Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Module 6 (Psych Mental Health) > Personality Disorders > Flashcards

Personality Disorders Flashcards

You may prefer our related Brainscape-certified flashcards:
Psychology 101 flashcards GRE® Psychology flashcards
1
Q

Personality

A

how we perceive and interact with the world

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Manipulation

A

responds as manipulating others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Splitting

A

driving wedges in between staff

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Stable personality

A

enduring patterns that are flexible and adaptive
- roll with the puches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pathologic personality

A

enduring patterns that are inflexible and maladaptive
- brittle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Stable personality what type of sense of self

A

stable and realistic
- accurate interpretation of social situations and understanding of relational motives and actions of others
- capacity to serve self and others
- flexible and adaptive states
- find genuine joy in life and relationships

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

UNStable personality what type of sense of self

A

unstable and unrealistic
- Misinterpret social situations and lack understanding of relational motives & actions of others
- lacks capacity to serve self and others
- inflexible and maladaptive states
- suffer due to disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

PATHO of Personality Disorders

A

Nature vs Nurture: 1st-degree relatives
Genetic
- paranoid personality disorder
- schizoid
- schizotypical
- OCD
- Antisocial personality disorder
- borderline personality
Neuro
- disturbances of 5-HT and GABA
- Abnormal brain structures (amygdala)
- irritability and hypersensitivity
CHILDHOOD TRAUMA
- maladaptive coping and does not change as an adult

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Personality Patterns
- Cognition
- Affective
- Social
- Behaviors

A

Cognition - perception and thinking
Affective - emotional responses
Social/Interpersonal - relate to others
Behaviors - how we respond to a situation (stress)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Thoughts w/o PD

A

Accurate perception & interpretation of events

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Thoughts with PD

A

Inaccurate perception & interpretation of events

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Affectivity w/o PD

A

Ability to modulate; fits with situation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Affectivity w/ PD

A

Inability to modulate; extreme & inappropriate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Behaviors without PD

A

Socially appropriate
Within control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Behaviors with PD

A

Lack of impulse control; unable to delay gratification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Social w/o PD

A

Other directed; empathetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Social w/ PD

A

Ego-syntonic
- intoned to one’s self
- they see it as appropriate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

PD is treatment-resistant due to

A

little insight and improvement slow
high in divorce, criminal activity, and suicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Distorted Personality onset

A

early adolescent or early adulthood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

A distorted Personality is a distorted sense of

A

self

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Distorted Personality has what type of patterns

A

pervasive and inflexible - maladaptive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Distorted Personality leads to

A

distress or impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Risk Factors of PD

A

Family hx mental illnesses
low socioeconomic
verbal, physical, or sexual abuse during childhood
neglect, unstable, or chaotic family life during childhood
being dx with childhood conduct disorder
loss of parents through death or traumatic divorce during childhood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is a key feature of all PD?

A

impaired social interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Complications of PD

A

depression/anxiety
child abuse/neglect
alcohol or sybstance abuse
education and employment problems
eating disorder (BPD)
suicidal and self-injury (BPD)
reckless or risky driving or sex (BPD/ASPD)
aggression/ violence and incarceration (ASPD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What s/s are more common in BPD?

A

eating disorder
suicidal and self-injury
reckless and risky behavior
more inward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What s/s are more common in ASPD?

A

reckless or risky driving or sex
aggression/ violence
incarceration
more outward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

PD Assessments

A

General appearance & motor behavior
- speed up or slow down
Mood & affect
Thought processes & content
Sensorium & intellectual processes
Judgment & insight
Self-concept and self-conception = communication needs
Roles & Relationships
Physiologic considerations
Use of defense mechanisms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Cluster A of PD

A

paranoid
schizoid
schizotypical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Cluster A of PD traits

A

weird
odd
eccentric
- suspicious
- cold and remote
- irrational thoughts
- withdrawn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Cluster B of PD

A

antisocial
borderline
histrionic
narcissistic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Cluster B of PD traits

A

wild
dramatic
emotional
erratic
- attention-seeking behavior
- labile
- shallow and insincere
-increase rates of substance abuse and suicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Cluster C of PD

A

avoidant
dependent
OCPD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Cluster C of PD traits

A

wimpy
anxious and fearful
insecure and inadequacy
- tense
- overcontrolled
- depressed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Affective domain

A

emotional expression
- how big and appropriate
- ability to empathize to what extent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Cognitive domain

