A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse.
Which of the following statements by the staff nurse should the charge nurse identify as countertransference?

"The client asked me to go on a date with him, but I refused.”.

"The client needs to accept responsibility for his substance use.”.

"The client is just like my brother who finally overcame his habit.”.

"The client generally shares his feelings during group therapy sessions.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

"The client asked me to go on a date with him, but I refused.”. This statement does not demonstrate countertransference. It is a clear example of professional boundaries being maintained, as the staff nurse refused the client's request for a date, which is appropriate in the context of the nurse-client relationship.

Choice B rationale:

"The client needs to accept responsibility for his substance use.”. This statement does not indicate countertransference. It reflects a common and appropriate therapeutic goal, which is to help clients take responsibility for their actions and substance use disorder.

Choice C rationale:

"The client is just like my brother who finally overcame his habit.”. This statement represents countertransference. Countertransference occurs when a healthcare professional's emotions, attitudes, or past experiences influence their perceptions and interactions with a client. In this case, the staff nurse is making a connection between the client and their own brother, suggesting a personal bias based on past experiences. This can hinder the staff nurse's ability to provide objective care.

Choice D rationale:

"The client generally shares his feelings during group therapy sessions.”. This statement does not demonstrate countertransference. It is a straightforward observation of the client's behavior during group therapy sessions and does not involve any emotional or personal bias on the part of the staff nurse.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale:

Monitoring signs of psychomotor agitation is an important aspect of assessing a patient with bipolar disorder. Psychomotor agitation is a common feature of bipolar disorder, and recognizing its signs can help in managing the patient's condition effectively.

Choice B rationale:

Assessing the patient's memory and attention is crucial in the assessment of bipolar disorder. It helps in evaluating cognitive function, which can be affected during manic or depressive episodes in bipolar disorder.

Choice C rationale:

Documenting the patient's medication history is essential when assessing a patient with bipolar disorder. Knowing the medications the patient is currently taking, as well as their medication history, is vital for understanding their treatment plan and ensuring the safe and effective management of the condition.

Choice D rationale:

Measuring vital signs and laboratory tests is an integral part of the physical assessment for a patient with bipolar disorder. Bipolar disorder can have physical health implications, and monitoring vital signs and conducting laboratory tests can help identify any underlying medical issues or side effects of medication.

Choice E rationale:

Observing signs of impaired judgment is another important aspect of assessing a patient with bipolar disorder. Impaired judgment can be a characteristic feature during manic episodes, and recognizing it is crucial for the safety and well-being of the patient.

A. Role model healthy ways to express anger. B. Assist the client to explore techniques to reduce stress. C. Suggest the client make a list of things that make him angry. D. Ask the client if he intends to harm others.

Correct Answer is D

Explanation

Choice A rationale:

While role modeling healthy ways to express anger is important, it is not the priority when a client is being aggressive toward others. Safety is the primary concern.

Choice B rationale:

Assisting the client to explore techniques to reduce stress is a helpful intervention but is not the priority when the client is actively being aggressive toward others.

Choice C rationale:

Suggesting the client make a list of things that make him angry is a therapeutic intervention, but it is not the priority when the client's behavior poses an immediate threat to others.

Choice D rationale:

Asking the client if he intends to harm others is the priority because it assesses the immediate risk to the safety of others. This information is crucial for determining the appropriate interventions to ensure the safety of everyone in the facility. Depending on the client's response, the nurse can take further steps to manage the aggressive behavior. Safety is the top priority in such situations. .

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A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse.Which of the following statements by the staff nurse should the charge nurse identify as countertransference?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with bipolar disorder.Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply:.

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse in a mental health facility is caring for a client who is being aggressive toward other clients.Which of the following actions is the priority for the nurse to take?

Correct Answer is D

Explanation

A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?

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A nurse is caring for a client who states, "I am too embarrassed to tell anyone what I did last night.”. Which of the following responses should the nurse make?

A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse.Which of the following statements by the staff nurse should the charge nurse identify as countertransference?

A nurse is caring for a client who has depression following a recent job loss.Which of the following questions should the nurse ask to assess the client's personal coping skills?

A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms of schizophrenia? (Select all that apply.).

A nurse is teaching a newly licensed nurse about contributing factors that can lead to the development of conduct disorder. Which of the following factors related to family dynamics should the nurse include in the teaching?

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A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse.
Which of the following statements by the staff nurse should the charge nurse identify as countertransference?