As the nurse begins to discuss discharge plans for a 45-year-old female client hospitalized for anxiety, the client states, "You never really cared whether I get better! Why not stop this charade?" The nurse recognizes this to be:
a. Transference
b. Secondary gain
c. Countertransference
d. Insecurity
A
Transference is a client's emotional response based on earlier relationships.
The most outstanding characteristic of transference is the inappropriateness of the client's responses. Secondary gain occurs when clients profit from or avoid unpleasant situations by remaining ill. Countertransference is based on caregiver's inappropriate response.
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A pregnant woman with a history of asymptomatic chronic human immunodeficiency virus (HIV) infection is seen at the clinic. The patient states, "I am very nervous about making my baby sick."
Which information will the nurse include when teaching the patient? a. The antiretroviral medications used to treat HIV infection are teratogenic. b. Most infants born to HIV-positive mothers are not infected with the virus. c. Because she is at an early stage of HIV infection, the infant will not contract HIV. d. It is likely that her newborn will become infected with HIV unless she uses antiretroviral therapy (ART).
The nurse is preparing to leave a client's isolation room. Which action should the nurse take first when removing a grossly soiled gown?
1. Grasp the sleeve of the dominant arm, and remove it with a gloved hand. 2. Release the neck ties of the gown and allow the gown to fall forward. 3. Untie the strings at the neck first. 4. Untie the strings at the waist first.
During discharge planning, a patient whose manic symptoms are remitting asks, "Do I have to take lithium even though I'm not high any longer?" The most appropriate response is:
a. "You can stop the medication 1 week after discharge.". b. "You will need to take medication for about 12 weeks.". c. "Usually patients take medication for 6 months after discharge.". d. "Taking the medication daily will help you avoid relapses and recurrences.".
A nurse in a community setting plans wellness outcomes with a 68-year-old female client who desires to participate in a half-marathon run. Which of the following outcomes should the nurse document?
A) The client will remain free of disease. B) The client will participate in daily aerobic activity class without falls. C) The client will increase activity until able to run 30 minutes. D) The client will participate in the half marathon that is scheduled in 6 months.