Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NSG 470 > Personality disorder lecture > Flashcards

Personality disorder lecture Flashcards

1
Q

**

Personality trait

A
  • Characteristic with which an individual is born or develops early into life
  • Influences the way they percive and relate to the enviroment
  • Stable over time
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

**

Personality disorder

A
  • Occurs When a personailty trait deviates from the expectations from a culture
  • Become rigid and inflexible
  • Contributes to maladapive patterns of behaviors or impairments in functioning
  • Leads to distress
  • Causes impairment in interpersonal relationships, dysfunction in cognition, affect and impulse control

All people have traits of personality disoders, it doesnt mean they have a personality disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Early symptoms of personality disorders

A
  • Usually occurs in late addolescence and early adult hood
  • Temperment is an early symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Etiology of personality disorders

A
  • Multifactorial: Hereditary, temperamental traits, environment and neurodevelopmental
  • Genetics
  • Psychological influences: Child abuse, trauma and neglect
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Antisocial personality disorder causes

A
  • History of harsh erratic discipline
  • Alc parent
  • Abusive chaotic home life
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Borderline personality disorder causes

A
  • Severe belittling
  • Invalidation
  • Sexual abuse
  • Dysfunctional home life
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cluster A disorders: Names

A
  • Paranoid
  • Schizoid
  • Schizotypal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cluster B disorders: Names

A
  • Borderline personality disorder
  • Antisocial
  • Histrionic
  • Narcissistic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Cluster C disorders: Names

A
  • Avoidant
  • Dependent
  • OCD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Cluster A disorder: Characteristics

A
  • Odd eccentric behaviors
  • Deficit in ability to relate to others
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Cluster B disorders: Characteristics

A
  • Narcissistic
  • Dramatic, Emotional, Erratic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cluster C disorders: Characteristics

A
  • OCD personality
  • Anxious
  • Fearful
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Paranoid Personality disorder: Features

A
  • Suspicious, Hypersensitive, Secretive
  • Must have control or power in a relationship
  • Suspicious of others, being guarded as a result
  • Can be aggressive
  • Rigid, not willing to accept other people’s ideas
  • High feeling of importance (They’re after me)
  • Outwardly cold, lacks humor
  • Envious
  • Does not accept responsibility of their actions
  • Prepared for any real or imaginary threat
  • Always watching out
  • May misinterpret something normal and find a threat lying
  • Overreacts with excessive anger
  • Responds with counter attacking behavior
  • Hard exteriors, immune or insensitive to feelings of others
  • Can be prone to sue other people

Cluster A personality disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Schizoid Personaility disorders: Features

A
  • **Seclusive, Indifferent, Passive **
  • Super flat affect, doesn’t like people, special interest
  • Periphery of society (Avoids relationships, emotionally detached)
  • Viewed by others as odd and lonely
  • No interest in human relationships; feels uncomfortable around people
  • Appears cold and aloof indifferent to others
  • Prefers to work alone
  • No spontaneity
  • Energy toward non human interest (Math, astronomy, animals, work)
  • Emotionally cold, indifferent to praise, flat affect
  • Inappropriately serious about everything; difficulty with light hearted banter

Cluster A personailty disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Schizotypal Personality disorder: Characteristics

A
  • **Odd in thinking, Bizarre fantasy, Peculiar language **
  • Symptoms more like schizophrenia
  • Cognitive or perceptual distortions, behaves eccentric (Odd by other)
  • Socially withdrawn and anxious
  • Unhappy about lack of relationships
  • Ideas of reference, bodily illusions, depersonalization, unusual telepathic and clairvoyant experiences, sixth sense (Thinks they have super powers
  • Magical thinking
  • Social anxiety and unhappiness increasing over time
  • Under stress they experience worse psych symptoms, like delusions and hallucination brief
  • Aloof, Bland, Apathetic
  • Talks to self
  • Speech pattern can be bizarre

Cluster A personailty disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Histionic Personality disorder: Charecteristics

