You enter the room to meet with your client, who remarks, I knew ...

[pane00]

You enter the room to meet with your client, who remarks, I knew you were going to turn the doorknob just then because I had just finished counting to 100.
 
  You note that this client consistently has higher pulse, respirations, and blood pressure (BP) after having to sit in a crowded waiting room than when the room is empty, and that the client dresses in unusual clothing combinations. This client is MOST likely diagnosed with: a. obsessive-compulsive personality disorder
  b. paranoid personality disorder
  c. schizoid personality disorder
  d. schizotypal personality disorder

Question 2

A nurse would determine that medication teaching was most successful for a patient starting on lithium (Lithobid) if the patient stated:
 
  a. I will discontinue my medication if I experience any fine hand tremors..
  b. I know that I will need to reduce exercising to only three times per week..
  c. I will need to get regular blood levels drawn while I'm on my medication..
  d. I will continue my medication unless I get sick and catch a very bad cold..

[k.lashomb]

Answer to Question 1

D
This client would most likely be diagnosed with schizotypal personality disorder. The high BP, respiration, and pulse when in a crowded waiting room is indicative of excessive social anxiety. His clothing creates an appearance that is odd, eccentric, or peculiar. His belief that you knocked because he counted to 100 demonstrates odd thinking or beliefs. All of these are indicators of schizotypal personality disorder, although none of these symptoms in isolation is sufficient to form such a diagnosis.

Answer to Question 2

C
Patients on lithium usually start lithium with blood levels drawn three times per week and then monthly. When the patient is on maintenance medication, the psychiatrist may extend the testing of the blood levels to every 3 to 6 months.