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2024DM ANCC > Chap. 12 - Personality disorders > Flashcards

Chap. 12 - Personality disorders Flashcards

1
Q

Ego-syntonic behaviors

A

Comfortable; consistent with personality; causes little concern to the individual and no treatment is sought

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2
Q

Ego-dystonic behaviors

A

Causes discomfort to the individual; inconsistent with personality; person often seeks treatment

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3
Q

Personality disorder defined

A

Chronically maladaptive patterns of behaviors that cause functional impairment in work, school, or relationships

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4
Q

Four areas of functionality impacted by PDs

A

Affective traits
Behavioral traits
Cognitive traits
Social traits

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5
Q

Maladaptive affective traits are…

A

Overly affectual patterns of response

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6
Q

Maladaptive behavioral traits are…

A

Poor impulse control patterns of response

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7
Q

Maladaptive cognitive traits are…

A

Unrealistic perceptual patterns of response

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8
Q

Maladaptive social traits are…

A

Unsatisfying interpersonal patterns of response

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9
Q

With PDs, maladaptive traits are _____ and _____ across most personal and social situations

A

Inflexible and pervasive

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10
Q

PDs are coded on Axis __

A

II

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11
Q

Cluster A traits are…

A

Odd, unusual, eccentric

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12
Q

Cluster A disorders are (3)

A

Paranoid PD
Schizoid PD
Schizotypal PD

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13
Q

Cluster B traits are…

A

Dramatic, affective, unstable

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14
Q

Cluster B disorders are (4)

A

Antisocial PD
Borderline PD
Histrionic PD
Narcissistic PD

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15
Q

Cluster C traits are…

A

Anxious

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16
Q

Cluster C disorders are (3)

A

Avoidant PD
Dependent PD
Obsessive-compulsive PD

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17
Q

Psychodynamic theory of PD states that in childhood the individual did not accomplish the tasks of _____ and _____

A

Separation and individuation

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18
Q

Separation, as relates to object relations

A

Develop intrapsychic self-representation distinct and separate from mother

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19
Q

Individuation, as relates to object relations

A

Form distinct identity with characteristics unique to the individual

20
Q

Two Bowenian risk factors for development of PD

A

Family enmeshment

Familial social isolation

21
Q

Incidence of PD in the US

A

0.5% - 5.4%

22
Q

Patterns of pervasive distrust and suspiciousness, with odd and unusual behavior, define Cluster __ disorders

A

A

23
Q

Solitary; neither wants nor needs close personal or sexual relations

A

Paranoid PD

24
Q

Affective flattening; indifferent to others; appears cold and detached

A

Schizoid PD

25
Q

Odd beliefs and behaviors; inappropriate affect; magical thinking and ideas of reference

A

Schizotypal PD

26
Q

Patterns of pervasive affective and interpersonal disruption define Cluster __ disorders

A

B

27
Q

Antisocial PD is more common in _____ (gender), is frequently comorbid with ___, and is usually precursed by a dx of _____ _____ as a child.

A

Men
SUD
Conduct disorder

28
Q

Borderline PD is more common in _____ (gender), and is often precursed with a hx of _____, _____, and/or _____.

A

Women

Abuse, trauma, neglect

29
Q

Deceitful and lying; does not comply with social norms; frequent arrests; lacks regard for others and lacks remorse

A

Antisocial PD

30
Q

Avoids abandonment at all costs; unstable, intense interpersonal relationships; recurrent suicidality

A

Borderline PD

31
Q

Inappropriately seductive; uncomfortable when not the center of attention; suggestible and easily influenced; considers relationships to be more intimate than they are

A

Histrionic PD

32
Q

Grandiose self-importance; preoccupied with fantasies of power and brilliance; requires admiration; lacks empathy

A

Narcissistic PD

33
Q

Patterns of pervasive anxiety and fear define Cluster __ disorders

A

C

34
Q

When considering avoidant behavior, the clinician must take into account the client’s _____

A

Culture

35
Q

Avoidant PD: more in men, women, or equal?

A

Equal

36
Q

Dependent PD: more in men, women, or equal?

A

Women

37
Q

Obsessive-compulsive PD: more in men, women, or equal?

A

Men

38
Q

Avoids social situations and relationships out of fear of not being liked or fear of shame; views self as inept or unappealing; very reluctant to take risks or engage people or activities

A

Avoidant PD

39
Q

Difficulty making own choices or expressing disagreement; goes to obsessive lengths to obtain nurturing and support from others

A

Dependent PD

40
Q

Preoccupied with details, order, rules; overly conscious or inflexible on issues of morality; rigid; reluctant to delegate to others

A

Obsessive-compulsive PD

41
Q

PD differentials

A

Affective disorders

SUD

42
Q

Pharm management - Impulsivity

A

SSRIs

Anticonvulsant mood stabilizers

43
Q

Pharm management - Affective instability

A

SSRIs

Anticonvulsant mood stabilizers

44
Q

Pharm management - Anxiety

A

SSRIs
Non-BZO anxiolytics
BZO with extreme caution

45
Q

Best treatment for PD - pharm, therapy, or both?

A

Therapy

46
Q

1 therapy for borderline PD

A

DBT

2024DM ANCC (48 decks)

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