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Countertransference
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HESI MENTAL HEALTH
#2
| Question | Answer |
|---|---|
| Countertransference | Occurs when the therapist displaces onto the client attitudes or feelings from their past |
| Transference | Occurs when the client displaces onto the therapist attitudes or feelings that the client originally experienced in their past |
| Compensation | overachievement in one area to offset real or perceived deficiencies |
| Conversion | Expression of emotional conflict through the development of physical symptoms, usually sensorimotor in nature |
| Denial | Failure to acknowledge an unbearable condition. Failure to admit the reality of the situation or how one enables the problems to continue |
| Displacement | Ventilation of intense feelings toward persons less threatening than the one who aroused those feelings |
| Dissociation | Dealing with emotional conflict by temporary alteration in consciousness or identity |
| Fixation | Immobilization of a portion of the personality resulting from unsuccessful completion of tasks in a developmental stage |
| Identification | Modeling actions and opinions of influential others while searching for identity or aspiring to reach a personal, social, or occupational goal |
| Intellectualization | Separation of the emotions of a painful event or situation from the facts involved. Acknowledging the facts but not the emotions |
| Introjection | Accepting another person's attitudes, beliefs, and values as one's own |
| Projection | Unconscious blaming of unacceptable inclinations or thoughts on an external object |
| Rationalization | Excusing own behavior to avoid guilt, responsibility, conflict, anxiety, or loss of respect |
| Reaction Formation | Acting the opposite of what one thinks or feels |
| Regression | Moving back to a previous developmental stage to feel safe or have needs met |
| Repression | Excluding emotionally painful or anxiety-provoking thoughts and feelings from consciousness awareness |
| Resistance | Overt or covert antagonism toward remembering or processing anxiety-producing information |
| Sublimination | Substituting a socially acceptable activity for an impulse that is unacceptable |
| Substitution | Replacing the desired gratification with one that is more readily available |
| Suppression | Conscious exclusion of unacceptable thoughts and feelings from conscious awareness |
| Undoing | Exhibiting acceptable behavior to make up for or negate unacceptable behavior |
| Defensive Mechanisms | are cognitive distortions that a person uses unconsciously to maintain a sense of being in control of a situation, to lessen discomfort, and to deal with stress |
| Participant Observer | The term for the therapists role in milieu therapy stating that the nurse, both participates in and observes the progress of the relationship. |
| The Nurses Primary Role in Milieu Therapy Planning | Providing safety and protection for all clients, while promoting social interaction |
| Refusal of Treatment | Patients have the right to refuse treatment, send and receive sealed mail, and to have or refuse visitors. However, they may not have the right to refuse treatment if they have an altered mental status due to alcohol, drugs, brain injury, or psychiatric illness. IF they can and want to refuse treatment, MAKE SURE TO HAVE PATIENT SIGN A REFUSAL OF CARE DOCUMENT. |
| Psychiatric Clients Civil Rights | Refuse treatment, send and receive mail, have or refuse visitors, all other rights EXCEPT those involuntary committed need to be seen and before a judge before they can leave the hospital |
| Group Treatment | Number of persons who gather in a face-to-face setting to accomplish a task. This can include cooperation, collaboration, or working together. Each person in the group has a role, which is to influence and be influenced by others |
| Group Leader | A designated person that leads the group |
| Psychotherapy Groups | Type of therapy used for members to learn about their behavior and to make positive changes in their life through interacting with others. |
| Empathy | The ability to place oneself into the experience of another for a moment of time. NOT SYMPATHY |
| Clarification | The nurse attempting to gather all information from verbal and nonverbal communication. It is used to validate findings |
| Therapeutic Responses to Stress & Anger | Ensure you remain calm, and maintain your own safety. Understand the context of the situation, do not make assumptions, serve as a role model and use role-playing assertive communication and cognitive behavior techniques. |
| Communication with Patient's Experiencing Anxiety | Get on the Patient's Level. Take Time to Listen, Provide a Clear Summary of the Patient's Situation and Plan. Empathize and Encourage, Circle Back to Important Points, Allow Time for Questions and Clarification. |
| Plan of Care for Suicidal Patient's | Refrain from harming others or destroying property. Be free of self-inflicted harm. Demonstrate decreased acting-out, experience decreased restlessness or agitation. Experience decreased fear, anxiety, or hostility |
| Judgment | The ability to interpret one's environment and situation correctly and to adapt one's behavior and decisions accordingly |
| Insight | the ability to understand the true nature of one's situation and accept some personal responsibility for that situation. |
| Loss of Hope | Often accompanies isolation, negative feelings such as feeling helpless, hopeless, and powerless. |
| Employee Threat | Your priority is your own safety. |
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