The nurse who is caring for a client begins to have very protective feelings toward the client that are interfering with the therapeutic relationship between the nurse, the client, and the client's family. This is an example of a problem that is encountered in some therapeutic relationships and is known as:
Transference
An environmental problem
Resistance
Countertransference
The Correct Answer is D
Choice A rationale: Transference involves the client projecting feelings or attitudes onto the healthcare provider and can affect the therapeutic relationship.
Choice B rationale: Environmental problems are external issues arising from the individual’s physical and social setting such as interruptions and noise and can affect the therapeutic environment, not the nurse's emotional responses.
Choice C rationale: Resistance refers to the situation where the client consciously or unconsciously opposes or is reluctant to engage in therapeutic interventions and hinders treatment progress and outcomes.
Choice D rationale: Countertransference occurs when the healthcare provider projects their feelings and emotions, experiences, or unresolved issues onto the client. The nurse's overprotective feelings interfere with the objectivity and effectiveness of the therapeutic relationship.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: this is incorrect since it implies that the needs of the staff member are to be given the primary focus rather than the client’s needs.
Choice B rationale: this is inaccurate since it suggests that the staff member is evaluating or criticizing the client's attitude. This can make the client become defensive and resistant during their management process.
Choice C rationale: the client is the primary focus in a therapeutic relationship hence in therapeutic communication, the staff member should be empathetic and non-judgmental to the client. They should build a rapport with the client by exercising effective communication skills such as using open-ended questions, active listening, and providing feedback to facilitate the client's expression of feelings and needs.
Choice D rationale: this statement is incorrect as it suggests that the staff member is trying to foster a personal and casual relationship with the client which can compromise their professional role in patient management.
Correct Answer is D
Explanation
Choice A rationale: Clozapine has no effect on a patient’s blood pressure levels. However, blood pressure monitoring for all patients is crucial but the temperature is more relevant for a patient on clozapine.
Choice B rationale: Clozapine has no effect on an individual’s respiratory rate hence in this case it is not the priority vital sign to monitor.
Choice C rationale: Clozapine use does not cause pain. Furthermore, pain is not a vital sign.
Choice D rationale: One of the side effects of clozapine is agranulocytosis hence this predisposes the patient to infections which may manifest with fever. Therefore, it is important to monitor the patient’s temperature while on treatment.

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