Which of the following is a difference between counseling and psychotherapy?
A) Psychotherapy is reserved for clients who have a documented history of failing to respond to counseling.
B) Generalist psychiatric nurses may perform counseling interventions, but psychotherapy is an advanced practice role.
C) Transference and countertransference are significant obstacles in psychotherapy that can be avoided in a counseling mode.
D) Counseling may be used in the care of acutely psychotic clients, but psychotherapy is contraindicated.
Ans: B
The psychiatric nurse uses counseling interventions, but psychotherapy requires advanced certification according to the American Nurses Association. Psychotherapy is not reserved solely for those who have not responded to counseling. Transference and countertransference are significant obstacles in both modes, and neither intervention is appropriate during acute psychotic episodes.
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