RN Nursing · Personality Disorders · Practice question
A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?
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"The client exhibits impulsive behavior."
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"The client is exceptionally clingy to others."
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"The client is overly concerned about minor details."
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"The client might act seductively."
Answer & explanation
Correct: "The client exhibits impulsive behavior."
Borderline personality disorder (BPD) is characterized by pervasive instability in moods, interpersonal relationships, self-image, and behavior, including marked impulsivity. Impulsive behaviors (e.g., self-harm, reckless spending, substance use) are a core DSM-5 criterion for BPD. 'Clingy' behavior and fear of abandonment are features of BPD as well; however, 'exceptionally clingy' alone better describes dependent personality disorder. Preoccupation with minor details is characteristic of obsessive-compulsive personality disorder (OCPD). Seductive or sexually provocative behavior is associated with histrionic personality disorder. Impulsivity is the most specifically identified BPD feature among these choices (DSM-5, American Psychiatric Association).
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