A client in the mental health unit has a history of Asthma. Which axis would the nurse document this information?

Choice A rationale: Transference involves the client projecting feelings or attitudes onto the healthcare provider and can affect the therapeutic relationship.
Choice B rationale: Environmental problems are external issues arising from the individual’s physical and social setting such as interruptions and noise and can affect the therapeutic environment, not the nurse's emotional responses.
Choice C rationale: Resistance refers to the situation where the client consciously or unconsciously opposes or is reluctant to engage in therapeutic interventions and hinders treatment progress and outcomes.
Choice D rationale: Countertransference occurs when the healthcare provider projects their feelings and emotions, experiences, or unresolved issues onto the client. The nurse's overprotective feelings interfere with the objectivity and effectiveness of the therapeutic relationship.

Choice A rationale: this is inaccurate since it does not display insecurity where feelings of inadequacy or uncertainty are displayed affecting the individual’s self-esteem and confidence.
Choice B rationale: transference is a defense mechanism where the patient unconsciously transfers their feelings, expectations, and attitudes from their previous relationship to a current relationship. In this case, the client is projecting her unresolved feelings about someone who did not care for her onto the nurse, who is trying to help her.
Choice C rationale: Countertransference is the process where the nurse unconsciously transfers their unresolved feelings and attitudes from a past relationship to their clients.
Choice D rationale: secondary gain is the benefit received by an individual for being sick, for instance, attention and sympathy. The client’s statement is an indication of rejection of the nurse’s help rather than seeking a secondary gain.