A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?

"The client is just like my brother who finally overcame his habit."

"The client asked me to go on a date with him, but I refused."

"The client generally shares his feelings during group therapy sessions."

"The client needs to accept responsibility for his substance use."

Answer and Explanation

The Correct Answer is A

Countertransference occurs when a staff member projects their own feelings or experiences onto a client. In this case, the staff nurse is comparing the client to their brother, which can interfere with objective and empathetic care.

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Correct Answer is A

Explanation

This finding could indicate agranulocytosis, a potentially life threatening adverse effect of clozapine that causes a severe decrease in white blood cells and increases the risk of infection. The other findings are also important to monitor, but they are not as critical as sore throat.

A. Use bargaining skills for behavioral consequences. B. Increase self-esteem. C. Decrease the number of verbal outbursts. D. Use projection during group therapy.

Correct Answer is C

Explanation

A behavioral contract is a written agreement between the client and the nurse that specifies the desired and undesired behaviors and the rewards and penalties for each. A client who has antisocial personality disorder may exhibit impulsive, aggressive, and manipulative behaviors that disrupt the therapeutic milieu and interfere with treatment goals. Decreasing the number of verbal outbursts is a measurable and realistic goal that can improve the client's interpersonal skills and reduce conflict.

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A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the priority finding to report to the provider for a client who has schizophrenia and is taking clozapine?

Correct Answer is A

Explanation

A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?

Correct Answer is C

Explanation

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