MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT, GENDER, ELDERLY AND CHILDREN

TECHNICIAN CERTIFICATE IN CLINICAL MEDICINE

(NTA LEVEL 5)

COUNSELING

NAME OF INSTITUTION: -----------------------------------------------------------------

Candidate’s Examination Number: --------------------------------------------------------

NACTE Registration number: --------------------------------------------------------------

START TIME: ------------------------------------------- END TIME: -------------------------------------------

Each Examiner is expected to observe closely the psychomotor skills and attitude being demonstrated by a
particular candidate throughout the process of clinical examination

S/N Component Located Attained Total Comments

marks score section
score
1 ATTITUDE AND PRE-COUNSELING PREPARATION 10
Appearance and dressing code 2
Identify client (s) of the counseling session 2
Prepare a room
 That ensures privacy
 Sitting arrangement
 Collect necessary materials/equipments 6
2 RAPPORT BUILDING 17
Greet the client/patient 3
Welcome the client and offer a seat 3
Introduce himself/herself and others 3
Assures confidentiality 2
Get to know the purpose of the visit 3
Seek permission from the client/patient to continue with
the session 3
3 ASKS THE CLIENT/PATIENT ABOUT HER/HIMSELF 16
Asks the client/patient on personal particulars 3
Identify client’s/patient’s needs and problems/concerns 6
Obtain social and/or medical history 4
What measures has he/she tried to take in solving the
problem(s) 3
DISCUSS WITH THE CLIENT/PATIENT ALL THE NECESSARY
INFORMATION THAT MAY BE USED IN TACKLING THE MAIN
4 PROBLEM (S) 17
Assess client’s knowledge about the problem (s) 3
Give relevant information in relation to the main problem
(including correction of misconceptions) 6
Discuss with the client/patient on the possible solution (s) 4
Respond to client’s/patient’s questions 4

Students’ Clinical Assessment Tool for Counseling Page 1

 5 HELP THE CLIENT TO REACH AN INFORMED DECISION 12
Ensure client/patient understands the information being
given to them 6
Ask for client’s decision 3
Ask for reasons of choosing that decision 3
6 EXPLAIN IN DETAIL ON WHATEVER THE CHOICE 21
Explain clearly what the client/patient has to do 6
Give clear and complete instructions 6
Remind the client/patient on the advantages and possible 5
disadvantages of his/ her decision
Allow the client/patient to ask questions and respond 4

7 PLAN FOR FOLLOW UP VISIT 7

Plan for follow up visit or actions to be taken 3
Encourage the client/patient to return at any time if they
have any concern 3
Thank the patient/client. 1

GRAND TOTAL 100

Examiner’s general comments ------------------------------------------------------------------------------------------

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Examiner’s Name ---------------------------------------- Signature ------------------------- Date --------------------

Students’ Clinical Assessment Tool for Counseling Page 2