A
  • ** Attention seeking, Flamboyant, Proactive **
  • Attention seeking, Excitable, emotional behaviors
  • Seeking approval
  • More often women
  • Behavioral expression may be influenced by sex role stereotypes
  • May vary across cultures and age groups

Cluster B personality disorder

17
Q

Narcissitic Personality disorder: Charecteristics

A
  • Excessive self admiration, Egocentric, Sense of grandiose
  • Pervasive pattern of grandiosity and over concern with issues of self esteem

Cluster B personailty disorder

18
Q

Borderline Personality disorder: Charecteristics

A
  • **Impulsive, Self mutilation, MANIPULATION **
  • Disruptive pattern of instability of self identity, interpersonal relationships marked with impulsivity and destructive behaviors
  • From families that were subjected to constant belittling devaluation and invalidation

Cluster B personality disorder

19
Q

Antisocial Personality disorder: Charecteristics

A
  • **Rule breaking, aggressive, abusive **
  • May have history of violence partner abuse, anger, vindictive behavior, recklessness
  • Diagnosis made at 18+, typically evidence of conduct disorder in adolescent
  • Substance abuse is common comorbid disorder
  • No moral compass
  • Commonly referred to as sociopaths

Cluster B personality disorder

20
Q

Antisocial personailty disorder: Features

A
  • Deceitful, manipulative
  • Lack of guilt, anxiety
  • Lack of empathy
  • Socially unresponsive
  • Exploitative
  • Guiltless behavior with complete disregard for rights of others
  • No concern for law
  • Low tolerance for frustration
  • Easily provoked
  • Appear cold and callous, often intimidate others
  • Unable to delay gratification
21
Q

Borderline personality disorder: Features

A
  • Chronic depression
  • Inability to be alone
  • Chronic fear of abandonment
  • Clinging
  • Manipulative
  • Emotional dysregulation can lead to self mutilation and suicide, in response to Rejection
  • Predictable maladaptive behaviors related to separation
  • Severe impaired capacity for attachment
  • Characterized by instability and dysfunction in affective behavioral and interpersonal domains
  • Emotional instability
  • **Always in a state of crisis
  • Frequent mood swings
  • Intense affect with frequent changeability
  • thriving on chaos **
22
Q

Histrionic personality disorder features

A
  • Over concern with attention and appearance
  • Colorful dramatic and extroverted behavior in excitable and emotional people
  • Excessive time seeking attention or making themselves attractive
  • Inappropriate seduction or provocative dress and flirting
  • Flamboyant or self drama behavior
  • Underlying insecurity
  • Act out when not getting attention
  • Difficulty maintaining long lasting relationships
  • Needs constant affirmation
  • Needs approval, if they don’t get approval results in feeling of dejection and anxiety
23
Q

Narcissistic personality disorder

A
  • Grandiose sense of self importance
  • Exaggerated self worth
  • Sense of specialness or entitlement
  • Handles criticism with defeat, shame, dejection, rage or depression
  • Fragile self esteem
  • Exploitive, lacking empathy
  • Expressive concern about appearance rather than substance, requires admiration
  • Lacks empathy
  • Exploits others to meet their needs
  • Blames others
  • Relationships superficial and based on belief what their partner can do for them
  • Lacks humility, self centered
24
Q

Avoidant Personality disorder: Charecteristics

A
  • Fears criticism, overly serious, withdrawn
  • Sensitive to rejection, feels inferior
  • Tends to be very sensitive, touchy evasive and mistrustful
  • Desires affection but fear rejection or ridicule; social isolation as a result
  • Avoids situations that require socialization (Shy,awkward in these situations)
  • Desires close relationships but fear of being shamed/ridiculed
  • Lack empathy due to preoccupation with own self deprecation
  • Prevalence is same in men and women
  • Does not respond with rage with rejection, hypersensitive to criticism
  • Speech is usually slow and constrained with frequent hesitations, fragmentary thought sequence and occasional confused digressions
  • Distressed by isolation
  • All have social phobias
  • View others as critical, betraying and humiliating
  • May be perceived as timid withdrawn or cold
  • **Low self worth **

