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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
. Use physical restraints during severe outbursts to ensure safety. Physical restraints are not appropriate for managing behavioural issues in children with ODD. They can escalate the situation, cause physical harm, and damage the trust between the child and caregivers.
B. Assign daily chores that are challenging to encourage discipline. While chores can teach responsibility, assigning challenging tasks is not appropriate for managing ODD and could lead to frustration and further defiance.
C. Encourage solitary play to reduce social stressors. Solitary play might reduce social stress but does not address the underlying behavioural issues of ODD. Social skills and interactions need to be improved rather than avoided.
D. Put into practice consistent consequences for rule-breaking behaviour. Consistent consequences help the child understand the link between behaviour and outcomes, which is crucial for managing ODD. It provides structure and clear expectations, which are essential for children with behavioral issues.
Correct Answer is B
Explanation
A. Clozapine (Clozaril): Clozapine is an antipsychotic used primarily for schizophrenia, not for cognitive improvement in Alzheimer's disease. It is not indicated for treating Alzheimer’s disease.
B. Galantamine (Razadyne): Galantamine is an acetylcholinesterase inhibitor used to improve cognitive function in patients with mild to moderate Alzheimer's disease. It works by increasing the levels of acetylcholine in the brain, which helps with memory and cognitive processes.
C. Olanzapine (Zyprexa): Olanzapine is an antipsychotic used to treat schizophrenia and bipolar disorder. It is not used for cognitive enhancement in Alzheimer's disease and may actually worsen cognitive function in some cases.
D. Sertraline (Zoloft): Sertraline is an antidepressant used primarily for depression and anxiety disorders. It is not indicated for the cognitive symptoms of Alzheimer's disease.
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