A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:
Cultural humility
Countertransference
Transference
Professional competency
The Correct Answer is B
A. Cultural humility involves recognizing and respecting differences in beliefs and values while maintaining self-awareness. It does not explain erratic emotional responses.
B. Countertransference occurs when a nurse projects personal emotions onto a client, leading to overinvolvement (excessive kindness) or negative reactions (hostility). This can affect professional boundaries and care.
C. Transference occurs when a client unconsciously transfers feelings about past relationships onto the nurse (e.g., treating the nurse as a parental figure). This is the reverse of countertransference.
D. Professional competency refers to maintaining clinical skills and ethical behavior. Displaying inconsistent emotional responses toward a client is not an example of competency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Projection is a defense mechanism where a client attributes their own feelings to someone else (e.g., “I know you don’t like me” when they actually dislike the nurse).
B. Countertransference is the nurse’s emotional reaction toward the client, not the client’s reaction to the nurse.
C. Empathy involves understanding and sharing another person’s emotions, which is not what is happening in this scenario.
D. Transference occurs when a client projects feelings about another person onto the nurse (e.g., seeing the nurse as a loved one).
Correct Answer is C
Explanation
A. "Do you need any more resources or information?" This question focuses on resource provision rather than emotional clarification. While important, it does not specifically invite the client to explore their feelings.
B. "You feel like you have the support needed to be successful." This is a statement, not a question, and may lead the client to agree rather than express their true emotions. A better approach would involve open-ended questioning.
C. "Tell me what kind of coping skills you have." This open-ended question encourages the client to reflect on their coping mechanisms and emotional responses, facilitating deeper discussion and emotional clarification.
D. "Do you understand your next step in treatment?" This focuses on treatment adherence rather than the client’s emotions. While important for education, it does not directly encourage emotional exploration.
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