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?

Paranoid personality disorder

Schizotypal personality disorder

Avoidant personality disorder

Antisocial personality disorder

Answer and Explanation

The Correct Answer is B

A. Paranoid personality disorder: Paranoid personality disorder is characterized by pervasive distrust and suspiciousness of others. Individuals with this disorder may have delusions of persecution but typically do not have bizarre or magical beliefs such as mind reading. Therefore, this choice is incorrect.

B. Schizotypal personality disorder: Schizotypal personality disorder is characterized by eccentric behavior, odd beliefs, and magical thinking, including ideas like being able to read minds. The client’s statement is indicative of the type of odd beliefs and thoughts associated with this disorder. This choice is correct.

C. Avoidant personality disorder: Avoidant personality disorder is marked by extreme shyness, fear of rejection, and social inhibition. Individuals with this disorder do not typically exhibit bizarre thoughts or delusions such as mind reading. Therefore, this choice is incorrect.

D. Antisocial personality disorder: Antisocial personality disorder is characterized by a disregard for the rights of others, deceitfulness, impulsivity, and a lack of remorse. It is not typically associated with delusional or magical thinking such as believing one can read minds. Therefore, this choice is incorrect.

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Correct Answer is A

Explanation

A. Promoting social skills and communication development: This is a priority because individuals with Asperger's disorder often struggle with social interactions and communication. Interventions focus on improving these skills to enhance their quality of life and ability to function in society.

B. Administering medications to manage symptoms: While medications may be prescribed for co-occurring conditions (e.g., anxiety, ADHD), they are not typically the primary intervention for core symptoms of Asperger's disorder.

C. Implementing strict routines and schedules: Routine and structure can be beneficial for individuals with Asperger's disorder but are not the primary focus compared to social and communication skills.

D. Providing sensory stimulation to reduce hyperactivity: Sensory issues can be part of Asperger's disorder, but it is not the priority over social and communication development.

A. Ensuring that the client takes care of their ADLS to prevent dependence. B. Ensuring that the client environment is safe to prevent injury. C. Ensuring that the client receives food they like to prevent anxiety. D. Ensuring that the client meets the other patients to prevent social isolation.

Correct Answer is B

Explanation

A. Ensuring that the client takes care of their ADLs to prevent dependence: While maintaining independence in activities of daily living (ADLs) is important, safety takes precedence because the client may not have the cognitive ability to perform ADLs safely.

B. Ensuring that the client environment is safe to prevent injury. Safety is the priority for clients with Alzheimer's disease due to their risk of confusion, disorientation, and falls. Creating a safe environment helps prevent accidents and injuries.

C. Ensuring that the client receives food they like to prevent anxiety: Providing familiar food can help reduce anxiety, but this is secondary to ensuring safety. The primary concern is to prevent injury in a client who may be disoriented or confused.

D. Ensuring that the client meets the other patients to prevent social isolation. While social interaction is beneficial, it is not the priority in the acute care setting for someone with Alzheimer's disease. The focus should first be on the client’s immediate safety and well-being.

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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

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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