A 24-year-old single woman presents to the PMHNP for a psychiatric evaluation after discharge from an inpatient psychiatric unit, where she had been admitted for a suicide attempt. She cut her wrists after her boyfriend of one month broke up with her. She reports a long history of self-mutilation, impulsiveness, and no relationship lasting longer than three months. Which is the most likely diagnosis?
Histrionic personality disorder
Narcissistic personality disorder
Dependent personality disorder
Borderline personality disorder
The Correct Answer is D
Choice A reason: Histrionic personality disorder involves attention-seeking behavior and excessive emotionality. While unstable relationships may occur, self-harm and impulsivity are not core features.
Choice B reason: Narcissistic personality disorder is characterized by grandiosity, need for admiration, and lack of empathy. It does not typically involve self-mutilation or intense fear of abandonment.
Choice C reason: Dependent personality disorder involves excessive reliance on others and difficulty making decisions independently. While fear of abandonment is present, impulsivity and self-harm are not hallmark features.
Choice D reason: Borderline personality disorder is marked by emotional instability, impulsivity, intense fear of abandonment, and recurrent self-harming behaviors. The client’s history of unstable relationships, suicide attempt, and self-mutilation strongly align with this diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Chocolate contains small amounts of tyramine and phenylethylamine, which may pose a mild risk when consumed in large quantities while on MAOIs. However, it is not considered a high-risk food requiring complete avoidance. Moderation is generally advised, but it is not strictly prohibited.
Choice B reason: Coffee does not contain significant levels of tyramine and is not contraindicated with MAOIs. While caffeine may exacerbate anxiety or insomnia, it does not interact dangerously with MAOIs in the same way tyramine-rich foods do.
Choice C reason: Cheddar cheese is an aged cheese and contains high levels of tyramine, which can lead to hypertensive crisis when consumed with MAOIs. Tyramine is normally broken down by monoamine oxidase, but when this enzyme is inhibited, tyramine accumulates and can cause dangerous spikes in blood pressure. Therefore, aged cheeses like cheddar must be strictly avoided.
Choice D reason: Potato chips are not fermented or aged and do not contain significant tyramine levels. They are not contraindicated with MAOIs, although excessive salt or fat intake may be discouraged for general health reasons.
Correct Answer is B
Explanation
Choice A reason: Reporting to the state board is not appropriate unless there is a breach of professional conduct. Countertransference is a clinical issue best managed internally.
Choice B reason: Supervisory consultation is the standard and most effective method for addressing countertransference. It allows for reflection, guidance, and professional development without compromising client care.
Choice C reason: While individual therapy may help clinicians explore personal issues contributing to countertransference, it is not the primary method for managing it in clinical practice.
Choice D reason: Discharging the client prematurely due to countertransference may harm the therapeutic alliance and is not considered best practice unless absolutely necessary.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.