11.5 Personality Disorder and Nursing Process

Question 1

Borderline Personality Disorder

Answer 1

• Border between neuroses and Psychoses
• Always seem to be in a state of crisis and frequent mood swings.

Common Behaviors
- Depression, Bipolar, Inability to be alone
- SPLITTING - Ego defense mechanism manifested by an inability to accept both positive and negative feelings.
- Self destructive behavior
- Impulsive

• At a hospital they may generate conflict among the staff because they have little empathy towards others and cannot accept positive and negative feelings
• They split staff and generate conflict.

Outcomes
- We do not want our patient to harm themselves due to self destructive behavior.

Question 2

Antisocial Personality Disorder

Answer 2

• Exploits and manipulates others for personal gain
• Lacks remorse
• Low frustration tolerance
• Impulsive and reckless
• They are a risk for harming others.

Question 3

General Interventions for Personality Disorders

Answer 3

• Allow clients as much independence as possible
• Encourage to discuss feelings
• Provide consistency in response to acting out behavior
• Discuss consequences that will follow certain behaviors
• Encourage client to keep a journal recording daily feedings
• Praise non-manipulative behavior