The nurse caring for an individual demonstrating symptoms of ...

[ENagel]

The nurse caring for an individual demonstrating symptoms of schizotypal personality disorder would expect assessment findings to include:
 
  a. arrogant, grandiose, and a sense of self-importance.
  b. attention seeking, melodramatic, and flirtatious.
  c. impulsive, restless, socially aggressive behavior.
  d. socially anxious, rambling stories, peculiar ideas.

Question 2

A patient diagnosed with borderline personality disorder self-inflicted wrist lacerations after gaining new privileges on the unit. In this case, the self-mutilation may have been due to:
 
  a. an inherited disorder that manifests itself as an incapacity to tolerate stress.
  b. use of projective identification and splitting to bring anxiety to manageable levels.
  c. a constitutional inability to regulate affect, predisposing to psychic disorganization.
  d. fear of abandonment associated with progress toward autonomy and independence.

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Answer to Question 1

ANS: D
Individuals with schizotypal personality disorder do not want to be involved in relationships. They are shy and introverted, speak little, and prefer fantasy and daydreaming to being involved with real people. The other behaviors would characteristically be noted in narcissistic, histrionic, and antisocial personality disorder. (The educator may reformat this question as multiple response.)

Answer to Question 2

ANS: D
Fear of abandonment is a central theme for most patients with borderline personality disorder. This fear is often exacerbated when patients with borderline personality disorder experience success or growth.

[ENagel]

Excellent

[raenoj]

TYSM