A 23-year-old graduate student is appointed to be the team leader for a group project. He is so rigid and inflexible about the rubric that other members of the team get frustrated, and the project almost collapses. He insists that each section must be completed and perfected before the next section can be started. The project is eventually finished, but no one on the team will work with him again. Which disorder best reflects this man's behaviors?
Avoidant personality disorder
Narcissistic personality disorder
Borderline personality disorder
Obsessive-compulsive personality disorder (OCPD)
The Correct Answer is D
Choice A reason: Avoidant personality disorder involves social inhibition, fear of rejection, and avoidance of interpersonal interactions, not rigidity or perfectionism.
Choice B reason: Narcissistic personality disorder involves grandiosity, need for admiration, and lack of empathy. While rigid, this individual does not display overt narcissistic traits.
Choice C reason: Borderline personality disorder involves emotional instability, impulsivity, and unstable relationships, not the described perfectionism and rigidity.
Choice D reason: Obsessive-compulsive personality disorder is characterized by preoccupation with orderliness, perfectionism, and control, which interferes with flexibility and efficiency. The student’s insistence on perfecting each section sequentially and inability to compromise demonstrates hallmark OCPD traits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: ADL-H evaluates functional impairment related to general daily activities but is not specific for hoarding severity or insight.
Choice B reason: HEI provides information on the home environment but is not designed to quantify the severity of hoarding or symptoms.
Choice C reason: CIR uses visual images to estimate clutter severity but does not capture behavioral or cognitive aspects of hoarding disorder.
Choice D reason: The Hoarding Rating Scale is a validated, standardized tool that assesses the severity, functional impact, and insight of hoarding behavior, making it the most appropriate choice for evaluating suspected hoarding disorder.
Correct Answer is B
Explanation
Choice A reason: PTSD is diagnosed when symptoms persist for at least one month after the traumatic event, making it premature at two weeks.
Choice B reason: Acute stress disorder occurs within 3 days to 4 weeks after a trauma, with symptoms including flashbacks, anxiety, and intrusive thoughts. The timeline and symptomatology in this case are consistent with acute stress disorder.
Choice C reason: Adjustment disorder involves emotional or behavioral symptoms in response to stressors but typically lacks the intrusive and re-experiencing features seen here.
Choice D reason: Dissociative identity disorder involves disruption of identity with two or more distinct personality states and is not related to trauma response in this context.
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