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

Answer and Explanation

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.

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Correct Answer is ["A","B","D"]

Explanation

Choice A Reason:

Grooming is correct. Grooming assesses the client's personal care and hygiene, providing insight into their ability to perform self-care activities.

Choice B Reason:

Long-term memory is correct. Evaluating long-term memory helps assess the client's ability to recall past events and information, which can be affected in individuals with dementia.

Choice C Reason:

Support systems is incorrect. While support systems are crucial in the overall care of individuals with dementia, they are not typically assessed in a traditional MSE.

Choice D Reason:

Affecting is correct. Affect refers to the client's emotional expression. Assessing affect helps in understanding the client's emotional state, which can be important in diagnosing and managing dementia.

Choice E Reason:

Presence of pain is incorrect. While assessing pain is essential in clinical care, it may be more pertinent to a physical assessment than a mental status examination specifically focused on cognitive functioning.

A. Coping skills B. Ability to perform calculations C. Recall ability D. Long-term memory E. Level of orientation.

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.

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Which cause is responsible for a patient reacting to the nurse by saying, "You are indifferent and cold, just like my mother"?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? (Select all that apply)

Correct Answer is ["B","C","D","E"]

Explanation

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