All of the following describes schizotypal personality disorder except,
Eccentric
Mood swings
Social anxiety
Paranoid
The Correct Answer is B
A. Eccentric. Individuals with schizotypal personality disorder (STPD) exhibit odd or eccentric behaviors, speech, and thought patterns. They may dress unusually, speak in vague or metaphorical ways, or hold bizarre beliefs that are not delusional but are far outside societal norms.
B. Mood swings. Frequent mood swings are not a characteristic feature of schizotypal personality disorder. Instead, they are more commonly seen in borderline personality disorder (BPD) or bipolar disorder. While individuals with STPD may experience transient emotional disturbances, their symptoms are more related to social detachment and cognitive distortions than rapid mood fluctuations.
C. Social anxiety. People with STPD experience intense social anxiety, often due to paranoia and distrust of others rather than fear of judgment (as seen in social anxiety disorder). Their discomfort in social situations does not improve with familiarity, leading to persistent isolation.
D. Paranoid. Paranoia is a core symptom of schizotypal personality disorder. Individuals with STPD often have suspiciousness and odd beliefs, such as thinking others are plotting against them or misinterpreting benign events as having hidden meanings. This paranoid thinking contributes to their social withdrawal and difficulty forming close relationships.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Delusions are a positive symptom of schizophrenia, not a negative symptom. They are false, fixed beliefs that persist despite evidence to the contrary. Common types include persecutory, grandiose, and bizarre delusions. Positive symptoms result from excess dopamine activity in the mesolimbic pathway.
B. Avolition is a negative symptom characterized by a lack of motivation to initiate and sustain goal-directed activities. It leads to difficulties with personal hygiene, work, and social engagement, significantly impairing daily functioning.
C. Apathy is a negative symptom marked by a lack of interest, enthusiasm, or emotional responsiveness. Individuals with schizophrenia may show indifference to social interactions, personal achievements, or daily activities.
D. Alogia (poverty of speech) is a negative symptom where individuals speak less and provide minimal verbal responses. This reflects impaired thought processing and reduced cognitive engagement, common in schizophrenia's mesocortical dopamine pathway dysfunction.
Correct Answer is C
Explanation
A. Nagasaki Anxiety Scale. There is no recognized Nagasaki Anxiety Scale used in clinical practice for diagnosing anxiety disorders.
B. Vanderbilt Anxiety Scale. The Vanderbilt Assessment Scale is primarily used for ADHD screening in children, not for anxiety disorders. It evaluates symptoms of inattention, hyperactivity, and impulsivity, along with comorbid behavioral issues.
C. Hamilton Anxiety Scale. The Hamilton Anxiety Rating Scale (HAM-A) is a widely used diagnostic tool for assessing the severity of anxiety symptoms. It evaluates somatic and psychological symptoms of anxiety, such as tension, fears, insomnia, and autonomic disturbances. It is commonly used in clinical and research settings to monitor treatment response.
D. Jarrad and Cesar Anxiety Scale. There is no known Jarrad and Cesar Anxiety Scale in psychological or psychiatric diagnostic testing, making it an invalid option for anxiety assessment.
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