptoms noted in the stem of the question suggest HIV encephalopathy. the most vivid clue is the changed walk, in combinated with emotional symptoms.
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