Personality disorders Flashcards
Describe the 3 personality disorder clusters.
- Cluster A represents disorders with odd or __ behavior as the core characteristic
- Cluster B represents disorders with __, emotional, or __ manifestations
- Cluster C represents disorders marked by __ or fearful behaviors
Personality Disorder Clusters
- Cluster A represents disorders with odd or eccentric behavior as the core characteristic
- Cluster B represents disorders with dramatic, emotional, or erratic manifestations
- Cluster C represents disorders marked by anxious or fearful behaviors
name 3 cluster A disorders
- Paranoid Personality Disorder
- Schizoid Personality Disorder
- Schizotypal Personality Disorder
name 4 cluster B disorders
- Antisocial Personality Disorder
- Borderline Personality Disorder
- Histrionic Personality Disorder
- Narcissistic Personality Disorder
name 3 cluster C disorders
- Avoidant Personality Disorder
- Dependent Personality Disorder
- Obsessive-Compulsive Personality Disorder
Treatment of personality disorders (5)
- Psychopharmacology
- Individual psychotherapy
- Dialectical-behavioral therapy: GOLD standard
- Group therapy
- Family education and therapy
When working with a client with a narcissistic personality disorder, the nurse would use which approach?
a. Cheerful
b. Friendly
c. Matter-of-fact
d. Supportive
c
Which underlying emotion is commonly seen in an avoidant
personality disorder?
a. Depression
b. Fear
c. Guilt
d. Insecurity
b
Cognitive restructuring techniques include all of the following, except
a. decatastrophizing.
b. positive self-talk.
c. reframing.
d. relaxation.
d
Transient psychotic symptoms that occur with borderline personality
disorder are most likely treated with which type of drug?
a. Anticonvulsant mood stabilizers
b. Antipsychotics
c. Benzodiazepines
d. Lithium
b
Clients with a schizotypal personality disorder are most likely to benefit from which nursing intervention?
a. Cognitive restructuring techniques
b. Improving community functioning
c. Providing emotional support
d. Teaching social skills
b
Schizotypal Personality Disorder
* Uncomfortable with, and avoid close relationship
* Odd thinking, feeling and behavior
* Perceives self in an odd way too
* Not delusional but eccentric and peculiar
* Possible pathological issue but less severe than schizophrenia
When interviewing any client with a personality disorder, the nurse would assess for which?
a. Ability to charm and manipulate people
b. Desire for interpersonal relationships
c. Disruption in some aspects of his or her life
d. Increased need for approval from others
c
The nurse would assess for which characteristics in a client with narcissistic personality disorder?
a. Entitlement
b. Fear of abandonment
c. Hypersensitivity
d. Suspiciousness
a
Narcissistic
* Self-absorbed, arrogant and dismissive
* Superficially thoughtful, lack of empathy
* Only go with those they deem worthy
* Interprets threats to
self-worth as catasthropic
The most important short-term goal for the client who tries to
manipulate others would be to
a. acknowledge own behavior.
b. express feelings verbally.
c. stop initiating arguments.
d. sustain lasting relationships.
a
Select all that apply.
When working with a client with a personality disorder, the nurse would expect to assess which?
a. High levels of self-awareness
b. Impaired interpersonal relationships
c. Inability to empathize with others
d. Minimal insight
e. Motivation to change
f. Poor reality testing
b, c, d
The nurse working with a client with antisocial personality disorder would expect which behaviors?
a. Compliance with expectations and rules
b. Exploitation of other clients
c. Seeking special privileges
d. Superficial friendliness toward others
e. Utilization of rituals to allay anxiety
f. Withdrawal from social activities
b, c, d
Antisocial
* Disregard the rights of
others
* Constant trouble with
the law
* Impulsive; lack of
remorse
* > in males than females
* See the world as “dog
eat dog”
* Exploit others if they
are weak
