Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Psychiatric Mental Health Nursing > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

what is personality?

A

total of thoughts, emotions, and behaviors; how a person thinks, relating to yourself, and the environment

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

when is personality unhealthy?

A

when one’s personality gets in the way of the ability to function, such as in one’s job, personal life with family and in school

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

can personality change?

A

changing personality is very hard; thus, the reason it is hard to treat personality disorders

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

what is built within the first fiver years of someone’s life due to the biggest brain development?

A

personality

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

what happens when personality traits become inflexible and rigid?

A

maladaptive patterns of behavior and functional impairment

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

what often co-occur with other mental health diagnosis, such as depression, anxiety, eating and substance use disorders?

A

personality disorders

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

what defines cluster A?

A

odd or eccentric traits

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

what defines cluster B?

A

dramatic, emotional, or erratic traits

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

what defines cluster C?

A

anxious or fearful traits

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

what are the personality disorder in cluster A?

A

paranoid
schizoid
schizotypal

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

what are the personality disorders in cluster B?

A

antisocial
borderline
histrionic
narcissistic

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

what are the personality disorders in cluster C?

A

avoidant
dependent
obsessive-compulsive

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

what are the DSM-5 criteria to be diagnosed with borderline personality disorder?

A
  1. avoidance of real or imagined abandonment
  2. pattern of unstable relationships
  3. identity disturbances
  4. impulsivity in at least two separate areas
  5. recurrent suicidal behavior- self-destructive and ineffective self-soothing
  6. affective instability- emotional dysregulation/lability
  7. chronic feelings of emptiness
  8. inappropriate anger or difficulty controlling temper- hostility, anger, and irritability
  9. transient or stress related paranoid ideations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what happens in relationships with those with borderline personality disorder?

A

they will first become very clingy and start to be come very attached after a while, the person starts to develop feelings of mistrust because they think that they are going to dump them

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

what is the etiology of the borderline personality disorder?

A

trauma response; especially in childhood
genetic
biochemical- decrease in serotonin
neurobiological- abnormalities in prefrontal cortex and limbic system
psychosocial/development factors- disruptive normal development d/t instability

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

what is the primary defense mechanism for borderline personality disorder?

A

splitting defense mechanism

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

how do those with borderline personality disorder utilize the splitting defense mechanisms?

A

cannot view a person with a positive and negative aspects
all or nothing- good or bad
they can pin people against each other by stating one person is good and one persons

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

what is the assessment of the borderline personality disorder?

A

use of questionnaires that asks:
feelings of emptiness
risky behaviors
intense feelings of abandonment
idealization of others
tendency toward anger, sarcasm, and bitterness
self-mutilation/self-harm- violent thoughts of self or others

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

what is deliberate self-injurious behavior causing tissue damage with intent of causing nonfatal injury to attain relief of tension?

A

non-suicidal self-injury/self-mutation

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

what are the nursing interventions of non-suicidal self-injury/self-mutation?

A

care for wounds in a matter-of-fact way- do not positively enforce behavior by offering sympathy or attention
encourage talk of underlying feelings
teach redirect violent behavior

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

what happens when those with non-suicidal self-injury/self-mutation when they are given too much attention?

A

rewarding which can encourage them

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

what are nursing diagnoses for borderline personality disorder?

A

risk for self-mutilation
risk for self-directed violence; risk for suicide
risk for other-directed violence
complicated grieving
impaired social interaction
disturbed personality identity
anxiety (severe to panic)
chronic low self-esteem

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

what is the treatment for borderline personality disorder?

A

teamwork and safety in treatment setting
no FDA approved medication- off label use
psychological therapies- CBT and dialectical behavioral therapy and schema-focused therapy

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

what identifies and changes core inaccurate perceptions of self/other relationships?

