A nurse is caring for a client who screams, “I can read your minds!” The nurse should identify this finding as a manifestation of which of the following personality disorders?

Avoidant personality disorder

Paranoid personality disorder

Antisocial personality disorder

Schizotypal personality disorder

Answer and Explanation

The Correct Answer is D

Choice A reason: Avoidant personality disorder involves social withdrawal due to fear of rejection, not delusional beliefs like mind-reading. Clients with this disorder are shy and anxious, not prone to bizarre thoughts, making this choice incorrect for the client’s psychotic-like statement.

Choice B reason: Paranoid personality disorder involves pervasive distrust and suspicion, such as believing others are plotting against them. While paranoid, it does not typically include magical thinking like mind-reading, which is more characteristic of schizotypal personality disorder, making this choice incorrect.

Choice C reason: Antisocial personality disorder is characterized by disregard for others’ rights, impulsivity, and deceitfulness, not delusional beliefs like mind-reading. The client’s statement suggests a psychotic-like feature, which is not typical of antisocial behavior, making this choice incorrect.

Choice D reason: Schizotypal personality disorder includes odd beliefs, such as magical thinking or mind-reading, along with eccentric behavior. The client’s claim of reading minds aligns with this disorder’s characteristic perceptual distortions and unusual thoughts, making this the correct choice.

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Correct Answer is C

Explanation

Choice A reason: Insulin glargine is a long-acting insulin with an onset of 1–2 hours, providing basal coverage for 24 hours. It does not act rapidly to control postprandial glucose, unlike rapid-acting insulins, making this choice incorrect for the question.

Choice B reason: Insulin detemir is a long-acting insulin with an onset of 1–2 hours, used for steady glucose control. It lacks the rapid onset (<15 minutes) required for immediate postprandial glucose management, making this choice incorrect.

Choice C reason: Insulin aspart is a rapid-acting insulin analog with an onset of 10–15 minutes, peaking in 1–3 hours. It mimics the body’s insulin response to meals, effectively controlling postprandial glucose, making this the correct choice.

Choice D reason: Regular insulin has an onset of 30–60 minutes, slower than rapid-acting insulins. It is used for short-term glucose control but does not meet the <15-minute onset criterion, making this choice incorrect.

A. Right vs. wrong B. Adaptive vs. maladaptive C. Good vs. bad D. Justified vs. unjustified

Correct Answer is B

Explanation

Choice A reason: Right vs. wrong is a moral or ethical framework, not a clinical concept for understanding stressors. It does not address the psychological or physiological responses to stress, making it irrelevant for developing nursing care context.

Choice B reason: Adaptive vs. maladaptive responses to stressors determine how stress affects mental and physical health. Adaptive coping promotes resilience, while maladaptive responses, like avoidance, worsen outcomes, providing critical context for nursing care, making this the correct choice.

Choice C reason: Good vs. bad is a subjective judgment, not a scientific concept for stress responses. It lacks the specificity to guide nursing care for stress-related health impacts, making this choice inappropriate for clinical context.

Choice D reason: Justified vs. unjustified is a legal or ethical concept, not relevant to stress response assessment. It does not address the physiological or psychological effects of stressors, making it incorrect for nursing care planning.

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A nurse is caring for a client who screams, “I can read your minds!” The nurse should identify this finding as a manifestation of which of the following personality disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is a rapid-acting insulin with an onset of action of less than 15 minutes?

Correct Answer is C

Explanation

A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?

Correct Answer is B

Explanation

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