When assessing the client diagnosed with schizotypal personality disorder, the nurse expects to identify which characteristic behavior?

overly self-centered, while exploiting others to fulfill own desires

overly generous and thoughtful, while downplaying own worth

aloof and isolative, while behaving in a bland and apathetic manner

extremely sensitive to rejection, which leads to a socially withdrawn life

Answer and Explanation

The Correct Answer is C

C. Individuals with schizotypal personality disorder often exhibit aloof and isolative behaviors, coupled with a bland and apathetic manner. This condition is characterized by significant discomfort in social situations, leading to avoidance and a lack of close relationships.
A. Individuals with this disorder may exhibit odd or peculiar behaviors, but they typically do not display manipulative or exploitative tendencies seen in other personality disorders, such as narcissistic personality disorder.
B. individuals with schizotypal personality disorder may display odd or eccentric behaviors but they are less likely to exhibit consistent patterns of generosity or selflessness.

D. Individuals with this disorder may be hypersensitive to criticism or perceived slights from others, which can lead to feelings of social anxiety or discomfort. However, social withdrawal is not a typical finding.

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Correct Answer is C

Explanation

C. Acceptance and trust create a sense of safety and security for the client within the therapeutic relationship. When the client feels accepted and valued by the nurse, they are more likely to feel comfortable opening up and engaging in the therapeutic process.
A. Establishing a therapeutic alliance provides a safe and supportive environment for the client to express their feelings without fear of judgment or rejection. However, therapeutic alliance goes beyond this.
B. Therapeutic activities can indeed provide an outlet for tension and stress but the establishment of a therapeutic alliance goes beyond engaging in specific activities.
D. Focusing on positive behaviors and strengths can contribute to building self-esteem. However, the establishment of a therapeutic alliance involves more than just focusing on behaviors.

A. Controlled anger B. Stable and satisfactory relationships C. Little tolerance for being alone D. Predictability

Correct Answer is C

Explanation

C. Individuals with BPD often experience intense fears of abandonment and may go to great lengths to avoid being alone. They may also have difficulties being alone due to chronic feelings of emptiness and the need for others to help manage emotions. This characteristic is consistent with the known symptoms of BPD, which include efforts to avoid real or perceived abandonment and a pattern of intense and unstable relationships.
A. Individuals with borderline personality disorder (BPD) often struggle with regulating their emotions, including anger. While they may experience intense emotions such as anger, they typically have difficulty controlling or expressing it in a healthy and adaptive manner.
B. Stable and satisfactory relationships: Stability in relationships is often a challenge for individuals with BPD. They may experience intense and unstable interpersonal relationships characterized by idealization and devaluation of others.
D. Predictability is generally lacking in individuals with BPD due to their emotional instability, impulsivity, and difficulty regulating their behaviors and responses to situations.

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When assessing the client diagnosed with schizotypal personality disorder, the nurse expects to identify which characteristic behavior?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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