A patient shouts at a nurse who just entered the room, "You're an incompetent fool. Leave me alone." The nurse's response should be based on which rationale?
a. The anger was created by a situation or significant person, not the nurse.
b. The reaction probably results from transference and countertransference.
c. The patient is probably reacting to fear of loss of emotional control.
d. The patient has a right to openly express negative feelings.
A
Anger toward the nurse is often displaced anger that has arisen from some situation or significant person in the patient's life. Nurses feel the brunt of the anger because they are "handy" and might be considered by the patient to be a safe object for the displacement. Knowing that the nurse is not the true object of the anger allows the nurse to plan a therapeutic strategy for helping the individual manage the emotion. None of the other options provides an accurate basis for planning intervention.
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