Transference is best described as which of the following?

The patient projecting feelings onto the nurse based on past relationships

The nurse projecting feelings onto the patient based on personal experiences

The patient refusing to engage in therapeutic discussions

The nurse establishing boundaries with the patient

Answer and Explanation

The Correct Answer is A

Choice A reason: Transference occurs when a patient unconsciously projects feelings or attitudes from past relationships onto the nurse, a common phenomenon in psychotherapy. This influences the therapeutic relationship, requiring careful management, aligning with psychoanalytic principles, making this the correct choice.

Choice B reason: The nurse projecting feelings onto the patient describes countertransference, not transference. This involves the nurse’s unconscious biases, which can hinder therapy if not addressed, but it is distinct from the patient-driven process of transference, making this choice incorrect.

Choice C reason: A patient refusing to engage reflects resistance, not transference. Resistance involves avoiding therapeutic work, often due to anxiety, but it lacks the projective quality of transference, which involves redirecting past emotions, making this choice incorrect.

Choice D reason: Establishing boundaries is a therapeutic technique, not transference. Boundaries ensure professional interactions but do not involve the unconscious projection of feelings from past relationships, which defines transference, making this choice incorrect for the described phenomenon.

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Correct Answer is C

Explanation

Choice A reason: GABA, an inhibitory neurotransmitter, reduces neuronal activity, not enhances cognitive functions like memory. Memory improvement is associated with cholinergic or glutamatergic systems, not GABA, making this choice incorrect for the expected effect of GABA potentiation.

Choice B reason: Fewer visual hallucinations are associated with antipsychotics affecting dopamine, not GABA. GABA’s inhibitory effects calm the brain but do not directly target psychotic symptoms like hallucinations, making this choice incorrect for the medication’s effect.

Choice C reason: GABA potentiation, as with benzodiazepines, enhances inhibitory effects, reducing neuronal excitability and calming the central nervous system. This directly alleviates anxiety, a primary therapeutic effect, aligning with GABA’s role in anxiety disorders, making this the correct choice.

Choice D reason: Increased alertness is contrary to GABA’s inhibitory effects, which promote sedation. Stimulants, not GABAergic drugs, enhance alertness, making this choice incorrect, as GABA potentiation leads to calming, not stimulating, effects on the brain.

A. Silence allows group members to reflect and process emotions B. Silence encourages immediate verbal responses from participants C. Silence is used to discipline uncooperative group members D. Silence replaces active listening in group therapy

Correct Answer is A

Explanation

Choice A reason: Silence in group therapy provides space for reflection, allowing members to process emotions and thoughts. This supports therapeutic goals by fostering insight and self-awareness, aligning with psychiatric principles of facilitating emotional processing, making this the correct choice.

Choice B reason: Silence does not encourage immediate verbal responses; it promotes contemplation. Encouraging quick responses may pressure participants, disrupting therapeutic processing, which relies on reflective pauses, making this statement contrary to the therapeutic use of silence and incorrect.

Choice C reason: Using silence to discipline is punitive, not therapeutic. Silence in therapy aims to facilitate reflection, not control behavior, which contradicts psychiatric nursing principles of fostering a supportive environment, making this choice incorrect and non-therapeutic.

Choice D reason: Silence complements, not replaces, active listening. Active listening involves verbal and nonverbal engagement, while silence provides reflective space. Replacing listening with silence undermines therapeutic communication, making this statement incorrect for the role of silence in therapy.

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Transference is best described as which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which effect would be expected?

Correct Answer is C

Explanation

Silence can be a helpful therapeutic tool for group participants by giving each an opportunity to contemplate what has transpired, weigh alternatives, and formulate ideas. Which statement best supports this?

Correct Answer is A

Explanation

Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

A nurse uses Maslow's hierarchy of needs to plan care for a patient diagnosed with mental illness. Which problem will receive priority?

Hildegard Peplau came up with the phases of the nurse-patient relationship. What does the nurse address during the orientation phase with a patient diagnosed with a psychiatric disorder?

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