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[Answered]: A senior nurse practitioner is working in a…

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A senior nurse practitioner is working in a veterans’ mental health clinic. They are conducting an intake evaluation on a new veteran patient who has anxiety, a depressed mood, and insomnia. During the veteran’s evaluation, the nurse practitioner finishes the evaluation without asking the veteran about deployments, combat, and occupational exposures. The nurse practitioner tells the veteran that, based on the information, they believe that the patient has premenstrual depressive disorder, and they will be referring them for medication management. The veteran stands up and yells at the nurse practitioner, “How can you say that when you haven’t even asked me my full story? This is why there are so many suicides. I am never coming here again!” The nurse practitioner replies, “I don’t understand. What part did I miss?” What caused the breach in the therapeutic alliance? Clinician’s implicit bias Countertransference Patient symptomatology DTransference

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