The patient telling the nurse she reminded him of his girlfriend that he loves so much is an example of what?

Projection

Countertransference

Empathy

Transference

Answer and Explanation

The Correct Answer is D

A. Projection is a defense mechanism where a client attributes their own feelings to someone else (e.g., “I know you don’t like me” when they actually dislike the nurse).

B. Countertransference is the nurse’s emotional reaction toward the client, not the client’s reaction to the nurse.

C. Empathy involves understanding and sharing another person’s emotions, which is not what is happening in this scenario.

D. Transference occurs when a client projects feelings about another person onto the nurse (e.g., seeing the nurse as a loved one).

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Correct Answer is A

Explanation

A. Autonomy refers to a client’s right to make their own decisions regarding care. Allowing them to choose between morning and afternoon therapy respects their independence and decision-making ability.

B. Justice refers to fairness and equal treatment in healthcare. While offering a choice is ethical, it is not related to ensuring fair resource distribution.

C. Beneficence means acting in the best interest of the client to promote well-being. While giving choices can be beneficial, this scenario specifically highlights autonomy.

D. Nonmaleficence means "do no harm." While respecting choices can prevent distress, this principle is more related to avoiding harm rather than promoting independence.

A. Exploitation phase B. Termination phase C. Orientation phase D. Working phase

Correct Answer is D

Explanation

A. Exploitation phase : This is an outdated term; it refers to a subphase of the working phase, but not specifically to goal-setting after initial goals are met.

B. Termination phase: The termination phase is when the nurse-client relationship ends and final evaluations are made, not when new goals are set.

C. Orientation phase: The orientation phase is when the initial goals and trust are established, not when new goals are set.

D. Working phase: The working phase involves active intervention and goal achievement. When initial goals are met, new ones are set, making this the best answer.

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The patient telling the nurse she reminded him of his girlfriend that he loves so much is an example of what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

Correct Answer is A

Explanation

In the nurse-client relationship, which phase is characterized by the establishment of new goals after the initial goals have been met?

Correct Answer is D

Explanation

A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?

A nurse is reinforcing teaching with a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include?

A nurse wants to improve their therapeutic communication by implementing bias-free language. Which of the following actions should the nurse take to provide bias-free language?

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:

A nurse manager is instructing a newly licensed nurse in ways to improve their active listening skills. Which of the following behaviors should the nurse manager recommend?

A nurse is discussing the scope of practice and responsibilities of mental health nurses who are not advanced practice registered nurses with a peer. Which of the following responsibilities is within the nurse's scope of practice?

A nurse tells a patient that they will return in 30 minutes with their medication. The nurse returns 30 minutes later with the patient's medication. Which ethical principle is she demonstrating?

A nurse is caring for a client who has a mental illness and is without housing. The nurse should identify that which of the following interprofessional team members can help the client find housing?