Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

ATI Psych > 15 - Personality Disorders > Flashcards

15 - Personality Disorders Flashcards

1
Q

A client who has a personality disorder demonstrates _____ personality characteristics.

A

pathological

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A client who has a personality disorder exhibits impairments in _____ or _____ and _____ functioning.

A

self-identity
self-direction
interpersonal functioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The _____ behaviors of a personality disorder are not always perceived by the individual as dysfunctional, and some areas of personal functioning may be adequate.

A

maladaptive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Personality disorders often co-occur with other mental health diagnoses, such as _____, _____, and eating and substance abuse _____.

A

depression
anxiety
disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Defense mechanisms used by clients who have personality disorders include _____, _____, _____, _____, and _____.

A 
repression
suppression
regression
undoing
splitting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is defined as the inability to incorporate positive and negative aspects of oneself or others into a whole image?

A

splitting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T/F: Splitting is frequently seen in the acute mental health setting.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Splitting is commonly associated with _____ personality disorder.

A

borderline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

In splitting, the client characterizes people as ____ ____ or ____ ____ at any particular moment. This can change quickly.

A

all good

all bad

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are common risk factors associated with personality disorders?

A
  • substance abuse
  • violent/non-violent crimes including sex offenses
  • psychosocial influences
  • biological influences
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are examples of psychosocial influences leading to personality disorders?

A
  • child abuse or trauma

- developmental factors with a direct link to parenting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are examples of biological influences leading to personality disorders?

A

genetic an biochemical factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Clients who have a personality disorder will exhibit one or more of these common pathological personality characteristics:

A
  • inflexibility/maladaptive responses to STRESS
  • COMPULSIVENESS and lack of social restraint
  • inability to emotionally CONNECT in social and professional relationships
  • tendency to PROVOKE interpersonal conflict
  • ability to merge personal BOUNDARIES with other
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is considered Cluster A traits?

A

odd or eccentric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is considered Cluster B traits?

A

dramatic, emotional, or erratic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is considered Cluster C traits?

A

anxious or fearful, insecurity and inadequacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What 3 diagnoses are categorized as Cluster A?

A

(Think APSS)
Paranoid
Schizoid
Schizotypal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Name the disorder:
Characterized by distrust and suspiciousness toward others based on unfounded beliefs that others want to harm, exploit, or deceive the person.

A

Paranoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Name the disorder:
Characterized by emotional detachment, disinterest in close relationships, and indifference to praise or criticism; often uncooperative.

A

Schizoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Name the disorder:
Characterized by odd beliefs leading to interpersonal difficulties, an eccentric appearance, and magical thinking or perceptual distortions that are not clear delusions or hallucinations.

A

Schizotypal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What 4 diagnoses are categorized as Cluster B?

A

Antisocial
Borderline
Histrionic
Narcissistic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Name the disorder:
Characterized by disregard for others with exploitation, repeated unlawful actions, deceit, and failure to accept personal responsibility.

A

Antisocial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Name the disorder:
Characterized by instability of affect, identity, and relationships, as well as splitting behaviors, manipulation, impulsiveness, and fear of abandonment; often tries self-injury and may be suicidal.

A

Borderline

24
Q

Name the disorder:
Characterized by emotional attention-seeking behavior, in which the person needs to be the center of attention; often seductive and flirtatious.

