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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Trauma-informed care is a form of therapy that encourages the avoidance of discussing past traumatic events: This statement is incorrect. Trauma-informed care does not avoid discussing trauma but rather approaches it in a sensitive and supportive manner.
B. Trauma-informed care focuses solely on treating physical injuries caused by traumatic events: Trauma-informed care encompasses much more than physical treatment. It addresses the psychological, emotional, and social impact of trauma.
C. Trauma-informed care is a framework that emphasizes understanding the impact of trauma and how to provide sensitive and supportive care: This is correct. Trauma-informed care involves recognizing the prevalence and impact of trauma, understanding trauma symptoms and reactions, and providing care that avoids re-traumatization and promotes healing.
D. Trauma-informed care is a treatment approach that aims to erase traumatic memories from an individual's mind: This is incorrect. Trauma-informed care does not aim to erase memories but rather to support individuals in processing and coping with traumatic experiences.
Correct Answer is A
Explanation
A. Echolalia: Echolalia, the repetition of words or phrases spoken by others, is a common characteristic of autism spectrum disorder. It can be part of the individual’s attempt to communicate or self-stimulate and may be indicative of difficulties in expressive language development.
B. Ambivalence: Ambivalence, the state of having mixed feelings or contradictory ideas about something or someone, is more commonly associated with conditions like schizophrenia, not ASD.
C. Expressive affect: Individuals with ASD often have difficulties with expressive affect, meaning they may show limited emotional expression, which contrasts with the term "expressive affect" suggesting full emotional expression.
D. Associative looseness: Associative looseness, a symptom where a person’s thoughts are disconnected and fragmented, is more characteristic of schizophrenia than ASD.
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