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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Risperidone is an antipsychotic medication commonly used to treat positive symptoms of schizophrenia, such as hallucinations or delusions.

Choice B reason: Haloperidol can be used to treat positive symptoms, but it is not as commonly used as risperidone due to its side effect profile.

Choice C reason: Clonazepam is typically used for anxiety or seizure disorders and is not the primary medication for treating schizophrenia symptoms.

Choice D reason: Clozapine is often reserved for treatment-resistant schizophrenia and is used to treat both positive and negative symptoms, but it is not the first-line treatment due to its potential side effects.

A. Employ ongoing communication with team members. B. Solve the problems of the client. C. Identify that behavior changes in the clients can occur quickly. D. Consider the client to be a personal friend. E. Discuss feelings of anger or frustration with colleagues.

Correct Answer is ["A","C","E"]

Explanation

Choice A reason: Ongoing communication with team members is essential in managing care for clients with personality disorders, as it ensures consistency and support among caregivers.

Choice B reason: Solving clients' problems is a goal, but it is not a technique to manage the nurse's frustration.

Choice C reason: Recognizing that behavior changes can occur quickly allows the nurse to adjust care plans promptly and may reduce frustration.

Choice D reason: It is not advisable to consider clients as personal friends, as this can blur professional boundaries and potentially lead to frustration.

Choice E reason: Discussing feelings of anger or frustration with colleagues can provide a support system for the nurse, helping to manage stress and prevent burnout.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should the nurse expect a physician to order to address this type of symptom?

Correct Answer is A

Explanation

A nurse is working with clients diagnosed with personality disorders. Which techniques would be most important for the nurse to use to effectively deal with the frustration in providing care to this group of clients? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

A nurse is discussing comorbidities associated with eating disorders with a newly admitted client. Which of the following conditions should the nurse include in the discussion? (Select all that apply)

What is Wernicke-Korsakoff syndrome?

The nurse is planning an approach that will be most effective in developing a therapeutic relationship with a client. Which disorder(s) will the nurse best employ a matter-of-fact approach with the client? (Select all that apply.)

A nurse is planning discharge for a client who has borderline personality disorder. Which of the following interventions should be included for this client?

The nurse is educating a client about their diagnosis of somatization disorder prior to the termination phase of the nurse-client relationship. Which statement by the client indicates a need for additional teaching?

A client and their spouse come to talk with the nurse about their suspicion that the client may have intermittent explosive disorder after researching it on the internet. Which behaviors reported by the spouse indicate that the client may be experiencing this disorder? (Select all that apply.)

A nurse is assessing a client who has illness anxiety disorder. Which of the following findings should the nurse expect?