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 ["B","C"]
Explanation
Choice A reason: While having a large number of pets can be a sign of hoarding, it is not necessarily a concern unless it negatively impacts the living conditions.
Choice B reason: Becoming angry and upset when attempting to remove items is a common reaction in individuals who hoard, indicating an emotional attachment to possessions.
Choice C reason: Inability to enter rooms due to clutter is a clear sign of hoarding, as it indicates that the accumulation of items has significantly interfered with the intended use of living spaces.
Choice D reason: Obsessive cleaning of the same areas may indicate a different issue, such as obsessive-compulsive disorder, rather than hoarding.
Choice E reason: Throwing away items deemed "unnecessary" is not typically associated with hoarding behavior, as hoarding involves difficulty parting with items.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: A cardiac monitor is essential during ECT to monitor the heart's electrical activity, as the procedure can affect heart rate and rhythm.
Choice B reason: A blood pressure monitor is necessary to track the client's blood pressure throughout the procedure, as ECT can cause fluctuations in blood pressure.
Choice C reason: A portable x-ray machine is not typically required in the setup for ECT.
Choice D reason: An EEG monitor is used during ECT to record the electrical activity of the brain, which is crucial for assessing the seizure activity induced by the treatment.
Choice E reason: An ophthalmoscope is not used during ECT; it is an instrument for examining the interior structures of the eye.
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