Personality Disorders

Question 1

What are the 2 types of Personality Disorders ?

Answer 1

• Obsessive Compulsive Disorder (OCD)

- Paranoid Personality Disorder

Question 2

What are the signs & symptoms of Obsessive Compulsive Disorder (OCD) ?

Answer 2

• Obsession is a recurrent thought
• Compulsion Is a recurrent act (can’t stop)
• Preoccupied with perfectionism, control and orderliness

Question 3

Tx:

What do you want to make sure are met in clients with OCD ? and why ?

Answer 3

Basic needs
B/c the ritual schedule may not give the client time to eat or drink

(will need good skin care if the ritual is hand-washing)

Question 4

Tx:

What do you want to allow the client to verbalize ?

Answer 4

Verbalizations of feelings, concerns about life, family, and occupation if disruptions in these areas are present

Question 5

Tx:

What kind of routine do OCD clients need ?

Answer 5

Need a structured routine

Question 6

Tx:

What do we give a client with OCD time for ? and why ?

Answer 6

Their Rituals

B/c Anxiety levels go up if they can’t perform this ritual

Question 7

Tx:

Should time delay techniques be used with OCD client’s ?

Answer 7

Yes

Question 8

Tx:

Why do you want to provide an OCD client with a Contract ?

Answer 8

To decrease the ritual and reward non-ritual behavior

Question 9

Tx:

With OCD clients we need to ___________ the amount of time performing the ritual and ___________ the amount of time between the ritual

Answer 9

Decrease

Increase

Question 10

In a client with OCD, what should you never do with the ritual ?

Answer 10

Never take the ritual away without replacing with another coping mechanism, such as anxiety reducing techniques

Question 11

What do you want to provide an OCD client with ?

Answer 11

Provide distraction techniques

to distant the client from the anxiety producing thoughts

Question 12

What should you teach clients with OCD ?

Answer 12

Relaxation techniques like meditation

Question 13

What is the definition of Paranoid Personality Disorder ?

Answer 13

Client exhibits inappropriate suspiciousness and distrust of others without reason

Question 14

With Paranoid Personality Disorder, you can not explain what away to the client ?

Answer 14

Cannot explain away delusions or false beliefs of the client

Question 15

Paranoid Personality Disorder clients display what ?

Answer 15

Pathologic Jealousy

Hypersensitive to comments or actions

Question 16

What is client like who has Paranoid Personality Disorder ?

Answer 16

• Client cannot relax
• Has no humor
• Unemotional

Question 17

Clients with Paranoid Personality Disorder often have what type of response, and thus respond how when provoked ?

Answer 17

Have an abnormal anger response, so they may respond with rage when provoked

Question 18

Tx:

As a nurse what must you be with your clients who have Paranoid Personality Disorder ?

Answer 18

Must be Reliable!

• Your goal is to build trust (if you say you’ll do something you must do it!)

Question 19

What are Tx’s for clients with Paranoid Personality Disorder ?

Answer 19

• Be reliable
• Be honest
• have consistent nurses
• Brief visits
• Be matter-of-fact
• Respect personal space
• Be careful with touch
• Don’t mix medications
• May need to eat seal foods
• Restraints (possibly, only if assessed that they are danger to self or others)

Question 20

In general, when are restraints used?

Answer 20

As a last resort

Question 21

In NCLEX world what do you want to stay away from as long as possible ?

Answer 21

Restraints and Sedating medications

Question 22

Why do you want to be careful with touch in client’s with Paranoid Personality Disorder ?

Answer 22

A person experiencing paranoia cannot handle a touchy, feely nurse

Question 23

How should you give a client with Paranoid Personality Disorder their medications ?

Answer 23

• Dont mix!

- Put in separate cups & always identify meds