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A teenaged client is playing a video game when the nurse says it is time to go to sleep. The teen says angrily, 'You sound just like my mother at home!' and continues to play the video game. The nurse understands that this statement likely indicates
- A. The need of firm limit-setting
- B. Transference
- C. Ineffective parenting
- D. A personality disorder
Correct Answer: B
Rationale: Transference occurs when a client projects attitudes or feelings from past relationships, such as those with a parent, onto the therapist. The teen's reaction reflects this dynamic, not necessarily ineffective parenting, a disorder, or the need for limit-setting.
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A nurse is assisting a patient who is working on the technique of systematic desensitization. When the patient feels anxious, the nurse can best use the principles of this technique by stating.
- A. Use the deep breathing techniques we practiced yesterday.
- B. What is the worst that will happen if you confront this fear?
- C. Tell me how you are feeling right now.
- D. I can see you are anxious. Let's stop for a minute.
Correct Answer: A
Rationale: Systematic desensitization involves using learned relaxation techniques, like deep breathing, to manage anxiety during exposure to fear-inducing stimuli.
A patient is blaming his impending divorce on the fact that his wife goes out frequently with her girlfriends. If using reality therapy, the nurse would help the patient with which of the following responses?
- A. If you really love her, she should love you as well.
- B. What does being divorced mean for you?
- C. How do you feel about your marriage ending?
- D. What role do you think you have played in the end of your marriage?
Correct Answer: D
Rationale: Reality therapy encourages clients to examine their own behaviors and their impact on life goals, such as taking responsibility for their role in the divorce.
A nurse is working with a patient with an eating disorder who refuses to eat a muffin. The nurse asks the patient 'Is there any way that you could see the muffin as just flour and water, basic nutrients your body needs?' In this statement, the nurse is using which type of therapy?
- A. Rational emotive therapy
- B. Cognitive therapy
- C. Gestalt therapy
- D. Reality therapy
Correct Answer: B
Rationale: Cognitive therapy focuses on altering thought patterns, like reframing the muffin as basic nutrients, to change behavior and perceptions.
The nurse has established a therapeutic relationship with a patient. The patient is beginning to share feelings openly with the nurse. The relationship has entered which phase according to Peplau's theory?
- A. Orientation
- B. Identification
- C. Exploitation
- D. Resolution
Correct Answer: B
Rationale: In Peplau's theory, the identification phase is when the client works interdependently with the nurse, expresses feelings, and begins to feel stronger. This follows the orientation phase and precedes exploitation and resolution.
A nursing supervisor reprimands an employee for being chronically late for work. If the employee handles the reprimand using the defense mechanism of displacement, he would most likely do which of the following?
- A. Argue with the supervisor that he is usually on time
- B. Make a special effort to be on time tomorrow
- C. Tell fellow employees that the supervisor is picking on him
- D. Tell the unit housekeeper that his work is sloppy
Correct Answer: D
Rationale: Displacement involves redirecting feelings toward a less threatening target. Venting frustration at the housekeeper, rather than the supervisor, exemplifies displacement.