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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hysterical crying may indicate emotional distress but does not necessarily constitute a behavioral crisis unless it escalates to danger. It reflects an emotional response, not an immediate threat requiring urgent intervention, making it less severe than harm threats.
Choice B reason: Making threats to harm self and others indicates a behavioral crisis, signaling imminent danger due to a mental health condition. This requires immediate intervention to ensure safety, aligning with psychiatric emergency criteria, making this the correct choice.
Choice C reason: Nervous pacing suggests anxiety but does not inherently indicate a behavioral crisis. It lacks the immediate risk of harm to self or others, requiring monitoring but not urgent intervention, making this choice incorrect for a crisis scenario.
Choice D reason: Being wrapped in a blanket during group therapy suggests withdrawal or discomfort, not a behavioral crisis. It does not indicate imminent danger or severe behavioral dysregulation, making it an incorrect choice compared to explicit harm threats.
Correct Answer is C
Explanation
Choice A reason: Including the child in group activities promotes socialization but is not operant conditioning, which uses rewards to reinforce specific behaviors like speech. This approach lacks direct reinforcement, making it ineffective for the targeted behavior, thus incorrect.
Choice B reason: Observing others talking may model behavior but is not operant conditioning, which requires direct reinforcement of the desired action (speech). Passive observation does not provide the reward structure needed to encourage speech, making this choice incorrect.
Choice C reason: Operant conditioning uses positive reinforcement, like giving a treat for speaking, to increase the desired behavior. This directly rewards the child’s speech, aligning with behavioral psychology principles to encourage verbalization, making this the correct choice.
Choice D reason: Relaxation techniques address anxiety but are not operant conditioning, which focuses on reinforcing specific behaviors with rewards. They do not directly encourage speech, making this choice incorrect for the behavioral approach specified in the treatment plan.
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