A

Histrionic

they’ll throw a hissy fit if they aren’t the center of attention

25
Name the disorder: Characterized by arrogance, grandiose views of self-importance, the need for consistent admiration, and a lack of empathy for others that strains most relationships; often sensitive to criticism.
Narcissistic | Donald Trump
26
What 3 diagnoses are categorized as Cluster C?
(Think CADO) Avoidant Dependent Obsessive-compulsive
27
Name the diagnosis: Characterized by social inhibition and avoidance of all situations that require interpersonal contact, despite wanting close relationships, due to extreme fear of rejection; often very anxious in social situations.
Avoidant
28
Name the diagnosis: Characterized by extreme dependency in a close relationship with an urgent search to fine a replacement when one relationship ends.
Dependent
29
Name the diagnosis: Characterized by perfectionism with a focus on orderliness and control to the extent that the individual may not be able to accomplish a given task.
Obsessive-compulsive
30
_____ is vital for nurses caring for clients who have personality disorders and should be performed prior to care.
Self-assessment
31
T/F: Clients who have personality disorders may evoke intense emotions in the nurse.
True
32
Does awareness of personal reactions to stress promote or inhibit effective nursing care?
promotes
33
Therapeutic communication and intervention are promoted when client behaviors are ____.
anticipated
34
When should the nurse repeat the self-assessment?
If he/she is experiencing a personal stress response to client behavior.
35
____ management focuses on appropriate social interaction within a group context.
Milieu
36
What is always a priority concern for nurses when treating clients with personality disorders?
SAFETY!!!
37
What can cause difficulty in developing the therapeutic relationship with clients with personality disorders?
Their sense of distrust or hostility toward others
38
How can the nurse work toward developing a therapeutic relationship?
Use a firm, yet supportive approach and consistent care
39
What can the nurse do to help enhance the client's sense of control?
Offer the client realistic choices
40
What must the nurse remember when dealing with manipulative clients? What disorders are often associated with manipulation?
Limit-setting and consistency | borderline and antisocial
41
Clients who have dependent and histrionic personality disorders often benefit from ____ training and ____.
assertiveness | modeling
42
Should the nurse ignore a client's need for isolation? What disorders are often associated with isolation?
No, the nurse should respect the need for isolation. | Schizoid and schizotypal
43
What must the nurse maintain with the clients with histrionic personality disorder?
Professional boundaries and communication
44
When caring for clients who exhibit dependent behavior, self-assess frequently for ____ reactions.
countertransference
45
What meds are often used with personality disorders?
Antidepressant Anxiolytic Antipsychotic Mood stabilizers
46
What are effective treatment modalities for clients with personality disorders?
Psychotherapy Group therapy Cognitive and behavior therapy
47
____ behavior therapy is a cognitive-behavioral therapy used for clients who exhibit self-injurious behavior.
Dialectical
48
What does dialectical behavior therapy focus on?
gradual behavior changes | provides acceptance and validation
49
Case management in the acute setting includes:
- obtaining the history from providers - supporting reintegration with the family - ensuring appropriate referrals to outpatient care
50
Case management in the long-term outpatient facility includes:
reducing hospitalization by providing resources for crisis svcs and enhancing the social support system
51
A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? A. "I can promote my client's sense of control by establishing a schedule." B. "Self-assessment will help me cope with emotional reactions to client care." C. "I should practice limit-setting to help prevent client manipulation." D. "Maintaining professional boundaries is a priority of client care."
A. Rather than establishing a schedule, the nurse should ask for the client's input and offer realistic choices to promote the client's sense of control.
52
A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is expected from a client who has this type of personality disorder. A. "I'm scared that you're going to leave me." B. "I'll go to group therapy if you'll let me smoke." C. "I need to feel that everyone admires me." D. "I sometimes feel better if I cut myself."
A. Clients with avoidant personality disorder often have a fear of abandonment
53
A charge nurse is preparing a staff education session on personality disorders. Which of the following should be included as personality characteristics associated with all of the personality disorders? (select all that apply) A. Difficulty in getting along with other members of a group B. Belief in the ability to become invisible during times of stress C. Display of defense mechanisms when routines are changed D. Claiming to be more important than other persons E. Difficulty understanding why it is inappropriate to have a personal relationship with staff
A C E
54
A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse on the evening shift is always nice! You are the meanest nurse ever!" The nurse should recognize the client's statement as an example of which of the following defense mechanisms? A. Regression B. Splitting C. Undoing D. Identification
B. Splitting
55
A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. When assessing this client, which of the following are expected findings? (select all that apply) A. Demonstrates extreme anxiety when placed in a social situation B. Has difficulty making even simple decisions C. Attempts to convince other clients to give him their belongings D. Becomes agitated if his personal area is not neat and orderly E. Blames others for his past and current problems
C | E

ATI Psych (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions