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 A
Explanation
A. Haloperidol (Haldol) is a first-generation (typical) antipsychotic that primarily blocks dopamine (D2) receptors. It is associated with a higher risk of extrapyramidal side effects (EPS), including dystonia, akathisia, and tardive dyskinesia, compared to second-generation antipsychotics.
B. Ziprasidone (Geodon) is a second-generation (atypical) antipsychotic that blocks both dopamine (D2) and serotonin (5-HT2A) receptors. It has a lower risk of EPS but can cause QT prolongation, requiring ECG monitoring in patients with cardiac conditions.
C. Risperidone (Risperdal) is a second-generation antipsychotic with dopamine and serotonin antagonism. It is effective for schizophrenia, bipolar disorder, and irritability in autism but has a higher likelihood of prolactin elevation and EPS at higher doses.
D. Olanzapine (Zyprexa) is a second-generation antipsychotic known for its high risk of metabolic side effects, including weight gain, diabetes, and dyslipidemia. It has a lower risk of EPS compared to first-generation antipsychotics.
Correct Answer is C
Explanation
A. Severe temper outbursts. Disruptive Mood Dysregulation Disorder (DMDD) is characterized by frequent, severe temper outbursts that are out of proportion to the situation. These outbursts can be verbal or physical and occur at least three times per week, persisting for one year or more.
B. Struggle to regulate emotions. Individuals with DMDD have difficulty managing emotions, particularly anger and frustration. This emotional dysregulation leads to persistent mood instability, which interferes with daily functioning at home, school, and in social settings.
C. Hyperactivity. Hyperactivity is not a core symptom of DMDD but is more commonly associated with Attention-Deficit/Hyperactivity Disorder (ADHD). While some children with DMDD may also have ADHD, DMDD primarily involves severe mood disturbances rather than impulsivity or excessive movement.
D. Chronic irritability. Persistent irritability is a hallmark of DMDD, with children and adolescents experiencing near-constant irritability between temper outbursts. Unlike episodic mood disorders like bipolar disorder, DMDD symptoms are chronic and ongoing without distinct mood episodes.
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