As the nurse begins to discuss discharge plans for a 45-year-old female client hospitalized for anxiety, the client states, "You never really cared whether I get better! Why not stop this charade?" The nurse recognizes this to be:
Insecurity
Transference
Countertransference
Secondary gain
The Correct Answer is B
Choice A rationale: this is inaccurate since it does not display insecurity where feelings of inadequacy or uncertainty are displayed affecting the individual’s self-esteem and confidence.
Choice B rationale: transference is a defense mechanism where the patient unconsciously transfers their feelings, expectations, and attitudes from their previous relationship to a current relationship. In this case, the client is projecting her unresolved feelings about someone who did not care for her onto the nurse, who is trying to help her.
Choice C rationale: Countertransference is the process where the nurse unconsciously transfers their unresolved feelings and attitudes from a past relationship to their clients.
Choice D rationale: secondary gain is the benefit received by an individual for being sick, for instance, attention and sympathy. The client’s statement is an indication of rejection of the nurse’s help rather than seeking a secondary gain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Clozapine is an antipsychotic medication associated with agranulocytosis which is a condition where the bone marrow does not provide enough white blood cells. This increases an individual’s risk of infections. Therefore, frequent blood tests should be performed on an individual taking this medication to monitor the WBC count and stop the medication if need be.
Choice B rationale: clozapine is not associated with a low hemoglobin level. Anemia may be caused by conditions such as iron deficiency, chronic conditions such as chronic kidney disease, and vitamin B12 deficiency.
Choice C rationale: An increase in white blood cell count is not a side effect of clozapine but can be caused by infections. Clozapine causes low white blood cell count.
Choice D rationale: blood in urine is not a side effect of clozapine but can be caused by the use of medications such as cyclophosphamide.
Correct Answer is D
Explanation
Choice A rationale: Mood stabilizers are drugs that help regulate the mood swings of bipolar disorder and other conditions. They include lithium, valproate, carbamazepine, and lamotrigine.
Choice B rationale: Antipsychotics are drugs that reduce the symptoms of psychosis, such as hallucinations, delusions, paranoia, and disorganized thinking. They include chlorpromazine, haloperidol, risperidone, olanzapine, and quetiapine.
Choice C rationale: Antidepressants are drugs that improve mood and reduce the symptoms of depression, such as low energy, sadness, hopelessness, and loss of interest. They include selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs).
Choice D rationale: Benzodiazepines are a class of drugs that act on the gamma-aminobutyric acid (GABA) receptors in the brain, producing a calming and sedative effect. They are used to treat anxiety disorders, panic attacks, insomnia, seizures, and alcohol withdrawal. They include drugs such as lorazepam, diazepam and clonazepam.
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