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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Russell’s sign is a physical symptom that is associated with bulimia nervosa. It refers to the presence of calluses on the knuckles or back of the hand that are caused by repeated self-induced vomiting.
Option a. Very low BMI is not typically associated with bulimia nervosa. People with bulimia nervosa may have a normal or above-normal BMI.
Option b. Decreased size of parotid glands is not associated with bulimia nervosa. In fact, people with bulimia nervosa may have an enlarged parotid gland due to repeated vomiting.
Option d. Fluid and electrolyte overload is not typically associated with bulimia nervosa. People with bulimia nervosa may experience fluid and electrolyte imbalances due to repeated vomiting and laxative abuse.
Correct Answer is C
Explanation
Schizophrenia is a severe mental illness associated with an increased risk of suicide. Individuals with schizophrenia are at a higher risk of suicide due to the presence of symptoms such as depression, hopelessness, and social isolation. Unemployment is also a risk factor for suicide as it can contribute to financial and social stress.
The other options do have some risk factors, but not as high as the individual in option c. Alcohol use and being independent-minded are not necessarily significant risk factors for suicide, and being active in church can be a protective factor. While depression is a significant risk factor for suicide, it is not the only factor, and having two best friends may be a protective factor. Diabetes, in and of itself, is not a risk factor for suicide.
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