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MENTAL > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

Individuals with healthy personalities _______

A

-adapt to difficult situations

-change interaction style when needed

-relationship with others are reciprocal

-maintain their own boundaries

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2
Q

Individuals with Personality Disorder _______

A

-have difficulty adapting

-dysfunctional interaction style

-they rarely identify themselves as the source of problem

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3
Q

What are Schneider’s 4 Es?

A
  1. Early
  2. Enduring
  3. Egosyntonic
  4. Externalization
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4
Q

(4Es) this is the beginning of the disorder that is present in early life and develops in adulthood

A

Early

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5
Q

(4Es) This states that personality do not come and go and that maladaptive patterns are present in all situations with all people

A

Enduring

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6
Q

(4Es) This states that clients have poor insight and believes that others are the source of the distress

A

Egosyntonic

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7
Q

(4Es) This states that clients with personality disorders externalize their stress onto others

A

Externalization

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8
Q

What are the characteristic of CLUSTER A Disorders?

A

Odd and Eccentric Behaviors

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9
Q

What are the 3 Cluster A disorders?

A
  1. Paranoid Personality Disorder
  2. Schizoid Personality Disorder
  3. Schizotypal Personality Disorder
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10
Q

This Personality Disorder happens when clients are:

-highly suspicious of others

-private and reveal little about themselves

-they stay on alert

A

Paranoid Personality Disorder

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11
Q

This Personality Disorder happens when clients are:

-reclusive

-have limited social interaction

-not lonely and not fearful of rejection

-prefers solitude

A

SCHIZOID PD

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12
Q

This Personality Disorder happens when clients are:

-disorganized speech and behavior

-odd and eccentric

-does not have hallucination or delusion but engages in magical thinking

A

Schizotypal PD

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13
Q

What are the characteristics of Cluster B Disorders?

A

Dramatic

Emotional

Erratic (unpredictable) behavior

Do not respect personal boundaries

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14
Q

What are the 4 Cluster B Personality Disorder?

A
  1. Histrionic PD
  2. Narcissistic PD
  3. Antisocial PD
  4. Borderline PD
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15
Q

This Personality Disorder happens when clients are:

-dramatic and loves the spotlight

-dress seductively and can be flirtatious

A

Histrionic PD

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16
Q

This Personality Disorder happens when clients are:

-proud and outspoken about their talents and achievements

-Entitled

A

Narcissistic PD

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17
Q

What are the characteristics of Cluster C Disorders?

A

anxious emotions and behaviors

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18
Q

What are the 3 cluster C Disorders?

A
  1. Avoidant Personality Disorder
  2. Dependent Personality Disorder
  3. Obsessive Compulsive Disorder
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19
Q

This Personality Disorder happens when clients are:

-crave relationship but they feel too awkward to pursue them

-fears rejection, so they avoid new relationship

-their only relationship are few old friends

A

Avoidant PD

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20
Q

This Personality Disorder happens when clients are:

-desperate to be cared for and nurtured by someone

-needy, unassertive, and overly submissive

-requires lots of input and assistance when making ordinary decision

A

Dependent PD

21
Q

This Personality Disorder happens when clients are:

-overly concerned with rules, order, and routine

-perfectionist and have trouble delegating

-they have trouble throwing things away

-inflexible in relationship

-it’s their way or the highway

A

OCD

22
Q

What type of disorder is present when client lie, cheat, steal, and destroy.

A

Antisocial Personality Disorder

23
Q

Which type of disorder is present when client have a worldview of “every man for himself” and “survival of the fittest”?

A

Antisocial Personality Disorder

24
Q

What are some of the characteristic a person with antisocial PD have?

A

-charming when trying to manipulate

-low tolerance for fustration

-no difficulty ignoring social norms, rules, and laws.

-frequently incarcerated

25
Q

What does a “white collar” version fo antisocial PD do?

A

CON ARTIST

-they are professional at smith talking people into giving them what they want.

26
Q

What other term is used for patient with severe version of antisocial PD?

A

PSYCHOPATH

27
Q

Describe the characteristic of a psychopath

A

-extremely cold

-predatory

-no remorse for terrible deeds

28
Q

What are the etiology of Antisocial PD?

A

-Difficult childhood

-Parental affection is withheld

-Physical abuse and neglect

-genetic rf and neurobiological abnormalities

29
Q

What is an effective treatment for Antisocial PD?

A

CBT (mild version)

—>pyscho-therapy is innefective

30
Q

What medication is appropriate to prescribe for patient with Antisocial PD?

A

Second generation anti-psychotic medication (treats severe aggression)

31
Q

What kind of medications should patient with antisocial PD should avoids?

A

Medications with abuse potential

32
Q

What should a nurse prevent when taking care of a client with antisocial PD?

A

countertransference

—> as a nurse, do not allow yourself to have positive triggers

33
Q

What type of Ego defense mechanism does patient with antisocial PD use?

A

Displacement

34
Q

What kind of intervention should you do if a patient is using Displacement as an ego defense mechanism?

A

help client recognize the real source of anger

35
Q

Which type pf Personality Disorder cause client to have a fear of abandonment?

A

Borderline PD

36
Q

What are the characteristics of Borderline Personality Disorder?

A

-Cling tightly to relationship

-become angry when others do not meet their unrealistic expectations

37
Q

What is the common defense mechanism used by clients with Borderline PD?

A

Splitting

—> too good or too evil

38
Q

What type of disorder is described by family and friends as being “Hot and Cold?

A

Borderline PD

39
Q

What is the etiology of the Borderline PD?

A

childhood trauma

genetic and neurobiological factor

40
Q

What is an effective treatment for borderline PD?

A

Dialectical Behavioral Therapy

—> focuses on helping people accept reality

41
Q

What kind of medications are prescribed for clients with borderline PD?

A

-Antidepressants (depression)

-Antipsychotics + mood stabilizers (emotional instability, impulsivity, aggression)

42
Q

Clients who have a borderline pd have a strong fear of abandonment. As a nurse, what is one thing that you should not do?

A

be available for patient but do not promote dependent, clinging behaviors

—-> CONSIDER ROTATING STAFF MEMBERS

43
Q

What kind of intervention is appropriate for patient exhibiting SPLITTING ego defense mechanism?

A

-don’t get sucked into flattery

-don’t entertain discussion of how terrible another member is

-encourage client to discuss feelings directly towards the staff member involved

44
Q

What kind of intervention should you do if a patient is engaging in SELF -MUTILATING

A

seek out a team member is the urge returns

-remove dangerous objects and monitor patient frequently

45
Q

During the examination of a patient with Borderline Personality Disorder, what kind of exam questions is the HIGHEST PRIORITY?

A

Goals related to safety and injury

46
Q

After self mutilating has occur, what should a nurse do for intervention?

A

DO NOT GIVE SYMPATHY

encourage the client to discuss emotions after self injury

47
Q

What is the purpose of talking to client after self injury has occured?

A

help them find a better coping strategies next time the urge returns

47
Q

What is something that you should always do for a client experiencing Borderline PD

A

Always asses for suicidal ideation

MENTAL (3 decks)

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