A supervisor observes inconsistency in the psychiatric-mental health nurse’s behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

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Pediatric Mental Health Depression NCLEX Questions Quizlet Questions

Question 1 of 5

A supervisor observes inconsistency in the psychiatric-mental health nurse’s behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

Correct Answer: A

Rationale: Countertransference (A) occurs when a nurse’s unresolved feelings affect patient interactions, explaining inconsistency. Empathic resonance (B) is positive, splitting (C) is patient-driven, and transference (D) is patient-to-nurse.

Question 2 of 5

A female patient reports an intense, overwhelming fear of driving a car. The fear has disrupted all elements of the patient’s life. The patient’s treatment plan includes:

Correct Answer: D

Rationale: Systematic desensitization (D) treats phobias like driving fear by gradual exposure, addressing disruption. Assertiveness (A), biofeedback (B), and stress management (C) are less specific.

Question 3 of 5

When planning inpatient psychotherapeutic activities for a patient who has antisocial personality disorder, the psychiatric-mental health nurse:

Correct Answer: C

Rationale: A structured environment (C) sets limits for antisocial PD’s manipulation. Group focus (A) may enable disruption, permissiveness (B) lacks boundaries, and withdrawal (D) mischaracterizes the disorder.

Question 4 of 5

Accompanied by many family members, a 16-year-old Chinese-American female patient is admitted to the unit with reports of sadness and suicidal ideation. Regarding the family, the psychiatric and mental health nurse:

Correct Answer: C

Rationale: Privately asking the mother (C) respects cultural family dynamics while facilitating privacy for assessment. Encouraging (A) burdens the patient, direct asking (B) may offend, and care with family (D) limits confidentiality.

Question 5 of 5

A patient who is admitted to the psychiatric unit with a diagnosis of obsessive-compulsive disorder spends a significant amount of time during the day and night washing his or her hands. On the third hospital day, the patient reports feeling better and more comfortable with the staff and other patients. The psychiatric-mental health nurse knows that the most appropriate nursing intervention is to:

Correct Answer: C

Rationale: Collaborating to reduce rituals (C) builds on comfort and trust, addressing OCD therapeutically. Acknowledging (A) reinforces, allowing (B) avoids progress, and ignoring (D) neglects intervention.

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