A nurse is assessing a patient who has been diagnosed with Borderline Personality Disorder (BPD). Which of the following symptoms are most characteristic of BPD?

A pattern of being excessively preoccupied with orderliness, perfectionism, and control

A history of manipulating others for personal gain and lack of empathy

A persistent fear of criticism and rejection, leading to social withdrawal

A pattern of unstable interpersonal relationships, self-image, and along with marked impulsivity

Answer and Explanation

The Correct Answer is D

A. A pattern of being excessively preoccupied with orderliness, perfectionism, and control: This describes obsessive-compulsive personality disorder, not borderline personality disorder. While both involve maladaptive behaviors, BPD is characterized by instability rather than rigidity and control.

B. A history of manipulating others for personal gain and lack of empathy: These traits are consistent with antisocial personality disorder. Clients with BPD may display manipulation, but it is usually driven by fear of abandonment rather than exploitation for gain.

C. A persistent fear of criticism and rejection, leading to social withdrawal: This describes avoidant personality disorder, which is marked by social inhibition and sensitivity to rejection. In contrast, clients with BPD struggle with unstable relationships and emotional regulation.

D. A pattern of unstable interpersonal relationships, self-image, and along with marked impulsivity: Clients often demonstrate intense but unstable relationships, shifting self-image, impulsivity, and emotional dysregulation that can lead to risky behaviors and self-harm.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Borderline: Borderline personality disorder is associated with unstable mood, intense fear of abandonment, impulsivity, and self-destructive behaviors. While these clients may struggle with relationships, they do not exhibit grandiosity or an excessive need for admiration.

B. Schizoid: Schizoid personality disorder involves emotional detachment, preference for solitary activities, and limited expression of emotions. Clients with this disorder avoid social interactions but do not display traits of grandiosity or admiration-seeking.

C. Narcissistic: Narcissistic personality disorder is characterized by an inflated sense of self-importance, constant need for admiration, and lack of empathy toward others. These clients often exploit relationships for personal gain and require recognition to maintain self-esteem.

D. Histrionic: Histrionic personality disorder is marked by excessive emotionality, attention-seeking behavior, and dramatic expression. While they crave approval, they do not exhibit the pervasive grandiosity and lack of empathy that define narcissistic personality disorder.

A. Symmetrical chest expansion. B. Tracheal deviation away from the affected side. C. Increased breath sounds on the affected side. D. Hyperresonance to percussion on the affected side.

Correct Answer is B

Explanation

A. Symmetrical chest expansion: In a tension pneumothorax, chest expansion is usually asymmetrical because air trapped in the pleural space prevents full lung expansion on the affected side. Symmetrical movement would not be expected in this condition.

B. Tracheal deviation away from the affected side: This is a hallmark sign of tension pneumothorax. As intrapleural pressure increases, the mediastinum shifts, pushing the trachea and other structures toward the unaffected side, which is a medical emergency requiring immediate intervention.

C. Increased breath sounds on the affected side: Breath sounds are typically absent or markedly diminished over the affected lung due to lung collapse. Increased breath sounds would not occur in the presence of trapped air compressing the lung.

D. Hyperresonance to percussion on the affected side: Hyperresonance can occur with a simple pneumothorax due to excess air in the pleural cavity. However, while present, it is not as specific or critical as tracheal deviation, which directly indicates a tension pneumothorax.

View Question and Answer

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

A nurse is assessing a patient who has been diagnosed with Borderline Personality Disorder (BPD). Which of the following symptoms are most characteristic of BPD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which personality disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and a lack of empathy?

Correct Answer is C

Explanation

Which assessment finding indicates a tension pneumothorax, a complication of untreated pneumothorax?

Correct Answer is B

Explanation

A nurse is caring for a client hospitalized with AIDS. A friend comes to visit the client and privately asks the nurse about the risk of contracting HIV when visiting the client. What is the nurse's best response?

Which of the following assessment findings would be expected in a client with chronic hypoxemia due to chronic obstructive pulmonary disease (COPD)?

The nurse is creating a plan of care for a client with schizophrenia. Which nursing intervention will the nurse perform first when caring for this client?

Which observation by the nurse is supportive of a diagnosis of avoidant personality disorder?

When working with a client with a personality disorder, the nurse would expect to find:

A patient taking a first generation anti-psychotic medication is noted to grimace and smack both lips. The patient's neck and shoulders twisting in a snakelike motion. What problem would the nurse suspect?

A nurse is assessing a patient who has been diagnosed with Borderline Personality Disorder (BPD). Which of the following symptoms are most characteristic of BPD?

The client with schizophrenia taking antipsychotic medication is conversing with the nurse when the eye's roll back in a locked position and their jaw presents to be locked in one position. Which is the priority action by the nurse?