Which of the following is listed as an additional PCL-R item?

• A. Promiscuous sexual behavior
• B. High productivity on the job
• C. Lack of remorse or shame
• D. Frequent relocation

Answer: (A)

The key idea is recognizing that the PCL-R has a set of items used to assess psychopathy, and in some versions there are extra items added beyond the main list. Promiscuous sexual behavior is listed in those contexts as an additional item that helps capture disinhibited, antisocial patterns that often accompany psychopathy. It signals impulsive and deviant behavior that fits with the broader profile evaluated by the PCL-R.

Lack of remorse or shame is one of the established items on the PCL-R, not an added one, so it wouldn’t be the extra item. High productivity on the job and frequent relocation aren’t items used to assess psychopathy in standard or add-on lists.