Author Question: The nurse is working with a client who has demonstrated an unwillingness to change self-defeating ... (Read 19 times)

cookcarl · **on:** Jul 19, 2018

The nurse is working with a client who has demonstrated an unwillingness to change self-defeating behaviors. The nurse determines that the patient is exhibiting resistance.

Which of the following phenomena are forms of client resistance? Standard Text: Select all that apply. 1. Overdisclosure
2. Negative transference
3. Acting-out
4. Countertransference
5. Positive transference

Question 2

A new nurse is oriented to a position in a community health center that serves a diverse client population. The new nurse says, The first thing I need to do is learn everything possible about the cultures of all the clients.

What is the best response staff can give the new nurse? 1. You need to first understand who you are.
2. This will come with time as you get to know clients and then encounter problems.
3. I will give you a great book that describes all of the critical factors.
4. You should always be nonjudgmental.

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

Answer to Question 1

2,3
Rationale: Overdisclosure. Overdisclosure refers to an excessive amount of self-disclosure by the nurse that can overwhelm and engulf the client. Overdisclosure can impede therapeutic progress, especially with clients who have poor ego boundaries, but it is not a form of client resistance.

Answer to Question 2

1
Rationale: It is a priority for the nurse to develop an awareness of his or her own perceptions, prejudices, and stereotypes regarding the particular cultural groups of interest. Reading about culture and remaining nonjudgmental are strategies that can be incorporated after engaging in a self-awareness inventory. Although experience working with diverse clients will help, it will be more meaningful after engaging in a self-awareness inventory.