{"id":3595,"date":"2024-03-20T15:14:00","date_gmt":"2024-03-20T15:14:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=3595"},"modified":"2026-03-20T13:50:43","modified_gmt":"2026-03-20T21:50:43","slug":"nclex-qotd-borderline-personality-disorder-bpd","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-borderline-personality-disorder-bpd","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Borderline personality disorder (BPD)"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-borderline-personality-disorder-bpd\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-borderline-personality-disorder-bpd\/#B_Lithium_300_mg_PO_TID\" >B.&nbsp;Lithium 300 mg PO TID<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-borderline-personality-disorder-bpd\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-borderline-personality-disorder-bpd\/#Incorrect_answer_explanations\" >Incorrect answer explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-borderline-personality-disorder-bpd\/#A_PHQ-9_score_of_227\" >A. PHQ-9 score of 2\/27<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-borderline-personality-disorder-bpd\/#C_Hydralazine_25_mg\" >C. Hydralazine 25 mg<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-borderline-personality-disorder-bpd\/#D_Blood_pressure_11574_mm_Hg\" >D. Blood pressure 115\/74 mm Hg<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Prepare for the NCLEX\u00ae with this question of the day focusing on borderline personality disorder, lithium, and mood disorders. Test your knowledge and review key concepts.<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse in the behavioral health emergency department is caring for a patient with borderline personality disorder (BPD). Which finding from the electronic health record is correlated with this disorder?<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Electronic Health Record (EHR)<\/strong><\/td><\/tr><tr><td><strong>Patient Name:&nbsp;<\/strong>Jamie Osmosis<strong>DOB:<\/strong>&nbsp;2\/11\/1981<\/td><\/tr><tr><td><strong>Allergies:&nbsp;<\/strong>Strawberries<strong>Home Medications:<\/strong>&nbsp;Lithium 300 mg PO TID, hydralazine 25 mg PO QD, pantoprazole 40 mg PO QD, cetirizine 10 mg PO QD.<\/td><\/tr><tr><td><strong>Vital Signs:&nbsp;<\/strong>98.7 F (37.0 C), Pulse 100\/min, Respirations 14\/min, Blood Pressure 115\/74 mm Hg, Oxygen Saturation 97% on room air<\/td><\/tr><tr><td><strong>Neurological Assessment:<\/strong>&nbsp;Alert and oriented to person, place, and time.&nbsp;<\/td><\/tr><tr><td><strong>PHQ-9 score:&nbsp;<\/strong>2\/27<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. PHQ-9 score of 2\/27<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Lithium 300 mg PO TID<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Hydralazine 25 mg<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Blood pressure 115\/74 mm Hg<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Scroll down for the correct answer!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_Lithium_300_mg_PO_TID\"><\/span>B.&nbsp;<strong>Lithium 300 mg PO TID<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Lithium is a mood stabilizer and the medication of choice for treating patients with mood disorders such as BPD. Lithium changes the brain chemistry by modulating dopamine, glutamate, and GABA levels in the brian, which lead to the stabilization of mood.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse should use clinical judgment to recognize cues related to borderline personality disorder (BPD) by identifying relevant and important information from different sources. Taking lithium is correlated with BPD. Lithium is a mood stabilizer and the medication of choice for treating patients with mood disorders, such as BPD. Lithium changes the brain chemistry by modulating dopamine, glutamate, and GABA levels in the brian, which lead to the stabilization of mood. A tool that is used to measure severity of depression as well as thoughts of suicide is called the Patient Health Questionnaire-9 (PHQ-9). A score of 0 to 4 shows none to minimal depression, 5 to 9 indicates mild depression, 10 to 14 shows moderate depression, 15 to 19 indicates moderately severe depression, and 20 to 27 shows severe depression.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_answer_explanations\"><\/span>Incorrect answer explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_PHQ-9_score_of_227\"><\/span>A. PHQ-9 score of 2\/27<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;A tool that is used to measure severity of depression is called the Patient Health Questionnaire-9 (PHQ-9). A score of 0 to 4 shows none to minimal depression. This finding does not correlate with BPD.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"C_Hydralazine_25_mg\"><\/span>C. Hydralazine 25 mg<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Hydralazine is a direct vasodilator medication used to treat hypertension, it is not correlated with BPD<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"D_Blood_pressure_11574_mm_Hg\"><\/span>D. Blood pressure 115\/74 mm Hg<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>This is a normal blood pressure and not correlated with BPD.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;________________________<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis by Elsevier today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"904\" height=\"324\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_2da05c.png?w=904\" alt=\"\" class=\"wp-image-3448\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_2da05c.png 904w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_2da05c.png?resize=300,108 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_2da05c.png?resize=768,275 768w\" sizes=\"auto, (max-width: 904px) 100vw, 904px\" \/><\/a><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Prepare for the NCLEX\u00ae with this question of the day focusing on borderline personality disorder, lithium, and mood disorders. Test your knowledge and review key concepts. The nurse in the behavioral health emergency department is caring for a patient with borderline personality disorder (BPD). Which finding from the electronic health record is correlated with this [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":3596,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[],"class_list":["post-3595","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Borderline personality disorder (BPD) - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-borderline-personality-disorder-bpd\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Borderline personality disorder (BPD) - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Prepare for the NCLEX\u00ae with this question of the day focusing on borderline personality disorder, lithium, and mood disorders. 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