Personality Disorders

Question 1

What is personality?

Answer 1

The unique combination of traits that make you an individual, including characteristic behaviours, attitudes, feelings, and ways of thinking. Our personality manifest in our moods, attitudes and opinions and is clearly expressed when we interact with others.

Question 2

True or False? Does personality change over time?

Answer 2

True - most of an individuals personality traits are continually modified by their environment throughout their lifetime

Question 3

What are some characteristics of a healthy personality?

Answer 3

Positive self-concept, body image, sense of self-worth, and is able to relate to others openly and honestly.

Question 4

What are some characteristics of a personality disorder?

Answer 4

Inflexible, maladaptive behaviours; Manipulation, hostility, lying, poor judgement, and alienation that interfere with social or occupational functioning.

Question 5

What are the main influencing factors of a personality disorder?

Answer 5

Poor parenting (inconsistent discipline/supervision), rejection, lack of love (attachment), abuse, conflict, family history of PD, drug & alcohol use, PTSD, early exposure to trauma, and genetic components esp. BPD.

Question 6

how does the DSM-5 define a personality disorder?

Answer 6

An enduring (lasts a long time) pattern of inner experience and behaviour that deviates markedly from the expectations of the individuals culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time and leads to distress or impairment.

Question 7

How many types of personality disorders does the DSM-5 list?

Answer 7

10

Question 8

What are the 3 clusters of personality disorders

Answer 8

Cluster a - Odd or Eccentric
Cluster b - Dramatic, erratic, or emotional
Cluster c - Anxious and Fearful

Question 9

What personality disorders are considered under Cluster A?

Answer 9

Paranoid Personality Disorder, Schizoid Personality Disorder, and Schizotypal Personality Disorder

Question 10

What personality disorders are considered under Cluster B?

Answer 10

Antisocial Personality Disorder, Borderline Personality Disorder, Histrionic Personality Disorder, Narcissistic Personality Disorder.

Question 11

What personality disorders are considered under Cluster C?

Answer 11

Avoidant Personality Disorder, Dependant Personality Disorder, Obsessive-Compulsive Personality Disorder, Personality change due to another medical condition, and Other personality disorder (NOS: Not otherwise specified).

Question 12

What problems do you see when diagnosis a personality disorder?

Answer 12

Potential: Stigma & Discrimination, substance misuse, cultural differences, co-morbidity with MMI, and organic disorders (Parkinsons ect).

Question 13

What is most needed to be addressed in the nursing diagnosis of a person with a personality disorder?

Answer 13

Risk assessment, suicide risk, vulnerability and substance use.

Question 14

What are some nursing diagnosis for a patient with a personality disorder?

Answer 14

Risk of suicide, Risk of substance abuse, Risk of self harm

Question 15

What are some nursing interventions for a patient with a personality disorder?

Answer 15

Group therapy, counselling, Therapeutic relationship aka Listening, ASSESSMENT (risk assessment, MSE, functional inquiry), managing self-harm wounds.

Question 16

Which of the following would you expect to assess in someone with an antisocial personality disorder?

a. Lack of guilt for wrongdoing
b. Insight into their behaviour
c. Ability to learn from past experiences
d. Compliance with authority

Answer 16

A. lack fo guilt for wrongdoing

Question 17

Kim has a diagnosis of borderline personality disorder. She often exhibits alternating clinging and distancing behaviours. The most appropriate nursing intervention in with this type of behaviour would be to

A. Encourage Kim to establish trust with one staff member
B. Secure a verbal contract with Kim that she will discontinue these behaviours
C. Withdraw attention if these behaviours continue
D. Have a core team of nurses who work with Kim so that she will learn to work with more than one person

Answer 17

D: Have a core team of nurses who work with Kim so that she will learn to work with more than one person

Question 18

What is Self-harm?

Answer 18

A compulsion or impulse to inflict physical wounds on one’s own body, motivated by a need to cope with unbearable psychological distress or regain a sense of emotional balance. Carried out with suicidal, sexual or decorative intent.