NR 547 WEEK 7 2024/2025 QUIZ
QUESTIONS AND ANSWERS (VERIFIED)
100% CORRECT |RATED A+
Personality disorders involve: Correct Answer -"an enduring
pattern of inner experience and behavior that deviates markedly
from the expectations of the individual's culture" per the
Diagnostic and Statistical Manual on Mental Disorders, Fifth
Edition (DSM-5)
-pervasive unhealthy patterns of thinking, functioning, and
behaving
-usually begins by late adolescence or early adulthood and
causes distress or problems in functioning
-affect at least two of these areas:
• Way of thinking about oneself and others
• Way of responding emotionally
• Way of relating to other people
• Way of controlling one's behavior
-Diagnosis is only applicable to individuals 18 or older
• People under 18, personalities are still developing
-3 clusters
• A, B, C
-occur in 10-20% of the general population and about 50% of
psychiatric clients
personality disorders should not be diagnosed unless: Correct
Answer the symptoms are long-standing and impact functioning.
Cluster A Correct Answer Cluster A personality disorders are
characterized by odd or eccentric thinking or behavior.
-PARANOID PERSONALITY DISORDER
• long-standing, pervasive mistrust or suspicion of others and their
motives
,• may refuse to take responsibility for their feelings, often
assigning responsibility to others
• may appear angry, irritable, or hostile, perceiving innocent
remarks as personal insults or attacks
-SCHIZOID
• lifelong pattern of social withdrawal, introversion, and discomfort
with social interaction
• difficulty reading social cues and may have an inability to find
pleasure in most activities
• Affect is bland and constricted and others may perceive their
behaviors as cold, indifferent, lonely, or isolated
-SCHIZOTYPAL
• often appear odd to others
• may dress peculiarly and exhibit magical thinking, odd notions,
illusions, ideas of reference, and derealization
• emotional responses may be flat or inappropriate
Rico is a 30-year-old who is referred to the clinic by his wife,
Tracy. Rico and Tracy have been married for eight years. She
states that in the past year, his behaviors have become
disquieting. He constantly accuses her of cheating on him. He
often takes her phone and scrolls through her calls, texts, and
social media accounts. He is suspicious about texts she receives
from coworkers and other acquaintances. He starts frequent
arguments with her about where she has been and who she was
with, and often replies to her responses with sarcastic, "mean"
comments. Tracy is concerned about Rico's paranoid behavior.
Based on DSM-5-TR (APA, 2022) criteria, does Rico meet
diagnostic criteria for paranoid personality disorder?
yes
no
unable to determine Correct Answer No
, Rationale: Although Rico meets diagnostic criteria of
preoccupation about his wife's loyalty, reads into benign events,
and has suspicions of his wife's fidelity, these symptoms have
developed within the past year. A diagnosis of paranoid
personality disorder requires the presence of symptoms by early
adulthood and in a variety of contexts. Alternate diagnostic
considerations include substance use disorder, schizophrenia, or
bipolar or depressive disorder with psychotic features.
Crispin is a 33-year-old who presents after experiencing auditory
hallucinations. He states he has heard voices "grumbling at him"
about three or four times in the past week, for about 15 minutes
each time. He is employed as a data analyst and works from
home. He does not have hobbies or activities outside of work. He
does not use alcohol, marijuana, or illicit drugs; he smokes
cigarettes. He lives with his sister, who is getting married in a
month; he will be moving into an apartment with a roommate
whom he found on Craigslist. He is stressed about the move. He
states he has no friends and prefers it that way, and he has felt
this way since adolescence. He is not looking forward to his
sister's wedding as he prefers to be alone. When asked if he
would be bringing a date to the wedding, he noted that he has
never considered dating, as he doesn't have use for it; he
endorses a lack of interest in sex.
Which of the fol Correct Answer Schizoid personality disorder
Rationale: Crispin meets DSM-5 criteria for schizoid personality
disorder. He is detached from social relationships, prefers solitary
activities, lacks close friends, and lacks interest in sexual
experiences. He has experienced these traits since adolescence.
Clients with a schizoid personality disorder may have brief periods
of psychotic episodes when stressed.
Heloise is a 27-year-old who presents to the clinic with symptoms
of depressed mood. She states that she has been stressed by a