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Psych Exam 3 > Personality Disorders > Flashcards

Personality Disorders Flashcards

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1
Q

Cluster A

A

Paranoid
Schizoid
Schizotypal

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2
Q

Paranoid

A

Characterized by distrust and suspiciousness towards others based on unfounded beliefs that others want to harm, exploit, or deceive the person.
Jealousy, controlling behaviors, unwillingness to forgive

May precede a schizophrenia diagnosis

Defense mechanism: Projection

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3
Q

Schizoid Personality Disorder

A

Characterized by emotional detachment, disinterest in close relationships, and indifference to praise or criticism; often uncooperative.
Lifelong pattern of social withdrawal, expressionless, restricted range of emotional expression
Often marginalized, “loners”
Ridiculed by peers for odd behavior
Does not seek out or enjoy relationships

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4
Q

Schizotypal Personality Disorder

A

Both a personality disorder and schizophrenia spectrum disorder
Characterized by odd beliefs leading to interpersonal difficulties, an eccentric appearance, and magical thinking or perceptual distortions that are not clear delusions or hallucinations.
Strikingly strange and unusual beliefs, speech patterns, inappropriate affect
Severe anxiety in social situations
Magical thinking
Psychotic symptoms
Can be made aware of suspiciousness and magical thinking

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5
Q

High degree of mistrust – adhere to promises, appointments, and schedules

A

Cluster A: Nursing Considerations

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6
Q

Being too nice may be met with suspicion – Give straightforward explanations

A

Cluster A: Nursing Considerations

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7
Q

Simple language

A

Cluster A: Nursing Considerations

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8
Q

Limit setting

A

Cluster A: Nursing Considerations

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9
Q

Do not try to increase socialization

Respect need for social isolation

A

Cluster A: Nursing Considerations

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10
Q

Protect against ridicule

A

Cluster A: Nursing Considerations

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11
Q

Employ interventions appropriate for suspicion

A

Cluster A: Nursing Considerations

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12
Q

Strange beliefs and activities may be part of their life

A

Cluster A: Nursing Considerations

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13
Q

Cluster B

A

Antisocial
Borderline
Histrionic
Narsisstic

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14
Q

Antisocial Personality Disorder

A

Disregard for others with exploitation, lack of empathy, repeated unlawful actions, deceit, failure to accept personal responsibility
Evidence of conduct disorder before age 15
Sense of entitlement, manipulative, impulsive, and seductive behaviors
Nonadherence to traditional morals and values
Verbally charming and engaging

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15
Q

Histrionic Personality Disorder

A

Characterized by:
Emotional attention‑seeking behavior, in which the person needs to be the center of attention
“Dramatic”
Often seductive and flirtatious
Extroverted, colorful personalities, excitable
Struggle with developing meaningful relationships
Do not have insight into their role in impaired relationships
Behaviors stemming from distress

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16
Q

Narcissistic Personality Disorder

A

Characterized by:
Arrogance
Grandiose views of self‑importance
The need for consistent admiration
A lack of empathy for others that strains most relationships
Often sensitive to criticism
Behaviors stemming from weak self-esteem, shame, and fear of abandonment

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17
Q

Limit settings, clear and consistent boundaries

A

Cluster B: Nursing Interventions

18
Q

Document behaviors objectively (i.e. provide times, dates, circumstances) of manipulative behaviors

A

Cluster B: Nursing Interventions

19
Q

Know that having desires prevented may result in aggression

A

Cluster B: Nursing Interventions

20
Q

All staff need to be consistent

A

Cluster B: Nursing Interventions

21
Q

Understand seductive behavior is a response to distress

A

Cluster B: Nursing Interventions

22
Q

Keep communication and interactions professional

A

Cluster B: Nursing Interventions

23
Q

Clients may exaggerate symptoms

A

Cluster B: Nursing Interventions

24
Q

Assess for SI, may make suicidal gestures and inadvertently result in death

A

Cluster B: Nursing Interventions

25
Q

Remain neutral, remember behaviors come from fear and abandonment

A

Cluster B: Nursing Interventions

26
Q

Avoid engaging in power struggles, becoming defensive

A

Cluster B: Nursing Interventions

27
Q

Role model empathy.

A

Cluster B: Nursing Interventions

28
Q

Provide the client exercises to enhance new social skills but use with caution because any failure can increase feelings of poor self-worth.

A

Cluster B: Nursing Interventions

29
Q

Borderline

A

Characterized by instability of affect, identity, and relationships, as well as splitting behaviors, manipulation, impulsiveness, and fear of abandonment; often self-injurious and potentially suicidal; ideas of reference are common; often accompanied by impulsivity

30
Q

Cluster C

A

Obsessive-Compulsive
Dependent
Avoidant

31
Q

Avoidant Personality Disorder

A

Characterized by:
Social inhibition and avoidance of all situations that require interpersonal contact, despite wanting close relationships, due to extreme fear of rejection
Have feelings of inadequacy and are anxious in social situations
Avoid interpersonal contact due to fears of rejection, criticism, or humiliation
Low self-esteem, feelings of inferiority, reluctance to engage in unfamiliar activates with new people

32
Q

Dependent Personality Disorder

A

Characterized by:
Extreme dependency in a close relationship with an urgent search to find a replacement when one relationship ends
Submissive and clinging behavior
Overwhelming need to be cared for
Intense fear of separation and abandonment
Intense anxiety when left alone
May manipulate others to assume their responsibilities
Stemming from a lack of confidence in their own abilities or judgment
Vulnerable to exploitation

33
Q

Obsessive-Compulsive Personality Disorder

A

Characterized by:
Indecisiveness and perfectionism with a focus on orderliness and control to the extent that the individual might not be able to accomplish a given task
Limited emotional expression
Stubbornness
Indecisiveness
Preoccupation with orderliness, perfectionism, and control
Rigid, inflexible standard of self and others

34
Q

Nurses should use a friendly, accepting, and reassuring approach.

A

Cluster C: Nursing Interventions

35
Q

Remember that being pushed into social situations can cause severe anxiety for these clients

A

Cluster C: Nursing Interventions

36
Q

Convey an attitude of acceptance toward fears

A

Cluster C: Nursing Interventions

37
Q

Provide the patient exercises to enhance new social skills but use with caution because any failure can increase feelings of poor self-worth.

A

Cluster C: Nursing Interventions

38
Q

Assertiveness training can assist the person to learn to express needs

A

Cluster C: Nursing Interventions

39
Q

Avoid power struggles, need for control is high

A

Cluster C: Nursing Interventions

40
Q

Be aware clients may struggle with sudden changes in routines

A

Cluster C: Nursing Interventions

41
Q

Assist clients to identify ineffective coping and to develop effective coping techniques.

A

Cluster C: Nursing Interventions

42
Q

Borderline Personality Disorder

Goals of Care

A 
Self-restraint of self-harm, suicide, abusive behavior, aggression
Impulse self-control
Self-awareness
Social interaction
Coping
Decreased stress

Psych Exam 3 (3 decks)

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