a nurse is assessing a client who has been diagnosed with schizoid personality disorder which of the following behaviors should the nurse expect

ATI RN

ATI Mental Health Practice B

1. A healthcare professional is assessing a client who has been diagnosed with schizoid personality disorder. Which of the following behaviors should the healthcare professional expect?

A. Preference for solitary activities
B. Detachment from social relationships
C. Indifference to praise or criticism
D. Anxiety in social situations

Correct answer: C

Rationale: The correct behavior that the healthcare professional should expect in an individual with schizoid personality disorder is indifference to praise or criticism. While it is true that individuals with this disorder often exhibit a preference for solitary activities and detachment from social relationships, the key defining characteristic is their emotional detachment and lack of response to external feedback, which includes being indifferent to praise or criticism. Anxiety in social situations is not a typical feature of schizoid personality disorder.

2. Which chronic medical condition commonly triggers major depressive disorder?

A. Pain
B. Hypertension
C. Hypothyroidism
D. Crohn's disease

Correct answer: A

Rationale: Chronic pain is a common trigger for major depressive disorder. The persistent and distressing nature of chronic pain can lead to feelings of hopelessness, helplessness, and contribute to the development of major depressive disorder in individuals experiencing it.

3. Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic?

A. Restating
B. Encouraging description of perception
C. Summarizing
D. Asking 'why' questions

Correct answer: D

Rationale: Asking 'why' questions is not considered a therapeutic technique in patient-centered communication as it can make patients feel defensive or judged. 'Why' questions may imply criticism or put the patient on the spot, potentially hindering open and honest communication. Instead, focusing on open-ended questions that encourage patients to express their feelings and thoughts without feeling judged or interrogated is more conducive to therapeutic communication.

4. In assessing a client with major depressive disorder, which of the following findings shouldn't the nurse expect?

A. Anhedonia
B. Hypersomnia
C. Fatigue
D. Flight of ideas

Correct answer: D

Rationale: In major depressive disorder, common findings include anhedonia (loss of interest or pleasure), hypersomnia (excessive sleepiness), fatigue, and feelings of worthlessness. Flight of ideas, characterized by racing thoughts and rapid speech, is typically associated with bipolar disorder during manic episodes, not major depressive disorder.

5. Which of the following is a negative symptom of schizophrenia?

A. Hallucinations
B. Delusions
C. Alogia
D. Paranoia

Correct answer: C

Rationale: Alogia, also known as poverty of speech, is a negative symptom of schizophrenia. It refers to a reduction in the amount of speech or the feeling that one has nothing to say. Hallucinations and delusions are positive symptoms, characterized by the presence of abnormal experiences and beliefs. Paranoia is a symptom involving intense anxious or fearful feelings, which is not classified as a negative symptom of schizophrenia.