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

Choice A Reason:

This response is dismissive and invalidates the son's feelings of guilt. It does not acknowledge or address his emotional distress. Providing false reassurance and shifting focus to work is not therapeutic.

Choice B Reason:

This response reflects therapeutic communication. It validates the son’s feelings by acknowledging his guilt and encourages him to express his emotions. Reflective listening allows the nurse to build trust and support the son in processing his emotions.

Choice C Reason:

Asking "Why" can feel accusatory or judgmental, making the son defensive. While the statement attempts to provide reassurance, it fails to address his emotional state and may shut down further communication.

Choice D Reason:

Although this response provides some reassurance and normalization, it minimizes the son's emotions by focusing on generalizations. It lacks the reflective quality necessary for therapeutic communication in this situation.

A. Have too far from art and history museums to visit them as often as I would like B. Four robberies and three assault to occurred in my neighborhood in the past month C. Feel so alone. I wish had someone special in my life. D. Did not do a good job on the project may supersker assigned

Correct Answer is B

Explanation

Choice A Reason:

“I live too far from art and history museums to visit them as often as I would like. “This pertains more to self-actualization and leisure activities, which are higher-level needs.

Choice B Reason:

"Four robberies and three assaults occurred in my neighborhood in the past month. “This statement addresses safety concerns, which fall under the second level of Maslow's hierarchy. Ensuring safety is a fundamental need that takes priority before addressing social or esteem needs.

Choice C Reason:

"I feel so alone. I wish I had someone special in my life." This addresses the need for belonging and social connection, which is a higher-level need compared to safety.

Choice D Reason:

"I did not do a good job on the project my supervisor assigned." This relates to self-esteem and job performance, which are higher-level needs.

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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

A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

Using Maslow's pyramid, which patient comment would the nurse respond to first?

Correct Answer is B

Explanation

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