Answer to Question 1
ANS: B
Self-disclosure should serve one or more of the following purposes: to model and educate; to build the therapeutic alliance; to provide concrete reflection that encourages reality testing. The nurse does not use self-disclosure foster a interdependent relationship that in any way gives support to the nurse. Empathy does not rely upon shared experiences.
Answer to Question 2
ANS: D
Countertransference is an emotional response on the part of the nurse that is a result of cer-tain qualities in a specific patient. The response is dramatic, irrational, and inappropriate. The initial response would be for the nurse to engage in a self-assessment that focuses on why these feelings are occurring. It is true that the nurse needs to manage the situation but will need some guidance regarding how to accomplish that. If self-reflection isn't successful, then professional counseling would be the appropriate step. Changing the nurse's assignment is not an effective means of managing the problem because it is a situation that reoccurs in nursing practice.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
The nurse assists the patient in reflecting on his feelings
The surgical nurse assists the client into the correct position
Entry level nurse competencies
Responsibilities of the nurse manager
Nurse palpating the patient's brachial artery