In which phase of the therapeutic relationship would the client be expected to regress and perhaps experience reemergence of symptoms or problems?
Orientation
Termination
Working
Identification
The Correct Answer is C
Choice A reason: The orientation phase is the initial stage of the therapeutic relationship where the client and therapist establish rapport, clarify roles, and set goals. It is typically marked by anxiety and uncertainty, but not regression or symptom reemergence. The client is just beginning to engage and is unlikely to show deep psychological shifts at this point.
Choice B reason: The termination phase involves ending the therapeutic relationship. While it may evoke emotional responses such as sadness or anxiety, it is not typically associated with regression or the reemergence of symptoms. Instead, it focuses on consolidating gains and planning for future coping strategies.
Choice C reason: The working phase is where the core therapeutic work occurs. This phase involves exploring painful emotions, unresolved conflicts, and maladaptive behaviors. It is common for clients to regress or experience a resurgence of symptoms during this phase as they confront difficult material. This regression is often a sign of progress, indicating that the client is engaging deeply with the therapeutic process.
Choice D reason: Identification is a subcomponent of the working phase in Peplau’s theory, where the client begins to respond selectively to those who can meet their needs. While it is part of the therapeutic process, it is not the primary phase associated with regression or symptom reemergence. The broader working phase encompasses these dynamics more fully.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Empathy is a core component of therapeutic relationships and does not indicate countertransference. It reflects appropriate emotional attunement and professional compassion.
Choice B reason: This behavior reflects transference, where the patient projects feelings or associations from past relationships onto the therapist. It is not countertransference, which originates from the clinician.
Choice C reason: Countertransference occurs when the clinician projects personal feelings onto the patient, often unconsciously. Spending excessive time and thinking about the patient outside of clinical hours suggests that the nurse practitioner’s emotional boundaries are compromised, indicating countertransference.
Choice D reason: A patient giving a gift may reflect transference or an attempt to build rapport. It does not necessarily indicate countertransference unless the clinician responds inappropriately or emotionally.
Correct Answer is D
Explanation
Choice A reason: The basal ganglia are primarily involved in motor control and procedural learning. While they play a role in behavioral regulation, they are not directly responsible for aggression or fear processing.
Choice B reason: The putamen is a part of the basal ganglia and is mainly associated with movement regulation. It does not have a central role in emotional processing or aggression.
Choice C reason: The anterior cingulate cortex is involved in decision-making, emotion regulation, and error detection. While it contributes to emotional awareness, it is not the primary center for aggression or fear.
Choice D reason: The amygdala is the brain’s key structure for processing emotions such as fear, anxiety, and aggression. It plays a central role in the limbic system and is critical for threat detection and emotional memory. Hyperactivity or stimulation of the amygdala has been linked to increased aggression and heightened fear responses.
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