Registered Practical Nurse (RPN) Practice Test

What cognitive dysfunction is commonly associated with borderline personality disorder, where thoughts may be split off from consciousness?

1. Repression

2. Dissociation

3. Compartmentalization

4. Projection

The correct answer is: Dissociation

Dissociation is a cognitive dysfunction that is often observed in individuals with borderline personality disorder (BPD). In this context, dissociation refers to a mental process where certain thoughts, feelings, or memories are separated from the conscious awareness of the individual. This can manifest as a way to cope with overwhelming emotions or traumatic experiences, leading to a sense of detachment from reality or the self. Individuals with BPD may experience dissociative episodes in which they feel disconnected from their thoughts, identity, or surroundings, making it difficult for them to integrate their experiences fully. This detachment can be a protective mechanism against the distress caused by their intense emotions. Understanding dissociation is crucial for recognizing the challenges faced by those with BPD, as it can significantly impact how they perceive experiences and interact with others. This recognition can inform treatment approaches tailored to help patients develop healthier coping mechanisms and achieve better emotional regulation.