A nurse is assessing a client who has paranoid personality disorder.
Which of the following findings should the nurse expect?
Suspiciousness of others.
Inflated sense of self.
Requiring frequent reassurance from others.
Lack of feelings of remorse.
The Correct Answer is A
Choice A rationale
Paranoid personality disorder is characterized by a pervasive distrust and suspiciousness of others, interpreting their motives as malevolent. This core feature leads individuals to believe that others are trying to harm, deceive, or exploit them, even without sufficient evidence, deeply impacting their social interactions.
Choice B rationale
An inflated sense of self, or grandiosity, is more characteristic of narcissistic personality disorder, where individuals have an exaggerated sense of their own importance, achievements, and talents. In contrast, individuals with paranoid personality disorder are preoccupied with the loyalty and trustworthiness of others.
Choice C rationale
Requiring frequent reassurance from others is a common characteristic of dependent personality disorder, where individuals exhibit an excessive need to be taken care of, leading to submissive and clinging behavior. This contrasts with the distrust and independence often seen in paranoid personality disorder.
Choice D rationale
A lack of feelings of remorse, or an absence of empathy, is a prominent feature of antisocial personality disorder. Individuals with this disorder disregard the rights of others and often engage in manipulative or deceitful behaviors without experiencing guilt or regret.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E","F"]
Explanation
Choice A rationale
While disruptive behavioral disorders can indirectly lead to stress and unhealthy lifestyle choices which may contribute to hypertension, hypertension itself is not a direct or primary consequence explicitly linked to the psychopathology of these disorders. It's more of a general health risk than a specific risk.
Choice B rationale
Disruptive behavioral disorders often manifest as difficulties with impulse control, aggression, and defiance of authority. These behaviors significantly impair an individual's ability to adhere to rules, collaborate with colleagues, and manage conflict in a professional setting, making sustained employment extremely challenging.
Choice C rationale
The impulsivity, emotional dysregulation, and sensation-seeking behaviors often associated with untreated disruptive disorders increase vulnerability to engaging in risky behaviors, including substance use. Substances can be used as maladaptive coping mechanisms for underlying distress or as part of a general pattern of disinhibition.
Choice D rationale
Persistent patterns of rule-breaking, aggression, and antisocial behaviors, which characterize many disruptive behavioral disorders, frequently lead to encounters with law enforcement. This can escalate to arrests, charges, and subsequent legal problems, impacting an individual's freedom and future opportunities.
Choice E rationale
Untreated disruptive behavioral disorders are frequently comorbid with mood disorders, including depression. The chronic struggles with social relationships, academic or occupational failure, and internal distress stemming from the disorder can significantly contribute to the development or exacerbation of depressive symptoms.
Choice F rationale
The core features of disruptive disorders, such as anger outbursts, aggression, defiance, and difficulty with empathy, severely impair an individual's ability to form and maintain healthy interpersonal relationships. This often leads to conflict, alienation, and significant strain on family and peer connections.
Correct Answer is D
Explanation
Choice A rationale
Schizophrenia diagnosis commonly occurs in late adolescence or early adulthood, typically between the ages of 15 and 30 years. Diagnosis under the age of 12 is rare, often referred to as childhood-onset schizophrenia, and represents a very small percentage of cases.
Choice B rationale
People diagnosed with schizophrenia are not inherently more violent than others. While a small subset with untreated severe symptoms may exhibit aggression, the vast majority are not violent. Stigmatizing individuals with schizophrenia as violent is a harmful misconception.
Choice C rationale
Research consistently indicates that biologically female clients are typically diagnosed with schizophrenia later than biologically male clients. The peak age of onset for males is usually in the late teens to early twenties, whereas for females, it is generally in the late twenties to early thirties.
Choice D rationale
Biologically male clients are typically diagnosed with schizophrenia earlier than biologically female clients. This observed difference in onset age suggests potential variations in neurodevelopmental processes or hormonal influences that may contribute to the expression of the disorder.
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