A nurse is contemplating the use of self-disclosure. The expected ...

[erika]

A nurse is contemplating the use of self-disclosure. The expected outcome of this strategy is that the patient will:
 
  a. be informed about expected behaviors
  b. express previously withheld feelings
  c. foster a mutually supportive relationship with the nurse
  d. recognize that the nurse can empathize through shared experiences

Question 2

The nurse manager suspects that a novice nurse is experiencing countertransference re-garding a chronically ill, psychotic patient. Which response is most effective at this time?
 
  a. I realize this is a difficult situation but it will occur again if you don't manage it now.
  b. I want you to see our hospital counselor so that you can regain your professional attitudes.
  c. I believe you are no longer able to be therapeutic so I'm changing your patient assignment.
  d. I'd like to help you begin to self-reflect on the feelings you seem to have for this patient.

[alexanderhamilton]

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.

[erika]

Gracias!

[gcook]

TYSM