Personality Disorders Flashcards

Question

Borderline Nursing Diagnosis

Answer 1

- *Risk for self mutilation* - Risk for suicide - Risk for other-directed violence - Complicated grieving - Impaired social interaction - Disturbed personal identity - Anxiety (severe to panic) - Chronic low self esteem

Answer 2

The client… - has not harmed self or others - *sought out staff when desire for self-mutilation is strong* - able to identify true source of anger - can express anger appropriately - relates to more than one staff member - completes ADLs independently - does not manipulate one staff member against another to fulfill own desires

Answer 3

Risk for self mutilation/violence - observe clients behavior frequently - try to redirect violent behavior with physical outlets for the clients anxiety Complicated grieving - convey an accepting attitude - explore with the client the true source of anger Impaired social interaction - help the client understand that you will be available - explore feelings related to abandonment and engulfment

Answer 4

Cluster B Behavior is characterized by being excitable, emotional, colorful, dramatic, or extroverted Attention seeking; sexually seductive; shallow or exaggerated emotions 2% of population RARE —> maybe a comorbid presentation

Answer 5

Self dramatizing Attention seeking Overly gregarious Seductive Manipulative Exhibitionistic Highly distractible Difficulty paying attention to detail Easily influenced by others Difficulty forming close relationships Strongly dependent

Answer 6

Possible hereditary factor Biogenetically determined temperament Learned behavior patterns

Answer 7

Cluster B Characterized by an exaggerated sense of self worth causing a lack of empathy for others and the belief in an inalienable right to receive special treatment Grandiosity; need for admiration; lack empathy 1-6% of population Men>

Answer 8

Lack humility Overly self centered Exploits others to fulfill own desires Mood is grandiose, optimistic, relaxed, carefree, and cheerful Criticism results in rage, shame, and humiliation Mood easily fluctuates due to low self esteem Talk about themselves and their achievements

Answer 9

Narcissists breed narcissists As children fears, failures, or dependency needs were responded to with criticism, disdain, or neglect Parents may have overindulged the child and failed to set limits on inappropriate behavior

Answer 10

Anxious and fearful; excessively afraid of social relations; feeling out of control Types: - Avoidant - Dependent - Obsessive Compulsive

Answer 11

Cluster C Characterized by extreme sensitivity to rejection and social withdrawal - reject leads to extreme withdrawal (put up walls) Social inhibition, inadequacy, sensitive to negative evaluation, fear of rejection 2-3% of population Men = women

Answer 12

Awkward and uncomfortable in social situations Desire close relationships but avoid them because of fear of being rejected Perceived ads timid, withdrawn, or cold and strange Often lonely and feel unwanted View others as critical and betraying

Answer 13

No clear cause in known May be combo of biological, genetic, and psychosocial Psychosocial: - childhood trauma or neglect leading to fears of abandonment or viewing the world as a hostile and dangerous place

Answer 14

Cluster C Characterized by a lack of self-confidence and extreme reliance on others, sometimes to the point of intense discomfort with being alone for even a brief period of time Psychological dependence Tendency to allow others to make decisions; feel helpless when alone; act submissively; tolerate mistreatment from others; fail to function in situations in which one needs to be assertive No gaps in between relationships. Become a “we”.

Answer 15

- Overly generous and thoughtful, while underplaying own attractiveness and achievements - low self worth and easily hurt by criticism and disapproval - avoid positions of responsibility and become anxious when forced into them - assume passive and submissive roles - notable lack of self confidence that can be see in voice, posture, and mannerisms

Answer 16

Possible hereditary influence Stimulation and nurture are exclusively from one source A singular attachment is made by the infant to the exclusion of all others

Answer 17

Cluster C Characterized by the inflexibility about the way in which things must be done Devotion to productivity at the exclusion of personal pleasure Rigid conformity to rules, moral codes, and excessive orderliness; perfectionist; Preoccupied with control; Relatively common, but hard to see bc its OCD but lighter in presentation Men> Eldest child>

Answer 18

- especially concerned with matters of organization and efficiency - tend to be rigid and unbending - rank conscious - ingratiating with authority figures - autocratic and condemnatory with subordinates - on the surface appear to be very calm and controlled - underneath they have ambivalence, conflict, and hostility

Answer 19

- Genetic - Over control from parents - Notable parental lack of positive reinforcement for acceptable behavior - Frequent punishment for undesirable behavior

Answer 20

Interpersonal psychotherapy Psychoanalytical psychotherapy Milieu or group therapy Cognitive/Behavioral therapy Dialectical behavior therapy Psychopharmacology