As you begin working with her, you notice Ms. V has an uncanny resemblance to your younger sister. As a child, this sister lied and criticized you constantly, then screamed and cried to others if you challenged her. You realize that you are responding negatively to this patient. What’s going on here?

Correct Answer: D

Rationale: The correct answer is D: Countertransference. Countertransference refers to the therapist's emotional reaction towards a client based on the therapist's own unresolved feelings or experiences. In this scenario, the therapist is reacting negatively to the patient due to unresolved feelings related to their past interactions with their younger sister. This negative reaction can impact the therapeutic relationship and the therapist's ability to provide effective treatment. Summary: A: Mutuality does not address the therapist's personal reaction to the patient. B: Self-System focuses on the client's self-concept, not the therapist's reaction. C: Self-actualization pertains to the client's personal growth, not the therapist's emotional response.

Correct Answer: C

Rationale: The correct answer is C because asking the patient what role spirituality plays in daily life shows understanding of the initial action in assessing spiritual beliefs. This approach allows the nurse to gather information directly from the patient, which is essential in understanding individual beliefs. Choice A may assume the patient's beliefs, choice B involves outside intervention, and choice D focuses on providing care rather than assessing beliefs.

Correct Answer: A

Rationale: The correct answer is A: Emergency department records. Renata, as Amadi's nurse, can obtain more data on his condition from the emergency department records because they may contain relevant information about his psychiatric evaluation at the time of the court order. It is within legal parameters since it pertains to his current treatment. B: Police records related to the offense are not directly related to Amadi's psychiatric condition and may not provide necessary medical information. C: Calling his family in Africa for details is a breach of patient confidentiality and violates legal and ethical boundaries. D: Past medical records in the current facility may be limited in scope, as mentioned in the question, and may not provide a comprehensive understanding of Amadi's condition.

Correct Answer: A

Rationale: The correct answer is A: Auditory. During an admission assessment and interview, the nurse should monitor auditory communication channels to listen to the patient's verbal responses, tone, and any additional information provided through spoken words. This is crucial to gather accurate information and assess the patient's condition effectively. Incorrect options: B: Visual - While visual cues are important, auditory communication is more critical in an interview to understand the patient's verbal responses. C: Written - Written communication is not typically used during an interview process and is less immediate compared to auditory communication. D: Tactile - Tactile communication involves touch and is not commonly used during an interview process.

Correct Answer: C

Rationale: The correct answer is C because it exemplifies a double-bind message where Noah appears to comply with the request to tell anything but his sneer and purring tone indicate sarcasm or insincerity, creating conflicting messages. This can confuse the receiver, making it difficult to discern the true intention. Choice A involves inappropriate behavior but lacks the conflicting messages typical of a double-bind. Choice B shows resistance but doesn't present contradictory messages. Choice D shows emotional distress and a clear request to avoid a topic, but it lacks the contradictory nature of a double-bind message.