The nurse is reviewing the different types of personality disorders and recognizes the following fall into the Cluster A Personality Disorders? (Select all that apply)
Borderline personality disorder
Avoidant personality disorder
Schizotypal personality disorder
Antisocial personality disorder
Paranoid personality disorder
Correct Answer : C,E
Choice A reason: Borderline personality disorder is a Cluster B disorder, characterized by emotional instability and impulsivity due to dysfunctional emotional regulation circuits, including the amygdala and prefrontal cortex. It does not belong to Cluster A, which includes eccentric and odd behaviors, making it an incorrect choice for this category.
Choice B reason: Avoidant personality disorder is a Cluster C disorder, marked by anxiety and fear of rejection, linked to heightened amygdala sensitivity to social threats. Cluster A disorders involve odd or eccentric traits, not anxiety-driven avoidance, so avoidant personality disorder does not fit the Cluster A category.
Choice C reason: Schizotypal personality disorder is a Cluster A disorder, characterized by eccentric behavior, odd beliefs, and perceptual distortions, likely due to subtle brain abnormalities in the frontal and temporal lobes. These traits align with the odd, eccentric nature of Cluster A, making it a correct choice for this category.
Choice D reason: Antisocial personality disorder is a Cluster B disorder, involving impulsivity and disregard for others, associated with reduced prefrontal cortex regulation of aggressive impulses. It does not exhibit the eccentric or odd traits of Cluster A, making it an incorrect choice for this personality disorder cluster.
Choice E reason: Paranoid personality disorder is a Cluster A disorder, marked by pervasive distrust and suspiciousness, potentially linked to hyperactivity in limbic system structures like the amygdala. Its eccentric and odd presentation fits the Cluster A category, making it a correct choice for inclusion in this group.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Acknowledging being skinny yet continuing restrictive behaviors indicates distorted body image, a core feature of anorexia nervosa. This reflects the client’s persistent fear of weight gain, making it the correct statement.
Choice B reason: High energy is atypical in anorexia, where fatigue is common due to malnutrition. This statement suggests a different condition, making it incorrect for anorexia nervosa identification.
Choice C reason: Searching for recipes may occur in anorexia but is not specific. It could reflect food preoccupation, but body image distortion is more definitive, making this incorrect.
Choice D reason: Enjoying form-fitting clothes to show off the body contradicts anorexia’s body dissatisfaction. Anorexia involves hiding thinness, making this incorrect compared to acknowledging skinniness.
Correct Answer is B
Explanation
Choice A reason: Administering an analgesic may relieve pain but delays diagnosing serious conditions like meningitis, suggested by headache and stiff neck. Neurological assessment is urgent, making this incorrect as the first action.
Choice B reason: Evaluating neurological status is the first action, as headache and stiff neck suggest meningitis or other neurological issues. Assessing for signs like Brudzinski’s prioritizes diagnosis, making this the correct choice.
Choice C reason: Checking temperature is relevant for infection but secondary to neurological assessment. Meningitis requires immediate neurological evaluation to guide urgent treatment, making this incorrect as the first step.
Choice D reason: A complete blood count supports diagnosis but is not the first action. Neurological assessment identifies critical signs of meningitis, enabling faster intervention, making this incorrect compared to evaluation.
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