Personality Disorders

Question 1

What is personality?

Answer 1

patterns of characteristics that creates their pattern of perceiving/feeling/thinking/coping/behaving, personality emerges from interaction of biological dispositions, psychological experiences, and environmental situations

Question 2

What are personality traits?

Answer 2

Patterns of perceiving, thinking, feeling, and behaving that shapes a persons response to the world

Question 3

What do people need to receive diagnosis of PD?

Answer 3

Person must demonstrate behaviours that impair the ability to function socially and occupationally

Question 4

Cluster A (social aversion) parts?

Answer 4

Paranoid PD, schizoid PD, and schizotypal PD

Question 5

Cluster B (dys-regulation in emotion and behaviour)

Answer 5

Antisocial PD, borderline BD, narcissistic, and histrionic PD

Question 6

Cluster C (fearfulness)?

Answer 6

Avoidant PD, dependant PD, and OCPD

Question 7

Comorbidities common with PD?

Answer 7

Mood, substance use, eating, and anxiety disorders

Question 8

OCEAN model of personality?

Answer 8

O- openness to experience
C- conscientiousness
E- extraversion
A- agreeableness
N- neuroticism (emotional instability)

Question 9

True or false: is hospital rate for women with PD 3 times higher than men

Answer 9

true

Question 10

Common features for PD?

Answer 10

Maladaptive emotional responses (can be negative or positive), impaired self identity, impulsivity and destructive behaviour, impaired interpersonal functioning, and impaired meta-cognition.

Question 11

Usual treatment for PD

Answer 11

CBT, dialectical behaviour therapy, mentalization based treatment, and meta cognitive interpersonal therapy

Question 12

Paranoid PD and interventions?

Answer 12

They are mistrustful/avoid relationships they can’t control, they are hyper vigilant to environment changes, suspicious/guarded, and they have difficult with maintaining relationships.

I- help pt identify problems areas, changing thought patterns take time

Question 13

Schizoid PD, dx, and interventions?

Answer 13

SPD- incapable of forming social relationships, communication can lack focus/be confusing, unable to experience joy/pleasure, they are introverted, engage in solitary activities, and are expressively impassive.

Dx- impaired social interactions, chronic low self esteem

I- provide social skill training, encourage social interactions, prevent social isolation

Question 14

Schizotypal PD and nursing care focus for them?

Answer 14

Have off beliefs and they are eccentric. When they experience psychoses the symptoms will mimic schizophrenia. Have perceptual delusions and odd thinking. Mood can be constricted/inappropriate and behaviour is eccentric. Have no close friends and social deficits.

Nursing care focuses on increasing self worth, providing social skill training, reinforce social behaviour, and enhance cognitive skills.

Question 15

What is borderline PD?

Answer 15

Pervasive pattern of instability of interpersonal relationships/self image, and affects. Has marked impulsivity that begins by early adulthood. Has unstable/reactive moods, lives from 1 crisis to another, and has emotional dys regulation. Dysfunctional behaviour (impaired problem solves). Its genetic and more common in females

Question 16

Treatment for BPD?

Answer 16

DBT, psychotherapy, med therapy (mood stabilizers, antipsychotics)

Question 17

Biological domain?

Answer 17

System review, physical functioning, nutrient, sleep, physical indicators of self injury, medications

Question 18

Psychosocial domain?

Answer 18

Assess moods, appearance /activity level (reflect mood), impulsivity, dissociation, dichotomous thinking, risk for suicide/self injury.

Question 19

Social domain?

Answer 19

Assess support systems, interpersonal skills, self esteem, coping skills, family assessment

Question 20

What is antisocial PD?

Answer 20

Pervasive pattern of disregard for/violation of rights of others that begin in childhood and adolescence. They fail to conform to social standards. They are easily irritated, lack empathy/compassion. It’s genetic and comorbid with drug/alcohol use. More common in men

Question 21

Histrionic PD?

Answer 21

Attention seeking/life of the party, lively/dramatic, they draw attention by their enthusiasm is dress/openness. Become depressed when they aren’t the center of attention. Comorbid with BPD, DPD, ASPD, anxiety, substance use, and mood disorders.

Question 22

Interventions for histrionic PD?

Answer 22

Develop sense of self without validation from others, reinforce personal strengths, develop problem solving skills, examine negative perceptions of self

Question 23

Interventions for antisocial PD?

Answer 23

Help with anger control, group interventions, self awareness, positive interaction skills, and self responsibility facilitation

Question 24

Narcissistic PD?

Answer 24

Grandiose degree of self love/self importance, lacks empathy for others, need for attention/power, and experiences with personal insecurities.

Question 25

Avoidant PD, focus of nursing care, and interventions?

Answer 25

Avoids interpersonal contacts and social situations, perceives themselves as socially inept. They have intense fear of social rejection. They are timid/shy.

Focus on low self esteem/social isolation/coping impairment.

Interventions- explore reasons for self criticism, achievements of success, assist to identify positive responses from others

Question 26

Dependant PD and focus of nursing care?

Answer 26

Cling to others to be taken care of and have submissive pattern. Decision making is difficult for them and they fear responsibilities/seek support from others. They are needy/need to be reassured.

Focus on coping impairment, chronic low self esteem, impaired interpersonal relationships, and impaired ADLs. Help them recognize their dependant patterns/motivate them to change/teach adult skills.

Question 27

OCPD?

Answer 27

Not as many obsession and compulsions as OCD but they like rigidity, perfectionism, organization, and control. They have a difficult time accepting new ideas and react to them with stubbornness. They have an overall need to be perfect

Question 28

T or F: personalities are views on a continuum from normal at one end to abnormal at the other

Answer 28

True

Question 29

What is a PD?

Answer 29

Perceptions, emotions, cognition, and behaviour of a person deviates from cultural expectations and causes distress/impairment.

Question 30

What is meta cognition?

Answer 30

Ability to consider and identify one’s own state of mind, and the state of mind of others. They then apply this knowledge to problem solving. This is impaired in PD

Question 31

What is kleptomania?

Answer 31

People can’t resist the urge to steal

Question 32

What is pyromania?

Answer 32

Intentional fire setting that gives arousal/relief. They are fascinated with fire.

Question 33

What is intermittent explosive disorder?

Answer 33

Have outbursts of verbal/physical aggressiveness that results in attack of people/destruction of property. These episodes can be over in minutes/hrs and the person feels remorse afterwards.