A nurse is assessing a client who has paranoid personality disorder. Which of the following findings should the nurse expect?
Takes advantage of others for her own benefit
Believes that others are deceiving her
Shows exaggerated expression of emotions
Demonstrates detachment from others
The Correct Answer is B
A. Takes advantage of others for her own benefit:
This behavior is not specific to paranoid personality disorder. Instead, it may be seen in individuals with antisocial personality disorder, who disregard the rights of others and exploit them for personal gain. People with paranoid personality disorder are more characterized by a pervasive distrust of others and a belief that others are out to harm or deceive them.
B. Believes that others are deceiving her:
This is a hallmark symptom of paranoid personality disorder. Individuals with this disorder often exhibit extreme distrust and suspicion, believing that others have hidden motives or are deliberately trying to deceive, harm, or manipulate them. This suspiciousness and belief in the untrustworthiness of others are key features of paranoid personality disorder.
C. Shows exaggerated expression of emotions:
Exaggerated expression of emotions is not a defining characteristic of paranoid personality disorder. People with this disorder tend to display a guarded and suspicious demeanor rather than exaggerated emotional expressions. Their interpersonal interactions are often marked by skepticism and wariness.
D. Demonstrates detachment from others:
Detachment from others is more characteristic of schizoid personality disorder, not paranoid personality disorder. Individuals with schizoid personality disorder tend to be emotionally detached and have limited interest in social interactions. In contrast, individuals with paranoid personality disorder are highly suspicious and tend to assume that others are hostile or malevolent, leading to interpersonal difficulties rooted in their intense distrust.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "My partner and I recently had our fourth child."
Having a strong support system, such as a partner and family, especially during significant life events like the birth of a child, can be a protective factor against suicide. Supportive relationships are important for mental well-being.
B. "My family has a history of suicide."
A family history of suicide is a risk factor, not a protective factor. It indicates a higher risk for suicidal thoughts or behaviors.
C. “I have Crohn's disease, but it's well-controlled."
Having a chronic illness, even if well-controlled, can be a stressor, potentially increasing the risk of suicidal thoughts. It's not a protective factor.
D. “I just received my license to practice medicine."
Achieving a significant milestone, such as getting a medical license, can enhance self-esteem, provide a sense of purpose, and increase social support, making it a protective factor against suicide.
Correct Answer is A
Explanation
A. "This medication is given to help with extrapyramidal side effects."
Benztropine is an anticholinergic medication used to treat the extrapyramidal side effects (EPS) caused by certain psychiatric drugs, particularly antipsychotics. EPS can include symptoms such as muscle stiffness, restlessness, tremors, and other movement disorders. Benztropine helps to alleviate these symptoms, making it an essential medication for individuals experiencing these side effects from antipsychotic medications.
B. "Benztropine helps alleviate your hallucinations."
This statement is incorrect. Benztropine is not primarily used to treat hallucinations; it is used for movement-related side effects as mentioned above.
C. "This medication is given to help with your depression."
This statement is incorrect. Benztropine is not indicated for the treatment of depression.
D. "Benztropine is used to counteract your tachycardia."
This statement is incorrect. Benztropine is not used to treat tachycardia (fast heart rate). It is specifically used for extrapyramidal side effects related to antipsychotic medications.
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