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 D

Explanation

Choice A reason: Naltrexone is not designed to prevent alcohol withdrawal symptoms. It works by blocking the euphoric effects of alcohol and reducing cravings, but clients who stop drinking may still experience withdrawal symptoms. Proper medical management and support are necessary to address alcohol withdrawal.

Choice B reason: Naltrexone does not help clients gradually decrease alcohol intake. Instead, it is used to help maintain abstinence by reducing cravings and the reinforcing effects of alcohol. Clients typically need to stop drinking before starting naltrexone treatment.

Choice C reason: Ringing in the ears, or tinnitus, is not a common side effect of naltrexone or an expected reaction when consuming alcohol while on the medication. This statement indicates a misunderstanding of how naltrexone works and its potential side effects.

Choice D reason: This statement accurately reflects one of the primary effects of naltrexone. The medication helps reduce cravings for alcohol, making it easier for individuals to maintain abstinence and avoid relapse. By understanding this aspect of naltrexone, the client demonstrates a clear understanding of its purpose and use in alcohol dependence treatment.

A. "Your provider requires this blood specimen." B. "You must be mistaken. Snakes cannot be in the clinic." C. "I'm using a syringe to obtain your blood, not a snake." D. "I don't see a snake, but that must be scary for you."

Correct Answer is D

Explanation

Choice A reason: This response does not address the client's immediate fear and hallucination. While it is important to collect the blood specimen as ordered, the nurse should first address the client's hallucination and provide reassurance. Simply stating that the provider requires the blood specimen may not reduce the client's anxiety or confusion.

Choice B reason: Telling the client they must be mistaken is dismissive of their experience. Clients experiencing hallucinations perceive them as real, and dismissing these perceptions can increase their distress and mistrust. Instead, the nurse should acknowledge the client's feelings and provide comfort without invalidating their experience.

Choice C reason: Stating that the nurse is using a syringe and not a snake may not be helpful, as the client is experiencing a hallucination and may not be able to distinguish between reality and their perception. This response does not validate the client's feelings or provide the necessary reassurance.

Choice D reason: Acknowledging the client's hallucination and expressing empathy is the most appropriate response. By saying, "I don't see a snake, but that must be scary for you," the nurse acknowledges the client's fear and provides comfort without reinforcing the hallucination. This approach helps build trust and rapport, making it easier to proceed with the necessary procedure while ensuring the client's emotional well-being.

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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 nurse is reinforcing teaching with a client about naltrexone. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states, "That looks like a snake, and I won't let it take all of my blood." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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