Page 2270 - Saunders Comprehensive Review For NCLEX-RN

f. Insomnia
C. Cluster A personality disorder types include the odd disorders—
schizoid, schizotypal, and paranoid.
1. Schizoid personality disorder is characterized by an
inability to form warm, close social relationships.
a. Social detachment and lack of close
relationships
b. Interest in solitary activities
c. Aloofness and indifference
d. Restricted expression of emotions
e. Lack of interest in others
2. Schizotypal personality disorder is characterized by
the display of abnormal or highly unusual thoughts,
perceptions, speech, and behavior patterns.
a. Suspiciousness and paranoia
b. Unable to understand how behaviors
impact others
c. Eccentricity
d. Magical thinking
e. Odd thinking and speech
f. Relationship deficits
g. Blunted affect
h. Reclusiveness
3. Paranoid personality disorder is characterized by
suspiciousness and mistrust of others (paranoia) (Box
65-15).
a. May be suspicious and distrusting
b. May be argumentative
c. May be hostile or aloof
d. May be rigid, critical, and controlling of
others
e. May have thoughts of grandiosity

Do not whisper or laugh in front of a client

with a paranoid personality disorder, because the
client will think that you are talking about or laughing
at him or her; this increases the paranoia.
D. Cluster B personality disorders include the dramatic, emotional,
erratic types—histrionic, narcissistic, antisocial, and borderline.
1. Histrionic personality disorder is characterized by
overly dramatic and intensely expressive behavior.
a. Lively and dramatic and enjoys being
the center of attention
b. Has poor and shallow interpersonal
relationships
c. May be sexually seductive or
provocative

2270