The nurse is preparing to assess a client with a diagnosis of paranoid personality disorder. What client characteristics will the nurse expect to observe?
1. Grandiosity
2. Superficial charm
3. Affective instability
4. Suspicions and rigidity
4
Rationale: The major features of cluster A disorders are pervasive distrust, social detachment, and subsequent impairment in social and occupational functioning. Individuals with paranoid personality disorder are inflexible in their perception of the world. Affective instability, grandiosity, and superficial charm would be characteristic of cluster B diagnoses.
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