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ATI Mental Health

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A nurse is admitting a new client on the mental health unit. During the conversation the nurse should be aware that countertransference can occur if the nurse display what feeling? Countertransference happens when a health care professional redirects their feelings to the client based on people in their past. The nurse may project his or her feelings unconsciously onto the client. The nurse may act more positively to a client that reminds them of an old friend. A nurse is caring for a client who states that he has abused his son because of the stress caused by his son's mental illness. How should the nurse use the communication tool of 'clarifying' when speaking with this client? Clarifying is a great technique that is used to determine that the message received was accurate. The nurse may paraphrase the message to confirm what has been communicated. Restating is another technique that uses the client’s exact words to get confirmation. The nurse may also use exploring to gather more information about the important topics mentioned in the conversation. The client states that she is going through a divorce and her anxiety is extremely high. The nurse needs to assess the client’s ability to adapt and cope with this situation. What would this includes? 1. Health status and functional abilities 2. Living arrangements and employability 3. Personality factors such as attitudes 4. Client, caregiver and family assessments 5. Level of information such as community programs 6. Medication use and supplemental services What are the main types of consequences for children that are misbehaving? • Natural occurrence (missing treat) • Logical (not being able to go outside) • Unrelated (time­out) A nurse is facilitating group therapy and the group is currently in the working phase of group development. What is the primary focus during this phase? The primary focus of the working phase is to promote problem solving skills and to facilitate behavioral changes. The nurse in the working phase should focus on: • Maintain relationship according to the contract • Facilitate the clients needs and issues • Encourage problem solving • Foster positive behavioral changes • Reassess the client’s problems and goals • Support the client • Remind the client about the date of termination .......................................................................................CONTINUED


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