Personality and Mood Disorders Q 17



A nurse notices that a client is mistrustful and shows hostile behavior. Which of the following types of personality disorder is associated with these characteristics?
  
     A. Antisocial
     B. Avoidant
     C. Borderline
     D. Paranoid
    
    

Correct Answer: D. Paranoid

Paranoid individuals have a need to constantly scan the environment for signs of betrayal, deception, and ridicule, appearing mistrustful and hostile. They expect to be tricked or deceived by others. Paranoid personality disorder is a chronic and pervasive condition characterized by disruptive patterns of thought, behavior, and functioning. This disorder is thought to affect between 1.21 to 4.4% of U.S. adults. Individuals with paranoid personality disorder are at a greater risk of experiencing depression, substance abuse, and agoraphobia.

Option A: Antisocial personality disorder (ASPD) is a deeply ingrained and rigid dysfunctional thought process that focuses on social irresponsibility with exploitive, delinquent, and criminal behavior with no remorse. Disregard for and the violation of others’ rights are common manifestations of this personality disorder, which displays symptoms that include failure to conform to the law, inability to sustain consistent employment, deception, manipulation for personal gain, and incapacity to form stable relationships.
Option B: Avoidant personality disorder (AVPD) is an enduring pattern of behavior related to social inhibition, feelings of inadequacy, and sensitivity to rejection that causes problems in work situations and relationships. The disorder is characterized by extreme shyness and sensitivity to criticism from others and is known as a Cluster C personality disorder or one that involves anxious and fearful personality disorders.
Option C: Borderline personality disorder (BPD) is a serious psychological condition that’s characterized by unstable moods and emotions, relationships, and behavior. It’s one of several personality disorders recognized by the American Psychiatric Association (APA). BPD can often interfere with your ability to enjoy life or achieve fulfillment in relationships, work, or school. It’s associated with specific and significant problems in interpersonal relationships, self-image, emotions, behaviors, and thinking.