A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?

A. A client with delusions states, "I'm going to get them before they get to me" This statement is concerning because it suggests a potential threat. However, it is vague and does not specify a particular individual or group. While it warrants further assessment and monitoring, it may not immediately trigger a duty to warn a specific third party without more information.
B. A client says he plans to blow up the government. This statement indicates a threat to a broad and non-specific target (the government). While it is serious and requires intervention, it does not fall under the typical duty to warn a specific third party. Instead, it would likely involve notifying authorities to prevent potential harm.
C. A client states "If I can't have my girlfriend back, then no one can have her." This statement is a direct threat to a specific individual (the girlfriend), indicating potential harm. In such cases, the nurse has a duty to warn the third party and take appropriate steps to ensure their safety.
D. A hostile client says "I hate all police" While this statement indicates hostility, it does not specify a direct threat of harm or action, so it may not necessarily indicate an immediate duty to warn.

A. Role reversal: Role reversal occurs when individuals switch roles with each other, which is not applicable in this context.
B. Unconditional regard: Unconditional positive regard refers to showing complete acceptance of the client regardless of their actions or behaviors. This term does not describe the phenomenon of the nurse's feelings based on past experiences.
C. Transference: Transference is when a client projects feelings about someone from their past onto the therapist or nurse. This term does not describe the nurse's feelings based on past experiences.
D. Countertransference: Countertransference occurs when a nurse develops feelings toward a client based on the nurse's own past experiences or emotions. This is the correct term for the situation described.