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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

a. 1030-1130: Insulin aspart is a rapid-acting insulin that typically peaks in 1-2 hours. Hypoglycemia is most likely to occur during the peak action time.
b. 1130-1230: This is beyond the typical peak action time for insulin aspart, making hypoglycemia less likely during this interval.
c. 1000: This falls within the typical peak action time of 1-2 hours for insulin aspart, making hypoglycemia possible but the interval is slightly too narrow to capture the full peak effect.
d. 0800-0830: Insulin aspart begins to act within 10-20 minutes, but hypoglycemia typically does not occur this soon after administration unless there is an issue with meal timing or dosage.

A. Establish rapport and develop treatment goals. B. Acknowledge the client's actions, and generate alternative behaviors. C. Explore how thoughts and feeling about this client may adversely impact nursing care. D. Attempt to find alternative placement.

Correct Answer is A

Explanation

a. Establish rapport and develop treatment goals: During the orientation phase, the primary focus is on building trust and rapport with the client. Establishing rapport and developing treatment goals are essential to creating a therapeutic alliance and setting the stage for effective treatment.
b. Acknowledge the client's actions, and generate alternative behaviours: This action is more appropriate during the working phase, where the nurse and client work on behavior change and coping strategies.
c. Explore how thoughts and feelings about this client may adversely impact nursing care: This is part of the nurse's self-reflection and supervision but is not the priority during the orientation phase.
d. Attempt to find alternative placement: This may be considered if the current setting is unsuitable, but it is not the primary focus of the orientation phase.

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The nurse's approach to a client with neurotic vs. psychotic behavior is different mainly because clients with neurotic behavior.

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Naxlex Comprehensive Predictor Exams

A client takes the morning dose of 10 units of insulin aspart at 0800. At what time interval would the nurse most likely see hypoglycemia?

Correct Answer is A

Explanation

What should be the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?

Correct Answer is A

Explanation

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