NR547 Week 7 Prep Bundle for 2025 | Full Quiz Set
| Verified 100% Correct
Personality disorders involve: - -"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: - the symptoms are long-
standing and impact functioning.
Cluster A - 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 - 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.
| Verified 100% Correct
Personality disorders involve: - -"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: - the symptoms are long-
standing and impact functioning.
Cluster A - 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 - 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.
