A nurse is discussing the care of a client who has alcohol use disorder with another nurse. Which of the following statements should the nurse identify as an indication of countertransference?

"The client is just like my parent, who never could quit drinking."

"The client needs to accept responsibility for their drinking."

"The client asked me to go on a date."

"The client shares their feelings openly during group therapy."

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement is an indication of countertransference because the nurse is projecting personal feelings and experiences onto the client. By comparing the client to their parent who struggled with drinking, the nurse may unconsciously treat the client differently based on unresolved emotions or past experiences. Countertransference can interfere with the nurse's ability to provide objective and compassionate care.

Choice B reason: This statement reflects a judgment about the client's responsibility for their drinking but does not indicate countertransference. While it is important for clients to take responsibility for their actions, this statement does not involve the nurse projecting their own feelings or experiences onto the client. It is more about the nurse's perspective on the client's behavior.

Choice C reason: This statement describes an inappropriate boundary violation by the client but does not indicate countertransference on the part of the nurse. The nurse should address the boundary issue professionally, but this situation does not involve the nurse's personal feelings or experiences influencing their perception of the client.

Choice D reason: This statement is a factual observation about the client's behavior during group therapy and does not indicate countertransference. It reflects the client's willingness to share their feelings, which is a positive aspect of their therapy process. There is no evidence of the nurse's personal feelings or experiences affecting their assessment of the client.

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Correct Answer is C

Explanation

Choice A reason: Informing the provider about the conversation might be necessary if there are concerns about confidentiality breaches, but it does not address the immediate issue of discussing private patient information in a public place. The charge nurse's first responsibility is to stop the inappropriate discussion and remind the staff nurse about the importance of maintaining patient privacy.

Choice B reason: While continuing the conversation in a private place is better than discussing it in a public hallway, the staff nurse should not be discussing private patient information unless it is necessary for the patient's care. The charge nurse should emphasize the importance of confidentiality and ensure that such conversations occur only when necessary and in appropriate settings.

Choice C reason: This response directly addresses the issue of discussing private patient information and reinforces the importance of maintaining confidentiality. By stating that it is an invasion of privacy to discuss the information, the charge nurse makes it clear that such conversations are inappropriate and should not occur.

Choice D reason: Telling the staff nurse not to use the client's name in public discussions misses the broader point about confidentiality. Even without using a name, discussing specific details about a patient's condition or admission can still breach their privacy. The charge nurse should emphasize the importance of not discussing patient information in public settings at all.

A. The client goes to their room alone when they feel overwhelmed. B. The client displaces their feelings of self-harm until they talk to the provider. C. The client suppresses their feelings when they are angry. D. The client notifies the nurse when they want to harm themselves.

Correct Answer is D

Explanation

Choice A reason: Going to their room alone when feeling overwhelmed may indicate that the client is trying to manage their emotions, but it does not directly address the effectiveness of the safety contract. The goal of the contract is to ensure that the client seeks help and communicates their feelings of self-harm to a healthcare provider.

Choice B reason: Displacing feelings of self-harm until talking to the provider is not a clear indication of the contract's effectiveness. The client may still be at risk of self-harm if they do not have immediate access to the provider. The safety contract aims to encourage the client to seek help and communicate their feelings promptly.

Choice C reason: Suppressing feelings when angry is not a healthy coping mechanism and does not indicate the effectiveness of the safety contract. The contract should promote open communication and seeking help rather than suppressing emotions, which can lead to further distress and potential self-harm.

Choice D reason: Notifying the nurse when they want to harm themselves is a clear indication that the safety contract has been effective. The client is following the agreed-upon plan to seek help and communicate their feelings of self-harm, which is the primary goal of the safety contract. This behavior demonstrates that the client is taking steps to ensure their safety and seeking support from healthcare providers.

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A nurse is discussing the care of a client who has alcohol use disorder with another nurse. Which of the following statements should the nurse identify as an indication of countertransference?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse overhears a staff nurse talking to a nurse from another unit in the hallway. The staff nurse says, "I heard that Mr. Smith was admitted for a suicide attempt." Which of the following responses should the charge nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt. Which of the following behaviors indicates that the contract has been effective?

Correct Answer is D

Explanation

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