Author Question: The nurse finds that the client with a pain disorder has been in a physically and verbally abusive ... (Read 56 times)

kaid0807 · **on:** Jul 19, 2018

The nurse finds that the client with a pain disorder has been in a physically and verbally abusive relationship. The client feels guilty and fears a loss of love. According to psychoanalytic concepts, this is believed to be a(n):

1. Unconscious conflict from childhood that was reawakened in adulthood by a similar situation.
2. Environmental factor.
3. Stress related to relationships.
4. Brain abnormality.

Question 2

A nurse caring for a child is concerned about remaining therapeutic when working with a child with anger management issues. Which of the following must the nurse avoid in order to remain therapeutic?

1. Examining personal feelings about the child
2. Reflecting back on a situation
3. Projecting his/her feelings onto the child
4. Sharing his/her concerns with peers and colleagues

Melissahxx · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1
Rationale: The psychosocial theory addresses the psychoanalytic concepts of a repressed affect that is transformed into pain. Brain abnormality as an explanation of the pain disorder reflects biologic theory. Stress related to relationships as an explanation of the pain disorder derives from a humanistic view. Environmental factors are a component of the genetic theory.

Answer to Question 2

3
Rationale: Projecting is an ego defense mechanism whereby one places the undesirable behavior onto another. Projecting personal feelings onto the child who feels or acts in ways the nurse might have felt or acted affects the nurse's ability to respond to the child's actual therapeutic needs. The other choices are acceptable behaviors.