Question 1

Conrad,a 26-year-old male,is being treated for cuts after being arrested for breaking the windows in the home of his girlfriend,who has just told him that they are through.He has a history of having been physically abused by his father,setting fires as a child,treatment for substance abuse,and arrest for stealing a car.Which of the following personality disorders might the clinician consider?

A)Narcissistic
B)Paranoid
C)Antisocial
D)Histrionic

Antisocial

Accepted Answer

Conrad's history of substance abuse, criminal behavior, and propensity for violence suggest that he may have Antisocial Personality Disorder. The other options do not fit Conrad's pattern of behavior as well.

Question 2

Patients with histrionic personality disorder frequently manifest which of the following?&#10;A)Use of their appearance to be the center of attention&#10;B)Belief that they have clairvoyance&#10;C)Perfectionism&#10;D)Fear of criticism and rejection by others

Accepted Answer

Patients with histrionic personality disorder have a strong desire to be the center of attention and often use their physical appearance or sexuality to achieve this. They may also engage in attention-seeking behaviors and exhibit exaggerated emotions. Believing in clairvoyance, perfectionism, and fear of criticism/rejection are not specific to histrionic personality disorder.

Question 3

Temperament,which is one component of personality,&#10;A)Has a 50% heritability&#10;B)Achieves stability by age 16 years&#10;C)Includes the trait of spirituality&#10;D)Is associated with insight learning

Accepted Answer

Temperament has been found to have a 50% heritability, meaning that genetics play a significant role in shaping an individual's temperament. This is supported by numerous studies that have looked at the heritability of temperament traits. The other choices are incorrect, as age 16 is not a universal age of stability for temperament, spirituality is not necessarily a component of temperament, and insight learning is not directly associated with temperament.

Question 4

Impulsivity and suicidality are often associated with borderline personality disorder.Which of the following pharmacological interventions is frequently used to reduce impulsivity and suicidality?&#10;A)Tricyclic antidepressants&#10;B)Benzodiazepines&#10;C)Selective serotonin reuptake inhibitors&#10;D)Monoamine oxidase inhibitors

Accepted Answer

Selective serotonin reuptake inhibitors (SSRIs) are frequently used to reduce impulsivity and suicidality in individuals with borderline personality disorder. SSRIs increase serotonin availability in the brain, which has been associated with decreased impulsivity and improved emotional stability in individuals with borderline personality disorder. Tricyclic antidepressants and monoamine oxidase inhibitors may be effective for treating depression, which is a common co-occurring condition in individuals with borderline personality disorder, but there is less evidence to support their use for reducing impulsivity and suicidality. Benzodiazepines should be used with caution in individuals with borderline personality disorder, as they may increase impulsivity and risk-taking behavior.

Question 5

Narcissistic personality disorder is characterized by symptoms that&#10;A)Are similar to the negative symptoms of schizophrenia&#10;B)Include attitudes of grandiosity and entitlement&#10;C)Include anxiety and fear of abandonment&#10;D)Are influenced by time change such as jet lag

Accepted Answer

Narcissistic personality disorder is characterized by a pattern of grandiosity, need for admiration, and lack of empathy. Individuals with this disorder often have a sense of entitlement and may act as if they are superior to others. Additionally, they may be preoccupied with fantasies of success, power, intelligence, beauty, or ideal love. None of the other options are characteristic of narcissistic personality disorder.

Question 6

With regard to the biological markers for schizotypal personality disorder,all of the following have been reported except&#10;A)Increased ventricles&#10;B)Increased cerebrospinal fluid&#10;C)Impaired smooth pursuit eye movements&#10;D)Impaired of executive functioning

Accepted Answer

The answer of With regard to the biological markers for...

Question 7

The affective instability associated with some of the personality disorders is most frequently treated with which one of the following classes of psychotropic medications?&#10;A)Antipsychotics&#10;B)Selective serotonin reuptake inhibitors&#10;C)Anxiolytics&#10;D)Psychostimulants

Accepted Answer

Selective serotonin reuptake inhibitors (SSRIs) are commonly used to treat affective instability associated with personality disorders, particularly borderline personality disorder. They work by increasing the availability of serotonin in the brain, which can help regulate mood and emotions. Antipsychotics may be used in some cases, but are generally reserved for more severe symptoms or for the treatment of psychotic symptoms. Anxiolytics may also be used to help manage symptoms such as anxiety, but are not typically effective for the emotional dysregulation seen in personality disorders. Psychostimulants may be used to treat symptoms of attention deficit hyperactivity disorder (ADHD) that may co-occur with personality disorders, but are not typically used to treat affective instability.

Question 8

Narcissistic personality disorder is more likely to occur in families that&#10;A)Teach children to put family and community ahead of personal desires.&#10;B)Encourage children to develop problem-solving skills.&#10;C)Teach children that they are special and entitled to the best in life.&#10;D)Encourage resilience in the face of adversity.

Accepted Answer

Narcissistic personality disorder is characterized by an inflated sense of self-importance, entitlement, and a lack of empathy for others. Children who are consistently taught that they are special and entitled may be more likely to develop narcissistic traits as they grow older. Additionally, receiving excessive admiration and praise from parents or caregivers can contribute to the development of this disorder.

Question 9

The personality disorder that is the most socially sensitive to the influence of culture is&#10;A)Paranoid&#10;B)Narcissistic&#10;C)Schizotypal&#10;D)Schizoid

Accepted Answer

The answer of The personality disorder that is the most...

Question 10

In which of the following personality disorders would there likely be a lower rate of soft neurological signs?&#10;A)Schizotypal&#10;B)Dependent&#10;C)Antisocial&#10;D)Borderline

Accepted Answer

Soft neurological signs are often associated with neurodevelopmental disorders such as autism and schizophrenia. Hence, there would be a lower rate of soft neurological signs in personality disorders that are not associated with neurodevelopmental issues, such as in the case of Dependent Personality Disorder.

Question 11

Patients with schizoid personality disorder are likely to&#10;A)Desire relationships but avoid them because of fear of rejection&#10;B)Have perceptual and cognitive distortions&#10;C)Be suspicious,be jealous,and hold a grudge&#10;D)Appear to be cold,aloof,and a loner

Accepted Answer

The answer of Patients with schizoid personality disorder are likely...

Question 12

Avoidant personality disorder is distinguished from schizoid personality disorder by which of the following characteristics?&#10;A)Desire to socialize with others but fear of rejection&#10;B)Lack of desire to socialize with others&#10;C)Disregard for social norms and the rights of others&#10;D)Focus on rules,orderliness,and perfectionism

Accepted Answer

The answer of Avoidant personality disorder is distinguished from schizoid...

Deck 18: Personality Disorders