Cluster C personailty disorder

25
Q

Dependent Personality disorder: Charecteristics

A
  • Clingy, indecisive, submissive
  • Exaggerated belief that they are incapable of survival alone
  • Avoids positions of responsibility and becomes anxious when forced into them
  • Relies on others for most areas of their life
  • ** Lack of self confidence ** and extreme reliance on others
  • Low self worth
  • Believes that they cannot function on their own
  • Passive, overly generous and thoughtful , underplay their own attractiveness and achivements
  • Clinging, and submissive
  • Can’t imagine being alone =Tolerance of poor treatment by partner, including abuse
  • Suffering in silence
  • Perceive self as unable to separate from other, cannot work independently
  • Fear of abandonment

Cluster C personality disorder

26
Q

Obsessive compulsive Personality disorder: Charecteristics

A
  • Perfectionist, Passive aggressive, rigid
  • Preoccupied with orderliness control and achievement of perfection
  • Obsessed with rules and details
  • Tasks often cannot be completed
  • Devotion to work excludes pleasurable activities
  • Uncomfortable with aspects of relationships that individuals cannot control
  • Difficulty expressing emotion
  • Inflexible, rigid perfectionism, preservation, (Pursues task even if its impossible
  • Intensive Fear of making mistakes
  • Recurrent obsessions and compulsions are absent (This would be in OCD)
  • Formal demeanor, lack of sense of humor, limited interpersonal skills
  • High achievers in areas that require attention to detail

Cluster C personality disoder

27
Q

Personailty disorder assessment

A
  • Assess for suicidal or homicidal thoughts
  • Assess for other psych disorders or medical disorder (Substance abuse)
  • View assessment from person’s ethnic, cultural and social background
  • Did the pt experience a recent loss or trauma (Exasperation)
28
Q

Interventions for manipulation

A
  • Set clear limits
  • United front: All limits should be enforced by staff equally
  • Refer to limits frequently as pt with try and push em
  • Teaching approach, but firm
  • Firm but supportive
  • Consistency
  • Behaviors should be documented objective (Time date, circumstance)
  • Provide clear boundaries and consequences
  • Avoid discussing yourself or others with patient or keeping secret for pt (Manipulation tactic)
  • Don’t accept gifts or doing favors (Manipulation tactic)
29
Q

Interventions for impulsive behaviors

A
  • Identify needs and feelings underlying behavior (Insecurity)
  • Discuss with pt current and previous impulsive acts
  • Explore effects on pt and others
  • Help recognize cues to triggers of impulsive behaviors
  • Teach and rehearse alt behaviors
    *** pt safety is number one **
  • Provide physical activity
  • 1:1 during exacerbations
  • monitor behavior frequently
  • Encourage pt to seek out staff when self mutilation is present
  • Do not offer sympathy from wounds of self mutilation
  • Positive reinforcement of desired behaviors, emotions
  • Remove dangerous objects that can be used to harm self or others
  • Ensure adequate amount of staff if show of force is needed
  • Sedating meds if needed
  • Mechanical restraints (Needs order)
30
Q

Psychotherapy: Cognitive behavioral therapy

A
  • Helps pt become aware of their thought process so they can recognize negative behaviors and reframe thinking to improve functioning
31
Q

Psychotherapy: Dialectical Behavioral Therapy (DBT)

A
  • Focuses on stabilizing patient and achieving behavioral control
  • Emotional regulation
  • Distress tolerance skills
  • Constant crisis intervention

First line therapy for BPD

32
Q

Pharmacological therapy

A
  • No meds to treat PD
  • Used to treat underlying symptoms (Anxiety, depression and all that)
  • Caution use of Benzo (Abuse potential)
  • Atypical antipsychotic for psychosis induced by stress
  • Antidepressants and mood stabilizers used to manage mood and treat aggression

NSG 470 (26 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions