NR 547 WEEK 7 2024 QUESTIONS AND ANSWERS (VERIFIED) 100% CORRECT| A+ GRADE

NR 547 WEEK 7 2024 QUESTIONS AND ANSWERS (VERIFIED) 100% CORRECT| A+ GRADE 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 ado lescence 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 PER SONALITY 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 a nd 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 constant ly 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 d isorder? 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 w ithin 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 employe d 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 following diagnoses is the most appropriate for Crispin? Schizotypal personality disorder Schizoid personality disorder 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.