Personality Disorders Flashcards
borderline personality disorder
impulsive, self-mutilating, *fear of abandonment
antisocial personality disorder
callous, cold, no remorse for being hurtful, aggressive
self assessment is essential in assessing personality disorders, t or f
true - must take care of yourself
*most effective treatment for personality disorders
personality reconstruction (psycho-dynamic approach)
how long does personality reconstruction take
10-15 yrs
focus intervention for personality disorders on
safety - have pt come to you when they’re thinking of hurting themselves instead of when they already did
before implementing interventions for personality disorders establish
trust - rapport (pt lack this)
to establish trust w/personality disorder pt. do this
provide choices for empowerment, orient pt. to reality if they are delusional, identify their skills/strengths - teach them how to build on that, **set limits to avoid manipulation
milieu therapy (mgmt) for personality disorder
affect mgmt
therapeutic tools for personality disorders
Community meetings, problem-solving groups, coping skills groups, and socialization groups
When a patient with a personality disorder uses
manipulation to get his or her needs met, the staff decides to apply limit-setting interventions. What is the correct rationale for this action?
C.External controls are necessary while internal
controls are developed.
the psycho-dynamic approach focuses on
insight development
*****dialectical behavior therapy focuses on
practical application for BPD crises intervention for suicide setting limits stabilization behavior control emotion regulation distress tolerance skills
borderline personality disorder s/s
always in state of crisis extreme intensity behavior reflects changeability self-destructive behaviors impulsive
A patient with borderline personality disorder and a history of self-mutilation has now begun dialectical behavior therapy on an outpatient basis. Counseling focuses on self-harm behavior management. Today the patient telephones to say, “I’m feeling empty and want to cut myself.” The nurse should:
C. Assist the patient to identify the trigger situation
and choose a coping strategy
common behaviors of anti-social personality disorders
Socially irresponsible Cruel and malicious Guiltless Disregard for the rights of others General disregard for the law Cold, callous, intimidating Inconsistent work or academic performance Failure to conform to societal norms Unable to form satisfying interpersonal relationships
those with conduct disorder as kids commonly end up with anti-social disorder, t or f
true
its common for those with anti-social disorder to hurt themselves, t or f
false, risk is for harm to others, don’t care about others
Which intervention is appropriate for a patient with an
antisocial personality disorder who frequently manipulates others?
A.Refer the patient’s requests and questions related
to care to the case manager.
you want 1 point person
outcomes for anti-social disorders
discussing angry feelings
not harming self accidentally or harming others
engaging in socially appropriate behaviors, not manipulating other people
