A nurse is preparing to assess a client with a paranoid personality trait. The nurse integrates knowledge of this condition, anticipating that the client's affect and behavior will most likely be which of the following?
A) Angry and hostile
B) Flirtatious and seductive
C) Fearful and anxious
D) Friendly and open
Ans: A
People with paranoid personality traits are unforgiving and hold grudges; their typical emotional responses are anger and hostility. They distance themselves from others and are outwardly argumentative and abrasive; internally, they feel powerless, fearful, and vulnerable. Other hallmark features of paranoid personality disorder are persistent ideas of self-importance and the tendency to be rigid and controlled. Thus, the client would not be flirtatious, seductive, fearful, anxious, friendly, or open.
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