A nurse is caring for a client who screams, “I can read your minds!” The nurse should identify this finding as a manifestation of which of the following personality disorders?

Choice A reason: Avoidant personality disorder involves social withdrawal due to fear of rejection, not delusional beliefs like mind-reading. Clients with this disorder are shy and anxious, not prone to bizarre thoughts, making this choice incorrect for the client’s psychotic-like statement. Choice B reason: Paranoid personality disorder involves pervasive distrust and suspicion, such as believing others are plotting against them. While paranoid, it does not typically include magical thinking like mind-reading, which is more characteristic of schizotypal personality disorder, making this choice incorrect. Choice C reason: Antisocial personality disorder is characterized by disregard for others’ rights, impulsivity, and deceitfulness, not delusional beliefs like mind-reading. The client’s statement suggests a psychotic-like feature, which is not typical of antisocial behavior, making this choice incorrect. Choice D reason: Schizotypal personality disorder includes odd beliefs, such as magical thinking or mind-reading, along with eccentric behavior. The client’s claim of reading minds aligns with this disorder’s characteristic perceptual distortions and unusual thoughts, making this the correct choice.