Which of the following is a common symptom of borderline personality disorder?

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ATI Mental Health Practice Exam Questions

Question 1 of 5

Which of the following is a common symptom of borderline personality disorder?

Correct Answer: D

Rationale: The correct answer is D: Impulsive and self-destructive behaviors. This is a common symptom of borderline personality disorder as individuals often engage in reckless behaviors without considering the consequences. They may have self-harming tendencies and engage in impulsive actions like substance abuse or risky sexual behavior. A: Obsessive-compulsive behaviors are more characteristic of obsessive-compulsive disorder, not borderline personality disorder. B: Fear of social situations is more indicative of social anxiety disorder, not borderline personality disorder. C: Grandiose sense of self-importance is a symptom of narcissistic personality disorder, not borderline personality disorder. In summary, impulsive and self-destructive behaviors are key features of borderline personality disorder, distinguishing it from other mental health conditions.

Question 2 of 5

A patient with generalized anxiety disorder is being taught about buspirone. Which statement indicates the patient needs further teaching?

Correct Answer: A

Rationale: Step-by-step rationale: 1. Buspirone is not meant for immediate relief, so taking it consistently is crucial for its effectiveness. 2. Buspirone takes time to build up in the body and show its full effect, usually a few weeks. 3. Buspirone is known for having a lower risk of dependency compared to benzodiazepines. 4. Taking buspirone consistently is essential, unlike benzodiazepines which are often taken on an as-needed basis. Therefore, choice A is incorrect as it goes against the appropriate usage of buspirone for treating generalized anxiety disorder.

Question 3 of 5

Which intervention is most appropriate for a patient experiencing a severe manic episode?

Correct Answer: A

Rationale: The correct answer is A because a structured and low-stimulation environment can help reduce the intensity of the manic episode by providing predictability and minimizing triggers. This intervention promotes safety and stability for the patient. Option B may exacerbate the symptoms by overstimulating the patient. Option C may overwhelm the patient with information during a manic episode. Option D is risky as unsupervised time can lead to impulsive behaviors and potential harm.

Question 4 of 5

A patient with obsessive-compulsive disorder (OCD) spends hours washing their hands. Which nursing intervention is most appropriate?

Correct Answer: B

Rationale: The correct answer is B: Allowing the patient to wash hands at specified times. This option acknowledges the patient's need for hand washing while also setting boundaries. By allowing the patient to wash hands at specified times, the nurse can help establish a routine and gradually reduce the excessive hand washing behavior. Encouraging the patient to stop washing hands (A) may increase anxiety and resistance. Ignoring the behavior (C) can reinforce it. Setting strict limits (D) may cause distress and worsen the OCD symptoms. Option B strikes a balance between addressing the patient's needs and promoting healthier behaviors.

Question 5 of 5

Which medication is often prescribed for patients with bipolar disorder to help stabilize mood?

Correct Answer: B

Rationale: The correct answer is B: Lithium. Lithium is often prescribed for patients with bipolar disorder because it helps stabilize mood by regulating neurotransmitter activity. It is a mood stabilizer that is effective in reducing manic episodes and preventing relapses. Sertraline (A) is an antidepressant and can potentially trigger manic episodes in patients with bipolar disorder. Haloperidol (C) is an antipsychotic used for treating psychotic symptoms but not specifically for stabilizing mood in bipolar disorder. Diazepam (D) is a benzodiazepine used for anxiety and not indicated for mood stabilization in bipolar disorder.

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