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    HESI RN Psychiatric and Mental Health Proctored Exam

    During a one-to-one session, the nurse begins to become angry with the client. Which action should the nurse take?

    Explanation & Rationale

    Choice A reason: Identifying transference assumes the client’s behavior caused the nurse’s anger, which may not be accurate. Terminating the session prevents untherapeutic escalation, allowing the nurse to regain composure. This choice risks misattributing emotions, making it incorrect for managing the nurse’s immediate anger.Choice B reason: Resolving feelings after discharge delays addressing the nurse’s current anger, risking unprofessional behavior during the session. Terminating the session maintains therapeutic boundaries, making this incorrect, as it postpones action needed to manage the immediate emotional reaction effectively.Choice C reason: Sharing personal experiences is untherapeutic and shifts focus from the client, potentially worsening the nurse’s anger. Terminating the session preserves professionalism and boundaries, making this incorrect, as self-disclosure does not address the nurse’s emotional state or maintain a therapeutic environment.Choice D reason: Terminating the session before anger escalates allows the nurse to regain composure, preserving therapeutic boundaries and preventing unprofessional behavior. This action prioritizes client care and nurse self-awareness, aligning with psychiatric nursing ethics, making it the best choice for managing the nurse’s emotions.

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