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Adult Mental Health > Exam 3 Chapter 23 > Flashcards

Exam 3 Chapter 23 Flashcards

1
Q

when traits become rigid and inflexible and contribute to maladaptive patterns of behavior or impairment in functioning

A

personality disorder

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2
Q

separation anxiety resolves between 24-36 mos

A

Mahler

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3
Q

Yellow bile

A

irritable and hostile

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4
Q

pessimistic and melancholic

A

black bile

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5
Q

overly optimistic and extraverted

A

blood

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6
Q

apathetic phlegmatic

A

phlegm

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7
Q

moral insanity of old

A

became personality d/o

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8
Q

3 Clusters of PD

A

A: odd or eccentric
B: draumatic, emotional or irratic
C: anxious or fearful

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9
Q

Paranoid
Schizoid
Schizotypal

A

Cluster A: odd or eccentric

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10
Q

Antisocial
Borderline PD
Histrionic
Narcisistic

A

Cluster B: draumatic, emotional or erratic

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11
Q

Avoidant
Dependent
OCD

A

Cluster C: anxious or fearful

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12
Q

pervasive, persistent and inappropriate mistrust of others
1:4 in population
men>women

A

Paranoid

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13
Q

profound defect in relationships
unable to experience pleasure
bland and constricted affect
shy, anxious, introverted kid with bleak, cold childhood lacking empathy and learning

A

Schizoid

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14
Q

alouf and isolated
living in own world
odd, eccentric behavior that does not decompensate into schizophrenia
magical thinking, ideas of reference, illusions, depersonalization

A

Schizotypal

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15
Q

socially irresponsible, exploitative, guiltless behaviors that reflect a disregard for the rights of others

A

antisocial

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16
Q

pattern of intense and chaotic relationships with affective instability and fluctuating attitudes toward other people.
Impulsive, self-destructive, lack a clear sense of identity
women (4) > men (1)

A

borderline pd

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17
Q

colorful, dramatic, extroverted behavior in excitable, emotional ppl
woemn > men
self dramatizing, attention seeking overly agregarious and seductive

A

histrionic

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18
Q

demonstrate what our society tends to foster and admire in its members: to be well-liked, successful, popular, extroverted, attractive, and sociable. However, beneath these surface characteristics is a driven quality-an all-consuming need for approval and a desperate striving to be conspicuous and to evoke affection or attract attention at all costs. Failure to evoke the attention and approval they seek often results in feelings of dejection and anxiety

A

histrionic

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19
Q

highly distractible and flighty by nature
display themselves as carefree and sophisticated on one hand, and inhibited and naive on the other. Tend to be highly suggestible, impressionable, and easily influenced by others.

A

histrionic

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20
Q

Nothing they do works consistently, such children experience frustration in getting their parents’ attention and exaggerate behaviors basic to their gender stereotype to secure compliments and affection. Otherwise, they are ignored. Such children enter adolescence with a nearly insatiable thirst for attention and love

A

Histrionic PD

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21
Q

exaggerated sense of self-worth
lack empathy
believe they have the inalienable right to receive special consideration, and that their desire is sufficient justification for possessing whatever they seek.
6% population and men>women

A

Narcissistic

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22
Q

lack humility, being overly self-centered, and exploiting others to fulfill their own desires

A

Narcissistic

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23
Q

optimistic mood, relaxed, cheerful and carefree
fragile self-esteem
if they do not gain the approval they persued: rage, shame, humiliation, or dejection

A

narcissistic

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24
Q

as children, fears, failures, or dependency needs responded to with criticism, disdain, or neglect.
Unable to view others as sources of comfort and support
project an image of invulnerability and self-sufficiency to conceals true sense of emptiness and contributes to inability to feel deeply.

A

Narcissistic

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25
Q

extremely sensitive to rejection which may lead to a socially withdrawn life. There may be a strong demand for companionship, but are too fearful of rejection.
Extreme shyness and fear of rejection create needs for unusually strong assurances of unconditional acceptance. 2%, men=women

A

avoidance pd

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26
Q

timid, withdrawn, cold, strange

A

avoidance pd

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27
Q

speech is slow and constrained with frequent hesitations, fragmentary thought sequences, and occasional confused and irrelevant digressions. Depression, anxiety, and anger at oneself for failing to develop social relations are commonly experienced

A

avoidance pd

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28
Q

primary psychosocial predisposing influence to _____ disorder is parental rejection and censure, which is often reinforced by peers.

A

avoidance

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29
Q

a pattern of relying on others excessively for emotional support

A

dependent d/o

30
Q

more common in women than men and in the youngest child of the family

A

dependent d/o

31
Q

a notable lack of self-confidence that is apparant in posture, voice, and mannerisms

A

dependent d/o

32
Q

see the world through rose colored glasses

A

dependent d/o

33
Q

pessimistic, discouraged, rejected; suffering is done in silence

A

dependent d/o

34
Q

avoid positions of responsibility and become anxious when forced into them

A

dependent d/o

35
Q

psychosocially, ________ is fostered in infancy when stimulation and nurturance are experienced exclusively from one source.

A

dependent d/o

36
Q

child may come to fear a loss of love or attachment from the parental figure if independent behaviors are attempted

A

dependent d/o

37
Q

serious, formal, and have difficulty expressing emotions
overly disciplined, perfectionistic, and preoccupied with rules
have a devotion to productivity to the exclusion of personal pleasure
more common in men>women, oldest child in family

A

OCD

38
Q

intense fear of making mistakes leads to difficulty making decisions

A

OCD

39
Q

are contemptuos of people whose behavior they view as frivolous or impulsive

A

OCD

40
Q

commonly use reaction formation

A

OCD

41
Q

praise for positive behaviors in childhood is bestowed much less frequently than punishment for undesirable behaviors; learn what they must NOT do to avoid punishment instead of what they CAN do to receive award

A

OCD

42
Q

ambulatory schizophrenia, pseudoneurotic schizophrenia, and emotionally unstable personaltiy

A

borderline pd

43
Q

prefer a frantic search for companionship, no matter how unsatisfactory, to sitting with feelings of lonliness, emptiness, and boredom; possess a chronic fear of abandonment

A

borderline PD

44
Q

people and life situations are either all good or all bad

A

splitting-primitive ego defense mechansim assoc with borderline pd

45
Q

splitting arises from lack of

A

object constancy and is manifested by an inability to integrate and accept both positive and negative feelings (borderline pd)

46
Q

Manipulation

A

to avoid or achieve relief from separation anxiety in borderline PD

47
Q

What is the neurotransmitter assoc with borderline pd

A

decreased serotonin (like depression)

48
Q

Which phase of Mahler’s theory of object relations do ppl with borderline pd get stuck in?

A

reapprochement phase (16-24mos): awareness of separateness of self becomes acute; this is frightening to the child, who wants to regain some lost closeness but not return to symbiosis. The child wants the mother there as needed for emotional refueling, and to maintain feelings of security. In the case of borderline pd, mom gets threatened when baby becomes more independent-and withdraws emotional support-no more “refueling”; mom rewards clinging, dependent behaviors, and punishes independent ones

49
Q

unresolved grief for the nurturing they failed to receive results in internalized rage that manifests itself in the _____so common in ppl with borderline pd

A

depression

50
Q 
risk for self-mutilation
risk for self-directed violence
risk for suicide
risk for other-directed violence
complicated grieving
impaired social interaction
disturbed personal identity
anxiety (severe to panic)
chronic low self esteem
A

nursing diagnoses for borderline pd

51
Q 
The Client:
has not harmed self
seeks out staff when desire for self-mutilation is strong
is able to identify true source of anger
expresses anger appropriately
relates to more than one staff member
completes ADLs independently
does not manipulate one staff member against the other in order to fulfill own desires
A

outcomes for borderline pd

52
Q

seldom seen in clinical settings, when they are, it is commonly a way to avoid legal consequences

A

antisocial pd

53
Q

possess a low tolerance for frustration, at impetuously, and are unable to delay gratification

A

antisocial pd

54
Q

tend to be argumentative, cruel, and malicious. Appear cold, callous, often intimidating others with brusque and belligerent manner

A

antisocial pd

55
Q

first inclination is to demean and dominate

A

antisocial pd

56
Q

believe “good guys come in last”

A

antisocial pd

57
Q

Use PROJECTION as primary ego defense mechanism; they do not accept responsibility for the consequences of their behavior

A

antisocial pd

58
Q

One of the most distinctive characteristics of these individuals is their tendency to ignore conventional authority and rules; they are flagrant in their disrespect for the law and for the rights of others

A

antisocial pd

59
Q

as a child, this patient displayed tantrums since infancy and would become furious when awaiting a bottle or diaper change. As they mature, they become bullies of other children. They are undaunted by punishment. They are daring and foolhardy in their willingness to change physical harm, and they seem unaffected by pain

A

antisocial pd

60
Q

ADHD and conduct disorders in childhood and adolescence are predisposing factors to which personality d/o?

A

antisocial pd

61
Q

Which is most damaging? presence or intermittent appearance of inconsistent impulsive parents or loss of a consistent parent

A

inconsistent impulsive parents is most damaging

62
Q 
risk for other-directed violence
defensive coping
chronic low self esteem
impaired social interaction
ineffective health maintenance
A

nursing diagnoses for antisocial pd

63
Q

absence of parental discipline
extreme poverty
removal from the home
growing up without parental figures of both sexes
erratic and inconsistent methods of discipline
being “rescued” each time they are in trouble (never have to suffer the consequences of their own behavior)
maternal deprivation

A

predisposing factors to antisocial pd

64
Q

psychoanalytical psychotherapy

A

treatment of choice for histrionic pd
treatment focuses on the unconscious motivation for seeking total satisfaction from others and for being unable to commit oneself to a stable, meaningful relationship

65
Q

Milieu or group therapy

A

appropriate for antisocial pd

66
Q

Cognitive/behavioral therapy

A

useful for ocd, antisocial, and avoidant personality

67
Q

dialectical behavior therapy

A

a treatment for the chronic self-injurious and parasuicidal behavior of clients with borderline pd. combines concepts of cognitive, behavioral, and interpersonal therapies with eastern mindfulness practices

due to its success with borderline pd pts, DBT is now used with substance use disorders, eating disorders, schizophrenia, nd ptsd.

68
Q

antipsychotic meds

A

helpful in treating psychotic decompensations experienced by paranoid, schizotypal, and borderline pd’s

69
Q

how to treat violent episodes observed in clients with antisocial pd?

A

lithium and propranolol

70
Q

what med do we give to pts with avoidant pd

A

anxiolytics, antidepressants like Zoloft and Paxil if panic d/o develops

71
Q

Drugs for borderline do

A

SSRIs and MAOIs

Adult Mental Health (6 decks)

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