Which cause is responsible for a patient reacting to the nurse by saying, "You are indifferent and cold, just like my mother"?
Overidentification
overinvolvement
Countertransference
Transference
The Correct Answer is D
Choice A Reason:
Overidentification is correct. Overidentification refers to a therapist or nurse identifying too closely with the patient, making it difficult to maintain professional boundaries.
Choice B Reason:
Overinvolvement is incorrect. Overinvolvement occurs when a therapist or nurse becomes excessively involved in a patient's life, potentially blurring professional boundaries.
Choice C Reason:
Countertransference is incorrect. Countertransference involves the emotional reactions that the therapist or nurse may have in response to the patient's transference. It reflects the therapist or nurse's unresolved issues and emotional responses triggered by the patient.
Choice D Reason:
Transference is incorrect. Transference occurs when a patient unconsciously projects feelings and attitudes from past relationships onto the nurse or therapist. In this case, the patient is attributing characteristics of being indifferent and cold to the nurse, similar to how they perceive their mother. This phenomenon is a form of unconscious redirection of emotions or attitudes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A Reason:
The coping skills (Choice A) may be observed and assessed as part of the broader clinical picture, but they are not typically specific components of a formal Mental Status Examination.
Choice B Reason:
Ability to perform calculations. This assesses the client's cognitive abilities, specifically related to mathematical reasoning and problem-solving.
Choice C Reason:
Recall ability. Assessing recall ability helps evaluate the client's short-term memory, which can be impaired in individuals with dementia.
Choice D Reason:
Long-term memory. Evaluating long-term memory provides insights into the client's ability to recall information from the distant past, which is another aspect of cognitive function.
Choice E Reason:
Level of orientation. Assessing orientation to time, place, and person is crucial in understanding the client's awareness of their surroundings and current circumstances, which can be affected in dementia.
Correct Answer is A
Explanation
Choice A Reason:
Triage and stabilization of the acute symptoms are a priority describes the focus of psychiatric emergency care. Psychiatric emergency care focuses on the rapid assessment, triage, and stabilization of individuals experiencing acute psychiatric symptoms or crises. The primary goal is to address immediate safety concerns, stabilize the individual's condition, and determine the appropriate level of care or intervention. This may involve crisis intervention, brief assessment, and referral to appropriate services.
Choice B Reason:
A nurse visits one to three times a week to assess for extreme agitation does not describe the focus of psychiatric emergency care. This describes a more routine or outpatient assessment schedule rather than the urgent and immediate focus of psychiatric emergency care.
Choice C Reason:
Overnight short-term observations are 1 to 3 days in duration does not describe the focus of psychiatric emergency care. This refers to a short-term observation period, which might occur in various psychiatric settings, but it does not specifically address the urgency of psychiatric emergencies.
Choice D Reason:
Antipsychotic medications are administered does not describe the focus of psychiatric emergency care. Administering antipsychotic medications is a treatment approach that may be part of the overall psychiatric care plan, but it does not specifically capture the immediate triage and stabilization focus of psychiatric emergency care.
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