Practice Question
A 68-year-old woman who has been self-employed as a copyeditor avoids social gatherings and would rather stay home and read. She has a few distant friends who check in on her occasionally and who report her entire home is covered in bedsheets. She attends church weekly but behaves erratically and then quickly leaves after the service. She is known to never be without her feather boa. Which of the following best describes this patient?
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Correct Answer:
Schizotypal personality disorder
Rationale:
🔷 Schizotypal personality disorder is characterized by acute social anxiety, eccentric behaviors, and odd beliefs or appearance that are not severe enough to meet the criteria for schizophrenia. This patient demonstrates social withdrawal (avoiding gatherings, having only a few distant friends), unusual behavior (covering the home in bedsheets, never without a feather boa), and odd interpersonal patterns (attending church but leaving quickly after behaving erratically).
🔷 People with this disorder often maintain a degree of functioning (e.g., self-employment, attending church) but have impaired social relationships and a tendency toward magical thinking or eccentric dress.
🔷 Unlike schizoid personality disorder, where patients prefer isolation but are otherwise emotionally flat and not eccentric, schizotypal involves peculiar behaviors and thought patterns.
🔷 The absence of hallucinations, delusions, or disorganized speech rules out schizophrenia, and the presentation is not centered on mistrust or suspicion, which would suggest paranoid personality disorder.
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This question is from Examplify Mental Health 1 which contains 56 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Mental Health
- Answer Choices: 4