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    Mental Health Finals Proctored Exam

    Which of the following patients diagnosed with personality disorder is most likely to be admitted to psychiatric unit?

    Explanation & Rationale

    Reasoning: Choice A reason: Dependent personality disorder involves an excessive need to be taken care of, which rarely necessitates acute inpatient psychiatric admission unless it is comorbid with a major depressive episode. These individuals typically function within the community by relying on a primary support person rather than requiring restrictive hospital environments. Choice B reason: Narcissistic personality disorder is characterized by grandiosity and a lack of empathy. While these traits cause significant interpersonal conflict, they do not typically present an acute risk of harm to self or others. Most treatment for this disorder occurs in outpatient settings focusing on long-term psychotherapy and behavioral modification. Choice C reason: Individuals with antisocial personality disorder who commit crimes are usually managed within the legal and correctional systems. Unless they demonstrate an acute, treatable psychiatric crisis or a comorbid condition that meets admission criteria, criminal behavior alone is not a primary indication for a stay in a psychiatric hospital. Choice D reason: Borderline personality disorder often involves high levels of affective instability and impulsivity, frequently leading to non-suicidal self-injury or suicidal gestures. When impulsivity poses an immediate threat to the patient's life or safety, acute stabilization in an inpatient unit is necessary to manage the crisis and ensure safety.

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