A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

Cultural humility

Countertransference

Transference

Professional competency

Answer and Explanation

The Correct Answer is B

A. Cultural humility involves recognizing and respecting differences in beliefs and values while maintaining self-awareness. It does not explain erratic emotional responses.

B. Countertransference occurs when a nurse projects personal emotions onto a client, leading to overinvolvement (excessive kindness) or negative reactions (hostility). This can affect professional boundaries and care.

C. Transference occurs when a client unconsciously transfers feelings about past relationships onto the nurse (e.g., treating the nurse as a parental figure). This is the reverse of countertransference.

D. Professional competency refers to maintaining clinical skills and ethical behavior. Displaying inconsistent emotional responses toward a client is not an example of competency.

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Correct Answer is C

Explanation

A. Asks about more information related to community support groups. While seeking information is helpful, it does not necessarily indicate internal motivation for change.

B. Writes a list of people who are important in their life. This is a positive step but does not necessarily demonstrate motivation for behavior change.

C. Reports that having family support is the reason for their confidence in changing. Expressing confidence in change due to family support shows personal motivation and a commitment to recovery.

D. Requests to end the interview early. Ending the interview early may indicate resistance or disengagement rather than motivation for change.

A. Laboratory technician B. Psychiatric pharmacist C. Psychologist D. Primary provider

Correct Answer is B

Explanation

A. Laboratory technician: Laboratory technicians analyze blood, urine, and other specimens but do not specialize in medication interactions.

B. Psychiatric pharmacist: A psychiatric pharmacist specializes in psychotropic and other medications, ensuring there are no interactions between schizophrenia medications and diabetes treatments.

C. Psychologist: A psychologist provides therapy and mental health assessments but does not prescribe or manage medications.

D. Primary provider: While a primary care provider (PCP) oversees general care, a psychiatric pharmacist is the best choice for in-depth medication interaction expertise.

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A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who has a substance use disorder. Which of the following client behaviors indicates that the nurse has successfully evoked the client's motivation?

Correct Answer is C

Explanation

A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the dient's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?

Correct Answer is B

Explanation

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What is the goal of trauma-informed care?