The nurse is caring for a patient with a suspected personality disorder. The nurse suspects the diagnosis will be confirmed based on which indicators? Select all that apply
1. The patient's symptoms do not correlate with any other mental disorder.
2. The patient experiences symptoms in a variety of settings and does not seem able to change or prevent them.
3. The patient reports being unable to keep a job or go to school because of the symptoms.
4. The patient's symptoms began in adolescence and are variable.
5. The patient is not taking any medications at this time.
Answer: 1, 2, 3, 5
Explanation: Diagnostic criteria for a patient with a suspected personality disorder include: An enduring personality pattern that a) cannot be explained as a manifestation or consequence of another mental disorder; b) is inflexible and pervasive across a broad range of personal and social situations; c) leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning; and d) is not attributable to the physiological effects of a substance or another medical condition. Although patterns associated with personality disorders and be traced back to adolescence (if not earlier), the symptoms are persistent and inflexible, not variable, over time.
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