A person who is aloof, isolated and does not socialize, falls into which of the following category?

Appeared in: TMC Staff Nurse - 2019

Explanation

The terms 'aloof,' 'isolated,' and 'does not socialize' are defining characteristics of social withdrawal.
A withdrawn individual actively avoids social interactions and prefers solitude, often appearing detached or distant from others.
This behavior is distinct from anxiety, aggression, or obsession, which have different core features.

Why Other Options Were Wrong

Option B: Anxiety is primarily characterized by feelings of worry, fear, and nervousness, often with physical symptoms like restlessness or a rapid heartbeat. The stem describes avoidance, not the emotion of fear.
Option C: Aggression involves hostile, confrontational, or violent behavior, which is the opposite of being aloof and isolated.
Option D: Obsessive behavior involves repetitive, intrusive thoughts (obsessions) or ritualistic actions (compulsions), such as constant checking or cleaning. The stem describes social behavior, not repetitive thoughts or actions.

Related Visual

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of behavioral patterns in a psychiatric context as background academic context rather than a clinical decision trigger.
Recognizing social withdrawal is a critical nursing skill, as it is a key symptom of serious conditions like depression, schizophrenia (as a negative symptom), and post-traumatic stress disorder (PTSD).
A nurse's priority for a withdrawn patient is to establish a therapeutic, non-threatening relationship to build trust, assess for safety (suicidal ideation), and encourage gradual participation in activities.
What if? If the withdrawn patient also expressed feelings of worthlessness and had a flat affect, the nurse's immediate concern would shift to a high-priority suicide risk assessment.

How to Approach the Question

First, identify the keywords in the question stem: 'aloof', 'isolated', 'does not socialize'.
Analyze the core meaning of these keywords. They all point to a pattern of moving away from social contact.
Evaluate each option against this pattern.
Option A, 'Withdrawn', is a direct synonym for this behavior.
Options B, C, and D describe different behavioral categories (fear/worry, hostility, repetitive actions) that do not match the keywords.
Therefore, select the option that is the most direct and accurate description of the behavior presented.

Concept Tested & Keywords

Concept Tested: Identification of behavioral patterns in a psychiatric context.
Stem keywords: aloof, isolated, does not socialize
Lead-in keywords: falls into which of the following category

Question ID

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Reference Book

E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 7205-7207

E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) pp. 1795-1797, 1793-1795

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