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Chapter 14- Individual Psychotherapy

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Chapter 14- Individual Psychotherapy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Jodie is an RN whose client reminds her of her sister, with whom she has a close and positive relationship. This phenomenon is best characterized by which term?
  A) Transference
  B) Free association
  C) Countertransference
  D) Reaction formation
  Ans: C
  Feedback:
  Countertransference is the phenomenon whereby the nurse transfers feelings that he or she has about another person onto the client. These feelings are not based on the reality of the client–nurse relationship but a past relationship that is not connected with the client.

 

 

2. A generalist psychiatric nurse works with his client to uncover a past abuse that the nurse learned about from the client’s mother, not from the client. Which of the following best describes this nurse’s intervention?
  A) The generalist is working outside his scope of practice and should not be doing this intervention.
  B) The generalist is concerned about the client and is implementing a treatment of choice in this situation.
  C) The generalist should have ignored the data he received from the client’s mother because it has no relation to the current hospitalization.
  D) The generalist is operating under the concept of beneficence.
  Ans: A
  Feedback:
  Psychotherapy that is designed to uncover repressed, past events is within the scope of practice of the advanced practice nurse, who has received training in this technique. It is not within the scope of the generalist psychiatric–mental health nurse and, therefore, should be avoided.

 

 

3. All except which of the following are cognitive therapy techniques?
  A) Reviewing homework assignments
  B) Listing an agenda for each session
  C) Listing primary defenses used in life
  D) Reviewing the session prior to ending
  Ans: C
  Feedback:
  Listing of the primary defenses used in life would be a psychoanalytic technique, not a cognitive technique.

 

 

4. Which phase of individual psychotherapy involves establishing mutual boundaries of the relationship between the client and the mental health nurse?
  A) Resolution
  B) Termination
  C) Working
  D) Introductory
  Ans: D
  Feedback:
  During the introductory phase, the therapist and the client establish boundaries of the relationship. Resolution occurs in the working phase. The working phase occurs when the therapist and the client focus on the client’s problems and reach an understanding of why the problems have occurred. The termination phase occurs when the client has achieved maximum benefit of therapy.

 

 

5. A client is undergoing individual psychotherapy. He is yelling at the therapist because of a fight with his wife about their children several years ago. In this instance, the client is exhibiting which response?
  A) Transference
  B) Countertransference
  C) Resistance
  D) Parataxis
  Ans: A
  Feedback:
  Transference is the client’s unconscious assignment of feelings and attitudes originally associated with important figures in his or her early life to the therapist. Countertransference is the emotional reaction to the client based on the therapist’s unconscious needs and conflicts. Resistance is defined as the conscious or unconscious psychological defense against bringing repressed thoughts into conscious awareness. Parataxis is the presence of distorted perception or judgment exhibited by the client during therapy.

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