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ABSN > personality disorders (329 E2) > Flashcards

personality disorders (329 E2) Flashcards

1
Q

Cluster A: eccentric

A

paranoid , schizoid, schiotypal
the people who PaSS on the party
-segregate & remove themselves from other people
-negative schiz sx
-do not lose contact w/ reality
-can be made aware of their thinking

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2
Q

Cluster B: erratic

A

borderline
narcissistic
histrionic
antisocial

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3
Q

Cluster C: anxious

A

avoidant
dependent
obsessive-compulsive

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4
Q

what is personality

A

The characteristics and behavior that comprise a person’s unique adjustment to life, including major traits, interests, drives, values, self-concept, abilities, and emotional patterns. Personality helps determine behavior

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5
Q

personality disorder

A

-An enduring pattern of deviant inner experiences and behavior
-Differ from cultural expectations
-Pervasive, inflexible, and stable
-Leads to distress or impairment
-Dysfunctions in cognition, impulse control, relationships, and affect

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6
Q

risk factors for personality disorders

A

-genetic & neurobiological
-psychosocial & environmental
-diathesis stress model

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7
Q

most common symptoms occurring in personality disorders

A

-impairment in interpersonal relationships
-dysfunction in cognition
-dysfunction in affect
-dysfunction in impulse control

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8
Q

overall treatment for personality disorders

A

-psychopharm
-therapy
-DBT
-family education & therapy
-social skills training groups
-group therapy

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9
Q

prognosis for personality disorders

A

treatable bc people continue to grow and change throughout life but prognosis is dependent on degree of impairment and person’s motivation

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10
Q

PD features and dx criteria

A

A specific and notable pattern of thinking, feeling, and behaving that has the following characteristics:
1) Enduring and persistent over time
2) Pervasive: across a broad range of situations
3) Involves both inner experience and external behavior
4) Differs significantly from individual’s culture
5) Involves two or more areas of functioning: thinking, feeling, interpersonal functioning, impulse control
6) Leads to significant distress/impairment in social, legal, occupational, financial, safety, etc.
7) Not better accounted for by another mental health condition
8) Not better accounted for by the direct physiological effects of a substance
9) Not accounted for by a medical condition

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11
Q

all cluster A personality disorders have

A

negative sx of schizophrenia

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12
Q

cluster A: schizotypal

A

distorted reality
-odd ideas
-eccentricity
-unusual experiences
-superstition, religiosity
-suspiciousness
-reclusiveness

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13
Q

cluster A: paranoid

A

delusional/paranoid
-paranoia
-distrustful nature
-doubts loyalty
-keeps grudges
-easily offended

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14
Q

cluster A: schizoid

A

soical withdrawal
-aloof
-uninterested in others
-solitary, socially withdrawn
-unaffected by praise and criticism

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15
Q

paranoid personality disorder

A

-Longstanding intense distrust and suspicion
-Reluctant to confide in others, anxious
-Jealous, controlling as adults
-Unwillingness to forgive & vindictive
-Hypervigilant, quick to anger, provoke others
occur w/o substance use or psychotic episodes

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16
Q

group therapy and paranoid PA

A

it is very scary for them but the feedback and social interaction is really good if we can get them to go

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17
Q

paranoid personality disorder guidelines for care

A

-Counteracting mistrust
-Adhere to schedules & boundaries (esp. when threatening)
-Avoid being overly friendly but acknowledge feelings
-Use simple, direct language
-Project a neutral but kind affect

18
Q

schizoid personality disorder

A

-Loners, poor academic performance
-Increased prevalence of disordered family life
-Avoid close relationships
-Depersonalization, detachment
-Cold, detached, distant

19
Q

schizoid personality disorder guidelines for care

A

-Avoid being too “nice” or “friendly”
-Do not try to increase socialization
-Assess for symptoms the patient is reluctant to discuss
-Protect against group’s ridicule
-Respect personal space while encouraging participation

20
Q

schizotypal personality disorder

A

-Severe social and interpersonal deficits
-Rambling conversation
-Paranoia, suspiciousness, anxiety, distrust, odd and eccentric
-Brief episodes of hallucination or delusion
-Can be made aware of their odd beliefs and magical thinking (might be seen in cults)

21
Q

schizotypal personality disorder guidelines for care

A

-Respect patient’s need for social isolation.
-Be aware of and intervene appropriately with patient’s suspiciousness.
-Reinforce socially appropriate behavior and dress
-Perform careful diagnostic assessment for symptoms that may need intervention (e.g., suicidal thoughts).
-use low dose psychotics and supportive psychological care

22
Q

borderline personality disorder

A

-Suicidal behavior, gestures, or threats; or self-mutilating behavior
-Affective instability, mood swings
-Identity disturbance: Feelings of emptiness, dysphoria, & boredom
-Intense anger or difficulty controlling anger
-Paranoid ideation or severe dissociation
-Efforts to avoid real or imagined abandonment
-Unstable interpersonal relationships
-Identity disturbances
-Impulsivity in at least two areas that are self-damaging (spending, sex, substance abuse…)
-View themselves as victims

23
Q

splitting

A

a defense mechanism in which they are unable to integrate and accept both positive and negative feelings
-people (including themselves) & life situations are either all good or all bad
commonly seen in borderline PD

24
Q

borderline personality disorder guidelines to care

A

-Comprehensive assessment: risk assessment and emotional triggers
-Building trust and therapeutic relationships with consistency, empathy, and validation
-Teaching coping strategies for emotional regulation
-Setting boundaries and conflict resolution
-Safety! they live in crisis so have a safety plan and people to call in an emergency

25
Q

antisocial personality disorder

A

-Antagonistic behaviors
-Disinhibited behaviors
-Lack of empathy, remorse or guilt
-Violation others’ rights
a psychopath or sociopath
-Evidence of conduct disorder with onset before age 15
-Need to prove superiority
-Center of the universe
-Irritability and aggressiveness
-Superficially charming but deceitful

26
Q

how to tell the difference between borderline and antisocial PD

A

antisocial individuals typically have more legal involvement and more outwardly destructive where borderline is more self destructive & more common in females

27
Q

antisocial personality disorder guidelines for care

A

-Identify blocks therapeutic relationship
-Identify dysfunctional thinking, develop new problem-solving behaviors
-Self-responsibility facilitation
-Anger control assistance
-Help build a new support system
-Self-awareness enhancement

28
Q

histrionic personality disorder

A

-Excitable, dramatic, high functioning
-Bold; attention-seeking, provocative
-Self-centered; low-frustration level
-Excessive emotions; smothering
-No insight: Limited relationships
-Considers relationships more intimate than they are
-do not go up and down in their moods like someone in mania would

29
Q

histrionic personality disorder guidelines for care

A

-Know seductive behavior is a response to distress
-Keep interactions professional; ignore flirtations
-Help patient clarify feelings
-Teach and role-model assertiveness
-Assess for suicidal ideation
-Set firm boundaries

30
Q

narcissistic personality disorder

A

-Feelings of entitlement, self importance
-Lack of empathy; exploit others
-Low self-esteem and hypersensitivity
-Constant need for admiration
-only want to interact w/ other “special people” to show their superiority

31
Q

narcissistic personality disorder guidelines for nursing care

A

-Remain neutral
-Promote a stronger patient self-identity
-Avoid power struggles or becoming defensive
-Role-model empathy

32
Q

Cluster C: personality disorders

A

inhibited
-inferiority
-social w/drawal
-shyness
-avoidance
-embarrassment
-low self esteem

33
Q

Cluster C: dependent

A

insecure
-indecision
-clinginess
-passivity
-requiring reassurance
-fear of aloneness

34
Q

Cluster C: obsessive-compulsive

A

rigid, requiring order
-needs rules, organisation
-perfectionistic
-excessively moral
-constantly productive
-rigid

35
Q

dependent personality disorder

A

-High need to be taken care of, clinging behavior
-Fears of separation and abandonment
-Manipulating others to take responsibilities;
submissiveness
-Intense anxiety when left alone even briefly

36
Q

dependent personality disorder guidelines for care

A

-Help address current stressors
-Set limits
-Be aware of strong countertransference
-Use therapeutic relationship for assertiveness training
-Encourage independence and self-efficacy
psychotherapy is the treatment of choice

37
Q

obsessive compulsive personality disorder

A

-Rigidity; inflexible standards
-Excessive goal-seeking that is self-defeating or relationship-defeating
-Strict standards interfere with project completion
-Unhealthy focus on perfection
-Does not interfere greatly with daily functioning as does the Obsessive-Compulsive disorder

38
Q

obsessive compulsive personality disorder guidelines for care

A

-Guard against power struggles
-Remember the patient has difficulty with unexpected changes
-Provide structure, but with time to complete habitual behaviors
-Promote calm, supportive environment
-can give meds for anxiety and depression

39
Q

avoidant personality disorder

A

-Low self-esteem
-Shyness that increases with age
-Feelings of inferiority
-Reluctance to engage with new people
-Subject to depression, anxiety, and anger
-Preoccupied with rejection, humiliation, and failure

40
Q

avoidant personality disorder guidelines for care

A

-Friendly, accepting, reassuring approach
-Acceptance of patient fears
-Exercises to enhance new social skills
-Design exercises to prevent failures
-Assertiveness training

ABSN (194 decks)

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