A

thought and perceptions
- motivation for actions of self and others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Social Domain

A

interactions with others
- relationships style

38
Q

Paranoid PD
- affective domain

A

Hostile
Irritable
angry mood/affect

39
Q

Paranoid PD
- cognitive domain

A

pervasive, persistent & inappropriate distrust/suspiciousness**

40
Q

Paranoid PD
- social domain

A

Difficulty with intimacy
Pathological jealousy
Unforgiving

41
Q

Paranoid PD

A

accusatory and assumes others will disappoint, manipulate, talk behind back
genuine distrustful and suspicious

42
Q

PPD wants to ensure

A

loyalty of family and friends
- no cheating

43
Q

PPD reacts severely to

A

being lied to and slighted

44
Q

Interventions for PPD

A

Serious & straightforward approach
Honor commitments w/ patient
Involve patient in treatment plan
Teach the patient to validate ideas with a trusted person before acting on an idea
- act inappropriately if distrusts them
Present information in a concrete manner

45
Q

Schizoid
- affective domain

A

Often blunted or flat
Restricted

46
Q

Schizoid
- cognitive domain

A

“Poverty of thought”
vague communication

47
Q

Schizoid
- social domain

A

Present as aloof
Rarely date or marry
“loners”
don’t connect with others

48
Q

Schizoid mnemonic

A

-ziod in schizoid = droid in Star Wars

49
Q

Schizoid

A

physical contact is less pleasurable (sex and holding hands)
- less likely to seek relationships
avoid social interaction
not interested
- isolate distinct from paranoid and social anxiety
flat affect and emotionally blunted
- will play with machinery or pets

50
Q

Schizoid Nursing Interventions

A

Understand that the patient will not benefit from forced social interaction
May need case mgmt services; cannot plan for future needs
Patients may be difficult to include in developing POC-indifference
does not care about the treatment plan
need a lot of lead time and need time to prepare
- written schedule

51
Q

Schizotypal PD

A

lack of close friends or confidants but wants friends
superstitious beliefs due to response of their odd behavior
bizarre behavior
suspicious attitude toward others
excessive social anxiety does not improve with familiarity

52
Q

Schizotypal mnemnonic

A

they want a -pal

53
Q

Schizotypal PD
- affective domain

A

Inappropriate
Constricted

54
Q

Schizotypal PD
- cognitive domain

A

Paranoid ideation
Magical thinking -
Ideas of reference -

55
Q

Schizotypal PD
- social domain

A

Often avoided by others r/t odd behavior & appearance
indifference to others

56
Q

Schizotypal PD Interventions

A

Improve self-care skills
Work towards improved function in the community (appearance, dialogue)
Include in groups to work towards improved social skills

57
Q

Antisocial PD
- affective domain

A

Expressive but not genuine

58
Q

Antisocial PD
- cognitive domain

A

Egocentric
grandiose
Impulsive
hostile towards society and others
- shamelessly exploit others

59
Q

Antisocial PD
- social domain

A

3-4 times more common in men <18 y/o
- conduct disorder in adolescents with trouble in school
Exploitive of others
Sense of entitlement
- can envolve into aggression and violent behavior

60
Q

Antisocial PD
Interventions

A

Limit setting and do not be flexible
Confrontation w/o shame
- be neutral and not manipulative
Consistency within the treatment team
- safety from threats and verbal abuse
Work on problem-solving
- work on impulsiveness

61
Q

Borderline PD

A

fear of abandonment
extreme mood swings
unstable relationships
impulsive, self-destructive, tendencies
unstable self-image
self-harm = 8/10 die by suicide
paranoia, dissociation
chronic feelings of emptiness

62
Q

BPD
- affective domain

A

Intense, labile emotions
anxious
empty (affective instability)

63
Q

BPD
- cognitive domain

A

Identity disturbance
dichotomous thinking
May have psychotic episodes under stress

64
Q

BPD
- social domain

A

Manipulative relationships
fear abandonment and being alone
3 x more common in women than men
they either love you or hate you

65
Q

Borderline PD Interventions

A

Ensure safety: Eating disorders, self-mutilation, risk-taking, suicidal ideation
- No-self-harm contracts when indicated
Establish firm boundaries
Establish a therapeutic relationship; non-judgmental & professional
Provide a safe environment for expression of feelings/emotions (no “tough love”)
Do not be reactive - stay in control of the medication and situations
- official and
Teach to recognize and tolerate feelings; decatastrophizing
- come to nurses when you are having self-harm thoughts instead of acting on them

