Registered Practical Nurse (RPN) Practice Test

What characteristic behavior might a patient with borderline personality disorder display in social situations?

1. Consistent emotional stability

2. Extreme fear of abandonment

3. Strong negotiation skills

4. High self-esteem

The correct answer is: Extreme fear of abandonment

A patient with borderline personality disorder often displays an extreme fear of abandonment, which significantly influences their behavior in social situations. This fear stems from a deep-seated concern that others will leave them, leading to frantic efforts to avoid real or perceived abandonment. As a result, individuals with this disorder might exhibit intense emotions, engage in impulsive behaviors, or show desperate attempts to maintain relationships, reflecting their anxiety regarding being left alone. This characteristic behavior can manifest as clinginess, rapid shifts in interpersonal relationships, or even acts of self-harm when they feel rejected or slighted. In contrast, the other options do not align with the typical behaviors associated with borderline personality disorder. Consistent emotional stability is not characteristic of this condition, as individuals often experience intense mood swings. Strong negotiation skills are not specifically indicative of borderline personality disorder, and high self-esteem tends to be inconsistent in these patients, as they often grapple with feelings of worthlessness or identity confusion.