Which cause is responsible for a patient reacting to the nurse by saying, "You are indifferent and cold, just like my mother"?

Overidentification

overinvolvement

Countertransference

Transference

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Overidentification is correct. Overidentification refers to a therapist or nurse identifying too closely with the patient, making it difficult to maintain professional boundaries.

Choice B Reason:

Overinvolvement is incorrect. Overinvolvement occurs when a therapist or nurse becomes excessively involved in a patient's life, potentially blurring professional boundaries.

Choice C Reason:

Countertransference is incorrect. Countertransference involves the emotional reactions that the therapist or nurse may have in response to the patient's transference. It reflects the therapist or nurse's unresolved issues and emotional responses triggered by the patient.

Choice D Reason:

Transference is incorrect. Transference occurs when a patient unconsciously projects feelings and attitudes from past relationships onto the nurse or therapist. In this case, the patient is attributing characteristics of being indifferent and cold to the nurse, similar to how they perceive their mother. This phenomenon is a form of unconscious redirection of emotions or attitudes.

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Correct Answer is B

Explanation

A. Building a trusting relationship:Establishing trust is essential in therapeutic relationships, especially with clients at risk for self-harm. However, ensuring the client’s immediate safety by searching belongings takes precedence to protect the client from further harm.

B. Searching her belongings:This is the first priority to ensure Patty’s immediate safety and prevent access to any objects she could use to harm herself. This action addresses the immediate risk and creates a safer environment for her.

C. Orienting her to the unit. Orientation to the unit helps the client feel more comfortable and understand the rules and layout of the facility, but it is not as urgent as ensuring her safety upon admission.

D. Helping her settle into her room:Assisting Patty in getting comfortable is important for her overall well-being but is secondary to securing her environment by removing any potentially harmful items.

Correct Answer is ["3.5"]

Explanation

He has been prescribed Fluphenazine decanoate 87.5 mg intramuscularly every 3 weeks to treat his schizophrenia. The nurse checks the medication order and the vial label. The vial contains Fluphenazine decanoate 25 mg per milliliter. To calculate the amount of medication to administer, the nurse uses the formula:

dose ordered / dose available = mL to administer

Substituting the values, the nurse gets:

87.5 mg / 25 mg/ml = 3.5 ml

Therefore, the nurse will administer 3.5 milliliters of Fluphenazine decanoate for this dose.

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Which cause is responsible for a patient reacting to the nurse by saying, "You are indifferent and cold, just like my mother"?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patty is admitted to the inpatient unit after she has cut her wrists. Which is the most important nursing intervention?

Correct Answer is B

Explanation

Russell enters the clinic for his medication injection. The order states Fluphenazine decanoate 87.5 mg IM every 3 weeks. The vial is labeled Fluphenazine decanoate 25 mg/ml. How many mL(s) will you administer for this dose?

Correct Answer is ["3.5"]

Explanation

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