A nurse is counseling a client with alcoholism who has been abusive to their children. The nurse experienced a similar situation in childhood and states to the client, "How can you mistreat a child?" Which is the best way for the nurse to deal with the countertransference displayed? (Select all that apply.)
Consider a transfer to a unit that does not require counseling of clients.
Request that another nurse take over the counseling session with the client.
Discuss with the client the issues surrounding the response made.
The nurse should examine feelings and responses prior to counseling.
Talking about feelings and emotions with a trusted colleague.
Correct Answer : B,D,E
Choice A reason: Considering a transfer might avoid the immediate issue but does not address the nurse's countertransference or promote professional growth.
Choice B reason: Requesting another nurse to take over may be appropriate to ensure the client receives unbiased care while the original nurse addresses their countertransference.
Choice C reason: Discussing personal issues with the client is not appropriate as it can blur professional boundaries and may not be therapeutic for the client.
Choice D reason: The nurse should examine their feelings and responses to prevent personal experiences from affecting professional judgment and interactions with clients.
Choice E reason: Talking about feelings and emotions with a trusted colleague can provide support and help the nurse process their feelings in a safe environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: Demonstrating alternative ways to deal with stress and anxiety is a measurable outcome, as the client can be observed utilizing different coping strategies in response to stressors.
Choice B reason: The ability to verbally express emotional feelings is an important therapeutic goal for clients with somatic symptom disorder, as it can help them articulate emotions rather than expressing them through physical symptoms.
Choice C reason: Identifying the relationship between stress and physical symptoms is a key component of managing somatic symptom disorder, as it helps the client understand how psychological factors can manifest physically.
Choice D reason: Learning to vary their schedule can help the client avoid routines that may contribute to stress, providing a sense of control and flexibility.
Choice E reason: Assuming responsibility for self-care activities is a significant step towards empowerment and self-management, which is essential for long-term treatment success.
Correct Answer is B
Explanation
Choice A reason: Memory loss is a hallmark symptom of dementia, often noticed as one of the first signs of cognitive decline associated with the condition.
Choice B reason: Individuals with dementia may experience difficulty with problem-solving or handling complex tasks, reflecting impaired executive function.
Choice C reason: Changes in mood or behavior, such as increased irritability or apathy, can occur in dementia due to changes in brain function affecting emotion regulation.
Choice D reason: Difficulty with language and communication, including finding the right words or following conversations, is common in dementia as it progresses.
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