Schizophrenia Q 32
During a group therapy session in the psychiatric unit, a client constantly interrupts with impulsive behavior and exaggerated stories that cast her as a hero or princess. She also manipulates the group with attention-seeking behaviors, such as sexual comments and angry outbursts. The nurse realizes that these behaviors are typical of:
A. Paranoid personality disorder
B. Avoidant personality disorder
C. Histrionic personality disorder
D. Borderline personality disorder
Correct Answer: C. Histrionic personality disorder
This client’s behaviors are typical of histrionic personality disorder, which is marked by excessive emotionality and attention seeking. The client constantly seeks and demands attention, approval, or praise; may be seductive in behavior, appearance, or conversation; and is uncomfortable except when she is the center of attention. Histrionic personality disorder, or dramatic personality disorder, is a psychiatric disorder distinguished by a pattern of exaggerated emotionality and attention-seeking behaviors. Histrionic personality disorder falls within the “Cluster B” of personality disorders.
Option A: Typically, a client with paranoid personality disorder is suspicious, cold, hostile, and argumentative. Paranoid personality disorder (PPD) is one of a group of conditions called “Cluster A” personality disorders which involve odd or eccentric ways of thinking. People with PPD also suffer from paranoia, an unrelenting mistrust and suspicion of others, even when there is no reason to be suspicious.
Option B: Avoidant personality disorder is characterized by anxiety, fear, and social isolation. 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 D: Borderline personality disorder is characterized by impulsive, unpredictable behavior and unstable, intense interpersonal relationships. 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).