Which of the following behaviors indicates countertransference that is impacting the therapeutic relationship between the patient and the nurse practitioner?
The nurse practitioner empathizes with the patient's grief related to the loss of her father.
The patient frequently refers to the PMHNP by her sister's name and tells the PMHNP how much she reminds her of her sister.
The nurse practitioner spends an inordinate amount of time devoted to the patient, including thinking about her after clinic hours.
The patient brings the PMHNP a framed picture she drew for her.
The Correct Answer is C
Choice A reason: Empathy is a core component of therapeutic relationships and does not indicate countertransference. It reflects appropriate emotional attunement and professional compassion.
Choice B reason: This behavior reflects transference, where the patient projects feelings or associations from past relationships onto the therapist. It is not countertransference, which originates from the clinician.
Choice C reason: Countertransference occurs when the clinician projects personal feelings onto the patient, often unconsciously. Spending excessive time and thinking about the patient outside of clinical hours suggests that the nurse practitioner’s emotional boundaries are compromised, indicating countertransference.
Choice D reason: A patient giving a gift may reflect transference or an attempt to build rapport. It does not necessarily indicate countertransference unless the clinician responds inappropriately or emotionally.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The PHQ-9 is a screening tool for depression. It assesses mood, anhedonia, sleep, appetite, and suicidal ideation but does not evaluate symptoms of inattention or disorganization.
Choice B reason: The State-Trait Anxiety Inventory measures anxiety levels but does not assess attentional deficits or executive functioning. It would not help differentiate ADHD from anxiety.
Choice C reason: The Adult ADHD Self-Report Scale (ASRS) Symptom Checklist is specifically designed to assess symptoms of adult ADHD, including inattention, disorganization, forgetfulness, and impulsivity. It is the most appropriate tool for evaluating the client’s lifelong symptoms.
Choice D reason: The Yale Brown Obsessive Compulsive Scale is used to assess the severity of obsessive-compulsive symptoms. It does not evaluate attentional or executive functioning deficits.
Correct Answer is B
Explanation
Choice A reason: Reporting to the state board is not appropriate unless there is a breach of professional conduct. Countertransference is a clinical issue best managed internally.
Choice B reason: Supervisory consultation is the standard and most effective method for addressing countertransference. It allows for reflection, guidance, and professional development without compromising client care.
Choice C reason: While individual therapy may help clinicians explore personal issues contributing to countertransference, it is not the primary method for managing it in clinical practice.
Choice D reason: Discharging the client prematurely due to countertransference may harm the therapeutic alliance and is not considered best practice unless absolutely necessary.
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