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?

Occurs when a health care team member displaces characteristics of people in her past

onto a client.

Behaviors:

 Nurse overly identifies with client

 Nurse competes with client

 Nurse argues with client

Example: a nurse may feel defensive and angry with a client for no apparent reason if the

client reminds her of a friend who often elicited those feelings.

Nursing implications: a nurse should be aware that clients who induce very strong

personal feelings may become objects of countertransference.

A client on the mental health unit is being discharge to a community base program referred to as

Assertive Community Treatment. (ACT) What should the nurse explain to the client about this

program?

 This includes nontraditional case management and treatment by an

interprofessional team for clients who have severe mental illness and are

noncompliant with traditional treatment.

 ACT helps to reduce reoccurrences of hospitalizations and provides crisis

intervention, assistance with independent living, and information regarding

resources for necessary support services.

What are the legal rights of a person admitted to an inpatient mental health facility?

 Informed consent and the right to refuse treatment

 Confidentiality

 A written plan of care/treatment that includes discharge follow-up, as well as

participation in the care plan and review of that plan

 Communication with people outside the mental health facility, including family

members, attorneys, and other health care professionals

 Provision of adequate interpretive services if needed

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