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: Bright colors such as red, blue, green, purple, and pink are associated with patient arousal, excitement, and increased energy levels which can be beneficial for psychiatry patients by enhancing their alertness and motivation.
Choice B rationale: Bright colors are not frightening. However, they may trigger negative associations and memories for some individuals.
Choice C rationale: Bright colors are not depressive but instead they may evoke positive emotions and joy for individuals who may be feeling low and hopeless.
Choice D rationale: Bright colors have a calming effect since they have a soothing and relaxing effect on the client’s nervous system.
Correct Answer is A
Explanation
The working phase of the nurse-client relationship entails the implementation of interventions and evaluation of outcomes while modifying the plan of care with need. The nurse supports and educates the client while helping them to cope with their situation. This process requires constant communication, trust, and collaboration between the nurse and the client.
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