Personality disorders

Question 1

1. Inflexible and maladaptive response to stress
2. Disability in working and loving
3. Ability to evoke interpersonal conflict
4. Capacity to “get under the skin” of others

Answer 1

General characteristics of personality disorders

Question 2

Helpful in the treatment of psychotic decompensations experienced by clients with paranoid , schizotypal and borderline personality disorders

Answer 2

Antipsychotic medications

Question 3

Used with borderline personality disorder, decrease impulsivity and self-destructive acts; reduce anger, impulsiveness and mood instability

Answer 3

SSRI antidepressants

Question 4

May be useful for the violent episodes observed in clients with antisocial personality disorder

Answer 4

Lithium carbonate and propranolol (Indernal)

Question 5

1. Paranoid PD
2. Schizoid PD
3. Schizotypal PD

Answer 5

Cluster A - odd or eccentric

Question 6

Pervasive distrust and suspiciousness;

INT: clear, simple, neutral, kind, warn, min anxiety

Answer 6

Paranoid PD

Question 7

Social withdrawal, unable to experience pleasure

INT: time, support, not try increase socialization in acute stage

Answer 7

Schizoid PD

Question 8

Ideas of reference, odd beliefs, living in their own world , inappropriate affect
INT: respect need for isolation, aware of suspiciousness

Answer 8

Schizotypal PD

Question 9

1. Antisocial PD
2. Borderline PD
3. Historionic PD
4. Narcissistic PD

Answer 9

Cluster B - dramatic, emotional, erratic

Question 10

Irresponsible, manipulative, general disregard for the law ; reckless disregard for safety

Answer 10

Antisocial PD

Question 11

1. Risk for other directed violence
2. Defensive coping
3. Chronic low self esteem
4. Impaired social interaction
5. Ineffective health maintenance

Answer 11

Nursing diagnoses for Antisocial PD

Question 12

Intense and chaotic relationships ; fear of abandonment; chronic depression and inability to be alone; clinging and distancing ; splitting; manipulation; self -destructive behaviors; impulsivity (substance abuse )

Answer 12

Borderline PD

Question 13

Dramatic behavior, attention seeking, manipulative, seductive, center of attention
INT: teach role model assertiveness

Answer 13

Historionic PD

Question 14

exaggerated sense of self-worth, lack of empathy,requires excessive admiration
INT: neutral; limitations

Answer 14

Narcissistic PD

Question 15

1. Avoidant PD
2. Dependent PD
3. Obsessive-Compulsive PD
4. Passive-Aggressive PD

Answer 15

Cluster C: anxious or fearful

Question 16

extreme sensitivity to rejection and social withdrawal

INT: gentle, friendly, reassuring approach; don’t push into social situations

Answer 16

Avoidant PD

Question 17

Submissive and clinging behavior ; fear of separation; need to be taken care of
INT: strong countertransference ; satisfy needs but set up limits ;

Answer 17

Dependent PD

Question 18

Overly disciplined , perfectionist, preoccupied with rules, intense fear of making mistakes
INT: don’t engage in power struggle with pt; common defense mechanisms - intellectualization, rationalization, reaction formation

Answer 18

Obsessive - compulsive PD

Question 19

Feel cheated and unappreciated ; negativistic attitudes; passively resist fulfilling routine social and occupational tasks

Answer 19

Passive - aggressive PD

Question 20

The inability to integrate the good and bad aspects of oneself and of objects is called

Answer 20

Splitting

Question 21

Low levels of this neurotransmitter have been reported in people prone to aggressive and impulsive behaviors

Answer 21

Serotonin