Unit 8 Personality Disorders CLUSTER A- Paranoid, Schizoid, Schizotypal Chapter 24

Question 1

Which personality disorders are generally associated with behaviors described as “odd or eccentric”? Select all that apply.
a. Paranoid
b. Schizoid
c. Histrionic
d. Obsessive-compulsive
e. Avoidant

Answer 1

a. Paranoid
b. Schizoid

-Schizotypal

Question 2

What are the characteristics associated with Paranoid Personality disorders?

Answer 2

Longstanding distrust and suspiciousness – not supported by evidence
 Hypervigilant, anticipate hostility and may provoke hostile responses
 Relationships are difficult – jealousy, controlling and unwilling to forgive

Question 3

What are some things that a patient Paranoid Personality Disorder will say or exhibit?

Answer 3

-very delusions

-“they feel like the CIA is looking for them”
- someone is out to get them

-

Question 4

Should you explain medical procedures thoroughly to patients with with Paranoid Personality Disorder?

A. Yes
B. No

Answer 4

A. Yes

Clear straightforward explanations of test and procedures before hand
 Simple language with neutral kind affect , use no medical terminology, be neutral and kind
 Limit setting when threatening behaviors present

Question 5

You re a nurse on the unit and you notice that you client its pacing in the halls . What is your first intervention?

Answer 5

• verbal de-escalation

Question 6

What are the characteristic associated with Schizoid Personality Disorder?

Answer 6

 Lifelong pattern of social withdrawal

 Expressionless and operate with restricted range of emotional expression.

 Viewed as odd or eccentric due to discomfort with social interaction.

 Emotional Detachment, no enjoyment from close relationships.
(friendship/dating/sexual relationships - Rare

Question 7

You patient with a personality disorder has a life long pattern of social withdrawal. He has no close relationships with friends or family? Select the Personality Disorder?

A. Bipolar
B. Histrionic
C. Schizoid
D. Dependent

Answer 7

C. Schizoid

Question 8

Should you encourage group therapy with patient with Schizoid personality disorder?

A. Yes
B. No

Answer 8

B. No

Do not try to increase socialization

NO EMOTIONS LIKE A ROCK

Question 9

What type of job would be best for patients with schizoid personality disorder?

A. Retail specialist
B. Security guard
C. Teacher
D. Football coach

Answer 9

B. Security guard

Person’s with this disorder are great at working alone they prefer solitary work due to love of being alone

Question 10

Would a person with Schizoidpersonality disorder be happy and show excitement?

A. Yes
B. No

Answer 10

B. No

NO EMOTIONS LIKE A ROCK

COMMON FACIAL EXPRESSION
-no excitement
-no happiness
-flat affect

Question 11

You are complimenting your patient shirt with Schizoid personality Disorder?
What would bother response?

A. “Thank you so so much , I knew it would get your attention.”
B. “Okay.”
C. “Does this mean you’re my bestfriend now.”
D.” I think I can call you my girlfriend now.”

Answer 11

B. “Okay.”

PATIENTS WITH SCHIZOTYPAL PERSONALITY DISORDER CARE LESS ABOUT APPROVAL OR REJECTION

Question 12

Do they care about social interaction?

A. Yes
B. No

Answer 12

Does not care at all for social interaction

B. No

Question 13

Nursing Care for Schizoid

Should you be friendly?

A.Yes
B. No

Answer 13

B. No

Nursing Care
 Avoid being too nice or friendly – make the patient uncomfortable
 Do not try to increase socialization
 Be thorough to identify symptoms the pt may be reluctant to discuss
 Protect from bullying and ridicule from group members r/t interests and ideas

Question 14

Treatment for Schizoid

Answer 14

Treatment
 Psychotherapy

 Antidepressant may increase pleasure in life

 2nd Gen antipsychotic may help with expressiveness

Question 15

What are the characteristics of Schizotypal Personality Disorder?

Answer 15

• magical thinking
  -odd beliefs
  -odd ball out does not blend in with crowds

PERSON WITH A WIZARD OF OZ HAT at a causal event

Do not blend in with the crowd - Strikingly strange and unusual

 Hallmarks - magical thinking, odd beliefs, strange speech patterns and inappropriate affect
 More at risk – 1st degree relative with Schizophrenia

 Paranoia, overly suspicious and anxious (extreme anxiety in social situations)

Question 16

Is it common for Schizotypal personality disorder to have hallucinations or delusions ?

A. yes
B. no

Answer 16

A. yes

 More at risk – 1st degree relative with Schizophrenia

Question 17

Do schizotypal personality disorder care for social interaction?

A. Yes
B. No

Answer 17

A. Yes

it’s really hard to make friends because they’re are different than everyone else

• others see this group as weird

Question 18

Which of the following phrases would a person with Schizotypal?
A. “ I thought of him falling down the stairs and he did.”
B.” I wore this dress to get attention.”
C.” I’m the best person in the world.”
D. “ I can’t pay my bills by myself I need help desperately.”

Answer 18

A. “ I thought of him falling down the stairs and he did.”

Question 19

Nursing Care Schizotypal

Answer 19

Nursing Care
 Respect need for social isolation
 Careful assessment to uncover medical or psychological symptoms
 Be ware of strange beliefs (strange practices, participation in cults)

Question 20

Which of the following personality disorder are at high risk for being diagnosed with Schizophrenia?

A.Histrionic
B. Schizoid
C. Schizotypal
D. Dependent

Answer 20

C. Schizotypal

Schizotypal PD are at the highest risk for Schizophrenia

Question 21

“I clicked my feet twice , I know I can go to Europe doing this.” Which personality disorder does this phrase relate to?

A.Histrionic
B. Schizoid
C. Schizotypal
D. Dependent

Answer 21

C. Schizotypal

Question 22

Do they seek relationship schizotypal?

A. Yes
B. No

Answer 22

A. Yes

due to their interpersonal deficit it is hard for them to socialize and make friends