What is the most significant trigger for the development of a nurse-focused countertransference situation?

The degree of authority the nurse has

The nature of the client's diagnosis

The similar histories of the nurse and client

The similarities between the client and nurse's mother

The nurse reads a ’get-well’ card to the client.

Answer and Explanation

The Correct Answer is C

Countertransference occurs when a healthcare provider unconsciously redirects their own feelings and emotions onto their client. This can be triggered by similarities between the client and someone from the provider’s past or present, or by similarities between the client’s situation and the provider’s own experiences. In this case, if the nurse and client have similar histories, it may trigger countertransference in the nurse.

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Correct Answer is A

Explanation

Crisis intervention strategies aim to help individuals cope with and recover from a traumatic event or crisis. The first step in crisis intervention is to establish a sense of emotional security and safety for the individual. This can involve providing emotional support, active listening, and empathetic communication.

While the long-term resolution of issues and promotion growth of the individual may be important goals of crisis intervention, they are not the immediate focus. Crisis intervention is designed to address the immediate needs of the individual and help them stabilize their emotions and regain a sense of control.

Providing legal assistance may be necessary in some cases, but it is not typically a primary focus of crisis intervention. The immediate priority is to address the individual's emotional needs and help them access any necessary medical or mental health services.

A. A client is confused and combative. The nurse restrains him and then immediately seeks a physician’s order. B. A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion. C. A psychotic patient admitted involuntarily runs out of the psychiatric unit. The nurse follows him and succeeds in taking the client into returning to the unit. D. A client hospitalized as an involuntary admission, attempts to leave the unit. The nurse calls the security team and acts on established protocol: they prevent him from leaving.

Correct Answer is B

Explanation

A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion.

This nursing intervention constitutes false imprisonment because it involves unlawfully restraining the client against their will. In this case, the nurse is using the threat of seclusion to coerce the client into staying in their room, which could be considered unlawful restraint.

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What is the most significant trigger for the development of a nurse-focused countertransference situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A victim of violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on which of the following?

Correct Answer is A

Explanation

Which nursing intervention constitutes false imprisonment?

Correct Answer is B

Explanation

The nurse demonstrates active listening by what action?

Benjamin Rush included kindness, exercise, and what other method into his care?

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What situation would qualify for an involuntary mental health admission?

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