The nurse's approach to a client with neurotic vs. psychotic behavior is different mainly because clients with neurotic behavior.
experience no loss of contact with reality.
never have mood or personality changes.
have conflict but only use adaptive defense mechanisms to cope.
are always aware that their behaviors are maladaptive.
The Correct Answer is A
a. experience no loss of contact with reality. The key difference is reality testing. Clients with neurosis (anxiety disorders, OCD) generally maintain contact with reality, even though their thoughts or behaviours might be distressing. Clients with psychosis (schizophrenia) experience a break with reality, such as hallucinations or delusions.
b. Never have mood or personality changes. Not true. Mood and personality changes can occur in both neurosis and psychosis.
c. Have conflict but only use adaptive defence mechanisms to cope. Défense mechanisms are used by everyone to cope with anxiety, but in neurosis, they might be less healthy or maladaptive.
d. Are always aware that their behaviours are maladaptive. Not necessarily. Clients with neurosis might have limited insight into how their behaviours affect themselves or others.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. fluoxetine: Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), has been used with some success in treating anorexia nervosa, especially when comorbid with depression. It can help with mood stabilization and reducing obsessive-compulsive behaviors related to food.
b. sibutramine: Sibutramine was an appetite suppressant used for weight loss, but it has been withdrawn from the market in many countries due to cardiovascular risks. It is not used for treating anorexia nervosa.
c. carbamazepine; Carbamazepine is an anticonvulsant and mood stabilizer, primarily used for bipolar disorder and seizure disorders. It is not commonly used for anorexia nervosa.
d. diazepam: Diazepam is a benzodiazepine used primarily for anxiety, muscle spasms, and seizures. It does not have a primary role in the treatment of anorexia nervosa and depression.
Correct Answer is B
Explanation
a. Excessive time spent discussing psychosocial stressors: Somatic Symptom Disorder focuses on physical symptoms, not necessarily psychological factors.
b. Disproportionate and persistent thoughts about the seriousness of one's symptoms: This is a hallmark symptom of Somatic Symptom Disorder. The client is likely preoccupied with their health beyond what's medically warranted.
c. Amnestic episodes in which the client is pain free: Amnesia is not a characteristic symptom of Somatic Symptom Disorder.
d. Lack of physical symptoms: Somatic Symptom Disorder by definition involves physical symptoms, even if they are not medically explained.
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