A nurse is caring for a client who states, "I have no interest in sexual activity or finding a partner." The nurse should identify that this statement is consistent with which of the following personality disorders?

Schizotypal personality disorder

Schizoid personality disorder

Antisocial personality disorder

Paranoid personality disorder

Answer and Explanation

The Correct Answer is B

A. Schizotypal personality disorder involves odd beliefs and behaviors but not necessarily a lack of interest in sexual activity or relationships.

B. Schizoid personality disorder is characterized by a lack of interest in social relationships and sexual activity, reflecting a preference for solitary activities and limited emotional expression.

C. Antisocial personality disorder involves a pattern of disregard for the rights of others, not necessarily a lack of interest in sexual activity or relationships.

D. Paranoid personality disorder involves pervasive distrust and suspicion, which does not directly relate to a lack of interest in sexual activity or relationships.

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Correct Answer is A

Explanation

A. A lithium level of 1.6 mEq/L is indicative of mild to moderate lithium toxicity, with symptoms including gastrointestinal discomfort and poor coordination.

B. Lip smacking and tongue thrusting are associated with tardive dyskinesia, not lithium toxicity.

C. Blurred vision and jerking motor movements are more indicative of severe lithium toxicity or other neurological disorders.

D. Fever and fluctuating blood pressure are not typical manifestations of lithium toxicity at this level.

A. Tardive dyskinesia B. Impaired ability to regulate body temperature C. Neuroleptic malignant syndrome D. Extrapyramidal symptoms

Correct Answer is A

Explanation

A. Tardive dyskinesia is characterized by repetitive, involuntary movements such as jerking movements and twitching of the face and tongue, commonly associated with long-term use of first-generation antipsychotics.

B. Impaired ability to regulate body temperature can be a side effect of antipsychotic medications but does not describe the specific symptoms presented.

C. Neuroleptic malignant syndrome is a severe reaction to antipsychotic medications, characterized by hyperthermia, muscle rigidity, altered mental status, and autonomic dysfunction, but not the jerking and twitching described.

D. Extrapyramidal symptoms include a range of movement disorders such as dystonia, akathisia, and parkinsonism but do not specifically describe the tardive dyskinesia symptoms presented.

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A nurse is caring for a client who states, "I have no interest in sexual activity or finding a partner." The nurse should identify that this statement is consistent with which of the following personality disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

Correct Answer is A

Explanation

A nurse is caring for a client who has schizophrenia and has been taking a first generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?

Correct Answer is A

Explanation

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