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. 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.

A. Persons who engage in fantasies are mentally ill: Incorrect. Engaging in fantasies is a normal part of human cognition and does not indicate mental illness.
B. It is easy to determine if a person is mentally healthy or mentally ill: Incorrect. Mental health is complex and multifaceted, making it difficult to clearly distinguish between mental health and illness without thorough assessment.
C. Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures: Incorrect. Cultural norms vary widely, and what is acceptable in one culture may be unacceptable in another, but not always.
D. In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability: Correct. This statement accurately describes the holistic nature of mental health.