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?

Antisocial personality disorder

Paranoid personality disorder

Schizotypal personality disorder

Avoidant personality disorder

Answer and Explanation

The Correct Answer is C

C. Schizotypal personality disorder is characterized by eccentric behavior, odd beliefs or magical thinking, unusual perceptual experiences, and social and interpersonal deficits. Individuals with this disorder may exhibit peculiar or paranoid beliefs, such as believing they have special powers or abilities like mind-reading, as described in the scenario.

A. Antisocial personality disorder is characterized by a pervasive pattern of disregard for and violation of the rights of others. Individuals with this disorder may engage in behaviors such as deceitfulness, impulsivity, aggression, and lack of remorse.

B. Paranoid personality disorder is characterized by a pervasive distrust and suspicion of others, leading to interpersonal difficulties and a heightened sense of threat or persecution.

D. Avoidant personality disorder is characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, leading to avoidance of social interactions and situations.

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Correct Answer is D

Explanation

D Antihistamines, particularly those with strong anticholinergic properties, are known to be associated with the development of delirium. Anticholinergic medications can disrupt neurotransmitter signaling in the brain, leading to cognitive impairment, confusion, and delirium.

A. Benzodiazepine have not been associated with delirium.

B. SSRIs can have side effects, including agitation or confusion in some individuals, they are not typically associated with the development of delirium to the same extent as benzodiazepines.

C. Amphetamines are stimulant medications that increase the activity of certain neurotransmitters in the brain. However, they are not typically associated with the development of delirium.

A. Factitious disorder B. Dissociative amnesia C. Depersonalization/derealization disorder D. Functional neurological symptom disorder

Correct Answer is D

Explanation

D. FNSD involves neurological symptoms that cannot be explained by a medical or neurological condition but are believed to be related to psychological factors. In this case, the client's symptoms of numbness are likely somatic manifestations of underlying psychological distress or conflict.

A. Factitious disorder involves intentionally producing or feigning physical or psychological symptoms for the purpose of assuming the sick role.

B. Dissociative amnesia involves memory loss that is not attributable to neurological conditions or substance use and is often associated with stressful or traumatic events.

C. Depersonalization/derealization disorder involves experiences of detachment from oneself or one's surroundings.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?

Correct Answer is D

Explanation

A nurse is caring for a client who states. "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?

Correct Answer is D

Explanation

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