All of the following describes borderline personality disorder except
Fear of abandonment
No remorse
Mood swings
Impulsivity
The Correct Answer is B
A. Fear of abandonment. Individuals with borderline personality disorder (BPD) have an intense fear of abandonment, leading to frantic efforts to avoid real or imagined rejection. This fear often results in unstable relationships, clingy behavior, or extreme emotional reactions to perceived neglect.
B. No remorse. Lack of remorse is characteristic of antisocial personality disorder (ASPD), not BPD. People with BPD may experience guilt, regret, and self-loathing, particularly after impulsive actions or relationship conflicts. Unlike ASPD, they do not engage in manipulative or harmful behavior without concern for others' feelings.
C. Mood swings. Rapid and intense mood swings are a hallmark of BPD. Affected individuals may shift from euphoria to despair within hours, often triggered by interpersonal stressors. This emotional instability contributes to self-destructive behaviors and difficulty maintaining relationships.
D. Impulsivity. People with BPD frequently engage in impulsive and reckless behaviors, such as substance abuse, binge eating, reckless driving, or self-harm. These behaviors are often driven by emotional dysregulation and difficulty coping with distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Avoidant/restrictive food intake disorder (ARFID) is an eating disorder characterized by extreme food restriction, leading to nutritional deficiencies, weight loss, or dependence on supplements. Unlike anorexia, it is not driven by body image concerns but rather by sensory sensitivity, fear of choking, or lack of interest in eating.
B. Pica involves the persistent consumption of non-nutritive, non-food substances (e.g., chalk, paper, dirt) for at least one month. It is commonly associated with nutritional deficiencies (e.g., iron or zinc deficiency), pregnancy, and developmental disorders such as autism.
C. Rumination disorder is characterized by repeated regurgitation of food, which may be re-chewed, re-swallowed, or spit out. It is seen in infants, children, and individuals with intellectual disabilities and is not due to a gastrointestinal or medical condition.
D. Food picking disorder. There is no recognized disorder called "food picking disorder" in the DSM-5. While some individuals may display picky eating behaviors, this does not qualify as a clinical diagnosis unless it significantly impairs nutritional intake, as seen in ARFID.
Correct Answer is B
Explanation
A. Psychotherapy. Cognitive-behavioral therapy (CBT) is the first-line treatment for somatic symptom disorder (SSD). It helps patients recognize and modify maladaptive thoughts about their physical symptoms, reducing distress and improving coping mechanisms.
B. Antipsychotics. Antipsychotic medications are not typically recommended for SSD unless there is a comorbid psychotic disorder or severe delusional thinking. SSD is primarily driven by excessive health-related anxiety and preoccupation with physical symptoms, not psychosis.
C. Anti-anxiety medications. Short-term use of anxiolytics (e.g., benzodiazepines) may help with acute anxiety symptoms, but they are not the preferred treatment due to the risk of dependence. SSRIs and psychotherapy are more effective long-term for managing anxiety in SSD.
D. Antidepressants. SSRIs and SNRIs are commonly used to treat SSD, especially when there is underlying depression or anxiety. These medications help reduce excessive preoccupation with physical symptoms and improve overall emotional well-being.
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