Personality Disorders Flashcards by Angela Vianca Salta

Individuals with healthy personalities _______

-adapt to difficult situations

-change interaction style when needed

-relationship with others are reciprocal

-maintain their own boundaries

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Individuals with Personality Disorder _______

-have difficulty adapting

-dysfunctional interaction style

-they rarely identify themselves as the source of problem

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What are Schneider’s 4 Es?

Early
Enduring
Egosyntonic
Externalization

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

Early

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

Enduring

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

Egosyntonic

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

Externalization

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What are the characteristic of CLUSTER A Disorders?

Odd and Eccentric Behaviors

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What are the 3 Cluster A disorders?

Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder

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This Personality Disorder happens when clients are:

-highly suspicious of others

-private and reveal little about themselves

-they stay on alert

Paranoid Personality Disorder

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This Personality Disorder happens when clients are:

-reclusive

-have limited social interaction

-not lonely and not fearful of rejection

-prefers solitude

SCHIZOID PD

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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

Schizotypal PD

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What are the characteristics of Cluster B Disorders?

Dramatic

Emotional

Erratic (unpredictable) behavior

Do not respect personal boundaries

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What are the 4 Cluster B Personality Disorder?

Histrionic PD
Narcissistic PD
Antisocial PD
Borderline PD

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This Personality Disorder happens when clients are:

-dramatic and loves the spotlight

-dress seductively and can be flirtatious

Histrionic PD

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This Personality Disorder happens when clients are:

-proud and outspoken about their talents and achievements

-Entitled

Narcissistic PD

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What are the characteristics of Cluster C Disorders?

anxious emotions and behaviors

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What are the 3 cluster C Disorders?

Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive Compulsive Disorder

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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

Avoidant PD

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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

Dependent PD

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

OCD

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

Antisocial Personality Disorder

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

Antisocial Personality Disorder

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

-charming when trying to manipulate

-low tolerance for fustration

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

-frequently incarcerated

What does a "white collar" version fo antisocial PD do?

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

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

PSYCHOPATH

Describe the characteristic of a psychopath

-extremely cold -predatory -no remorse for terrible deeds

What are the etiology of Antisocial PD?

-Difficult childhood -Parental affection is withheld -Physical abuse and neglect -genetic rf and neurobiological abnormalities

What is an effective treatment for Antisocial PD?

CBT (mild version) --->pyscho-therapy is innefective

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

Second generation anti-psychotic medication (treats severe aggression)

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

Medications with abuse potential

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

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

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

Displacement

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

help client recognize the real source of anger

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

Borderline PD

What are the characteristics of Borderline Personality Disorder?

-Cling tightly to relationship -become angry when others do not meet their unrealistic expectations

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

Splitting ---> too good or too evil

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

Borderline PD

What is the etiology of the Borderline PD?

childhood trauma genetic and neurobiological factor

What is an effective treatment for borderline PD?

Dialectical Behavioral Therapy ---> focuses on helping people accept reality

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

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

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

be available for patient but do not promote dependent, clinging behaviors ----> CONSIDER ROTATING STAFF MEMBERS

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

-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

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

seek out a team member is the urge returns -remove dangerous objects and monitor patient frequently

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

Goals related to safety and injury

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

DO NOT GIVE SYMPATHY encourage the client to discuss emotions after self injury

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

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

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

Always asses for suicidal ideation