After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?

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Behavioral Health Certification for Nurses Questions

Question 1 of 5

After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?

Correct Answer: C

Rationale: Countertransference involves strong, unusual emotional reactions from the nurse toward the patient, often tied to the nurse’s own experiences. Feeling unusually happy about the patient’s mood improvement suggests over-identification, a sign of countertransference. Option A indicates appropriate patient behavior, Option B suggests patient transference, and Option D is a desirable therapeutic outcome, not countertransference.

Question 2 of 5

As a patient diagnosed with a mental illness is being discharged from a facility, a nurse invites the patient to the annual staff picnic. What is the best analysis of this scenario?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient’s hand. Select the correct analysis of the nurse’s behavior.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Nurse Gerry is aware that the defense mechanism commonly used by clients who are alcoholics is:

Correct Answer: B

Rationale: Denial is the most common defense mechanism in alcoholism, where individuals refuse to acknowledge the reality of their addiction (e.g., 'I don’t have a problem'). Displacement (A) involves redirecting emotions to another target, Projection (C) attributes one’s own feelings to others, and Compensation (D) offsets weaknesses with strengths—none align as closely with alcoholism as Denial.

Question 5 of 5

Which of the following are common aspects of co-morbidity in anxiety disorders?

Correct Answer: D

Rationale: Co-morbidity refers to the co-occurrence of multiple disorders. Option D includes all listed aspects: physiological overlap (A) between panic and phobia responses, shared cognitive biases (B) across anxiety disorders (Mathews & McLeod, 1994), and common early risk factors (C) like trauma. Each is a well-documented feature of anxiety disorder co-morbidity, making 'all of the above' correct.

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