A nurse in an acute mental health center is performing a physical assessment on a client. Which of the following findings should the nurse document under the integumentary system? (Select all that apply.)
Numbness
Skeletal deformities
Alopecia
Ecchymosis
The Correct Answer is A
A. Transference: Transference occurs when a client projects feelings about someone from their past onto the therapist or nurse. The client’s feelings about the nurse being similar to their mother fit this description.
B. Confrontation: Confrontation involves addressing discrepancies or issues directly, which is not the focus here. The situation described is about the client’s feelings towards the nurse.
C. Countertransference: Countertransference occurs when a nurse or therapist has emotional reactions based on their own past experiences, not the client’s feelings about the nurse.
D. Incongruence: Incongruence refers to a mismatch between a person's experiences and their self-concept. The situation described involves the client's feelings toward the nurse rather than incongruence.
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Correct Answer is C
Explanation
A. Public safety: While public safety is important, the primary aim of hospitals established by Dorothea Dix was not specifically for this purpose.
B. Confinement: Confinement was a method used in earlier institutions but does not reflect the progressive goals of Dorothea Dix’s efforts, which focused on more humane care.
C. Therapeutic milieu: Dorothea Dix advocated for creating a therapeutic environment and improving mental health care, which aligns with the concept of a therapeutic milieu.
D. Asylum: While Dix’s efforts did contribute to the establishment of asylums, her main goal was to improve care and treatment for the mentally ill rather than simply creating asylums.
Correct Answer is B
Explanation
A. "Can the children's mother get by for a while until you get better?": This statement is dismissive of the client's responsibility and does not show positive regard.
B. "How is not working right now affecting you?": Correct. This statement shows empathy and concern for the client's well-being without passing judgment, which reflects positive regard.
C. "You need to somehow support your children.": This statement is directive and judgmental, not reflecting positive regard.
D. "How do you expect your kids to be provided for?": This statement is confrontational and does not demonstrate positive regard.
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