During an interview, which client statement should indicate to a nurse a potential diagnosis of schizotypal personality disorder?
1. "I don't have a problem. My family is inflexible, and relatives are out to get me."
2. "I am so excited about working with you. Have you noticed my new nail polish, ‘Ruby Red Roses'?"
3. "I spend all my time tending my bees. I know a whole lot of information about bees."
4. "I am getting a message from the beyond that we have been involved with each other in a previous life."
4
Rationale: The nurse should assess that a client who states that he or she is getting a message from beyond indicates a potential diagnosis of schizotypal personality disorder. Individuals with schizotypal personality disorder are aloof and isolated and behave in a bland and apathetic manner. The person experiences magical thinking, ideas of reference, illusions, and depersonalization as part of daily life.
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