As the nurse begins to discuss discharge plans for a 45-year-old female client hospitalized for anxiety, the client states, "You never really cared whether I get better! Why not stop this charade?" The nurse recognizes this to be:
Insecurity
Transference
Countertransference
Secondary gain
The Correct Answer is B
Choice A rationale: this is inaccurate since it does not display insecurity where feelings of inadequacy or uncertainty are displayed affecting the individual’s self-esteem and confidence.
Choice B rationale: transference is a defense mechanism where the patient unconsciously transfers their feelings, expectations, and attitudes from their previous relationship to a current relationship. In this case, the client is projecting her unresolved feelings about someone who did not care for her onto the nurse, who is trying to help her.
Choice C rationale: Countertransference is the process where the nurse unconsciously transfers their unresolved feelings and attitudes from a past relationship to their clients.
Choice D rationale: secondary gain is the benefit received by an individual for being sick, for instance, attention and sympathy. The client’s statement is an indication of rejection of the nurse’s help rather than seeking a secondary gain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: TCAs do not have an immediate mechanism of action and may take approximately 2-4 weeks to have an effect on the neurotransmitters involved in mood regulation hence the brain may take some time to adjust to these changes.
Choice B rationale: 1-2 weeks is too short, and may lead clients to feel discouraged or frustrated if they do not see any results by then hence informing them of the duration it will take before they can realize a change in their mood or anxiety is crucial.
Choice C rationale: 3-4 days is too short, and may lead clients to feel discouraged or frustrated if they do not see any results.
Choice D rationale: 1-2 days is too short and unrealistic gives the client false expectations and may make them think that the drugs are ineffective in their mood and anxiety control.
Correct Answer is A
Explanation
Choice A rationale: The client is not a problem in a therapeutic relationship but is instead the focus of care and their needs and preferences be considered in their care process.
Therefore, the client should also be encouraged to participate actively in the treatment and to provide feedback on the progress and challenges.
Choice B rationale: The environment, including issues like noise, interruptions, or lack of privacy, can impact the effectiveness of therapeutic interactions.
Choice C rationale: Financial resources, for instance, lack of insurance coverage, high costs of healthcare, and limited access to quality healthcare can impair effective patient care resulting in stress and frustration for the patient.
Choice D rationale: The caregiver's own challenges, such as burnout, communication issues, and lack of knowledge, skills, and experience can impair the quality of care provided to a client thus affecting the therapeutic relationship.
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