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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: CBT is one of the most effective treatments for phobias. It uses exposure techniques and cognitive restructuring to reduce fear responses, making this statement incorrect.
Choice B reason: CBT is a first-line treatment for anxiety disorders. It helps clients identify and challenge anxious thoughts and behaviors, making this statement false.
Choice C reason: CBT aims to identify and modify irrational beliefs and cognitive distortions that contribute to emotional distress and maladaptive behavior. This is the core principle of CBT and aligns with Beck’s theory.
Choice D reason: Transference is a psychoanalytic concept. CBT does not focus on transference or assimilation of unconscious material but rather on conscious thought patterns and behaviors.
Correct Answer is C
Explanation
Choice A reason: Dextromethorphan is a cough suppressant with NMDA antagonist properties. While it can cause dissociation or mood changes at high doses, it is not commonly associated with inducing depression.
Choice B reason: Diphenhydramine is an antihistamine that may cause sedation or cognitive dulling but is not typically linked to depressive symptoms.
Choice C reason: Isotretinoin, used for severe acne, has been associated with psychiatric side effects including depression and suicidal ideation, particularly in adolescents. Its neuropsychiatric risk profile is well-documented and warrants close monitoring.
Choice D reason: Pseudoephedrine is a decongestant that may cause agitation or insomnia but is not known to induce depression.
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