Which strategy should the PMHNP employ to assess for the presence of countertransference?
Ask the client if he or she has feelings of transference because the two go hand in hand
Avoid clients with borderline personality disorder who tend to elicit feelings of countertransference
Constantly monitor his or her emotional reaction to clients
Set firm professional boundaries
The Correct Answer is C
Choice A reason: While transference and countertransference are related, asking the client about their transference does not directly assess the clinician’s countertransference. This approach lacks introspective value.
Choice B reason: Avoiding clients with BPD due to potential countertransference is unethical and counterproductive. Clinicians must develop skills to manage countertransference, not avoid challenging clients.
Choice C reason: Monitoring one's emotional reactions to clients is the most direct and effective way to assess countertransference. This self-awareness allows clinicians to recognize when personal feelings may be influencing the therapeutic relationship.
Choice D reason: Setting professional boundaries is essential in managing countertransference but does not serve as an assessment strategy. It is a preventive and protective measure rather than a diagnostic tool.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: SLUMS (Saint Louis University Mental Status Exam) assesses cognitive function and dementia, not movement disorders.
Choice B reason: CAGE is a screening tool for alcohol use disorders and does not involve physical examination.
Choice C reason: AIMS (Abnormal Involuntary Movement Scale) is used to detect tardive dyskinesia and other extrapyramidal symptoms in patients taking antipsychotics. Tongue protrusion is part of the motor assessment.
Choice D reason: COWS (Clinical Opiate Withdrawal Scale) evaluates opioid withdrawal symptoms and does not include movement assessments related to antipsychotic use.
Correct Answer is B
Explanation
Choice A reason: Hildegard Peplau is known for her theory of interpersonal relations in nursing, which emphasizes the nurse-patient relationship and therapeutic communication. She did not develop the concept of carative factors.
Choice B reason: Jean Watson developed the Theory of Human Caring, which includes “carative factors” as central components. These factors guide the practice of caring in nursing and emphasize the humanistic aspects of healthcare, making her the correct answer.
Choice C reason: Dorothy Orem is known for the Self-Care Deficit Nursing Theory, which focuses on individuals’ ability to care for themselves and the role of nursing in supporting self-care. She did not propose carative factors.
Choice D reason: Nola Pender developed the Health Promotion Model, which focuses on behaviors that improve health and prevent illness. Her work is not centered on carative factors.
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