A nurse is caring for a client who was admitted with major depressive disorder. The nurse and client find that they have much in common, including each having a neighbor's son. They make plans to have dinner and a sleepover with their sons after the client is discharged. What does this situation reflect?

A strong professional relationship.

Countertransference.

Successful relationship building.

Boundary blurring.

Answer and Explanation

The Correct Answer is D

Choice A reason: A strong professional relationship does not involve personal plans outside of the therapeutic context.

Choice B reason: Countertransference refers to the nurse's emotional response to the client, not planning personal activities together.

Choice C reason: Successful relationship building occurs within professional boundaries and does not involve personal plans.

Choice D reason: The correct answer is d) because making personal plans with a client blurs the boundaries of the professional therapeutic relationship, which can affect the nurse's objectivity and professionalism.

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Correct Answer is D

Explanation

Choice A reason: A strong professional relationship does not involve personal plans outside of the therapeutic context.

Choice B reason: Countertransference refers to the nurse's emotional response to the client, not planning personal activities together.

Choice C reason: Successful relationship building occurs within professional boundaries and does not involve personal plans.

A. A client who is involuntarily admitted must take prescribed medications. B. An involuntary admission is justified if the client is a danger to themselves or others. C. An involuntary admission of a client is limited to two weeks. D. A client who is involuntarily admitted can leave the facility against medical advice.

Correct Answer is B

Explanation

Choice A reason: Clients who are involuntarily admitted still retain the right to refuse certain treatments, including medications, unless court-ordered.

Choice B reason: The correct answer is b) because involuntary admission is typically justified when a client poses a danger to themselves or others.

Choice C reason: The duration of involuntary admissions varies by jurisdiction and is not universally limited to two weeks.

Choice D reason: Clients who are involuntarily admitted cannot leave against medical advice until they are deemed safe to do so.

A newly admitted client states to the nurse, "You walk and talk just like my sister. She also gives me a headache." Which of the following is the client experiencing?

a) Suppression

b) Transference

c) Countertransference

d) Assertiveness

The correct answer is: b) Transference.

Choice A reason: Suppression involves consciously trying to forget or avoid thoughts, not projecting feelings onto another person.

Choice B reason: The correct answer is b) because transference occurs when a client projects feelings and attitudes from a past relationship onto a person in the present, such as a nurse.

Choice C reason: Countertransference refers to the nurse's emotional response to the client, not the client's feelings towards the nurse.

Choice D reason: Assertiveness is a communication style and is not related to projecting past feelings onto others.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse in an acute mental health facility is leading a nursing education session about the legal aspects of involuntary admissions. Which of the following pieces of information should the nurse include?

Correct Answer is B

Explanation

A client newly placed on an involuntary hold is being given an orientation to the psychiatric unit. The nurse includes information about the client's rights. Which of the following statements should the nurse include? Select all that apply.

A nurse is teaching a client who has a fear of heights about the use of systematic desensitization as a method of behavioral therapy. Which of the following client statements indicates an understanding of the teaching?

A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "Nothing good ever came from my marriage." To best support cognitive reframing, which of the following responses should the nurse offer?

A nurse delegates a licensed practical nurse (LPN) to perform suicide precautions. Which of the following actions by the LPN indicates to the nurse that they require further education?

A charge nurse is discussing examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select the 3 that apply.)

A nurse is preparing to administer diazepam 4 mg IV bolus stat. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?

A nurse is administering oral sedative to a client who is receiving care following an involuntary admission. The client states, "I'm not taking any more medication." Which of the following actions should the nurse perform?