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: Occasional sleeplessness and anxiety are common stress responses and do not necessarily indicate mental illness. These symptoms may reflect temporary issues rather than a diagnosable psychiatric condition, lacking specificity for severe mental illness compared to reality-testing deficits, making this choice incorrect.
Choice B reason: Inability to distinguish reality from non-reality is a hallmark of psychosis, a severe mental illness symptom seen in disorders like schizophrenia. This indicates impaired reality testing, a critical diagnostic criterion, making it the clearest indicator of mental illness among the options, thus the correct choice.
Choice C reason: Uncertainty about job changes reflects normal decision-making stress, not a mental illness. It lacks specificity for psychiatric conditions, as it is a common life concern. This choice does not indicate a significant mental health impairment compared to reality-testing issues, making it incorrect.
Choice D reason: Sadness and low mood may suggest depression, but they are less specific than psychotic symptoms like reality distortion. These feelings can occur in non-clinical contexts, making them less definitive for mental illness compared to inability to discern reality, rendering this choice incorrect.
Correct Answer is C
Explanation
Choice A reason: The orientation phase focuses on establishing group norms, trust, and goals, not addressing termination. Discussing endings at this stage could disrupt group cohesion and engagement, as members are building relationships, making this choice incorrect for introducing termination.
Choice B reason: The working phase emphasizes active therapeutic work, such as addressing conflicts and goals. Termination is not the focus, as members are engaged in processing issues. Introducing termination here could distract from ongoing work, making this choice incorrect.
Choice C reason: The termination phase is designed to address group closure, reviewing progress and preparing for separation. Discussing termination aligns with this phase’s focus on processing endings and transitioning, a key aspect of group therapy dynamics, making this the correct choice.
Choice D reason: The pre-group phase involves planning and recruitment, not therapeutic activities like addressing termination. This phase sets the stage for group formation, not closure, making it inappropriate for discussing termination, rendering this choice incorrect.
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