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: The correct answer is option C) The nurse feels unusually happy when the patient's mood begins to lift because this indicates a potential occurrence of countertransference. Countertransference occurs when a healthcare provider develops emotional responses toward a patient that are not based on the patient's actual feelings, but rather on the provider's unresolved issues or emotions. In this case, the nurse feeling unusually happy as the patient's mood improves suggests a personal emotional investment beyond professional boundaries. Option A) The patient's reactions toward the nurse seem realistic and appropriate is incorrect because it describes a positive therapeutic relationship between the patient and the nurse, which is a desirable outcome in behavioral nursing. Option B) The patient stating, "Talking to you feels like talking to my parents" may indicate a transference reaction where the patient is projecting feelings towards the nurse based on their relationship with their parents, but it does not necessarily signify countertransference on the nurse's part. Option D) The nurse developing a trusting relationship with the patient is also a positive aspect of therapeutic encounters and does not inherently indicate countertransference. Educationally, understanding countertransference is crucial for nurses to maintain professional boundaries and provide effective care. Recognizing these dynamics can help nurses address their own emotions, seek supervision or support, and ensure the focus remains on the patient's needs rather than their own unresolved issues.

Correct Answer: C

Rationale: The correct answer is option C: "spends time listening to me talk about my problems. That helps me feel like I am not alone." This response indicates that the patient perceives the nurse as caring because active listening and providing emotional support are key components of demonstrating empathy and building a therapeutic relationship in nursing care. By listening attentively and showing genuine interest in the patient's concerns, the nurse fosters trust and a sense of being understood and supported. Option A focuses on a practical aspect of care but does not necessarily convey emotional connection or empathy. Option B highlights the importance of patient education and collaboration in care, which are valuable but may not directly address the patient's emotional needs for feeling cared for and supported. Option D, on the other hand, emphasizes compliance with treatment rather than the emotional aspect of care. In an educational context, it is crucial for nursing students to understand that effective communication, active listening, empathy, and emotional support are essential components of providing patient-centered care. By recognizing cues indicating patients' perceptions of care, nurses can tailor their approach to meet both the physical and emotional needs of patients, ultimately enhancing the quality of care and patient outcomes.

Correct Answer: C

Rationale: In the context of behavioral nursing, understanding the prevalence of different mental health problems is crucial for providing effective care. In this question, the correct answer is C) Major depressive disorder, which has the highest annual prevalence in the United States. Major depressive disorder affects a significant portion of the population, with estimates suggesting that about 17.3 million American adults have experienced at least one major depressive episode. This high prevalence underscores the importance of recognizing and treating this condition in nursing practice. When comparing the other options: A) Schizophrenia is a severe mental disorder, but it has a lower annual prevalence compared to major depressive disorder. B) Panic Disorder and D) Generalized anxiety disorder are common mental health conditions, but they do not have as high an annual prevalence as major depressive disorder in the U.S. Educationally, understanding the prevalence rates of different mental health disorders helps nurses prioritize their clinical assessments, interventions, and resources. By recognizing the high prevalence of major depressive disorder, nurses can be better prepared to address this common mental health issue in their patient populations, promoting better outcomes and quality of care.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Countertransference. Countertransference occurs when a healthcare provider projects their feelings, biases, or past experiences onto a patient, influencing their perceptions and reactions. In this case, the negative feelings towards Ms. V due to her resemblance to the provider's sister indicate unresolved issues from the past interfering with the therapeutic relationship. Option A) Mutuality refers to a sense of shared experience and connection, which is not relevant to the provider's personal reaction to the patient. Option B) Self-System pertains to an individual's cognitive structure and self-concept, not the provider's emotional response. Option C) Self-actualization relates to reaching one's full potential and personal growth, which is not applicable in this context. Educationally, understanding countertransference is crucial in nursing to maintain professionalism, self-awareness, and quality patient care. By recognizing and addressing countertransference, nurses can enhance their therapeutic relationships, improve patient outcomes, and promote their own emotional well-being. It also emphasizes the importance of ongoing self-reflection and seeking supervision or support when needed to navigate complex emotional dynamics in healthcare settings.

Correct Answer: C

Rationale: The correct response for the nurse to provide to Edgar, who says he needs his belt to keep his pants up after a suicide attempt, is option C: "I cannot provide your belt, but I will help you get some pants with an elastic waistband." This response is appropriate because it acknowledges Edgar's need for his belt while also prioritizing safety by offering a suitable alternative. Option A is incorrect because it does not address Edgar's immediate need and lacks empathy. Option B is incorrect as it is too general and does not offer a solution to Edgar's specific request. Option D is incorrect because it delegates the responsibility to another staff member without actively addressing Edgar's needs. In an educational context, it is crucial for nurses to understand the significance of patient safety, especially in situations involving suicide attempts. Providing appropriate responses that balance patient needs with safety protocols is essential in fostering trust and promoting recovery in psychiatric nursing settings. It is also important for nurses to demonstrate empathy and resourcefulness in finding alternative solutions to meet patients' needs.