A nurse spends extra time with a client who has personality features similar to the nurse’s estranged spouse. Which aspect of countertransference is most likely to result?

Correct Answer: A

Rationale: The correct answer is A: Over-involvement. This is because the nurse's strong emotional response to the client, based on their similarities to the nurse's estranged spouse, may lead to over-involvement in the client's care. The nurse may project unresolved feelings or issues onto the client, impacting their ability to maintain appropriate professional boundaries. Summary: B: Misuse of honesty - Not directly related to the emotional response of the nurse towards the client. C: Indifference - Opposite of over-involvement, unlikely to result from the described scenario. D: Rescue - While the nurse may feel compelled to rescue the client due to their emotional response, over-involvement is a more direct result.

Correct Answer: C

Rationale: Consultation most often occurs during the Planning phase of the nursing process. During this phase, the nurse collaborates with other healthcare professionals to develop a comprehensive plan of care for the patient. This involves seeking input, advice, and expertise from various team members to ensure the best possible outcome for the patient. The Planning phase is where all the gathered information from the Assessment phase is synthesized and used to create specific interventions and goals for the patient. Consultation helps in refining the plan and ensuring that it aligns with evidence-based practices and interdisciplinary perspectives. Summary of other choices: A: Assessment - Involves collecting data about the patient's health status. Consultation typically happens after the assessment phase. B: Diagnosis - Involves analyzing data to identify health problems. Consultation is not primarily focused on making a diagnosis. D: Evaluation - Involves assessing the effectiveness of the care plan. Consultation is more focused on developing the plan rather than evaluating it.

Correct Answer: A

Rationale: The correct answer is A because assessing how the patient's family views mental illness is crucial in understanding environmental factors affecting mental health. This statement shows recognition of the influence of social support and stigma. Choices B and D focus on individual or economic factors, not environmental influences. Choice C is relevant to cultural considerations, but it does not directly address environmental factors impacting mental health like choice A does.

Correct Answer: D

Rationale: The correct answer is D because the Mental Health Parity Act mandates equal coverage for mental health disorders compared to physical health conditions. This is important to ensure fair and non-discriminatory treatment for individuals seeking mental health services. A is incorrect because the Mental Health Parity Act does not specifically address expanding Medicaid eligibility for uninsured Americans. B is incorrect because health insurance exchanges are not directly related to the provisions of the Mental Health Parity Act. C is incorrect because while the Act mandates equal coverage for mental health, it does not impose a general insurance mandate for coverage.

Correct Answer: A

Rationale: The correct answer is A: Physiological. According to Maslow's hierarchy of needs, physiological needs such as air, water, food, and sleep are the most basic needs that must be met first before addressing other higher-level needs. Nurses need to ensure patients have these basic physiological needs met for their survival and well-being. Safety (B), love and belonging (C), and self-actualization (D) are higher-level needs in the hierarchy that can only be addressed once physiological needs are fulfilled. It is essential for nurses to prioritize addressing physiological needs to establish a foundation for meeting higher-level needs.