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 C

Explanation

Choice A reason: Acrophobia is the fear of heights, which is not indicated by the client's fear of being outdoors alone.

Choice B reason: Xenophobia is the fear of strangers or foreigners, which does not align with the client's described fear.

Choice C reason: Agoraphobia is the fear of open spaces or being in crowded, public places like markets. It also includes the fear of leaving a safe place, such as home, which aligns with the client's symptoms.

Choice D reason: Mysophobia is the fear of germs, which is not related to the fear of being outdoors alone.

A. "All of the other clients on this unit must follow the rules of the unit." B. "No one is paying attention to me, and I am so angry!" C. "Why do you think others on the unit are being friendly to me?" D. "I am just not sure what activity to do; will you tell me?"

Correct Answer is B

Explanation

Choice A reason: This statement does not typically correlate with histrionic personality disorder, which is characterized by attention-seeking behavior rather than a focus on rules.

Choice B reason: This statement reflects the attention-seeking and emotional behavior often associated with histrionic personality disorder.

Choice C reason: While this statement could indicate a need for validation, it is not as directly related to the dramatic or attention-seeking behaviors typical of histrionic personality disorder.

Choice D reason: Indecisiveness can be a trait of histrionic personality disorder, but the statement does not directly reflect the characteristic patterns of behavior such as the need for attention.

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse is talking with a client diagnosed with histrionic personality disorder. Which statement made by the client does the nurse identify as correlating with this diagnosis?

Correct Answer is B

Explanation

A nurse is conducting a group session in the behavioral health unit for three clients on the topic of anxiety. The nurse determines that the session was successful based on which statement by the clients?

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.

The nurse is planning the care of a client with bipolar disorder and addiction to heroin who is in a rehabilitation facility. Which outcomes will the nurse assign in the immediate phase after withdrawal symptoms are over? (Select all that apply.)

A patient presents with gastrointestinal (GI) symptoms. Which issue do these symptoms correlate with?

The nurse observes a lack of hair on the eyebrows and hairline of a young adolescent. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

A nurse is performing a psychosocial assessment on an adolescent client. Which of the following should indicate to the nurse a potential risk for suicide? Select all that apply.

A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?

A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply.)