All of the following describes narcissistic personality disorder except
Lacks empathy.
Takes advantage of others.
Needs constant admiration.
Mood swings.
The Correct Answer is D
A. Lacks empathy. Individuals with narcissistic personality disorder (NPD) show a profound lack of empathy, often disregarding the feelings and needs of others. They may appear emotionally detached and struggle to recognize or validate other people’s experiences, leading to superficial and exploitative relationships.
B. Takes advantage of others. A key characteristic of NPD is a pattern of exploiting others for personal gain, whether in professional, social, or personal relationships. Individuals with NPD often manipulate people to maintain their sense of superiority and entitlement, showing little remorse for their actions.
C. Needs constant admiration. People with NPD have an excessive need for admiration and validation to support their inflated self-image. They may seek praise, attention, and recognition, becoming defensive or hostile when they feel unappreciated or criticized.
D. Mood swings. While mood instability can occur in response to narcissistic injury (perceived criticism or rejection), frequent and extreme mood swings are more characteristic of borderline personality disorder (BPD) or mood disorders like bipolar disorder. NPD primarily involves grandiosity, entitlement, and emotional detachment, rather than rapid emotional shifts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Clozapine (Clozaril) is a second-generation (atypical) antipsychotic with a high risk of weight gain, metabolic syndrome, and sedation due to its strong antagonism of histamine (H1) and serotonin (5-HT2C) receptors. It can also cause sexual dysfunction due to its impact on dopamine and prolactin levels.
B. Olanzapine (Zyprexa) has a significant risk of weight gain and metabolic side effects, similar to clozapine. It is known to cause hyperlipidemia, insulin resistance, and increased appetite, contributing to obesity. Sexual dysfunction can occur but is less common than with prolactin-elevating antipsychotics.
C. Haloperidol (Haldol) is a first-generation (typical) antipsychotic with a high risk of sexual dysfunction due to prolactin elevation from strong dopamine (D2) receptor blockade. While it has a lower risk of weight gain than atypical antipsychotics, it carries a high risk of extrapyramidal symptoms (EPS).
D. Aripiprazole (Abilify) is a partial dopamine agonist and has the lowest risk of weight gain among atypical antipsychotics. It also has a minimal impact on prolactin levels, reducing the risk of sexual dysfunction. Due to its unique mechanism, it is often preferred for patients concerned about metabolic side effects and sexual health.
Correct Answer is B
Explanation
A. Fear of rejection. Individuals with avoidant personality disorder (AVPD) have an intense fear of rejection or criticism, leading them to avoid social situations, relationships, and new experiences despite wanting social connection. This fear stems from deep feelings of inadequacy.
B. Jealous of others. Jealousy is not a defining trait of AVPD but is more commonly associated with narcissistic or borderline personality disorders. People with AVPD are more self-critical and insecure rather than envious of others’ success or relationships.
C. Afraid to make new relationships. Those with AVPD struggle to form new relationships due to fear of embarrassment, criticism, or social failure. They often require strong reassurance and validation before feeling comfortable in social settings.
D. Avoids social interactions. Avoidance of social interactions is a hallmark of AVPD, as individuals tend to withdraw from work, friendships, and social activities to protect themselves from perceived humiliation or failure.
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