A nurse is discussing the care of a client who has alcohol use disorder with another nurse. Which of the following statements should the nurse identify as an indication of countertransference?

"The client is just like my parent, who never could quit drinking."

"The client needs to accept responsibility for their drinking."

"The client asked me to go on a date."

"The client shares their feelings openly during group therapy."

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement is an indication of countertransference because the nurse is projecting personal feelings and experiences onto the client. By comparing the client to their parent who struggled with drinking, the nurse may unconsciously treat the client differently based on unresolved emotions or past experiences. Countertransference can interfere with the nurse's ability to provide objective and compassionate care.

Choice B reason: This statement reflects a judgment about the client's responsibility for their drinking but does not indicate countertransference. While it is important for clients to take responsibility for their actions, this statement does not involve the nurse projecting their own feelings or experiences onto the client. It is more about the nurse's perspective on the client's behavior.

Choice C reason: This statement describes an inappropriate boundary violation by the client but does not indicate countertransference on the part of the nurse. The nurse should address the boundary issue professionally, but this situation does not involve the nurse's personal feelings or experiences influencing their perception of the client.

Choice D reason: This statement is a factual observation about the client's behavior during group therapy and does not indicate countertransference. It reflects the client's willingness to share their feelings, which is a positive aspect of their therapy process. There is no evidence of the nurse's personal feelings or experiences affecting their assessment of the client.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Systematic desensitization is a technique primarily used for anxiety disorders and phobias, rather than for preventing relapse in depression. This method involves gradually exposing a person to anxiety-provoking stimuli while teaching them relaxation techniques to cope with the anxiety. While it is an effective therapeutic tool, it is not specifically aimed at preventing relapse in depression. Instead, it is more suitable for conditions where anxiety and avoidance behaviors are predominant issues.

Choice B reason: Antidepressant medications typically take several weeks to begin showing their full therapeutic effects, not just a few days. Telling a client that they will feel better in a few days can lead to unrealistic expectations and potential disappointment if the medication does not work immediately. Clients should be informed that it might take a few weeks to notice significant improvements and that they should continue taking the medication as prescribed and follow up with their healthcare provider.

Choice C reason: Identifying how one reacts to stressful events is crucial in managing depression and preventing relapse. Stressful events can trigger or exacerbate depressive episodes. By understanding their responses to stress, clients can develop coping strategies and seek appropriate support when needed. This proactive approach helps in recognizing early signs of relapse and implementing measures to mitigate the impact of stress on their mental health. Therefore, this advice is practical and directly applicable to preventing depression relapse.

Choice D reason: Snapping a rubber band on the wrist as a way to interrupt depressive thoughts is a behavioral technique that might work for some individuals in the short term. However, it is not a comprehensive strategy for preventing depression relapse. This method is more of a distraction technique and does not address the underlying issues or equip the client with long-term coping strategies. Effective relapse prevention in depression involves a more holistic approach, including cognitive-behavioral techniques, medication adherence, and lifestyle changes.

A. The client's home has lead paint on the walls. B. The client's twin sibling has schizophrenia. C. The client is opioid dependent. D. The client's mother used tobacco products during pregnancy.

Correct Answer is B

Explanation

Choice A reason: Lead paint exposure is associated with various health issues, particularly in children, but it is not a recognized risk factor for schizophrenia. Lead poisoning can cause cognitive and behavioral problems, but it does not directly increase the risk of developing schizophrenia.

Choice B reason: Having a family member, especially a twin sibling, with schizophrenia significantly increases the risk of developing the condition. Genetics play a crucial role in the development of schizophrenia, and individuals with a first-degree relative who has schizophrenia are at a higher risk of developing the disorder.

Choice C reason: Opioid dependence is associated with various mental health issues, including depression and anxiety, but it is not a direct risk factor for schizophrenia. Substance abuse can exacerbate existing mental health conditions, but it does not inherently cause schizophrenia.

Choice D reason: While maternal tobacco use during pregnancy is linked to various adverse outcomes, including low birth weight and developmental issues, it is not specifically identified as a risk factor for schizophrenia. The relationship between prenatal tobacco exposure and schizophrenia is not well-established.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is discussing the care of a client who has alcohol use disorder with another nurse. Which of the following statements should the nurse identify as an indication of countertransference?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has been admitted with manifestations of paranoia. Which of the following findings should the nurse identify as a risk factor for schizophrenia?

Correct Answer is B

Explanation

A nurse is assisting with the involuntary admission of a client who has an anxiety disorder and is unable to meet their basic physical needs. Which of the following statements should the nurse make to the client?

A nurse is collecting data from a client who reports cessation of nicotine use. Which of the following manifestations should the nurse expect? (Select all that apply.)

A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?

A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which of the following actions should the nurse recommend implementing to assist the client with performing ADLs?

A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following information should the nurse include?

A charge nurse is reinforcing teaching with a newly licensed nurse about the clinical manifestations of dependent personality disorder. Which of the following manifestations should the nurse include in the teaching?

A nurse is reinforcing teaching with a client who has a new prescription for a nicotine transdermal system. Which of the following statements should the nurse make?

A nurse is discussing the care of a client who has alcohol use disorder with another nurse. Which of the following statements should the nurse identify as an indication of countertransference?