The nurse who is caring for a client begins to have very protective feelings toward the client that are interfering with the therapeutic relationship between the nurse, the client, and the client's family
This is an example of a problem that is encountered in some therapeutic relationships and is known as: a. An environmental problem
b. Resistance
c. Transference
d. Countertransference
D
Countertransference, the inappropriate emotional response of a caregiver to a client, is occurring in this relationship. Environmental problems refer to items such as privacy and noise levels, resistance is a behavior of the client that demonstrates unwillingness to change or accept the need for change, and transference is the client's inappropriate feelings or behaviors directed toward the caregiver.
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Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse-client relationship?
1. "I can't bear the thought of leaving here and failing." 2. "I might have a hard time working with you, because you remind me of my mother." 3. "I really don't want to talk any more about my childhood abuse." 4. "I'm not sure that I can count on you to protect my confidentiality."
The nurse would expect which comment from a patient diagnosed with depersonalization disorder?
a. "I feel like I'm outside my body, watching what's happening." b. "I feel as though someone is reading thoughts in my mind." c. "I know I have cancer, but the doctors can't find it." d. "When I woke up, my legs were paralyzed."
The use of diagnosis-related groups (DRGs) was initiated by federal Medicare and private insurers to reduce health care costs. Which situations demonstrate the potential effect this initia-tive has had on clinical nursing practice?
a. A patient is discharged with only one opportunity to change his dressing with su-pervision. b. A patient can delay her discharge if she is unsure about changing her dressing. c. A patient's ambulation is delayed if he experiences too much pain. d. A patient can be admitted to the hospital for a colonoscopy.
The public health nurse working with the chronically ill and families with young children needing age-specific health maintenance is using which model of case management?
a. Client-focused b. System-focused c. Social service d. Long-term care