HIV/AIDS: State of Washington Mandatory 4 Hour

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1. HIV is a

  a. Bacteria that is dispersed through the air on droplet nuclei.

  b. Fungus that is transmitted through direct contact.

  c. Virus that is transmitted through blood.

  d. None of the above.

2. All people who have HIV infection have AIDS.

  a. True

  b. False

3. The cells that the HIV virus attacks in the blood are the:

  a. Tau in the tangles and plaques.

  b. Islets of Langerhans.

  c. The T-helper lymphocytes or CD4 cells.

  d. HIV does not attack cells in the blood.

4. The window period is the period of time

  a. After the virus enters the body and attacks the T4 cells until the body produces antibodies to the virus.

  b. Between HIV infection and the appearance of the first symptoms.

  c. From HIV infection until the start of persistent symptoms of AIDS.

  d. None of the above.

5. High risk behaviors for HIV transmission include:

  a. Unprotected heterosexual contact where there may be an exchange of blood, semen or vaginal secretions.

  b. Unprotected homosexual contact where there may be an exchange of blood, semen or vaginal secretions.

  c. Sharing injecting drug equipment such as syringes and needles.

  d. All of the above.

6. HIV can be transmitted from someone who is HIV positive through the blood and body fluids to another person through the 2nd person’s skin abrasions and mucus membranes, such as might occur during sex.

  a. True

  b. False

7. HIV risk reduction methods for persons who use injection drugs includes all the following EXCEPT:

  a. Avoidance of injecting drugs.

  b. Using a clean needle each time and not sharing injection equipment.

  c. Using bleach to clean needles, syringes and the rest of the “works”.

  d. HIV vaccination.

8. In order to clean a blood spill on a hard floor surface, one should:

  a. The worker should wear appropriate gloves and use paper towels to wipe up the blood spill.

  b. Utilize a good disinfectant, such as a 1:10 bleach and water solution.

  c. Both A and B.

  d. Neither A or B.

9. Universal/Standard precautions requires that one always assumes that the blood or body fluids of another person could be positive for HIV (or other bloodborne pathogens), thereby always taking barrier precautions to avoid any infection through bloodborne transmission.

  a. True

  b. False

10. After occupational exposure to HIV in the workplace, the employee should:

  a. Follow facility protocols and policies.

  b. Obtain evaluation as soon as is possible; prophylactic treatment should begin within 2-24 hours

  c. Obtain permission to test the source for HIV infection, if possible.

  d. All of the above.

11. What is the single most effective means of limiting the spread of infection, identified in this course?

  a. Vaccination for all communicable diseases, where possible.

  b. Utilizing personal protective equipment.

  c. Effective hand hygiene.

  d. Standard precautions.

12. Confidentiality of medical information means that information that can be related to the specific patient may not be disclosed to ANYONE except when the individual signs a release of information form. There are exceptions; the most common include all the following EXCEPT:

  a. To another health care provider for related on-going medical care or to a third party payer (insurance provider).

  b. Anonymous HIV testing results that are negative.

  c. In a life or death emergency.

  d. In the case of reporting notifiable conditions to the local health jurisdiction or the DOH.

13. Violations of Washington States confidentiality laws related to HIV:

  a. Are considered a misdemeanor.

  b. May result in civil liability actions for reckless or intentional disclosure up to $10,000 or actual damages, whichever is greater.

  c. Are the responsibility of the county's health officer to investigate potential breaches of confidentiality of HIV identifying information and report those to the DOH.

  d. All of the above.

14. HIV infection and AIDS are medical conditions that are considered disabilities under the Washington State Law Against Discrimination (RCW 49.60) and the federal Americans with Disability Act (ADA). This means that it is illegal to discriminate against someone who has AIDS or is HIV infected. It is also illegal to discriminate against someone who is ‘believed’ to have AIDS or HIV infection, even though that person is not, in fact, infected. The areas covered in the law are:

  a. Employment; and rental, purchase or sale of apartment, house or real estate.

  b. Places of public accommodation (restaurants, theaters, etc.); and applying for a loan or credit card, or other credit transactions.

  c. Healthcare, legal services, home repairs, and other personal services available to the general public; and certain insurance transactions.

  d. All of the above.


When a person goes for a job interview or is hired, the employer:

  • Cannot ask questions directed at the perception or presence of HIV infection or AIDS, unless based on a "bona fide" occupational qualification, which at this time, according to CDC and WAC 246-100-206(11), does not exist.
  • Cannot require a blood test to determine HIV infection, unless HIV status limits the ability to perform the work, i.e. overseas assignment in country that requires HIV certification.
  • Cannot require a physical exam directed to identify HIV infection, except for exams necessary to evaluate the need for, or nature of, reasonable accommodation or specific job-related conditions.
  • Cannot ask questions about lifestyle, living arrangements, or sexual orientation.

  a. True

  b. False

16. In Washington State, healthcare providers who have knowledge that a specific patient is failing to comply with infection control measures (e.g., acquisition of a new STD, sex without disclosure of HIV status prior to sexual partners, failure to disclose HIV status to needle-sharing partners, or donating or selling HIV-infected blood, etc.) should contact the local public health officer to discuss the circumstances of the case and to determine if the name of the person should be reported for investigation and follow-up.

  a. True

  b. False

17. Persons with HIV/AIDS and their families and friends face a multitude of difficult realities. Among them are:

  a. Although with the advent of antiretroviral drugs, persons who are HIV infected, can live 10-12 years or more without developing symptoms, persons with AIDS still die prematurely. 90% of all adults with AIDS are in the prime of life and may not be prepared to deal with death and dying.

  b. People who are living with HIV face the need to practice "safer sex" and take medications for the remainder of their lives; and the infections and malignancies that accompany AIDS along with some of the medications, can diminish and disfigure the body.

  c. Men who have sex with men, and injection drug users, who may already be stigmatized and subjected to social and job-related discrimination, may encounter even more societal pressure and stress with a diagnosis of AIDS.

  d. All of the above.


Grief may be best understood as a process that doesn't involve a straight line. People do not move predictably step-by-step through the various stages of their grieving, but progress at their own speed. There seem to be discreet phases of grief, including:

  • shock and numbing
  • yearning and searching
  • disorganization and despair
  • some degree of reorganization

  a. True

  b. False

19. The Centers for Disease Control and Prevention estimates that among women who have been infected with HIV:

  a. The majority have become HIV positive through the use of injecting drug equipment.

  b. More than 70% have become HIV positive through heterosexual sexual contact.

  c. Women are more vulnerable to heterosexual transmission of HIV due to substantial mucosal exposure to seminal fluids.

  d. Both B and C.

20. African Americans and Hispanics specifically have disproportionately lower rates of AIDS cases in the U.S., despite the fact that there are no biological reasons for the disparities.

  a. True

  b. False