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    Health and healing III-mental health – test1 week1-3- Durham College proctored exam

    Patient reactions of intense hostility or feelings of strong affection toward the nurse are common forms of which of the following?

    Explanation & Rationale

    Choice A reason: Resistance refers to the patient’s unconscious attempts to remain unaware of anxiety-producing aspects of themselves or to avoid the progress of therapy. While resistance can manifest as hostility, it is a broader defense mechanism rather than the specific displacement of feelings onto the healthcare provider. Choice B reason: Counter-transference refers to the unconscious emotional response of the nurse or therapist toward the patient. These are the nurse's feelings projected onto the patient, often based on the nurse's own past relationships, rather than the patient's feelings being projected onto the nurse. Choice C reason: The term emotional reaction is a generic description of a psychological state. In a clinical psychiatric context, this term lacks the specific diagnostic precision required to describe the unconscious process where a patient redirects feelings from a significant person in their past toward the clinician. Choice D reason: Transference is a core psychodynamic concept where the patient unconsciously displaces or transfers feelings, attachments, and attitudes originally experienced in childhood toward significant figures, such as parents, onto the nurse. This can manifest as either intense irrational affection or unexplained hostility and anger.

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