After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference?
Select one:

The nurse develops a trusting relationship with the patient.

The patient states,” Talking to you feels like talking to my parents and uncle."

The patient's reactions toward the nurse seem realistic and appropriate.

The nurse feels unusually and excessively happy when the patient's mood begins to lift.

Answer and Explanation

The Correct Answer is B

This statement by the patient suggests that they may be projecting their feelings, thoughts, and attitudes toward their parents and uncle onto the therapist. This projection is a common phenomenon in therapy and is known as transference. Transference occurs when a patient transfers emotions, desires, and expectations from one person to another, usually the therapist. It can be positive or negative and can aﬀect the therapeutic relationship.

Therefore, the statement "Talking to you feels like talking to my parents and uncle" is a clear indication of transference and should be carefully considered by the therapist in the ongoing therapy sessions. The therapist should explore the patient's feelings and experiences with their parents and uncle to better understand the nature of the transference and how it may be aﬀecting the therapeutic process.

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Correct Answer is A

Explanation

Chronic anxiety is a persistent feeling of unease, worry, or fear that can interfere with daily life. To manage chronic anxiety, the client needs to identify anxiety-producing situations that trigger their symptoms. This can help the client avoid or cope better with these situations. It is important to note that it is not always possible to eliminate stress and anxiety from daily life, so it is better to focus on managing it eﬀectively.

Trying to repress feelings of anxiety is not a helpful strategy and can make the client's symptoms worse in the long run. Repressing emotions can lead to feelings of frustration, irritability, and even physical symptoms such as headaches or muscle tension.

Contacting the crisis counselor once a week may be helpful for some clients, but it is not a standard recommendation for all clients with chronic anxiety. The discharge plan should include personalized recommendations that are tailored to the client's specific needs and circumstances.

A. has faster Start of acting than diazepam. B. does not produce blood dyscrasias or low WBC count. C. does not cause dependence and benzodiazepines cause dependence. D. can be administered as needed (PRN) only when you feel very anxious

Correct Answer is C

Explanation

Buspirone and benzodiazepines are both medications used to treat anxiety disorders, but they work in diﬀerent ways. Benzodiazepines like Xanax work by enhancing the eﬀects of a neurotransmitter called GABA, which can produce a sense of relaxation and calmness. However, benzodiazepines can also cause dependence, tolerance, and withdrawal symptoms when used for a prolonged period.

On the other hand, buspirone works by binding to serotonin and dopamine receptors in the brain, which can reduce anxiety. Unlike benzodiazepines, buspirone does not cause dependence, tolerance, or withdrawal symptoms, which makes it a safer option for long-term treatment of anxiety disorders.

Therefore, the healthcare provider may have prescribed buspirone instead of alprazolam because it is a safer alternative for long-term use, especially for individuals who have a history of substance abuse or dependence. The nurse should explain the benefits of buspirone and address any concerns the client may have about the medication.

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After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A registered nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

Correct Answer is A

Explanation

A client tells the nurse. "l wanted my health care provider to prescribe alprazolam (Xanax) for my anxiety disorder but buspirone (Buspar) was prescribed instead. Why?" The registered nurse's reply should be based on that buspirone: Select one:

Correct Answer is C

Explanation

A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record. which is most appropriate to administer as an as-needed (PRN) anxiolytic medication? Select one:

Lorazepam (Ativan) is prescribed for a client experiencing severe acute anxiety. Most important teaching should include instructions to:

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, “I shouldn't be crying like this, it happened a long time ago.” Which responses by the nurse will facilitate communication? Select all that apply. Select one or more:

A nurse is caring for a who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?

A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?

A registered nurse puts a client who has a psychotic disorder in seclusion overnight because the unit is very short-staﬀed, and the client frequently fights with other clients. the nurse's actions are an example of which of the following torts?

A patient who is experiencing moderate anxiety says, "l feel undone." An appropriate response for the registered nurse who needs clarification would be: Select one:

After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference?
Select one: