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 C

Explanation

A. High energy: While high-energy nurses may take on demanding workloads, burnout is more related to chronic stress and lack of coping strategies.

B. Connects well with others: Building relationships does not directly lead to burnout. In fact, strong connections can act as a protective factor.

C. Compassion fatigue: Compassion fatigue is emotional exhaustion from prolonged exposure to client suffering, which can lead to burnout. Nurses who struggle with emotional detachment are particularly vulnerable.

D. Consistent self-care: Practicing self-care helps prevent burnout by promoting emotional resilience and work-life balance.

A. "The effects of ACES affect adolescents, but they do not affect them once they reach adulthood." B. "Adults are more at risk for depression, while adolescents are more at risk for obesity." C. "Adults are at a higher risk for cancer and COPD, while adolescents are more at risk for attempted suicide." D. "ACES have the same effect on adults and adolescents."

Correct Answer is C

Explanation

A. "The effects of ACEs affect adolescents, but they do not affect them once they reach adulthood." This is incorrect because ACEs have lifelong consequences, increasing the risk for mental health disorders, chronic diseases, and risky behaviors well into adulthood.

B. "Adults are more at risk for depression, while adolescents are more at risk for obesity." While both depression and obesity can occur, ACEs increase the risk of mental and physical health issues at all stages of life, and obesity is not exclusive to adolescents.

C. "Adults are at a higher risk for cancer and COPD, while adolescents are more at risk for attempted suicide." Research shows that ACEs increase the risk of chronic illnesses (e.g., cancer, COPD) in adulthood and also elevate suicidal risk in adolescents.

D. "ACEs have the same effect on adults and adolescents." While ACEs affect all age groups, their manifestations differ: adolescents may experience mental health issues and risky behaviors, while adults may develop chronic illnesses and long-term emotional dysregulation.

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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 in an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the effects of adverse childhood experiences (ACES) across the lifespan. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?

A nurse is interviewing a client who has a substance use disorder. Which of the following client behaviors indicates that the nurse has successfully evoked the client's motivation?

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?

A nurse in a mental health unit is discussing the concepts of competency and capacity with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the concepts?

Which of the following is a strategy to reduce nursing burnout?

A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?