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A 62-Year-Old Woman Comes to the Office for Follow-Up of Worsening

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A 62-year-old woman comes to the office for follow-up of worsening hypertension.  The patient admits to not taking her antihypertension medication as prescribed.  She says she feels fine and adds, "I always listen to my bodily rhythms when deciding whether to take medication on a particular day."  The patient explains that her crystal jewelry has healing powers, and she maintains an online forum about the health benefits of crystals.  The patient does not trust most people and believes that she can predict the weather based on the number of birds in her yard.  She lives alone, has few friends, and is unemployed.  On examination, the patient makes limited eye contact and appears mildly anxious.  She has no auditory hallucinations, and no specific delusions are elicited.  Which of the following is the most likely explanation for this clinical presentation?


Definitions:

Operational Definition

An operational definition specifies the exact criteria and methodology for measuring or observing a concept or variable in a research study.

Chair Arrangement

The process or strategy involved in organizing chairs in a specific layout or pattern, often for events or gatherings.

Student Participation

The active engagement and contribution of students in the educational process, enhancing learning and academic success.

Control Group

In experimental research, a group of subjects that does not receive the experimental treatment, used as a benchmark to measure the effect of the treatment.

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