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IM 6 Test 4 > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

stable personality

A

flexible and adaptive

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2
Q

pathologic personality

A

inflexible and maladaptive

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3
Q

personality disorders have what sense of self

A

unstable and unrealistic sense of self

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4
Q

neurobiological theory for personality disorder

A

disturbances in serotonin and GABA

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5
Q

psychological influences for personality disorder

A

childhood trauma

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6
Q

personality disorder treatment prognosis

A

little insight and improvement slow

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7
Q

disordered personality common characteristics X4

A

pervasive and inflexible patterns

onset in early adolescence or early adulthood

distorted sense of self

leads to distress or impairment

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8
Q

Risk factors for personality disorders X6

A
  • family hx of mental illness/personality d/o
  • low socioeconomic status
  • childhood abuse
  • unstable family during childhood
  • dx with childhood conduct disorder
  • loss of parents during childhood
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9
Q

cluster A personality d/o

A

paranoid
schizoid
schizotypal

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10
Q

cluster B personality d/o

A

anitsocial
borderline
histronic
narcissistic

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11
Q

cluster a traits

A

odd and eccentric

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12
Q

cluster b traits

A

dramatic, emotional and erratic

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13
Q

cluster c personality d/o

A

avoidant
dependent
obsessive compulsive

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14
Q

cluster c traits

A

anxious and fearful, insecure and inadequate

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15
Q

paranoid affect

A

hostile, irritable, angry

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16
Q

paranoid cognitive

A

pervasive, persistent and inappropriate distrust

suspicious

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17
Q

paranoid social

A

difficulty with intimacy
pathological jealousy
unforgiving

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18
Q

nursing interventions for paranoid PD X5

A

serious and straightforward, no sarcasm

honor commitments

involve pt in tx plan

teach pt to validate ideas with a trusted person before acting on idea

present information in a concrete manner

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19
Q

schizoid affective

A

blunted/flat/restricted

cannot pick up on social skills

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20
Q

schizoid cognitive

A

poverty of thought

vague communication

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21
Q

schizoid social

A

aloof

rarely date or marry - loners

dont connect with others

phantom relationships - do not want real friendships

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22
Q

schizoid PD nursing interventions X4

A

pt will NOT benefit from forced social interaction

case mgmt - lack of ability to plan for future needs

may be difficult to include in POC

simple and clear statements work best

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23
Q

schizotypal affective

A

inappropriate, constricted

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24
Q

schizotypal cognitive

A

paranoid ideation

magical thinking

ideas of reference

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25
Q

schizotypal social

A

often avoided by others r/t odd behavior

indifference to others

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26
Q

schizotypal PD nursing interventions X3

A

improve self-care skills

work towards improved function in community

include in groups to improve social skills

27
Q

antisocial affectivr

A

expressive but not genuine

28
Q

antisocial cognitive

A

egocentric, grandiose, impulsive

29
Q

antisocial social

A

3-4x more common in men

exploitative of others - no feelings of remorse

sense of entitlement

30
Q

antisocial PD nursing interventions X4

A
  • limit setting
  • confrontation w/o shame
  • consistency w/n tx team
  • work on systematic problem solving
31
Q

borderline affect

A

intense, labile emotions, anxious, empty

32
Q

borderline cognitive

A
  • identity disturbance
  • dichotomous thinking
  • potential for psychotic episodes under stress
33
Q

borderline social

A

manipulative relationships

fear abandonment and being alone

3x more common in women than men

34
Q

borderline nursing interventions X6

A

ensure safety from comorbidities

no-self-harm contracts

firm boundaries

no tough love

do not react and stay in control

decatastrophizing important

35
Q

histrionic affect

A

dramatic and extroverted

36
Q

histrionic cognitive

A

self-centered

guided by feelings over thinking

37
Q

histrionic social

A

sexual, seductive

attention seeking

manipulative

38
Q

histrionic PD nursing interventions X3

A

offer feedback on behavior while offering appropriate alternatives

model appropriate social skills

teach use of I messages to express needs

39
Q

narcissistic affect

A

labile

40
Q

narcissistic cognitive

A

arrogant, egotistical, grandiose thinking

41
Q

narcissistic social

A

lack of empathy

what’s in it for me

sense of entitlement

42
Q

narcissistic nursing interventions X4

A

limit setting

don’t internalize

state expectations clearly

reality orientation

43
Q

avoidant affect

A

fearful and shy

44
Q

avoidant cognitive

A

exaggerated need for acceptance

45
Q

avoidant social

A

strong fear of rejection

few close friends

reticent and withdrawn but want relationships

feelings of inferiority

46
Q

avoidant nursing interventions X4

A

work on positive self-affirmations

promote self esteem

reframing

decatastrophizing

47
Q

dependent affective

A

helplessness

48
Q

dependent cognitive

A

lack of self confidence

49
Q

dependent social

A

excessive dependence on others

cling to others

50
Q

dependent nursing interventions X2

A

explore problems and solutions w/o solving for them

promote independence

51
Q

Obsessive compulsive affect

A

unable to express emotions

52
Q

Obsessive compulsive cognitive

A

perfectionism

procrastination

indecision

would rather not try than try and fail

53
Q

Obsessive compulsive social

A

omnipotent
omniscient
need for control

54
Q

omnipotent

A

all powerful

55
Q

omniscient

A

all knowing

56
Q

Obsessive compulsive nursing interventions X3

A

practice negotiation

decatastrophizing

have a patient set realistic goals

completion rather than perfection

57
Q

common therapies for PD X4

A

CBT
DBT
psychodynamic
psychoeducation

58
Q

depressive affect

A

sad, gloomy

59
Q

depressive cognitive

A

negative, pessimistic

60
Q

depressive social

A

critical of others

61
Q

depressive nursing interventions X3

A

assess for self harm

encourage engagement with others

consider antidepressant meds

62
Q

passive aggressive PD affect

A

sad, angry

hostile alt with exessive dependence

63
Q

passive aggressive cognition

A

perception of disappointments or difficulties where none exist

64
Q

passive aggressive social

A

plays role of martyr

IM 6 Test 4 (6 decks)

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