NR 547
NR 547 Week 7 Exam Questions And
Answers Newest Solution
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 - ANS ✔✔ - 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 - ANS ✔✔ - Schizoid personality disorder
1
, NR 547
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 recent wildfire that started near her community. She believes that she
caused the fire to spread because she was thinking about it too much. She also says that she hears the
animals crying out to her as they are succumbing to the fire. She states she has never had friends, other
than her sister because she gets very anxious around other people. She was teased throughout high
school and labeled a "weirdo" for her choice of clothing and speech patterns.
Which of the following diagnoses is the most appropriate for Heloise?
Schizotypal personality disorder
Schizoid personality disorder - ANS ✔✔ - Schizotypal personality disorder
Rationale: Heloise meets diagnostic criteria for schizotypal personality disorder. She exhibits ideas of
reference, magical thinking, unusual perceptual experiences, has an odd appearance and speech
patterns, social anxiety, and lacks close friends. The traits have been present since she was in high
school.
Cluster B - ANS ✔✔ - Cluster B personality disorders are characterized by dramatic, overly emotional, or
unpredictable thinking or behavior.
-ANTISOCIAL
• inability to conform to social norms typical of adolescent or adult behavior
• may exhibit a disregard for needs, feelings, rights, or safety of others
• recurring problems with the law, criminal acts such as lying, stealing, or conning others without
remorse common
-BORDERLINE PERSONALITY DISORDER
• stand on the border between neurosis and psychosis, exhibiting unstable affect, mood, behaviors,
object relations, and self-image
• often engage in risky behaviors
• intensely fearful of abandonment, and their relationships are often intense and unstable
2
NR 547 Week 7 Exam Questions And
Answers Newest Solution
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 - ANS ✔✔ - 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 - ANS ✔✔ - Schizoid personality disorder
1
, NR 547
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 recent wildfire that started near her community. She believes that she
caused the fire to spread because she was thinking about it too much. She also says that she hears the
animals crying out to her as they are succumbing to the fire. She states she has never had friends, other
than her sister because she gets very anxious around other people. She was teased throughout high
school and labeled a "weirdo" for her choice of clothing and speech patterns.
Which of the following diagnoses is the most appropriate for Heloise?
Schizotypal personality disorder
Schizoid personality disorder - ANS ✔✔ - Schizotypal personality disorder
Rationale: Heloise meets diagnostic criteria for schizotypal personality disorder. She exhibits ideas of
reference, magical thinking, unusual perceptual experiences, has an odd appearance and speech
patterns, social anxiety, and lacks close friends. The traits have been present since she was in high
school.
Cluster B - ANS ✔✔ - Cluster B personality disorders are characterized by dramatic, overly emotional, or
unpredictable thinking or behavior.
-ANTISOCIAL
• inability to conform to social norms typical of adolescent or adult behavior
• may exhibit a disregard for needs, feelings, rights, or safety of others
• recurring problems with the law, criminal acts such as lying, stealing, or conning others without
remorse common
-BORDERLINE PERSONALITY DISORDER
• stand on the border between neurosis and psychosis, exhibiting unstable affect, mood, behaviors,
object relations, and self-image
• often engage in risky behaviors
• intensely fearful of abandonment, and their relationships are often intense and unstable
2
