Personality and Mood Disorders Q 31
Which of the following conditions is likely to coexist in clients with a diagnosis of borderline personality disorder?
A. Depression
B. Delirium
C. Avoidance
D. Disorientation
Correct Answer: A. Depression
Chronic feelings of emptiness and sadness predispose a client to depression. About 40% of the clients with borderline struggle with depression. Individuals with BPD have difficulties related to the stability of their sense of self. They report many ups and downs in how they feel about themselves. One moment they may feel good about themselves, but the next they may feel they are bad or even evil.
Option B: Delirium is characterized by an acute change in cognition and a disturbance of consciousness, usually resulting from an underlying medical condition or from medication or drug withdrawal. Delirium affects 10 to 30 percent of hospitalized patients with medical illness; more than 50 percent of persons in certain high-risk populations are affected.
Option C: Avoidant personality disorder (AVPD) is an enduring pattern of behavior related to social inhibition, feelings of inadequacy, and sensitivity to rejection that causes problems in work situations and relationships. The disorder is characterized by extreme shyness and sensitivity to criticism from others and is known as a Cluster C personality disorder or one that involves anxious and fearful personality disorders.
Option D: Disorientation is a state of mental confusion that includes losing track of direction and time. A version of disorientation typical for people with mid- to late-stage Alzheimer’s disease, or related dementia, is sundowning. Sundowning is also known as sundown syndrome and late-day confusion.