A teenage client defies the nurse's repeated requests to turn off the video game and go to sleep. The teen says angrily, "You sound just like my mother at home!" and continues to play the video game. The nurse understands that this statement likely indicates:
an expression of developing autonomy.
the presence of transference.
early signs of oppositional defiant disorder.
the need for stricter discipline at home.
The Correct Answer is B
A. Developing autonomy is shown through independence-seeking behaviors, but the client’s response specifically reflects feelings toward another person being redirected.
B. Transference occurs when a client projects feelings or attitudes from past relationships (e.g., with a parent) onto the nurse; the statement "You sound just like my mother" is a classic example.
C. Oppositional defiant disorder involves persistent defiance, anger, and hostility across multiple settings, not just a single interaction.
D. The nurse cannot assume family discipline practices based on this interaction alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Responding with “What’s wrong with you?” is shaming and non-therapeutic.
B. Allowing a hug and saying “It’s OK” blurs professional boundaries.
C. Simply saying “Don’t do that” sets a limit but does not provide therapeutic guidance.
D. Removing the client’s arms while explaining the boundary and redirecting focus to the therapeutic goal maintains professionalism, enforces appropriate limits, and supports the client’s treatment.
Correct Answer is B
Explanation
A. “You are pushing me too hard” places blame on the other person and is more aggressive than assertive.
B. “I feel upset when you interrupt me” is correct because it expresses the client’s feelings using an “I” statement, which is respectful, direct, and assertive.
C. “I’m not going to listen to other people anymore” reflects withdrawal and avoidance, not assertiveness.
D. “I’m sorry. I’m not picking this up very quickly” shows self-deprecation rather than confidence and assertiveness.
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