COMPLTE SOLUTION
A nurse is admitting a new client on the mental health unit. During the conversation the nurse
should be aware that countertransference can occur if the nurse display what feeling?
Occurs when a health care team member displaces characteristics of people in her past
onto a client.
Behaviors:
• Nurse overly identifies with client
• Nurse competes with client
• Nurse argues with client
Example: a nurse may feel defensive and angry with a client for no apparent reason if the
client reminds her of a friend who often elicited those feelings.
Nursing implications: a nurse should be aware that clients who induce very strong
personal feelings may become objects of countertransference.
A client on the mental health unit is being discharge to a community base program referred to as
Assertive Community Treatment. (ACT) What should the nurse explain to the client about this
program?
• This includes nontraditional case management and treatment by an
interprofessional team for clients who have severe mental illness and are
noncompliant with traditional treatment.
• ACT helps to reduce reoccurrences of hospitalizations and provides crisis
intervention, assistance with independent living, and information regarding
resources for necessary support services.
What are the legal rights of a person admitted to an inpatient mental health facility?
• Informed consent and the right to refuse treatment
• Confidentiality
• A written plan of care/treatment that includes discharge follow-up, as well as
participation in the care plan and review of that plan
• Communication with people outside the mental health facility, including family
members, attorneys, and other health care professionals
• Provision of adequate interpretive services if needed
• Care provided with respect, dignity, and without discrimination
• Freedom from harm related to physical or pharmalogical restraint, seclusion, and
any physical or mental abuse or neglect
• A psychiatric advance directive that includes the client’s treatment preference in
the event that an involuntary admission if necessary
• Provision of care with the least restrictive interventions necessary to meet the
client’s needs without allowing him to be a threat to himself or others
A nurse is caring for a client who is admitted to the unit for self-mutilation. What type of
behavioral therapy would the nurse expect to be ordered for this client?
, A nurse is admitting a new client on the mental health unit. During the conversation the nurse
should be aware that countertransference can occur if the nurse display what feeling?
Occurs when a health care team member displaces characteristics of people in her past
onto a client.
Behaviors:
• Nurse overly identifies with client
• Nurse competes with client
• Nurse argues with client
Example: a nurse may feel defensive and angry with a client for no apparent reason if the
client reminds her of a friend who often elicited those feelings.
Nursing implications: a nurse should be aware that clients who induce very strong
personal feelings may become objects of countertransference.
A client on the mental health unit is being discharge to a community base program referred to as
Assertive Community Treatment. (ACT) What should the nurse explain to the client about this
program?
• This includes nontraditional case management and treatment by an
interprofessional team for clients who have severe mental illness and are
noncompliant with traditional treatment.
• ACT helps to reduce reoccurrences of hospitalizations and provides crisis
intervention, assistance with independent living, and information regarding
resources for necessary support services.
What are the legal rights of a person admitted to an inpatient mental health facility?
• Informed consent and the right to refuse treatment
• Confidentiality
• A written plan of care/treatment that includes discharge follow-up, as well as
participation in the care plan and review of that plan
• Communication with people outside the mental health facility, including family
members, attorneys, and other health care professionals
• Provision of adequate interpretive services if needed
• Care provided with respect, dignity, and without discrimination
• Freedom from harm related to physical or pharmalogical restraint, seclusion, and
any physical or mental abuse or neglect
• A psychiatric advance directive that includes the client’s treatment preference in
the event that an involuntary admission if necessary
• Provision of care with the least restrictive interventions necessary to meet the
client’s needs without allowing him to be a threat to himself or others
A nurse is caring for a client who is admitted to the unit for self-mutilation. What type of
behavioral therapy would the nurse expect to be ordered for this client?
Dialectical behavior therapy is a cognitive-behavioral therapy used for clients who exhibit
self-injurious behavior. It focused on gradual behavior changes and provides acceptance
and validation for these clients.
The client states that she is going through a divorce and her anxiety is extremely high. The
nurse needs to assess the client’s ability to adapt and cope with this situation. What would this
include?