A

cognitive- behavioral therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
what therapy includes CBT and mindfulness and increased ability to manage distress?
dialectical behavior therpay
26
what therapy shapes the view of self and changes the dysfunctional self-image?
schema-focused therapy
27
what can be sometimes be misdiagnosed as bipolar disorder?
borderline personality disorder
28
what diagnosis is reserved for adults?
anti-social personality disorder disregard for and violation of rights of others since age 15
29
which personality disorder has deceitful, manipulative for personal gain, and hostile if needs are blocked, and risk takers?
anti-social personality disorder
30
what is another name for anti-social personality disorder?
sociopaths
31
what needs to be ruled out before diagnosing anti-social personality disorder?
schizophrenia and bipolar disorders
32
what is the DSM-5 criteria for the diagnosis for anti-social personality disorders?
1. failure to conform to social norms 2. problems with authority 3. deceitfulness 4. impulsivity 5. irritability and aggressiveness 6. reckless disregard for safety, especially with others safety 7. consistent irresponsibility 8. lack of remorse- no empathy- callousness
33
what are the genetic risk factors for antisocial personality disorder?
aggressive disregard- violent tendencies without concern for others disinhibition- no concern for consequence
34
what are the neurobiological risk factors for antisocial personality disorder?
lower serotonin/dopamine hyperfunction
35
what are the environmental risk factors for antisocial personality disorder?
childhood abuse- ACE
36
what are the signs and symptoms of anti-social personality disorder?
abuses substances, such as alcohol and cocaine no satisfying interpersonal relationship tends to manipulate others irresponsible and exploitative social norms are disregarded obnoxious towards others cold and callous intimidate others argumentative legal problems- usually within jail not in psych units, but can manipulate the system
37
what would a person with anti-social personality disorder have a history in childhood?
1. starting fires 2. hurting animals and other kids 3. running away 4. fascination of firearms and weapons
38
what are the nursing diagnoses for anti-social personality disorder?
risk for other-directed violence defense coping chronic low self-esteem impaired social interaction ineffective health maintenance
39
what are the nursing interventions of anti-social personality disorder?
aggressive and impulsive behaviors- watch for signs ensuring safety of client and others diversionary activities exercise explain consequences of violation of limits watch for manipulative behaviors don't try to convince to "do the right thing' don't say "you should or shouldn't"; say "You will be expected to..." give positive feedback or reward for good behaviors
40
what are the treatment modalities for sociopaths?
psychological therapy CBT dialectical behavioral therapy mentalization behavioral therapy group therapy
41
what therapy recognizes and understand own and other's mental states?
mentalization behavioral therapy
42
what is longstanding mistrust, suspiciousness and on guard, hypervigilant, tense, irritable, and ready for threat?
paranoid personality disorder
43
what are the actions of the paranoid personality disroder?
avoid others test their honesty envious and hostile toward others with success oversensitive misinterpret cues in environment magnify and distort don't accept responsibility for behaviors and feelings project it to others bears grudges
44
what are the cause of paranoid personality disorder?
genetic psychosocial- parental antagonism and harassment, gradually relinquished all hope of affection and approval
45
what is a colorful, dramatic, and extroverted behavior- excitable/emotional people?
histrionic personality disorder
46
who requires constant affirmation of approval and acceptance from others and cannot provide another with sustained affection?
difficulty maintaining long-lasting relationships
47
which personality disorder are attention seeking, seductive/flirtatious, manipulate, and exhibitionistic, also distractible and flighty?
histrionic personality disorder
48
what are other key factors with histrionic personality disorder?
highly suggestible easily influenced by others dependent somatic complaints fleeting episodes of psychosis if extreme stress
49
what are the causes of histrionic personality disorder?
neurobiological- heightened noradrenergic activity and decreased serotonin heredity inconsistent parental acceptance and approval- as teens insatiable thirst for attention and love
50
what personality disorder has an exaggerated sense of self-worth (grandiose), arrogant, and sense of entitlement?
narcissistic personality disorder
51
what are some key features of narcissistic personality disorder?
lack empathy hypersensitive to evaluation of others, especially when criticism or feedback is given deserve special consideration to their needs- exploit others- impairs their relationships fragile self-esteem- sensitive to criticism preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
52
what are the cause of narcissistic personality disorder?
in childhood, their fears, failure, dependency needs were responded to with criticism or neglect parents were narcissistic parents over-indulged
53
which personality disorder is sensitive to rejection, socially withdrawn life, and avoid all situations that require interpersonal contact?
avoidant personality disorder
54
which personality disorder has a strong desire for companioinship?
avoidant personality disorder
55
which personality disorder is awkward/uncomfortable in social situations and views others as critical, betraying, and humiliating?
avoidant personality disorder
56
how is the speech in those with avoidant personality disorder?
slow and constrained frequent hesitations fragmented thoughts
57
what are the causes of avoidant personality disorder?
hereditary infants with hyperirritability, crankiness, tension, withdrawal- temperamental disposition parental rejection and censure- reinforced by peers= low self worth
58
what personality disorder has extreme dependency, excessive need to be taken care of, submissive/clinging behavior, fear of separation, feel helpless/lack self, and tolerate mistreatment?
dependent personality disorder
59
what does those with dependent personality disorder let others do?
they let them make decisions or needs excessive amounts of advice and reassurance
60
which other personality disorder is good at picking out those with dependent personality disorder and exploit them?
anti-social personality disorder
61
what does dependent personality disorder?
positions of responsibility disagreements- fear loss of support or approval
62
what are the causes of dependent personality disorder?
genetic- dependent temperament stimulation/nurturance exclusively from one source parent overprotective and discourage independent behaviors
63

Psychiatric Mental Health Nursing (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions