personality disorder Flashcards
cluster a
eccentric and odd behaviors
- paranoid
- schizoid
- schizotypal **
cluster b
erratic, dramatic, emotional behavior
- borderline **
- narcissistic **
- histrionic
- antisocial **
cluster c
anxious and fearful behavior
- avoidant
- dependent **
- obsessive-compulsve
Schizotypal PersonalityDisorder
- Severe social and interpersonal deficits
- Anxiety in social situations
- Rambling conversation
- Paranoia, suspiciousness, anxiety, distrust
- Brief, intermittent episodes of hallucination or delusion
- Can be made aware of their own odd beliefs
- May be vulnerable to involvement with cults or unusual religious/occult groups
- odd, hard time being social, don’t blend well, strange, magical thinking, strange beliefs, affect inappropriate, hallucinations, delusions
- they know symptoms are not normal
schizotypal nursing care guidlines
- Respect patient’s need for social isolation.
- Be aware of and intervene appropriately with patient’s suspiciousness.
- Perform careful diagnostic assessment for symptoms that may need intervention (e.g., suicidal thoughts).
- Withhold judgment or ridicule.
- suicide thoughts
schizotypal treatment
- Psychotherapy (investigate possible involvement with cults)
- Low-dose antipsychotics
narcissistic personality disorder characteristics
- Feelings of entitlement, exaggerated self importance
- Lack of empathy; tendency to exploit others
- Weak self-esteem and hypersensitivity to criticism
- Constant need for admiration
- Less functional impairment than other personality disorders
- irrigant know it all, stems from insecurities, look for compliments
Narcissistic Personality Disorder Guidelines for Nursing Care
- Remain neutral.
- Avoid power struggles or becoming defensive.
- Role model empathy
Narcissistic Personality Disorder treatment
- Difficult to treat: patients not likely to seek help or confront shortcomings
- Cognitive-behavioral therapy (CBT) to deconstruct faulty thinking
- Group therapy; lithium for mood swings
antisocial personality disorders characteristics
- Antagonistic behaviors
- Disinhibited behaviors
- Profound lack of empathy- they don’t feel bad
- Absence of remorse or guilt
- seem charming and appropriate, setting limits
Antisocial PersonalityDisorder assessment
Patients do not tend to answer honestly
Self-assessment
Antisocial PersonalityDisorder nursing diagnoses
Risk for other-directed violence
Defensive coping
Impaired social interaction
Ineffective health maintenance
Antisocial PersonalityDisorder outcomes
- Abusive behavior self-restraint ( dont engage)
- Aggression self-restraint
- Coping, social interaction, social isolation knowledge
- Health promotion knowledge
- Health promoting behavior
- These will be difficult to accomplishment.
- Maintaining safety is the priority.
Antisocial PersonalityDisorder planning and implementation
- Boundaries, consistency, support, and limits
- Realistic choices
- Teamwork and safety (prime)
- Therapeutic communication
- Pharmacological interventions (mood stabilizers)
borderline personality disorder clinical picture
- Severe impairments in functioning
- Emotional lability (increase or decrease)
- Impulsivity (KEYYY)
- Self-destructive behaviors: relieve pain, self harm, attention seeking
- Antagonism
- Splitting: Inability to view both positive and negative aspects of others as part of a whole
- from trauma
- have empathy, excuse yourself, and know your triggers
