A nurse is counseling a client with alcoholism who has been abusive to their children. The nurse experienced a similar situation in childhood and states to the client, "How can you mistreat a child?" Which is the best way for the nurse to deal with the countertransference displayed? (Select all that apply.)
Consider a transfer to a unit that does not require counseling of clients.
Request that another nurse take over the counseling session with the client.
Discuss with the client the issues surrounding the response made.
The nurse should examine feelings and responses prior to counseling.
Talking about feelings and emotions with a trusted colleague.
Correct Answer : B,D,E
Choice A reason: Considering a transfer might avoid the immediate issue but does not address the nurse's countertransference or promote professional growth.
Choice B reason: Requesting another nurse to take over may be appropriate to ensure the client receives unbiased care while the original nurse addresses their countertransference.
Choice C reason: Discussing personal issues with the client is not appropriate as it can blur professional boundaries and may not be therapeutic for the client.
Choice D reason: The nurse should examine their feelings and responses to prevent personal experiences from affecting professional judgment and interactions with clients.
Choice E reason: Talking about feelings and emotions with a trusted colleague can provide support and help the nurse process their feelings in a safe environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason: Assessing strengths and weaknesses realistically helps the client to understand their capabilities and limitations post-withdrawal.
Choice B reason: Verbalizing plans to join a community support group indicates the client's commitment to ongoing recovery and support after discharge.
Choice C reason: Receiving only prescribed medications ensures the client does not relapse into drug use and maintains the treatment plan's integrity.
Choice D reason: Initiating interactions with others in the facility can help the client rebuild social skills and integrate into a community, which is beneficial for recovery.
Choice E reason: While sharing feelings is important, setting a specific timeframe such as 48 hours may not be realistic for every client and can vary based on individual readiness.
Correct Answer is B
Explanation
Choice A reason: Memory loss is a hallmark symptom of dementia, often noticed as one of the first signs of cognitive decline associated with the condition.
Choice B reason: Individuals with dementia may experience difficulty with problem-solving or handling complex tasks, reflecting impaired executive function.
Choice C reason: Changes in mood or behavior, such as increased irritability or apathy, can occur in dementia due to changes in brain function affecting emotion regulation.
Choice D reason: Difficulty with language and communication, including finding the right words or following conversations, is common in dementia as it progresses.
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