16 Personality Disorders Flashcards

1
Q

personality disorder characteristics

A

pathological personality characteristics

  • self identity
  • self direction
  • interpersonal functioning
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2
Q

defense mechanisms of personality disorder

A
  • repression
  • suppression
  • regression
  • undoing
  • splitting
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3
Q

which of defense mechanism is frequently seen in acute mental health settings?

A

splitting

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4
Q

splitting

A

inability to incorp pos + neg aspects of oneself or others into a whole image
-tends to characterize ppl as either all good or all bad at any particular moment

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5
Q

splitting is often assoc w…

A

borderline personality disorder

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6
Q

personality disorder RF

A
  • comorbid substance use disorder
  • can have hx of nonviolent/violent crimes incl sex offense
  • psych influence (childhood abuse/trauma)
  • develpmntl factors w direct link to parenting
  • bio influence (genes or biochem)
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7
Q

clients w personality disorder exhibit one or more of the following pathological personality characteristics

A
  • inflexibility/maladaptive response to stress
  • compulsiveness/lack of social restraint
  • inability to emo connect in social + professional relationships
  • tendency to provoke interpersonal conflict
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8
Q

Clusters of personality disorder

A

A - odd + eccentric
B - dramatic, emo, erratic
C - anxious, fearful, insecure, inadequate

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9
Q

CLUSTER A

A
  • paranoid
  • schizoid
  • schizotypal
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10
Q

CLUSTER B

A
  • antisocial
  • borderline
  • histrionic
  • narcissistic
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11
Q

CLUSTER C

A
  • avoidant
  • dependant
  • OCD
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12
Q

paranoid personality disorders

A

distrust + suspiciousness towards others based on unfounded belief that others want to harm, exploit or deceive that person

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13
Q

schizoid personality disorders

A
  • emo detachment
  • disinterest in close relationships
  • indifference to praise + criticism
  • often uncooperative
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14
Q

schizotypal personality disorders

A
  • odd beliefs leading to interpersonal difficulties
  • eccentric appearance
  • magical thinking or perceptual distortions that are not clear delusions or hallucinations
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15
Q

antisocial personality disorders

A
  • disregard for others w exploitation
  • lack of empathy
  • repeated unlawful actions
  • deceit
  • failure to accept personal responsibility
  • evidence of conduct disorder before 15 y.o.
  • sense of entitlement
  • manipulative
  • impulsive
  • seductive
  • nonadherance to traditional morals + values
  • verbally charming + engaging
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16
Q

borderline personality disorders

A
  • instability of affect, identity, + relationships
  • splitting behaviors
  • manipulation
  • impulsiveness
  • fear of abandonment
  • often self-injurious + suicidal
  • ideas of reference
17
Q

histrionic personality disorders

A

emotional attention-seeking in which person needs to be center of attention
-often seductive + flirtatious

18
Q

narcissistic personality disorders

A

arrogance, grandiose views of self-importance

  • need for consistent admiration, and a alack of empathy for others that strains most relationships
  • often sensitive to criticism
19
Q

avoidant personality disorders

A

social inhibition + avoidance of all situations that require interpersonal contact, despite wanting close relationship, due to extreme fear of rejection

  • has feelings of inadequacy
  • anxious in social situations
20
Q

dependent personality disorders

A

extreme dependency in a close relationship w an urgent search to find a replacement when one relationship ends

21
Q

obsessive-compulsive personality disorders

A

indecisiveness + perfectionism w a focus on orderliness + control to the extent that the individual might not be able to accomplish a given task

22
Q

communication

A
  • firm + supportive approach
  • offer realistic choices to enhance client’s sense of control
  • limit settings + consistency esp w manipulative, borderline, or antisocial
23
Q

assertive training + modeling is indicated for…

A

dependent + histrionic personality disorders

24
Q

nurse should expect + respect the needs of schizoid + schizotypal for ___

A

isolation and space

25
Q

when pt exhibits dependent behavior, self-assess frequently for ____

A

countertransference reactions

26
Q

case management focuses on…

A
  • obtaining pertinent hx fr current or previous providers
  • supports reintegration w family
  • ensures approp referrals to outpatient care