Exam 3 Flashcards
Acute stress disorder
Sx less than a month
Intrusive sx, avoidant, neg cognitive sx, self-blaming, thinking neg about themselves
PTSD
Sx last longer than a month
Disassociation from themselves or something from PTSD
Flash backs, intrusive thoughts, exaggerated startle reflects
Avoids anything that reminds them of the trauma
Dissociative amnesia
Forgets part of event or pieces
Dissociative fugue
Forgets everything about themselves
Forgets their identity
Sudden move to a different state and forget their previous identity
Depersonalization
When someone doesn’t feel connected to themselves
Watching from outside their body
Derealization
Person feels disconnected from their reality
Feels like they’re in a dream and nothing is real around them
Dissociative identity disorder
2 or more distinct personalities present
Associated with extensive childhood trauma
Primal defense mechanism
Somatic symptom disorder
Symptoms with no physical cause to why
Sx are involuntary and aren’t faking
No secondary gain
Talk about stressful events
Conversion disorder
Physical Sx with no cause but sx are neurological (paralysis, deafness, blindness, numbness)
Talk about stressful events in their life
La Belle indifference r/t conversion disorder
Pts aren’t as worried as they should be
Factitious disorder
Voluntarily or intentionally causing their sx
Secondary gain (seeking attention)
Factitious by proxy
Causing somebody else who is vulnerable to have symptoms for secondary gain
Malingering
Voluntarily causing Sx or faking sx for secondary gain
Ex. disability checks when not really hurt, avoiding jail time and saying they’re suicidal
Delirium
Medical emergency
Something else usually causing it
Fast onset
Find cause and treat
May experience hallucinations or illusions
Dementia
Progressive and chronic
No cure
Avoid arguing with patient, limit choices
Do calm paint colors
Who is highest risk for suicide
Older adults
Dysgraphia
Impaired handwriting, spelling, or both
Tourette’s syndrome
Ticks begin in childhood before 18 and diminish as they get older
Stimulants may increase tick severity
Oppositional defiant disorder
Person seen as difficult and a troublemaker
All they want to do is argue and challenge authority
Conduct disorder
Oppositional defiant disorder but more severe
Extremely violent and violate others
No empathy
Bullies
May be violent with animals, property and humans
Cluster A personality disorders
Paranoid, schizoid and schizotypal
Paranoid personality disorder
Patterns of distrustful behaviors
SUS of behaviors of others
May think others are trying to harm them
Hold grudges
May think spouse is unfaithful
Threatening and act out aggressively
Be straight to the point
Schizoid personality disorder
Wants to be alone forever
Quite and restricted
Emotionally detached and monotone
May appear humorless or cold
Avoid being overly nice and don’t want to force them to do group therapies/socialize
Schizotypal personality disorder
Paranoid and extreme social anxiety
Few intimate relationships
Unusual speech patterns
Dress in unusual ways
Unusual thoughts
Think they have special powers that can influence their thoughts
Don’t force them to group therapy
Cluster B personality disorders
Histrionic, narcissistic, borderline, antisocial
Histrionic personality disorder
Drama queen
Everything exaggerated, attention seekers, self centered, flirtatious
Relationships don’t last
no insight why they are the way they are
Set limits
Narcissistic disorder
Entitled
Exaggerated self worth
Not empathetic and can’t put themselves in other peoples shoes
Hate criticism and keep things professional
Borderline personality disorder
Dramatic
Severe impairment of functioning
Impulsivity
Self image distortion
Unstable mood and relationships
Extreme mood changes
Splitting (can’t see good and bad- only one or the other)
Manipulative
Nursing management for borderline personality disorder
Establish very good boundaries
If self mutilation present, don’t ask about it
Straight forward communication
Antisocial personality disorder
Violates rights of others
Deceitful and manipulative for personal gain
Impulsive
Risk taking
Hostile if needs are blocked
Can be charming
Extremely difficult to achieve positive outcome
Cluster C personality disorder
Avoidant, dependent and obsessive-compulsive
Avoidant personality disorder
Extremely sensitive to rejection
Feel inadequate
Socially inhibited
Avoid contact with fears, rejection, criticism, shyness and avoidance
Nursing interventions for Avoidant personality disorder
Kind, accepting and reassuring
Don’t push into social situations =severe anxiety
Dependent personality disorder
Fear of separation and abandonment
Very clingy and submissive
Low self esteem
Overwhelming need for someone else to take care of them
Nursing interventions for Dependent personality disorder
Help with assertiveness
Make decisions about wants and needs
Be aware of countertransference
Obsessive compulsive personality disorder
Limited emotional expression
Stubbornness
Indecisiveness
Perfectionist/perseverance
Rehearse social interactions