66
Q

Histrionic PD background

A

display exaggerated emotional and attention-seeking
- dramatic

67
Q

Histrionic PD s/s

A

discomfort when not the center of attention
seductive
emotional unpredictability
attention-seeking appearance
affected and shallow speech
dramatic/exaggerated emotions
easily influenced
overfamiliarity with acquaintances

68
Q

Histrionic PD Dx

A

H&P
referral for symptom questionnaires and structured dx interviews

69
Q

Histrionic PD
- affective domain

A

Dramatic & extroverted

70
Q

Histrionic PD
- cognitive domain

A

Self-centered
Guided by feelings more than thinking

71
Q

Histrionic PD
- social domain

A

Sexual, seductive
Attention-seeking
Manipulative

72
Q

Histrionic PD interventions

A

Offer feedback on behavior while offering appropriate alternatives
Model appropriate social skills
Teach the use of “I” messages to express needs in a socially appropriate way

73
Q

Narcissistic PD
- affective domain

A

Labile

74
Q

Narcissistic PD
- cognitive domain

A

Arrogant, egotistical, grandiose thinking
- only about them will step on others to get where they want to go

75
Q

Narcissistic PD
- social domain

A

Lack of empathy for others
“What’s in it for me?”
Sense of entitlement

76
Q

Narcissistic PD Interventions

A

Limit setting
Be self-aware (don’t internalize)
State expectations clearly
Reality orientation

77
Q

Avoidant PD
- affective domain

A

Fearful & shy
- hypersensitivity to rejection and failure
- low self-esteem and inadequate

78
Q

Avoidant PD
- cognitive domain

A

Exaggerated need for acceptance

79
Q

Avoidant PD
- social domain

A

Strong fear of rejection, few close friends, reticent & withdrawn (but want relationships)
Feelings of inferiority

80
Q

Avoidant PD nursing interventions

A

Work on positive self-affirmations
- bullet journaling
Promote self-esteem
Reframing
Decatastrophizing

81
Q

Dependent PD
- affective domain

A

Helplessness

82
Q

Dependent PD
- cognitive domain

A

Lack of self confidence

83
Q

Dependent PD
- social domain

A

Excessive dependence on others
- desire to be taken care of and will tolerant abuse rather than be alone
- don’t trust own decision-making
- perfect victims for human traffickers
Cling to others

84
Q

Dependent PD nursing interventions

A

Explore problems & solutions w/o solving for them
Promote independence
- set up accounts
- get a job
- personal finances
- read legal documents

85
Q

OCPD

A

obsessed with order, perfectionism, complete control, rules, details, schedules
- inflexible
- easily stressed
- surprisingly inefficient (spends extra time planning and worrying)
- rigid with beliefs and moral issues
- perceived as stubborn

86
Q

OCPD
- affective domain

A

Unable to express emotions

87
Q

OCPD
- cognitive domain

A

Perfectionism, procrastination, & indecision (would rather not try, than try and fail)
- paralysied by perfectionims
- anxious and irritable if not in control
- like rules and schedules (rigid)

88
Q

OCPD
- social domain

A

Omnipotent (all powerful)
Omniscient (all knowing)
Need for control

89
Q

OCPD nursing interventions

A

Practice negotiation
Decatastrophizing
Have the patient set realistic goals
- completion rather than perfection

90
Q

Common Therapies for PD

A

Cognitive Behavioral Therapy - healthy positive replacement of negative thoughts
Dialectical Behavior Therapy - tolerate skills that everything does not need to be perfect
Psychodynamic psychotherapy - unconscious thoughts and behaviors for impulse control
Psychoeducation - coping strategies

91
Q

Meds for PD

A

Antidepressants (SSRIs)
Mood-stabilizers - GABA (not lithium)
Anti-anxiety medications
Antipsychotic medications for psychosis or delusions
- relisten to 50 minutes for medications

Focus on symptom relief

92
Q

The nurse should do what for all PD patients (key takeaways)

A

Lead with EMPATHY
Be self-aware of self-harm and help them though it
Understand that progress is slow
Be realistic in goal-setting
Focus on behavioral change rather than “healing” the disorder
Understand that patients have limited insight

Module 6 (Psych Mental Health) (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions