The nurse manager suspects that a novice nurse is experiencing countertransference re-garding a chronically ill, psychotic patient. Which response is most effective at this time?
a. "I realize this is a difficult situation but it will occur again if you don't manage it now."
b. "I want you to see our hospital counselor so that you can regain your professional attitudes."
c. "I believe you are no longer able to be therapeutic so I'm changing your patient assignment."
d. "I'd like to help you begin to self-reflect on the feelings you seem to have for this patient."
ANS: D
Countertransference is an emotional response on the part of the nurse that is a result of cer-tain qualities in a specific patient. The response is dramatic, irrational, and inappropriate. The initial response would be for the nurse to engage in a self-assessment that focuses on why these feelings are occurring. It is true that the nurse needs to manage the situation but will need some guidance regarding how to accomplish that. If self-reflection isn't successful, then professional counseling would be the appropriate step. Changing the nurse's assignment is not an effective means of managing the problem because it is a situation that reoccurs in nursing practice.
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