While the nurse at the personality disorders clinic is interviewing a patient, the patient constantly scans the environment and frequently interrupts to ask what the nurse means by certain words or phrases
The nurse notes that the patient is very sensitive to the nurse's nonverbal behavior. His responses are often argumentative, sarcastic, and hostile. He suggests that he is being hospitalized "so they can exploit me.". The patient's behaviors are most consistent with the clinical picture of: a. paranoid personality disorder.
b. histrionic personality disorder.
c. avoidant personality disorder.
d. narcissistic personality disorder.
A
The diagnosis of paranoid personality disorder is defined by features such as pervasive mistrust of others; perceiving the motives of others as malevolent; believing that he is being exploited or victimized; perceiving inconsequential or neutral actions as containing slights, insults, or hidden threats; and an inability to trust even those closest to him. In that these patients perceive others as aligned against them, they tend to be defensive and accusative of others. The patient with histrionic personality disorder would be flamboyant and attention seeking. Persons with avoidant personality disorder would be excessively anxious and hypersensitive to criticism. The patient with narcissistic personality disorder would be grandiose, aloof, and disparaging of others.
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